The Senate Republicans’ Better Care Reconciliation Act takes federal money dedicated to America’s poor and gives it to the rich. While Obamacare raised taxes on high-income Americans to subsidize insurance for the poor, the Republicans intend to cut those taxes and reduce federal funding to insure low-income Americans.
So instead of insuring the most Americans and lowering the collective tax burden of uninsured hospital visits, the Republicans’ plan is to insure fewer Americans and increase that collective burden for which we all pay. Those visits by uninsured Americans cost $900 each.
Those likely to be hit hardest are those on Medicaid, which includes nearly 40 percent of all American children. The Republicans are proposing a maximum payment to states per enrollee, and while it’s set to increase annually, it will be at a lower rate than medical costs increase. So Medicaid enrollees will be forced to flip more of the bill or go uninsured. As time goes by, fewer and fewer Americans will be insured, and we’ll be right back in the mess Obamacare fixed.
I realize the Republicans are all about personal responsibility, but they have to realize that many Americans are not personally responsible. A 30-year-old, healthy American who doesn’t partake in dangerous activities (i.e. driving, which is the most dangerous activity) could likely go uninsured and not cost the American taxpayer a dime during the year. But those aren’t the people that caused the health insurance mess in the first place. Insurers have caused this mess, and the Republicans just want to keep paying them more.
The moment this idea for private health insurance came about the average American was screwed. Profiting from people’s health is not unlike the undertaker profiting from death. People will pay anything to live longer, and people will pay just about anything for someone to “make the arrangements” for loved ones who have died. “Just because we’re bereaved doesn’t make us saps!” says Walter Sobchak in The Big Lebowski. Well, people are saps when faced with death, which is exactly why private insurance is wrong on every level.
Faced with death, money's no object. It doesn’t matter how rich or poor you are, you’d give anything you had to live longer. Republicans realize this and intend to take everything you have so you have nothing to give when faced with death. It’s why they take affordable insurance plans and make them unaffordable behind the guise of “personal responsibility,” and it’s why they move federal dollars from benefiting those who need them most to people who don’t need them at all.
I am one of the 74 million Medicaid enrollees that only has insurance because of Obamacare and because my home state expanded Medicaid. I feel sorry for the states that have elected not to expand Medicaid. I pay $264 annually for health insurance. I have made two doctor’s visits in the last year. Before that I was uninsured and paid nothing. At least now I’m creating revenue and saving the American taxpayer money by not making hospital visits while uninsured.
I will lose insurance because of the Republicans’ bill and won’t feel guilty about costing the American taxpayer money if I’m forced to see a doctor while uninsured. Nobody should. This bill will be a disaster for America, and in five years or so, we’ll be attempting to fix the same problem Obamacare fixed. Hopefully, next time, a Medicaid-for-all plan will be the only one considered. Until then, low- and moderate-income Americans will either pay a higher percentage of their income to private insurance companies or go without, raising the tax burden for all Americans. How is this bill supposed to help everyone again? Oh, right. It’s not about everyone for the Republicans. It’s about them and their deep pockets, and the rich people like them.
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You might be wondering how Republicans could be better off than owning a majority in both houses of Congress and occupying the White House. Well, they could do it longer. If Georgia’s 6th Congressional district, and even more surprisingly, South Carolina's fifth, are any indication, the Republicans are in for rude awakening in 2018 and 2020.
While Republican Karen Handel won the election, Democrat Jon Ossoff made us all pay attention to a district that’s been nothing but red since Apocalypse Now and Alien were in theaters.
While it’s highly unlikely the Democrats win three of the eight Republican Senate seats up for reelection in 2018 to win a majority, the House is a different story. It doesn’t matter whether Congress repeals and replaces Obamacare. House Republicans are under fire whether they do or don’t. Midterm elections have been historically bad for the party occupying the White House, as was epically the case for Barack Obama in 2014. The average loss of House seats by the party with a newly elected President is 23. There are already 23 House seats held by Republicans in districts Hillary Clinton won, while just 12 that have Democratic representatives and voted Trump.
FiveThirtyEight’s Harry Enten compared a President’s approval rating to the results in the midterm elections, and despite a large margin for error, (+/- 33 Congressional seats) there was a correlation. And Trump’s residency of the White House has only just begun. After 149 days, Trump’s approval rating, as measured by Gallup, has dropped to 38 percent, and Trump started with the lowest approval rating for any first-term President ever rated (45 percent). Trump has that record by six points. Barack Obama and George W. Bush had approval ratings of 61 and 55 percent, respectively, over roughly the same number of days. At the time of their first midterms, they were at 45 percent and 63 percent, respectively.
Bush’s 63 percent approval rating is the reason why he’s one of the exceptions to the rule that the party residing in the White House loses Congressional seats in the midterms. It’s the highest approval rating ever during a midterm election. An unpopular war brought Bush and Republican Congressional candidates back down to Earth the second time around.
The only President who’s experienced a similar decline to Trump over a similar period is Gerald Ford. Over 157 days in office, Ford saw his approval rating fall from a very respectable 71 percent to 37 percent, He pardoned Nixon and still only had nearly the same approval rating as Trump does now! So what I’m saying is there’s plenty of time for Trump to hit rock bottom.
Going back to that FiveThirtyEight analysis, if Trump’s approval rating were to fall to say 31 percent, “Democrats would be projected to gain 53 seats” (again, +/- 33 margin of error). I’m not betting on Trump’s approval rating to be that high. He’s already got the record for the lowest approval rating to start a Presidency by six points. I’m betting he has the lowest approval rating of a first-term President going into a midterm election by the same margin.
That record also belongs to George W. Bush. He entered the 2008 midterms with an approval rating of 31 percent. The Republicans lost 36 Congressional seats in that election. Now consider if Trump were six points worse than that. He’d be hovering around 25 percent, and House Democrats would stand to gain considerably.
The job Trump is doing (or not doing considering all the rounds of golf he’s getting in) is already rubbing off on incumbent Congressional candidates, and the stink is legendary. Georgia’s 6th Congressional district has been a Republican stalwart since 1979. The fact that race was even close shouldn’t be taken lightly. We’ve never had a President this disapproved of at the start of a Presidency, and we’ve never seen a White House like this, so I expect the worst.
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It’s no secret that Americans pay more for healthcare than anyone in the world, and it’s increasingly less of a secret that a better system would result in fewer infant deaths, fewer preventable deaths, fewer uninsured people, and less expense for Americans. What does that system look like, though? Well, it’s not privatized health insurance.
The problem with privatized health insurance is that it allows or forces people to go uninsured due to cost, which is why President Barack Obama’s Affordable Care Act is so important. It lowered the number of uninsured to an all-time low of 8.6 percent by forcing affordable coverage options upon them (if you live in a state that expanded Medicaid) or forcing them to pay a fine so the insured wouldn’t have to flip so much of the uninsured’s bill. And while healthcare costs are still increasing (they always will), they are increasing at a slower rate than they were prior to the ACA.
The biggest reason socialized healthcare is difficult for Republicans to stomach is because they don’t trust the federal government to handle healthcare. You hear them say that over and over, and that the states can do it better. I don’t disagree, but if India can provide free healthcare to roughly 276 million Indians living under the poverty line, the American government can certainly do it for 43.1 million impoverished Americans. States should not be allowed to opt out of this coverage. It should be mandatory because those with private insurance would be paying for fewer uninsured visits to the hospital, meaning hospitals wouldn’t have to increase costs for everyone because of the $900 each uninsured visitor costs them annually.
But socialized healthcare is not going to be passed by this Congress or any other unless the Democrats manage a supermajority at some point, and even then it’s no certainty given the bad, yet unwarranted, reputation the word “socialism” has in this country. (Hint: it’s not fascism.)
The House Republicans’ American Health Care Act won’t be passed by this Congress, either. At least not how it currently stands. But minimum wage legislation should appeal to constituents and politicians of both parties.
The biggest problem for Americans isn’t increasing health insurance premiums. The biggest problem is stagnant wages, which is why passing minimum wage legislation is so important. Back in February, the U.S. inflation rate was at its highest since 2012. An item that cost $20 back in 1997 would cost $30.38 today. That’s a cumulative rate of inflation of almost 52 percent in 20 years. Middle- and low-wage workers’ incomes grew just over five percent during the same period. When the value of the U.S. dollar decreases 10 times faster than incomes increase, people struggle to pay for everything. My father and an entire district of a machinists’ union didn’t get a raise for the eight years Ronald Reagan was President. Imagine working for the same wage for nearly a decade while the cumulative rate of inflation increased 36.4 percent over that time. By the end of the eight years your 1981 U.S. dollar was worth just 63.6 cents in 1989. The lack of union membership in America has a lot to do with the increased income for the top 10 percent of earners, too.
While the globalization of the economy makes executives more valuable, a lack of union membership and lack of collective bargaining allows executive salaries to inflate. And while the affordability of commonly used items like refrigerators, ovens, etc. has increased according to the CATO Institute, that doesn’t necessarily offset the ever-increasing cost of energy. Between 2005 and 2015, residential energy costs increased 34 percent despite prices of natural gas delivered to electric utilities declining nearly 60 percent and coal prices remaining essentially flat, according to the Institute for Energy Research. And we all know that gasoline is more expensive. Today’s average price for gasoline is 54 percent more than the inflation-adjusted price of 1998, when oil prices reached an all-time low of $18.13 per barrel.
Secondary education continues to be an increasing expense, which increased on average at a rate of nine percent at four-year colleges, 11 percent at two-year colleges and 13 percent at private colleges since 2011-12, according to CollegeBoard. “But you don’t need a college education,” you might say. Sure, you might not need it, but the value of of a secondary education was double that of an equal investment in the stock market back in 2011, according to the Brookings Institute, and USA Today reported that a New York Fed study determined the net present value of a college degree to be at an all-time high of $300,000 back in 2014.
Education isn’t the only thing that’s steadily increased in cost, either. The median cost of rent has increased 64 percent since 1960 and 12 percent from 2000 to 2010 despite median wages falling seven percent during that time, according to ApartmentList. The Consumer Price Index for food is also 2.4 percent higher than it was just a year ago, according to the United States Department of Agriculture.
While Republican politicians have no interest in socialized healthcare legislation or minimum wage legislation, they should if their goals entail more American jobs and a flourishing American economy. Socialized healthcare legislation, like Rep. John Conyer’s Expanded and Improved Medicare for All Act, and minimum wage legislation, like Rep. Al Green’s Original Living Wage Act, would allow Republicans to create more jobs and allow Americans to further stimulate the economy with expendable income.
No Conservative who is struggling to pay for necessities can successfully argue that they don’t deserve a raise, and no Republican politician can successfully argue that his or her struggling constituents don’t deserve a raise and keep his or her job. This is something Congress can pass and something Donald Trump should be proud to sign. It would be quite the blow to his predecessor if Trump managed to increase wages for all American workers making minimum wage. It would certainly make the numbers look better if Trump and the Republicans are successful in passing their healthcare bill, as more Americans would be able to afford health insurance.
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Republicans are again trying to repeal and replace Obamacare, but what they’re really doing is attempting to alter the Affordable Care Act just enough so they hold onto their jobs and fulfill a promise made by Donald Trump to repeal and replace Obamacare “one Day 1.” We are nearing Day 100, and the House Republicans can’t even agree amongst themselves let alone get enough votes in the Senate to pass their American Health Care Act.
The best thing that could have happened for Republicans with regard to the Affordable Care Act would have been to accomplish the goal announced by House Majority Leader Mitch McConnell just after Barack Obama was elected president. "The single most important thing we want to achieve is for President Obama to be a one-term president,” he said. They failed, and so will their attempt to repeal and replace Obamacare.
The problem for Republicans, and specifically Southern Republicans, is that Obamacare is working for some and would work for most of their constituents. In fact, the South had the highest rate of uninsured people in 2012 at 18.6 percent. And it’s not all Hispanics. Over 68 million of them are white.
Southerners are also the least healthy of all Americans, with 20 percent reporting fair or poor health in 2014. Southerners are also the most impoverished Americans, with 17 percent of Southerners living below the poverty level in 2014. The South also has the highest rates for diabetes, obesity and infant mortality in the nation. The South accounts for nearly as many uninsured people as the rest of America combined, and 17 percent of the uninsured fall into the coverage gap for Medicaid expansion.
Yet Southerners have taken advantage of, or actually, been disadvantaged by the Supreme Court decision to not force Medicaid expansion upon all states. Had all states been required to expand Medicaid, 7 million people would gain coverage, 4.3 million fewer people would be uninsured and states would see between $5 and $10 billion in uncompensated care savings over the next 10 years, which would offset increased state spending by between 13 and 25 percent.
Of the 19 states resisting Medicaid expansion, 14 are in the South. The states with the most people who stand to gain insurance through expansion are Florida (1.253 million), Texas (1.186 million) and Georgia (.682 million). Georgia nearly elected a Democrat to the house just a few days ago, Texas is turning blue, and two Republican incumbents lost House seats to Democrats in Florida last November, while Democratic incumbents retained all six of their seats.
In short, Southerners need Obamacare and the subsidies that come along with it. They’re just starting to realize it. Now, if America adopted a Medicare-for-all system that Bernie Sanders has proposed, maybe we could stop spending nearly $3 quadrillion on health care as a nation.
If you like this, you might like these Genesis Communications Network talk shows: USA Prepares, Building America, Free Talk Live, The Easy Organic Gardener, American Survival Radio, Jim Brown’s Common Sense, Good Day Health, MindSet: Mental Health News and Information, Health Hunters, America’s Health Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, The Dr. Bob Martin Show, Dr. Coldwell Opinion Radio, The Dr. Katherine Albrecht Show, Drew Pearson Live