Wednesday, September 05, 2018

GOP Message to Most Americans: Get Sick, Go Bankrupt and Die

Liar and modern day Pharisee, Mike Pence.
Sitting in Le Marais area of Paris as I type this post, several things come to mind.  One is that the French truly have a love of life and, unlike Americans work to live rather than live to work.  Another is that they are free from the constant fear of that one major illness or pre-existing medial condition that could wipe them out financially,  Why this freedom of such fear?  It's simple: France's healthcare system, rated by many as the best and most cost effective in the world. Yes, the French pay higher taxes, but walking around the city one sees few signs of poverty and an enviable lifestyle.  The contrast could not be greater compared to America where health care cost remain a continued concern for all but the very wealthy.  Indeed, the message the Republican Party seemingly sends to millions of Americans is like the caption of this post: get sick, go bankrupt and die.  This from the political party that pretends to embrace "Christian values"  and that now finds it strongest support from evangelical Christians and white supremacists (in my view, the two are increasingly synonymous).  A column in the New York Times looks at the menace of the GOP towards millions of Americans:  Here are excerpts:

Despite his reputation as a maverick, John McCain spent most of his last decade being a very orthodox Republican . . . . But he redeemed much of that record with one action: He cast the crucial vote against G.O.P. attempts to repeal the Affordable Care Act. That single “nay” saved health care for tens of millions of Americans, at least for a while.
But now McCain is gone, and with him, as far as we can tell, the only Republican in Congress with anything resembling a spine. As a result, if Republicans hold Congress in November, they will indeed repeal Obamacare. That’s not a guess: It’s an explicit promise, made by Vice President Mike Pence last week.
In the case of health care, however, there’s an even deeper problem: The G.O.P. can’t come up with an alternative to the Affordable Care Act because no such alternative exists. In particular, if you want to preserve protection for people with pre-existing conditions — the health issue that matters most to voters, including half of Republicans — Obamacare is the most conservative policy that can do that. The only other options are things like Medicare for all that would involve moving significantly to the left, not the right.
Health economists have explained this point many times over the years; but as always, it’s difficult to get a man to understand something when his salary depends on his not understanding it.
If you want private insurers to cover people with pre-existing conditions, you have to ban discrimination based on medical history. But that in itself isn’t enough, because if policies cost the same for everyone, those who sign up will be sicker than those who don’t, creating a bad risk pool and forcing high premiums. That was the case in New York, where premiums for individual policies were very high before the A.C.A. For what Obamacare did was provide incentives to get healthy people to sign up, too. On one side there was a penalty for not having insurance (the individual mandate). On the other, there were subsidies designed to limit health expenses as a share of income. Republicans have tried to sabotage health care by doing away with the mandate, and have succeeded in driving premiums higher; but the system is still standing thanks to those subsidies.
The point, again, is that Obamacare is the most conservative option for covering pre-existing conditions, and if Republicans really cared about the scores of millions of Americans with such conditions, they would support and indeed try to strengthen the A.C.A.
Instead, they’re going to kill it if they hold on in two months. But covering pre-existing conditions is popular; therefore, they’re pretending that they’ll do that, while offering proposals that would, in fact, do no such thing.
Do they imagine that voters are stupid?  Well, yes. In recent rallies Donald Trump has been declaring that Democrats want to “raid Medicare to pay for socialism.”
But the more important target is the news media, many members of which still haven’t learned to cope with the pervasive bad faith of modern conservatism.
Sadly, when it comes to the GOP base, they are stupid.  Or, in the alternative, are so motivated by their racial hatreds that they blinded to the reality that they are voting against their own interests in most instances. 


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