Mitch Albom wrote the best-seller about the five people you will meet in heaven. I'm working on a sequel: All the Republicans You Will Meet In Hell.
I used to simply regard most Republicans as the servants of big business. Now, 
afte
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onths of watching them use flat-out lies and fear in their attempt to defeat health care reform and the "public option" in particular, I see them for what they are: amoral and souless. Now I know they are an evil force, up to their armpits in our country's social and economic plight, not to help, but to climb back in to power.They ignore decency and morality, choosing instead to court favor with the mega rich and to fulfill the wishes of Wall Street and big business, the people whose money pays the way
to election, re-election, wealth and power.
Considering their devasting defeat at the polls last November, it's remarkable that the Republicans haven't gotten the message. What's their rescue plan for all the families that got scammed in the "now-you-see-it-now-you-don't" mortgage circus of '08? Yet they're stressed out over the future of the health insurance companies. They don't waste time worrying about the welfare of the average family, so you can write off the homeless. Right now they're hotly focused on bringing down President Obama and his Campaign for Change, the centerpiece of which was his promise for health care reform.
If they can cause Obama to fail, which they and right-wing radio comedians like Rush Limbaugh have flatly stated they hope he does, Republicans see a chance to seize long term political dominance. They believe that would give them the needed time and control of Congress to turn the nation into their vision of what kind of country we shall have, and whose country it will be.
As commoners, low income and middle class Americans will have no meaningful role in their utopian society, one under control of the supremely rich. The America they imagine is free from all fear of the unwashed masses. What causes them night terrors is the Power of the Vote. Without the ability to subvert, dilute or minimize our votes, the wealthy see us as a threat to their indulgent way of life. As the financiers of the GOP, their interests are much better served with the legislative power to ignore demands for a living wage, affordable health care, access to higher education, tight oversight of predatory moneylenders and new laws regulating large employers who are currently free to jerk employees around as if they were a subhuman form of species bred only to meet their labor needs.
The defenders of health insurance companies have finally been forced to stop falsely crowing about our having the Number One health care system in the world. We are not Number 1. We are Number 37 according a study by the World Health Organization. It is true that we're first in the amount we spend on health care, but we're only thirty-seventh in the quality of care. Clearly, we are not getting our money's worth under a system insulated from change by the Republicans and ruled by companies who act as the official Keepers of the Health Care Treasury. Here are the facts according to the September 21st issue of Newsweek:
1) About 22,000 Americans die annually of treatable diseases because they can't afford insurance and earn too much to qualify for Medicaid. They fall through the cracks and into early graves. We are the only industrialized democracy where this occurs.
2) We have 46 million citizens without health insurance while virtually every western European nation provides universal coverage. Britain, Spain, Italy, France, Austria and Germany see health care as a moral obligation of the government to its people. So does Japan. And the European Union has a "right to medical care" embedded in its Charter of Fundamental Rights.
3) No one in Canada files bankruptcy due to medical bills. In the U.S., 700,000 people do so annually.
4) In the U.S., health insurance is not available to you and me in a competitive market where we can shop for the best coverage at the best price. In many states, a single company is the provider and may operate under two or three business names, giving the appearance of competition, when they actually have a monoply. In states with two or three insurance providers, the companies have a captive market and operate as a cartel, or price-fixing syndicate. The differences in coverages and costs among their policies is similar to studying varying shades of gray.
A poll quot
ed in a recent issue of Time says, many people are "very or somewhat" satisfied with their health insurance, "more or less." If the quotations are from the poll, it tells us nothing.
Most people I know are either resigned to paying the ripoff premiums, deductibles co-pays, non-covereds, etc. or loudly dissatisfied. People especially hate HMO's
. They don't like being told which doctors they can and cannot see; they don't want to be limited to certain hospitals because even if the designated hospital is conveniently located, the restriction limits the patient's choice of physician; people dislike insurers dictating what medicines they will or will not pay for. They de
spise being denied seeking a specialist without getting the blessings of The Insurance Gods.
Unless so
meone else is paying for your coverage, you know that rates continue to grow at about 11 to 13 % a year, benefits shrink and options are taken off the table at will under threat of huge hikes in premiums. Since 1999 insurance rates have increased 131% while workers' wages increased only 38%. An average family of four pays $13,400 a year for health insurance.
The people I know aren't "somewhat satisfied" with their insurance. They are concerned about how much longer they can keep paying the vigorish. They worry about whether they will be able to afford coverage for the whole family, or just the member who most needs it. Many are counting the months until they can at last cross the finish line to Medicare. Others dislike having to buy "gap" insurance to cover the cost of suspiciously expensive prescription medicines. They worry about financing their way through the "donut hole"--that annual cut-off point where insurers quit paying for medicines altogether until the insured coughs up about $2,500 out-of-pocket expenses before reaching the other side of the hole where insurance benefits kick in again.
Insurance companies act as if the payment of patient claims is proof of their benevolence versus a response to their contractual obligation for benefits bought and paid for.
Many taxpayers are rightly concerned about the rapidly mounting and overwhelming national debt. But this chaos was created by the Republicans and the Bush White House whose leadership brought us to the edge of ruin and left the Democrats having to fix their financial damage, including health care, or send the country into a second Depression.
In 2003 the Republican dominated Congress passed the "Medicare Modernization Plan". Under this law, insurance companies were given more than $100 billion in unwarranted federal subsidies while raking in billions more in profits. The legislation that made it possible was flown in below the public radar or it surely would not have become law. Only the Republicans can see where it makes sense to subsidize a greedy business all ready glutted with money.
Under the proposed Health Care Reform Act, those billions in subsidies formerly stuffed into corporate pockets will go to providing health care for millions of people and holding down taxes.
Another absurdity of the Republican's "Medicare Modernization" prohibited Medicare from using its buying power to wrangle the best possible prices out of pharmaceutical companies. Knowing a business deprived of its ability to wheel and deal with suppliers cannot avoid over-spending and inefficiency, the Republicans nevertheless approved this waste of taxpayer money.
The fight for health care reform that has embedded in it the right for people to choose who they want to buy their insurance from, is a major one. But it is also part of an even bigger struggle. That bigger is to strip the power to decide for all of us away from the minority of the rich who always choose only for themselves. Next, we must throw those politicians (Democrat or Repbulican) who serve them out of office. Only in accomplishing that will we truly be a country of the people, by the people and for the people.

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