Killing American Healthcare:  We’re Failing to Solve the Wrong Problem

Killing American Healthcare: We’re Failing to Solve the Wrong Problem

The goal of reasonable, affordable health care for all American citizens, to borrow Susan Milligan’s metaphor[1], is on life support in the Republican-controlled Congress, kept alive by feeding tubes. What We’re Ignoring: A Healthy Patient The current Republican Health Care Act seeks to solve the challenge by radical, high risk amputation whose aim is to kill the disease, even if it costs the patient his life. (We should be calling the GOP plan “McConnellcare,” not “Trumpcare,” since President Trump has little interest in or mental capacity for actually making good on his promise “to have something that’s really good and that people are going to like.”)[2] The current treatment, the Democrats’ Affordable Care Act, by the same analogy, amounts to keeping the patient alive by an unsustainable-, expensive regimen of drugs with lots of damaging, unanticipated side effects. But the patient is dying. Conservative Congressional Republicans are, in effect, now saying “We’ll let the patient die, but preserve the brain.” The liberal Democrats’ response: “We’ll let the patient die, but preserve the heart.” Either way, the patient is dead. What’s wrong: neither the Affordable Care Act nor the latest GOP version of healthcare Mitch McConnell is desperately trying to get passed by the Senate actually deals with the illness. Even worse, neither has any ability to deliver what’s really needed: a patient capable of enjoying robust, sustainable health. We’re Just Making a Sick Patient Sicker The core of the problem: Constantly escalating, uncontrolled increases in the cost of drugs, unregulated discrepancies in the cost of medical services, and equal discrepancies in what insurance companies pay to compensate patients and...
The Republican Health (sic) Care Act Crashed – Now What?

The Republican Health (sic) Care Act Crashed – Now What?

Trump’s most bizarre spin on the train wreck of the Republican’s Health Care Act was to blame its failure on the Democrats “We had no Democratic support. They weren’t going to give us a single vote.” There’s a reason why both Democrats and moderate Republicans opposed the Republican health care act re-negotiated with the ultra-right wing extremists in the so-called “Freedom Caucus.”  It was a terribly cruel, cynical attack on everyday Americans that would have stripped out outpatient services, emergency care, maternity benefits, mental health and drug treatment (for example targeted at America’s opioid epidemic), rehabilitation, laboratory services, and preventative medicine. What the Freedom Caucus insists on getting isn’t health care; it’s wealth care – their wealth. The president added that the “best thing we can do, politically speaking, is let ObamaCare explode. It’s exploding right now… Almost all states have big problems.” And this is the President who repeatedly has said, “”If you can’t take care of your sick in the country, forget it, it’s all over. I mean, it’s no good. So I’m very liberal when it comes to health care. I believe in universal health care. I believe in whatever it takes to make people well and better.” Here’s a radical idea: we know there are flaws in ObamaCare – along with many positives. So now it’s time for moderate Republicans and Democrats to do what Trump actually proposed after the train wreck of the AHCA:  “Democrats will come to us and say, ‘Look, let’s get together and get a great health care bill or plan that’s really great for the people of our country.’” But...