Sunday, October 21, 2012

America; Heal Thy Self I



 First Part in a Series
The Rhetoric

We are the only industrialized country in the world that does not have national health insurance. We are the richest in wealth and the poorest in health of all the industrial nations.”  ~ Studs Terkel

“If they would rather die they had better do it, and decrease the surplus population.”  ~ Ebenezer Scrooge speaking of the poor. 


Countries with universal healthcare: Norway, New Zealand, Japan, Germany, Belgium, United Kingdom, Kuwait, Sweden, Bahrain, Brunei, Canada, Netherlands, Austria, UAE, Finland, Slovenia, Denmark, Luxembourg, France, Australia, Ireland, Italy, Portugal, Cyprus, Greece, Spain, South Korea, Iceland, Hong Kong, Singapore, Switzerland, Israel. 
 
Richie Batra’s comment was chilling, “if u want insurance buy it, if not pay Cash..if not, go Die..im not worried about anyone but myself and nobody should worry about me either(sic).Mr. Batra’s remark was a comment in a thread responding to an article last December in Think Progress covering then presidential candidate Rick Santorum’s Q & A with a group of high school students.


Santorum a man who wears his Christianity prominently on his sleeve was speaking in terms that the Jesus I’m familiar with would likely have disavowed.  “I had insurance under my employer. And when I decided to run for president, I left my job, I lost my insurance, I had to go out and buy insurance on the open market. We have a child who has a preexisting condition and we went out and we said, we like this plan…we have to pay more because she has a preexisting condition. Well, we should pay more. She’s going to be very expensive to the insurance company and,you know, that cost is passed along to us…I’m okay with that”. 

He also compared health maintenance to car maintenance by advising that patients should pay for routine visits out of pocket and use insurance only for catastrophic illnesses, thus saving money on premiums. “You turn in every claim,” said Santorum, “you turn in your oil change, you turn in your tires, you turn in filling up your gas tank, everything is turned in to insurance and then people wonder why,‘oh my insurance rates are going up?” 

Santorum’s remarks came on the heels of a statement by another, then presidential candidate, Rick Perry who suggested last November that everyone in America, whether insured or not, has access to medical care.  He was referring to the Emergency Medical Treatment and Active Labor Act which requires hospitals to treat people for emergency medical conditions regardless of immigration status or ability to pay. Rick Perry is another fellow who proudly proclaims his Christianity. 

Perry's comments echoed a similar statement made by fellow Texan and former President George W. Bush in 2007; “People have access to health care in America.  After all just go to an emergency room.” Bush is also, you guessed it, another self-avowed Christian. 

So why would I bring up a former President and two rusting wrecks from the demolition derby that is a presidential campaign?  Well, it seems that the last Republican still intact in that derby has been echoing the aforementioned gentlemen.  These men are all of the same school of thought.  Mitt Romney just recently stated on 60 Minutes, "We do provide care for people who don't have insurance, people — we — if someone has a heart attack, they don't sit in their apartment and die. We pick them up in an ambulance, and take them to the hospital, and give them care."

In a recent interview with the Columbus (Ohio) Dispatch, Romney offered, “We don’t have a setting across this country where if you don’t have insurance, we just say to you, ‘Tough luck, you’re going to die when you have your heart attack.’  “No, you go to the hospital, you get treated, you get care, and it’s paid for, either by charity, the government or by the hospital. We don’t have people that become ill, who die in their apartment because they don’t have insurance.” 
The Dispatch article continued; “He pointed out that federal law requires hospitals to treat those without health insurance — although hospital officials frequently say that drives up health-care costs.”

And who could forget the Obama “death panels” and all the references to Nazi Germany.  Seems almost nostalgic now that it’s been three years since Sarah Palin (avowed Christian) and a number of conservatives, including Newt Gingrich (avowed Christian), Michelle Bachmann (avowed Christian), Michelle Malkin (avowed Christian), Thomas Sowell and Glenn Beck (avowed Christian) went off the hyperbolic ledge and warned that government “death panels” would decide whether certain of the elderly or the disabled would live or die under the Affordable Health Care Act. 

While the hysteria has died down some it didn’t stop Mitt Romney from dropping a thinly veiled death panel reference in the first presidential debate; “It puts in place an unelected board that’s going to tell people, ultimately, what kind of treatments they can have. I don’t like that idea.”  The unelected board which Mr. Romney refers to is the Independent Payment Advisory Board, created to reduce the per capita rate of growth in Medicare spending and not make decisions to ration medical care. 

Clearly there is common thread here.  These are powerful people; policy makers, would be policy makers and people who influence public opinion.  And each and every one, in their statements recites a recipe; a mixture of equal parts disdain and denial, a pinch of fantasy, a pound each of malevolence and selfishness and thrown in for “good” measure a handful of phony Christianity.  Whip it all together in a frenzy and you have a distasteful helping of inhumanity.

They of course all stop short of Richie Batra who suggests that people simply die or Ebeneezer Scrooge’s suggestion of a decrease in the surplus population; that would after all be impolitic.  But one wonders what they think in the darkest reaches of their hearts.  No these people would never advocate for a system that would leave people to die for lack of health care.  Really?  Why wouldn’t they?  Because they're famous and we feel we know them?  People don't cruelly cut the weak and the poor like cattle from herd.  They don't?  Richie Batra would.    

In 2010, Mike Huckabee another staunch Christian was at least more forthright when he flatly came out against insuring people with preexisting conditions.  Said Huckabee at a Values Voters Summit; “It sounds so good, and it’s such a warm message to say we’re not gonna deny anyone from a preexisting condition.  Look, I think that sounds terrific, but I want to ask you something from a common sense perspective. Suppose we applied that principle [to] our property insurance. And you can call your insurance agent and say, “I’d like to buy some insurance for my house.” He’d say, “Tell me about your house.” “Well sir, it burned down yesterday, but I’d like to insure it today.” And he’ll say “I’m sorry, but we can’t insure it after it’s already burned.” Well, no preexisting conditions.” 

“If u want insurance buy it, if not pay Cash..if not, go Die.”

“If they would rather die they had better do it, and decrease the surplus population.”

Makes one wonder about death panels doesn't it. 

To be continued....

11 comments:

  1. Dude, I am richie, and u had no permission to use my comments that way. And Rick Santorum, and Mike Huckabee were 100% right by the way! And it is also true that anyone can go to an ER and get treated.

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  2. Richie, he had every right to use your comments. They were in a public forum, unlike private correspondence. I'm responding to those comments, not specifically to him but to all those who believe as he does. Maybe he has a job which includes health insurance. If he doesn't, maybe he doesn't have any pre-existing health conditions which would make private insurance cost an exorbitant amount. My job doesn't include health insurance and because I have pre-existing health conditions, it costs me $1000 per month to pay for guarantor coverage. That expense causes me to be in the red each month instead of in the black.

    That situation allows me little choice. I can either pay the outrageous monthly cost or not be covered. That is not a very good set of options. I have had 7 spine surgeries, including two in the past three years. I have seen the invoices on them. If I chose not to have medical insurance, paying for the full amount for the surgeries would render me broke and in massive debt.

    Those comments from avowed Christians Santorum, Perry, et al. are part of the reason that the closest I get to religious belief is being agnostic. I have known too many avowed Christians and heard/read comments from others who are total hypocrites. They attend church, pray, and go through all the motions that makes them feel good about themselves. Anyone can do that, what makes a true believer is their actions and words.

    I disagree with the comments made by Romney, Santorum, Perry, Shrub, Huckabee, and those who leaped onto the "death panel" bandwagon. They are right about access to ERs. What they failed to mention is that ERs are often horrible places to be, a true nightmare for those who have to use them. I would not vote for them and would not want to know them personally. Richie Batra's unbelievably callous comment "if not, go die" is so horrendous that I am very glad that I don't know him or anyone who agrees with that statement.

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    1. Listen, jackass, I hate agnostics, and think they are worthless people. Again, you are still spouting about your troubles. They are your troubles, and not mine. Similarly I wouldn't want you to worry about my problem. You can get a job at any freaking Homne Depot, Target, etc., and be covered by a group policy, even with your condition. Hell, even Mcdonalds offers insurance. So stop your crying. Maybe the reason you're in such bad Health, is that you haven't found Religion. And I'm not A Christian, by the way. I am of A Different Faith, but I respect All Religions. Perry, Santorum, etc. were 100% right. Private insurance is a product you can choose to purchase, or not. I don't want to subsidize you, and you don't have to subsidize me. If you want socialism, move to fucking France, fag.

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    2. Mr. Batra, Thank you for contributing. However I'll have to point out that I do have a couple of rules. One be civil. I don't have any problem with "f" bombs but I do have problems with pejoratives (slurs). You get a pass on the one you used; just one. Do it again and you're posts will be deleted and you'll be blocked.
      As to your assertion that I have no right to use your comment you are of course wrong. As Scott pointed out, you made your comment in a public forum and that made it fair game. I'm not quite sure why you would object. You expressed the same sentiment a couple of times in the same thread. You seem pretty adamant about your belief. If you've changed your mind then I can post a correction. I would suggest in the future that if you don't want your name used in connection with your views that you use a pen name. Mark Twain is already taken; maybe you can use...John Smith.
      Here's the bottom line Mr. Batra. I read at length the thread that I quoted you from. I have a little rule that keeps my blood pressure and alcohol consumption down..I don't argue with small children or the irrational. You are probably not the former but I must say that to blithely wish death on a segment of society based on their ability to pay is not a rational thought process. So after having read your many comments I'm not going to get into a pissing contest with you.
      This is a free country and you're entitled to your own opinions. Thankfully most people probably don't share them.
      As to Huckabee, Santorum, Palin et al, their hypocrisy in calling themselves Christian while being willing to condemn people to death is unmitigated hypocrisy. Like you, they're entitled to their opinions but please spare me the Christian bullshit. If you doubt that hypocrisy then I refer you to The Book of Matthew; Chapter 25; 41 – 45.
      Yes you can go to the ER and be treated for an urgent condition and then they send you on your way; done. And you are incorrect about subsidization. If you use the ER and you can't pay then other patients subsidize your debt in higher health care costs. If you use the ER at county general and can't pay, your community subsidizes you.

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    3. You are absololtely wrong, liberal. Nobody should subsidize anybody else's care, except in extreme situations (the final safety net, the ER). And even that should be for legal residents only.

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    4. Its not bullshit. And Batra is Hindu BTW. Anyone with half a brain Knows that Batra is a common Punjabi name.

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  3. Charming comments, Richie, truly charming. Why are you reading this blog if all you care to do is make rude, insulting comments?

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    1. No, I am expressing my opinion that I don't want my Money going to give handouts to others. And yes, I am against the corporate bailouts, etc. as well. Ron Paul is right on this issue.

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  4. First off, who the H-E-double toothpicks is richie batra? Second, I assiduously do not follow politics because I dislike people lying to me face-to-face nor do I fancy the mean-spirited humors it draws from most everyone who does follow politics. Third, if you are going to be passionate about something, make it a worthy, productive, contributory thing - not politics. Volunteer in a children's hospital, feed the poor, or sit with a lonely elderly in nursing home. Never waste passion on politics. In politics there is a perverse illusion that you, the individual, have some - heck, any - control or that your opinion counts. You have no input unless you are a major donor - end of story.
    Past that opening, please never go the a knife fight without a knife or to a rational discussion without the fact. It appears to me, from far-far away, that the republicans have grasped at the straw that health care can be obtained for emergency rooms. That is such an anemic and pathetic assertion that it actually makes me nauseated. I was a physician in a big city ER for years and I interface with my ER on a daily basis. Very little quality care is EVER provided in an ER. Moreover, the care provided is always finger-in-the-dike, never long term. Can you go to the ER for a heart attack and receive rudimentary care? Yes. Can you go to an ER and receive care to avoid having a heart attack? Not on your life. It is cheaper and more humane to control a body's diabetes, blood pressure and cholesterol and prevent the crisis than it is to sweep the poor under the rug with sloppy ER attention.
    As to cost-shifting, please, fact are facts and opinions/rationalizations are not facts. At UCD ER in the late 1980's we were recovering 10% on billed services, mostly because we served the poor. Management decide to simply double all the service-costs, so we could recover 20%. A basic visit involving minimal services, went from $125 to $250. So, Blue Cross and Kaiser were billed for the services provided to those who were not going to pay. Instead of quality prevention, we accept inadequate piece-meal. It is sad, cruel, and decidedly unchristian.

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    1. You are absolutely wrong. And I am the famous Richie Batra. Anyone can walk into the ER. They have to treat anyone. So Obamacare should be repealed (though I Know it won't be)

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