Opinion

More on healthcare

Wednesday, June 10, 2009

By Matthew Irwin

The U.S. cannot wait any longer on healthcare reform.

US Senator Mike Enzi (R-Wyo.) calls for a slowdown on his Web site, saying “some Democrats have placed [priority] on meeting arbitrary deadlines over getting the legislation done right.”

Enzi wants halt legislation with the “straw man” technique on “some Democrats.”
William Safire in The New York Times Magazine defines a straw man “as a figure of a man stuffed with cheap material [who] may appear scary but is really weak and defenseless.” The tactic is to “take your opponent’s argument to a ridiculous extreme and then attack the extreme.”

Enzi uses unpopular terms like “government takeover” to radicalize universal healthcare, thereby setting up an opportunity to push his idea of how it can be “done right.”

Enzi’s idea is a common one in the Cowboy State: create a bigger pool of payers to attract competing insurance companies, cut taxes to help people meet premiums and force Medicare and Medicaid patients into private insurance. His solution for healthcare costs is tort reform.

None of these directions brings down the cost of care.

The government does not have to take over healthcare to regulate it better, to force insurance companies to cut administrative costs – higher in the U.S. than any other first-world nation – and create a universal plan. Insurance companies must also be forced to accept everyone under a single plan. Sure, some companies will disappear, – part of a healthy capitalistic nation – but the remainder will also compete to accumulate healthy payers. They more than likely will learn to reward clients for healthy activities and preventative care.

Wyoming does not have enough people power to leverage insurance companies on its own – that’s why universal healthcare must be decided on the national level.
Hospitals and doctors will also have to adapt. First, they’ll have to decide if the technology is worth the cost – results on the efficacy of robotic technology are mixed. And both might also have to succumb to fixed rates for services. A hospital in the Midwest, NPR reported earlier this week, has  created a fixed amount for certain conditions and illnesses until the patient is healed. The more accurate they are with diagnosis and treatment, the more they make for the care.

As constituents, we have to decide that it is more important that everyone have care than it is to feel that we, as individuals, are self-reliant or to know that we, as a society, aren’t being had by hustlers. Compassion is more important than ego. And if that doesn’t get you, keep in mind a universal program will likely save us money, as it has other decisive first-world nations.

Mr. Enzi, do what’s right: stop pretending that your plan will work. JHW


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More on healthcare | Planet JH News Article: Editorial

Reader Comments

Single-payer is ultimately the only solution for our health care woes. And before anyone starts flinging the "S" word around, consider whether you support privatization of governmental agencies like police & fire departments, national defense, public schools, etc.
Reality Bias

Like most republicans, Enzi gets his talking points from pollster/strategist Frank Luntz. Don't take my word for it, go here and see for yourself: http://dyn.politico.com/printstory.cfm?uuid=130628F1-18FE-70B2-A81BBE8E2316F81D One thing's for certain - politicians get HUGE donations from the insurance and big pharma lobbies which are two industries that have NO interest in making changes to the current system. Wake up and follow the money, people.
Still Breathing

Mike Enzi has no interest in health care reform. He's out to protect health insurance companies from competition and regulation just as he was, and still is, out to protect banks and financial institutions from government regulation. The good news is that he might help keep the democrats from overreaching. I suspect that Enzi would rather see you go bankrupt from health care expenditures or the mismanagement of financial institutions than to see you protected from such disasters. Republicans almost never put the interests of people without financial resources on anyone's agenda so don't expect our congressional delegation to care about those without health insurance. When Enzi gives up his taxpayer-funded health care for private sector care that he pays for out of his own pocket, then he can speak against government health care with a little more authority.
eyeson jackson

You people are the typical socialist statist response. Whether it be Wyoming or national scene government has never and cannot administer health care cheaper or at a quality that Americans are used to. Most people today do not recognize that the government created the problems we have and we currently do have national health care. Do not blame Insurance comapnies for a system created by the feds over the last 50 years.Place the blame where it is due. The solutions proposed by the statist will make problems worse not better. In our current system we have : Government involved medicare, medicaids, schips, Champus and government insurance programs. On the private side we have private health insurers and private payees.They are the minority. The bulk of the uninsured choose to be uninsured. Now if you look a bit closer you will find that the various governmnet paid elements do not pay their share of the costs. Medical providers will tell you that reimbursements for most government services do not cover costs. So how do they survive? Private payers are subsidizing the government payees. Private payees need to take on the responsibility for paying their costs and a reasonable profit to the providers. Often they are gouged not by the insurance comapnies as much as the provides. If i had more space I could explain this in detail. We would go a long way to reducing costa. If we simply. Required anyone that goes to a hospital to have insurance. otherwise turn them away. This may seem harsh but it is exactly what the government is proposing. Force government to pay their share or deny them service.They can have their own medical system and see if their users like it. Educate users as to reasonable cost services so that they can deal with medical providers on a level field. Price out non emergency services. Go where they are cheapest. There are many options that most people do not avail themselves of.
Jim H



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