Showing posts with label Patient Protection and Affordable Care Act. Show all posts
Showing posts with label Patient Protection and Affordable Care Act. Show all posts

Friday, November 15, 2013

Our Three Tragedies -- The Ancient Greeks and the Affordable Care Act


The debate over the Patient Protection and Affordable Care Act, commonly referred to as Obamacare, is looking like a Greek tragedy – not one but three.

The first tragedy is President Obama’s age and experience. 

While no one chooses his or her birthday, Obama’s lack of political experience, especially guiding something as tricky as a near overhaul of health care in the United States, is his responsibility.

Had he not been a young man in a hurry in 2008 – and certainly a better student of American history – he would have delayed his presidential ambitions. 

Instead of seeking his party’s presidential nomination, Obama would have gained executive suite experience as either a governor or a Cabinet member in a Hillary Clinton Administration.  But he pressed on, winning his current post.

Which is unfortunate.  Because if Obama was a better history student, he would know the most effective presidents – the ones with the chops for the job – came to the White House with one or two characteristics:  Prior executive experience as either a governor, a general or a Congressional leader and, usually, 50 years old.

George Washington, Thomas Jefferson, Andrew Jackson, James Polk, Abraham Lincoln, William McKinley, Woodrow Wilson, Franklin Roosevelt, Harry Truman, Lyndon Johnson and Ronald Reagan – some of the country’s best presidents – possessed one, if not both, attributes when they became the country’s leader.

If Obama demonstrated patience, he’d be watching this debate from the sidelines, not find himself in the middle of it, showing what he really is – a political novice whose inability to manage the new law may very well sink his presidency and his party, too.

The second tragedy is the law’s name.  The citizenry is finally hearing – loud and clear – it’s called the Affordable Care Act. 

But when there are, potentially, as many as 50 million people facing cancelled health insurance plans because theirs don’t cover every disease, test and possible treatment required under the new law – and facing large increases in their monthly premiums – then this new law doesn’t look “affordable.”

It looks expensive.

In California, the Los Angeles Times reported, some self-employed people paying less than $100 a month for their monthly health insurance premium are looking at an increase of about $140 a month so their plan is in synch with the new law.

The McClatchy News Service reported as many as 40 million people in the United States, buying health insurance through their employers, may see their policies cancelled because they don’t stack up with the law and another 11 million people buying policies on their own are also likely facing the same problem.

And, of course, everyone heard – or saw by now – the infamous video of President Obama saying, “If you like your health insurance plan, you can keep it.”

That statement didn’t come with any caveats. The American people took him for his word.

But now Obama’s eating his words, attempting to find wiggle room to keep that promise while, at the same time, attempting to maintain his signature legislation, something that’s more difficult by the day.  Especially when he’s receiving “help” from former President Bill Clinton, who also made a run at changing how health care is managed and paid for.

The third tragedy is economics.  Its first law is that there’s no such thing as a free lunch and if that isn’t understood by now, it may never be.

A to Z health care coverage – and then some – is costly.  This isn’t like buying a liability policy for your car – usually sold for fewer dollars – so anyone you hit is paid off.

The new law requires you to buy a comprehensive health care policy covering you for anything and everything even though the likelihood of you needing such coverage might be statistically remote.

So what everyone is suddenly learning is that the Obama Administration, through the Affordable Care Act, sold off the American public to the insurance industry.

You’ll pay their rates – and you’ll enjoy it!

And given the Supreme Court’s ruling, there are few legal challenges available.

The Ancient Greeks thought no tragedy was meaningless.  There’s always a lesson. 

Maybe we’re finally learning that if we paid own doctors, out of our own pockets, with our own money, instead of receiving a subsidy from the insurance industry, as we have since World War II, then health care’s prices will drop.

We need to stop acting like crack addicts and wean ourselves off the insurance industry.  If we don’t, health care prices will continue to be inflated.


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Wednesday, November 13, 2013

Betty Crocker -- The Widow Maker


These products, pictured above, from Betty Crocker, a household name for decades, contain minute traces of trans fats.  According to the U.S. Food and Drug Administration's latest proposals, either the trans fats will be removed or these products will be prohibited in the United States.

According to the label for the frosting, there's 1.5 grams of trans fat per two teaspoons.  The brownie box label says there's .05 grams of trans fat per serving.  As the FDA sees it, the slightest consumption of these products will kill you.

Meantime, bacon, high in fat and cholesterol, remains good for you.  That's because the FDA has yet to eliminate it from the American diet.

But if they're successful with Betty Crocker, bacon's next -- and so's your cheeseburger, your pizza and anything else you happen to enjoy.

As the FDA sees it, you're a dog -- too stupid to manage your own diet.




Monday, November 11, 2013

Your Life in Two Paragraphs


If Barack Obama were assassinated today, how would he be summed up? 

As the first African American elected president who also failed to deliver his signature piece of legislation, the Patient Protection and Affordable Care Act, on time, leaving millions worried they would be fined – or worse – if they failed to sign up for health insurance as instructed by the law?  As the president who made the United States a laughing stock, at least in Russian President Vladimir Putin’s eyes, because he didn’t bomb Syria as previously threatened?

That might sound good if you never voted for Barack Obama.

But what if you did?           

You might say he’s the first African American elected president who not only killed Osama bin Laden but also delivered a health care law that benefits all Americans while being judicious in his use of military force.

Is either assessment fair and accurate?

Well, they’re both about right. 

Mr. Obama was the first African American elected president.  He ordered the assault on Osama bin Laden once his whereabouts were known; and, while his health care reform law was passed, and even blessed by the Supreme Court, the website enabling Americans to sign up for health insurance, scheduled to be running by October 1, 2013, wasn’t ready on time; finally, after sending strong signals about a possible attack on Syria, President Obama didn’t attack, deciding to let Congress decide U.S. actions.

Are these failings or achievements?  It depends on your political point of view.

So what are we supposed to make out of John F. Kennedy, whose presidency is undergoing a reassessment? 

Apparently historians are downgrading him because he was less than prescient with his actions, failing to understand that his moves against the Communist enemy we faced in the early 1960s would bring about a response.

If we’re to accept how some historians look at Kennedy, he should never have allowed the Bay of Pigs invasion in 1961 because it only led to the Cuban Missile Crisis, which took the world to the brink of a nuclear holocaust.   Seriously, what was he thinking?

In addition, none of his most significant pieces of legislation, like the Civil Rights Act of 1964 and his tax cut, were passed during his time in office.  It took Lyndon Johnson’s deft legislative skills to make sure Congress turned them into law.  Finally, America’s intervention in Vietnam can also be blamed on Kennedy, some historians say.

But we should keep in mind that the Civil Rights Act and the tax cut weren’t proposed until 1963, Kennedy’s last year in office.  Had he not been assassinated, it’s possible he could have signed them into law. 

Kennedy’s actions in Vietnam were consistent with Cold War policies; for that matter, the country, during his time in office, felt as threatened by Communism as we have, recently, by terrorism.

Historians face the challenge of summing up someone’s life, meaning, if they’re doing their job properly, they’ll consider the culture in which their subject lived as well as their significant experiences. 

Gerald Sorin said it best:

“ … we biographers, even those such as myself who want to write cross-over books accessible to the educated lay public, don’t simply chart the course of a life from womb to tomb; we examine our subjects in dialectical relationship to the multiple worlds they inhabit, social, political, and cultural.”

Like any president, Kennedy came into office with a host of life events, including being a member of a large family; considered, at times, the son who wouldn’t live up to his potential; a combat veteran; a Cold Warrior; an accused philanderer; it’s also thought, by some, he didn’t write the books he authored; a loving father; a Democrat who didn’t always fit in neatly with his party’s philosophy.

Did any of this make Kennedy a bad or a good president?

Unlike the vast majority of presidents, Kennedy’s one of the few who died in office.  His abbreviated term – lasting less than three years – leaves more question marks than exclamation points. 

His biggest drawback is likely the same one that afflicts Obama – a lack of executive and leadership experience prior to becoming president. 

While it’s easy for some to see black and white when it comes to presidents they like or dislike, we should keep in mind that none of us, including our leaders, are one-dimensional.

I’m hard pressed to give Kennedy a bad rap, and I’m uncomfortable pronouncing him a hero.  His successes and failures speak for themselves.

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