Framing the debate on Healthcare
August 9th, 2009I was watching CNN just now and I came up with a way to frame the debate on health care because there was a guy on
TV saying that Canadians are coming to the U.S. to get healthcare due to the fact that they don’t like their government run healthcare system.
I think the Republican Party (people like Sarah Palin and this other Republican they were interviewing on TV) are making up facts to try to frighten and scare people into reacting against President Obama’s healthcare proposals. The Republicans try to frame the debate by saying “the government is going to tell you what health care you can have” and by trying to make “single payer health care” to be something evil. Or by telling stories about Canadians coming to the U.S. to get healthcare, which doesn’t address the Obama healthcare proposal at all.
Here’s my framing of it:
1) There is Private Health Insurance. This is for people like myself and most Americans. I have private health insurance through my employer. Many get private health insurance through their union. Most Americans have Private Health Insurance. These are all examples of single payer health care. They don’t seem evil to me.
2) There’s Public/Private Insurance. This is for people who’ve combined Medicare with Private insurance to get your health coverage. This is another example of a single payer health care system; doesn’t seem evil to me.
3) There’s Public Insurance. This is for people who can’t afford to combine private health insurance with Medicare and Medicaid. There’s Medicare for people who are over 65, and there’s Medicaid for people who meet certain other criteria. There’s the Veteran’s Administration for vets. These are yet another example of a single payer system; again, this isn’t evil because it’s helping 10s of millions of elderly Americans to get health coverage.
4) The Uninsured. There are over 46 million Americans under the age of 65 who have no health insurance and are not qualified for Medicare because of their age. These people aren’t qualified for Medicaid either for various bureaucratic reasons.
The Obama administration’s Health Care proposal is PRIMARILY about creating health insurance for #4, the Uninsured.
Why does the Obama administration care? The reasons are many, besides the humanistic idea that the U.S. should simply have universal health care for all of its citizens. But, there’s another agenda. “The impacts of going uninsured are clear and severe. Many uninsured individuals postpone needed medical care which results in increased mortality and billions of dollars lost in U.S. productivity and increased expenses to the overall health care system which results in higher healthcare insurance rates” … for #1, #2 and #3 above. “There also exists a significant sense of vulnerability to the potential loss of health insurance which is shared by tens of millions of other Americans who have managed to retain coverage. Every American should have health care coverage, participation should be mandatory, and everyone should have basic benefits.” - National Coalition on Health Care.
The Republican Party has irresponsibly tried to frame the debate to make the people covered by #1, #2 and #3 believe that their coverage is somehow put at risk by Obama’s proposal and that the government is somehow going to start managing their health care, which just isn’t true.
Humbly submitted,
Stuart Liroff





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