I did not watch the president on TV this morning announcing possible changes to his Obamacare but of course I am familiar with the whole story.
Here’s what I think. The free-market conservatives are right in that you don’t want the government trying to take the place of the free market. You really cannot have a free market, capitalism at its best, when the government steps in to run things.
But the free or open market does not always fill the need. If people cannot afford something they really need, such as health care, the market itself is not going to be there for them. So the only choice left without government health care coverage is to cut back on one’s health.
So sometimes the government does step in. That is why we have Medicare, for instance. If the marketplace simply took care of that we would not have Medicare.
Obamacare actually uses the open market with its health care exchanges, but our whole health care/insurance system is highly complex and convoluted. It just evolved that way.
Opponents of Obamacare, or technically the “Affordable Health Care Act”, started their propaganda war early, before it became law, and have been inundating us ever since. A lot of people have no idea what Obamcare is about or what it intentions were, they just know from all the propaganda that it is bad and if they have any problems with health insurance it’s because of Obamacare.
And there is no doubt there is mass confusion out there. And to some extent I am sure that Obamacare has caused problems for people. But I also can see that just the word “Obamacare” is thrown around by people trying to explain away things, sometimes out of ignorance, sometimes laziness, and sometimes malice. I know someone who was told she could no longer use the free health clinic she had been using. She was told it is because she is on Obamacare and they don’t take it.Come to find out it was because she did not qualify because she had moved and lived in a different county. She is not on Obamacare anyway.
Another woman I am somewhat acquainted with was told she could no longer get a medicine she had been taking because she is now on Obamacare. But as far as I know, she is simply on Medicare (which is not affected by Obamacare), and that is not Obamacare. Now there could have been changes in her Medicare, but she is still being misled.
At my own doctor’s office I was asked to sign a notice about some new policy. When I asked what it was all about the receptionist said: “it’s just an Obamacare thing.” Actually I don’t think it was. I think they were simply telling me that they would no longer handle Medicare Advantage plans, which were initiated under the George W. Bush administration (No problem to me. I am not on that). According to a Medicare website (not the Obamacare website), Advantage plans are still acceptable under the new law — but apparently not at my doctor’s office.
That is not to say that Obamacare is not messing some things up. I am not sure but whether I may be affected. I’m going through some changes right now in my own health insurance situation and I have that on my mind. I should know, but to tell you the truth, reading through and trying to understand health insurance material is almost or maybe worse than having a root canal as far as I am concerned.
I have an appointment to see an insurance agent today. I am dubious about it. I have talked to him and others previously. I never do understand them. I don’t care what anyone says. Health insurance is not simple to understand. There are all kinds of limits and exclusions (notwithstanding Obamacare’s abolition of exclusions on pre-existing conditions), and percentages from this to that on one end of the bill and that to this on the other end of the bill, and coverage of some doctors and facilities and not others (and if you are really sick you often don’t have any way of deciding who takes care of you at the moment, especially if you are stuck in a hospital bed, and yet you can be told that one of your providers was not on your health plan). I mean why can’t we just be covered no matter what?
Personally I don’t think the profit motive is good for health care. But the reality in this country is that is our system and I don’t think we are going to change it.
I think the president has good intentions with Obamacare, but I am sad that he and his administration have bungled it so badly so far. If they don’t rescue it soon they will have not only ruined Obamacare but any chance of health care reform in the foreseeable future.
The Republicans are wedded to the profit motive. While they may or may not want a system where all get some kind of protection, their first priority is to protect profits.
Many people identify with that because they abhor or fear socialism. But some at least mild forms of socialism have been with us for a long time — Social Security being a prime example. If the free market could take care of everything we would not have Social Security.
I believe wholeheartedly in free markets, in capitalism. I also believe that the market does not work in some limited areas.