Kerry offers same-old-same on healthcare reform
Posted: July 31st, 2006 by Steve TrinwardAs usual, John Kerry has a pretty fair grasp on a problem, but the wrong solution. In an op-ed piece in Monday’s Boston Globe, the junior Senator from Massachusetts exhorts his readers that it’s time for “Getting moving on healthcare.”
He correctly identifies the trend by big business, led by the likes of Wal-Mart and General Motors, to escape from the bondage of employee-benefit healthcare, thereby separating individual choice and responsibility from the institutionalized hegemony that has been a large contributor to the price-inflation and general misuse of wellness in our society. As he notes in the column, “it shouldn’t be a surprise. Good corporate citizens [sic] are coping with a competitive disadvantage in the global marketplace. GM pays $1,500 in healthcare costs on every vehicle it manufactures. Toyota pays only $200.”
Kerry also correctly sees the problems of the current system, declaring that, “We’re stuck with a 20th-century healthcare system that just doesn’t work for a 21st-century economy. The traditional employer-based healthcare system can no longer meet all our needs. Costs are too high, and businesses overseas are operating on a whole different playing field.” He notes the rise in healthcare costs, and that “[u]nder this administration’s watch, the number of uninsured Americans has grown by 6 million and premiums are up a whopping 73 percent.”
But now he falls off the track, calling immediately for “big ideas and bold solutions” to “make sure that all Americans benefit.” After deeming the corporate moves a bad trend, he calls for his own solution: a federal reinsurance plan to cut business costs for catastrophic care, universal coverage for all children … and more universal coverage, for everyone else who currently remains “uncovered” – whether by choice or by necessity. So much for finding a solution, instead of covering up the problem with more red-tape and bureaucracy.
Although Kerry does say he wants to bring about this latter condition by using “targeted tax credits for small businesses, middle-class families, and people between jobs,” he still seeks to socialize the process, thus benefiting the insurance industry, the Big Pharma companies, the profligate hospital-builders and the federal bureaucrats – the same sectors of society who’ve been the major players in letting the situation become the entangled mess it is today. (He does suggest that the health plan now enjoyed by members of Congress would be a good model to follow; however, his plan for paying for it is the usual “repeal Bush’s tax cuts for the rich” nostrum. Exactly who does he think those “targeted tax credits” would be going to?)
This editor is getting tired of repeating it, but the answer to healthcare reform does not lie in shuffling the deck chairs, but in shifting the entire focus from “disease care” to “wellness” – away from the insurance and chronic aftercare models of a society of helpless children, and toward the savings plans and other preventative measures that responsible adults should embrace. General Motors, and to some extent Wal-Mart, are among the companies showing the way to move in that direction, whatever their motives otherwise. On the more progressive libertarian side, Whole Foods Markets even pays its employees to encourage frugal use of health dollars, by making them their own in the amount of a deductible, allowing them to choose and pay for their own coverage policies under the company umbrella.
Meanwhile, with the encouragement of medical savings accounts, incentives promoting healthier living in general, and a focus on examinations and pre-testing (to discover ailments at their inception instead of deep into infestation) … the whole paradigm might be shifted, with at least a prayer of finding a real answer.
Kerry would do far better, if he truly wants to see a transition out of this mess, to take a page from fellow Democrat Tennessee Governor Phil Bredesen, who has at least put something a little new on the table with his Cover Tennessee approach. If nothing else, this partially subsidized program, due to begin enrollments later this year, offers working folks a portability option as well as an affordable bare-bones coverage level, instead of just another government program from the same folks who tried to bring us Hillarycare over a decade ago.
Of course Kerry never had to deal with the pilot program for that monstrosity, as Bredesen is still doing with TennCare. Maybe it took that kind of rude awakening to get someone in power to look outside the box for a change. Amazing what seeing reality up close and personal can do, even for a politician’s perspective!

July 31st, 2006 at 10:08 pm
One of the problems with healthcare in the U.S. is that the medical insurance industry is not a
nationwide market. Instead each state is its own market as I understand it due influence
of state insurance regulators, Insurance Commissioners, etc. This also impact the medical
malpractice insurance industry.
Another, often overlooked issue is the licensing of medical equipment.
Both of these issue need to explored to some length. Something that I do not have time
to do unfortunately.
M.H.W.
August 6th, 2006 at 10:25 pm
Both of these issues have been explored, along with many others, by Maggier Mahar in “Money-Driven Medicine” … I spent four of these “editorials” reviewing it recently; you might like to take a look at the summaries of her conclusions there …
August 19th, 2006 at 5:50 pm
There is more going on than just insurance premiums increasing. The whole system of health care has been compromised in various ways. Big Pharma created the AMA which in turn was given the “power” to create medical schools. Within the halls there is no room for the basics of human health, one of the most glaring omissions is the subject of proper nutrition and how it impacts overall health. Additionally, treatments for symptoms are the norm while the question of what is causing the symptom is ignored. Now that the good doctors are hoodwinked, then pressure can be brought on the FDA to allow medications that have been proven to decrease the quailty of health up to the point of death. In the example of Vioxx, how many BILLION in profit happened before public outcry forced the removal from the marketplace? But I digress, the insurance companies have certain forms that they will accept from the Dr.s office. There isn’t a standard form. The Dr must then add staff in order to do nothing but handle paperwork. Add in all Federal and State compliance regulations for record keeping and then add in the cost of mal-practice insurance for that Doctor. Which then gets passed on to your health care insurance which then causes your premium to increase.. Ask this simple question, “Who or what stands to gain from this?” and follow the money. I believe that any reasonable person will soon see the true picture devoid of the hype. It is unfortunate but the Medical Industry in America has learned it’s lessons of fraud, deceit, and misdirection far too well for the people that depend on this industry for health care, are nothing more to them than a carbon based revenue unit. The picture I have painted is a bleak one. Which is usually the case when government is involved to any degree. However, the true solution to this mess is rather simple. In true libertation fashion, educate yourself about your health, become responsible for it and take action that you have decided is best for you.
August 27th, 2006 at 6:16 pm
Apologize for the delay in responding, Kelly; long overdue and much needed vacation/family trip … just catching up now. You make a lot of good points, although not always with the correct information (e.g., Big Pharma did not create the AMA, the Doctors themselves did, as a trade union to protect their craft — and they then made as many mistakes in rejecting capitalism (investors in needed advances, studies, etc.) as they did in resisting socialism … and thus left the gates wide open for the then-only-growing Pharma to control the field.). Your best advice is the last line: education, self-responsibility and good sense … along with checkups (both allopathic and naturo-) to ensure you can maintain through the challenges presented. I also recommend Maggie Mahar’s book; would send you mine but I passed it along to someone who may be able to make use of it in her coming term in a state legislature …