Monthly Archive for May, 2011

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ACA Nonsense at the Fourth Circuit

Two articles landed in my in-box this morning.  They highlight how the Republicans just don’t get it on health care.

The first from the Christian Science Monitor has the headline:  Is health care like broccoli?  This is the question that opponents of the Patient Protection and Affordable Care Act (ACA) are asking the United States Court of Appeals for the Fourth Circuit in Virginia.

The second from Health Care Finance News reports that most uninsured Americans are unable to pay for the health care services they receive according to a study by the US Department of Health and Human Services (This may only be news to Republicans).

“When the uninsured cannot afford the care they receive, that cost must be absorbed by other payers,” according to HHS Secretary Kathleen Sebelius.

Last week a story in USA Today highlighted the $49 billion in uncompensated care that the medical system must absorb.

Purchasing health insurance is not like eating broccoli.  Someone else pays the consequences when an individual has no health insurance.  No one else suffers if you do not eat broccoli.  Republicans tend to be against freeloaders.  I guess when it comes to health insurance that principle is sacrificed.

You may argue that the individual mandate is unfair, is unnecessarily complicated and confusing and difficult to enforce.  You may argue that there are better ways to cover all Americans than that offered by ACA.

But you positively cannot argue that health care is like broccoli.

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Ryan Plan – A Budget to Plan For

Paul D. Ryan (R-WI)

Boy do I have a plan to fix Medicare.  Well, actually, it’s not my plan.  This guy, Paul Ryan, thought it up.  He’s some kind of chairman in Washington.

Medicare is the program that pays for health care for old people.  Also disabled people, but mostly old people.  It seems it is going broke.

That’s what this guy Paul Ryan says.  His logic is a bit hard to follow but it goes something like this.

Too many old people

There are too many old people.  The government spends too much on their health care.  The government isn’t smart enough to fix it, so it should turn the money over to those old people.

Of course, the old people can’t do it by themselves, so they have to buy insurance from insurance companies.

Since the insurance companies have lots of money and the government doesn’t this makes perfect sense.

But here is where it gets confusing.  The insurance companies have lots of money because they don’t pay for health care and the government doesn’t have money because it does pay for health care.  So won’t this situation just reverse itself in a few years?

Old people aren’t too keen on this idea.  They think the insurance companies will continue to not pay for health care.  I’m not sure I get that. If the insurance companies have all this money, why wouldn’t they spend it on health care.  What else are they going to spend it on?  Themselves?   That’s stupid.

But hey, this is where this guy Ryan shows his smarts.  I mean the guy is no dummy.  You see his plan won’t take effect until 2022.  That means it won’t effect anyone older than 55.   I think he figures they aren’t paying attention.

Time to save

And here is the beauty of his plan.  They will have 10 years to save the extra $182,000 the plan will likely cost them in retirement.  Of course, they need to be paying attention to that part; otherwise they may forget to save that much.

Extra is the key word here.  Everyone knows it is going to cost them between $330,000 and $390,000 to pay for health care in retirement under the current plan.  Presumably, these under-55 year olds have that much stashed away already.  So they will just need to save about an extra $15,000 per year until they reach 65.  How difficult can that be?

But wait!  If it looks like you aren’t going to make it, you could try going out on social security disability before 2020.  Then maybe you can get into Medicare under the old rules.

Some people just don’t get it.  It’s all about Medicare.  It’s not about people.  Some people have this silly idea that government is supposed to be here for people in need.  Remember what John Kennedy said, “Ask not what your government can do for you.  Ask what you can do for your government.”

Well our government needs us to stop asking it to do things for us.  That way it will be able to do things for people who are not in need – the rich.

This is an idea whose time has come.  Its beauty is in its simplicity.  Those who need, pay; and those who don’t, get tax cuts.

The Republicans may be backing away form this Ryan fellow, because they think people are against the idea.  But they’re just kidding.  Elect them and find out.

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What’s driving seniors’ Medicare fears? | BenefitsPro

April 28, 2011 By Ricardo Alonso-Zaldivar

WASHINGTON (AP) — The Republican plan to privatize Medicare wouldn’t touch his benefits, but Walter Dotson still doesn’t like the idea. He worries about the consequences long after he’s gone, for the grandson he is raising.

“I’d certainly hate to see him without the benefits that I’ve got,” said Dotson, 72, steering a high school sophomore toward adulthood.

The loudest objections to the GOP Medicare plan are coming from seniors, who swung to Republicans in last year’s congressional elections, and many have been complaining at town-hall meetings with their representatives during the current congressional recess. Some experts say GOP policymakers may have overlooked a defining trait among older people: concern for the welfare of the next generations.

“I remember the days when we had poor farms and elderly people on welfare, before we had Social Security and Medicare for seniors, and I’m afraid it will lead right back to that situation,” added Dotson, from the village of Cleveland in rural southwest Virginia.

What’s driving seniors’ Medicare fears? | BenefitsPro

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Faith Organizations Support Single Payer

The current health care system does not make life easy for lots of people and organizations.

Churches, for example.

The current issue of The Lutheran discusses the prospects for matching new pastors with congregations.   They do not specifically mention health care. They should.   The Lutherans are not unique.  They face the same challenges as other Protestant churches.

Congregations face declining worship attendance and, with that, declining offerings in the collection plate.  Senior pastors who saw their retirement savings seriously diminished during the recent recession, are staying on the job longer, reducing the number of vacancies.

Graduating seminarians, on the other hand, are graduating with larger debts.  They want and need more in a market of shrinking opportunites.

What does this have to do with health care?

How can a congregation save money?  Hire a minister who is married to a spouse with health insurance for the family.

Is that fair?

No.  Emphatically, no.

It limits the candidate pool for churches and it limits the opportunities for aspiring ministers.

Eleven faith organizations have endorsed a single payer solution to the health care crisis.  Most all offer theological reasons for their positions.  But churches should not shrink from their economic motives.

After all, they are in the exact same position as many small businesses and other non-profits.  Only 49% of private sector employees get their health care coverage from their employees.  Another 20%, of private sector employees get their coverage from their spouse.

The inability of too many employers to offer both competitive benefits and competitive salaries limits their candidate pool and restricts the opportunities of people who might otherwise be willing to work for those employers.

The Evangelical Lutheran Church in America should join with the other eleven faith organizations to support single payer.  It is not just the right thing to do theologically.  It is not just a social justice issue.  It is an economic issue that they share along with many other smaller organizations fighting for survival.

Photo credit     Truus, Bob & Jan, too

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