Says Who??

Verstehen, through shared perspectives

ACA OR SINGLE PAYER? ACTUALLY, THAT ISN’T THE QUESTION

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In the chaos of our present—and proposed—health care systems, it may seem strange to those who know me that I would speak strongly against repealing the Affordable Care Act in order to set up a Single Payer System. I am not even going to address the miserable excuses for alternatives to the ACA that our congress-turned-one party-turned-a handful-of-old-white-males tried to foist on our already suffering nation. That is not worth my time, much less yours. So let’s look at what we have (or what is left of it), versus what a growing number of our fellow Americans are claiming to want.

The Affordable Care Act, aka “Obamacare.” What is wrong with it? Well, since I am old enough to remember congressional debates and media discussions about it, let me share one clear memory. A certain congressman or senator (I am not here to name names and add to the hostilities) stood in front of his peers, with a binder of papers almost a foot high. That was the ACA, which congress was supposed to stop stalling and cast their votes for or against. The legislator was angry, as he slammed the binder down and asked how many had even read the proposed law. Then he stated that no one could possibly have read such a lengthy and dense document. It had been added to indiscriminately, without enough discussion to make certain that there were no contradictory sections of it. Yet our lawmakers were called upon to vote, and vote they would. And they did, and the Frankenstein monster they created was passed. And some named it Obamacare, in not very subtle derision. Then those same people hated it all the more because it carried Obama’s name. Just an aside: Some of us social science types stated in no uncertain terms that those old white Southern men in Congress were determined that no black man would tell them what to do, and they would do nothing to promote anything he tried to do. “Too harsh of you” others shushed us. Still think so?

Moving on, at the other end of the continuum of political positions we find another “older” white man (I say “older” because I am older than he is, and I don’t want to downplay his energy and passion for his job by putting him in the same age category as me and the old white Southern men). Unlike his counterparts in Congress, he has worked and fought tirelessly to benefit the nation. Actually, I err by pushing him all the way to the left end of the continuum. He is a Liberal, yes—a social democrat. By the way, have you read the biblical book Acts of the Apostles? The part where it describes how communities of Christians lived? They joined the community by pitching in all of their money and other resources, and everyone in the community lived on the combined wealth: “To each, according to his need,” regardless of financial contribution, or lack thereof.

I digress. Sorry. The social democrat of whom I speak has called repeatedly and passionately for Single Payer Insurance, and whether or not it was intentionally in the spirit of the Book of Acts, it was certainly in the spirit of “all {men} are created equal, and endowed with certain rights.” I can’t fault his reasoning for wanting National Health Care (that is what we are actually talking about), but I am very afraid that it is misplaced in time.

Having experienced National Health Care when I was injured in Israel, I can say that I know at least some of its problems. Having experienced National Health Care in South Africa for seven years, I also know many of the benefits. In the former situation, at the age of 43 I fell off of a mountain in Israel and broke my ankle in three places, anteriorly displaced the ankle, and pulled a major tendon off the bone so cleanly there was no bone left on it to regrow and heal in place. My Harvard-trained Israeli physician refused to operate. “You are too old” he told me, “and regardless you will be in a leg brace for the rest of your life.” I could not get a second opinion, nor could I afford to pay cash if he would have done the surgery despite his recommendation. So I called the orthopedic surgeon back in the States with whom I had worked, flew home after a lengthy search for an airline that would take me, and I haven’t ever worn a brace. I do have to admit, being told I was too old to have my broken ankle fixed was almost as traumatic as the injury.

On the other hand, in South Africa for seven years a very reasonable deduction was made from my paycheck to pay for National Health Insurance. I was hospitalized once for three days and paid not a cent; saw 2 or 3 doctors of my choice at any given time and never paid more than $10 copay for a visit, and not more than $2.00 (I am using US equivalents to the Rand, at the time) for medicine. I was well taken care of, even when I suffered a bout of pneumonia, and never had concerns about what would happen to me. The big problem in South Africa, of course, was that “National Health Care” only applied to people who had jobs, or whose employers paid into the system. Others were given cash at the end of a day, or a week, with no benefits. The color of their skin made all the difference.

So National Health Care is not always perfect. People in Canada seem to love it; in England, not so much, but they don’t hate it, either. Again, having the cash to pay for what the government won’t take care of always helps.

The point I have been working up to with all this foreplay is that National Health Care is only going to work when you have a government that is attuned to the needs of the nation it serves, and in some agreement or reasonable compromise about how best to serve those citizens. That does not even come close to describing our government. Putting them in charge of our health care, given their record of misgoverning for at least the past three decades, would be like putting a family of drug dealers in charge of a national pharmacy. The knowledge and expertise—even the Will–required to make good financial decisions about medical care for ALL citizens simply does not exist in our political system.

PLEASE!!! DO NOT EVEN CONSIDER NATIONAL HEALTH CARE IN THIS COUNTRY UNTIL WE CAN CARE FOR EACH OTHER, AND HAVE THE GOOD SENSE TO ELECT A GOVERNMENT WE CAN TRUST TO ACT AS ONE “BY THE PEOPLE, FOR THE PEOPLE” ETC.

We HAVE a health care plan. It needs fixing.  SO FIX IT!!! Work together, work in the best interests of the citizens of this country who have, according to our constitution and bill of rights, the right to these good things. There is much more to say about this, but that is for another blog post. First, and foremost, I say to the members of Congress: Do your jobs, fix the mess caused by earlier versions of your peers, and get together like real human beings and give us back our beloved country–the one where we were finally just beginning to accomplish equal rights for everyone.

Author: profemjay

I am a retired Professor of Sociology with interests in the Sociology of Medicine, Political Sociology, the Sociology of Development, Social Action and the Sociology of Religion.

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