I watched Charlie Rose last night and heard Bob Woodward say that President Barack Obama has not really been tested by his own crisis yet. He said that he did not know what crisis might be in the offing, but perhaps unemployment might be it. And today I read that unemployment has reached 10 percent in 15 states. I know it is higher than that in my local area, and maybe in yours. If unemployment remains high, I think the Obama administration will be seen as a failure. Actually we are already in an unemployment crisis — so let’s see how Obama handles it.
Raise tariffs and provide tax incentives to U.S. industry that employs people right here in America, lower — not constantly raise — the retirement age to increase job opportunities for younger folks, and relieve businesses of providing costly health plans and thereby at the same time free up workers to more easily go to better or more suitable jobs by providing some type of universal health care scheme not tied to employment.
And so the doctors, and others, will not gripe that government bureaucrats (as opposed to private health insurance bureaucrats?) are dictating health decisions, let doctors serve on public boards to oversee the government-guaranteed health care. Notice, I have not written “government-sponsored”. Actually I assume that under any scheme to guarantee that everyone has health care coverage there will be government funding.
How about those ideas to put America back to work and get the economy going?
And while I don’t want to just concentrate on health care, I can see from my own personal experience that health care rules so much in our lives (it’s the cost and availability).
So I will address health care and then go back to some of the other economic recovery ideas.
The only way I can see that there is ever going to be health care for everyone is for the government to be involved, the free market can’t seem to do it.
I watched part of a documentary on PBS some time ago about how other nations handle health care, but it was kind of hard to follow or at least remember, except that it seems to have a lot to do with attitude of the public. For some reason maybe the rest of the world is just crazy, but they see a role for their governments to serve the interests of their citizens. For all the need and talk about health care reform in this nation, I sometimes get the idea that the general public is not into it as much as one might imagine, that is until something bad happens in one’s personal life, but then you’re so mired in your own mess, it’s hard to see the forest for the trees. But if the public really cared as much as it is reputed to, I think we would have had reform long ago. I keep hearing that Teddy Roosevelt ( a Republican – a progressive one) pushed for some type of national health care. That’s a century ago.
I’m extremely surprised the business sector has not pushed for national health care, seeing as how providing health care coverage for employees is such a major expense. And if employees don’t have coverage they will eventually be less productive and certainly it would seem more vulnerable to worker’s comp claims, which really can cost employers a lot.
Right now with so much of the work force out of work, huge numbers of people are without or soon to be without health care coverage or are trying to figure out how poor they have to let themselves get to become eligible for government programs.
Health care has become so expensive but is so necessary that it has become one of the most important, yet hard to meet, requirements in life, darn near beating out food and shelter.
Unless you have the fortune required to pay out of your pocket for all health services you might need, you generally have to join together with others in some type of group plan. So why can’t virtually the whole nation join together as a group? Yes it is going to cost, and everyone should have to pay a fair amount according to their means. And the amount of taxes raised for health care cannot be unlimited. So, yes, that means that decisions as to what is covered and how much the insurance will pay will have to be made. They always are, even in private insurance.
Taxing the rich (and who figures out what rich is?) to pay for health care is a bad idea. Social Security, the one program with “social (ism)” in its name that seems to have near universal support or at least acceptance, was designed so everyone (almost) pays for it and everyone is eligible and everyone has a stake in it.
A doctor who writes a column for my local newspaper said he dreaded any type of public option because the government would be telling him how long or what kind of treatment he can give his patients. Not any more than private or so-called group insurance does. And no one would tell him how long he can spend with a patient. That is up to him. He’s talking about his reimbursement. He can spend longer with his patient than the reimbursement covers (the government or other insurance entities only limit the money, not the time), and he can charge the patient the difference (and that is what is often done). Whether the patient can pay that extra amount is always in question (and do doctors consider themselves mere hourly employees?). And it might seem nice to compare the medical care market with any other consumer offering, but, you know, there is just not much competition. In fact, a lot of doctors do not accept new patients.
There is a concern that the number of family practitioners is dwindling because there is just not the money in the field there once was (still better than when they used to accept chickens from farmers). Maybe there needs to be more incentives to create new family practitioners, such as subsidized training for promising students. And maybe if the private sector cannot offer enough services, there needs to be government clinics staffed by well trained doctors and support personnel.
Such clinics would have to be well funded, because if not, you get the stereotypical zoo.
And then there is the problem – who wants to go to a cut rate doctor?
I got off the track on this medical thing. I was really wanting to put another pitch in for the re-industrialization of America. I know all the learned economists and political historians will tell you that raising tariffs is “protectionism” and protectionism is a bad thing because it leads to retaliatory protectionism from other countries and stymies world trade and leads to even more economic hardship and that there is precedent that proves it – the Smoot-Hawley Act of 1930 and the Great Depression. But that notion has been brought into question by some. And besides, that was then and this is now. I love history, but we live now and maybe things are slightly different today.
What so-called free trade has brought us is unbalanced trade where the U.S. competes with nations with a much lower standard of living and it continues to drag the U.S. down. Free trade was sold partly on the idea that other nations would prosper and come up to our standards. And I have to admit that in my ignorance I once thought if something can be made cheaper elsewhere, so be it, I’m generally for it. But there is such a thing as buying value (something that is hard to find these days – except in foreign cars), and there is such a thing as keeping the wealth in one’s home country. In our own greed we may have been tricked into giving up the store by becoming a nation of bargain hunters rather than a nation of those who produce or support in the production of quality products and who share in the wealth that the demand for quality brings. Developing nations may develop, but they also may surpass us while we are not paying attention.
And even though a lot of money is made out of war, our current wars are a net drag on our economy and it is morally wrong to base our economy on war anyway. We should work to get out of war situations as quickly as possible and avoid wars when we can. And we are finding out that in today’s world rapidly moving events all over the globe can cause us to be overextended easily.
Kind of a scatter shot approach here. But just some thoughts.
I heard someone mention on a TV news talk show that even with all the hubbub about whether a health care plan will make it through congress this term, even if it did it would be five years before anything went into effect. That’s absurd.
I still think everyone is trying to make this whole thing too complicated. Complication is not what we need. And it is hard to shop for health care, especially when you need it (think about it).
Just expand Medicare for those who cannot afford to pay for private plans now on the market. The market has no interest in providing health care for those with no means to pay. In fact, left to its own devices, the private health care industry would avoid offering coverage to anyone who might actually want to use it.