"Undermining my electoral viability since 2001."

Game On

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More Healthcare

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"Just Like A WOP, Bring a Knife to a Gunfight"

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Passion Deficit

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More Sicko

Sort of a ranty post here, hence the angry gun-toting photo.

My man -- and soon to be home-owner (!!!) -- Franko had an interesting comment on his blog in response to Sicko:

I've had no illusions about how fucked up HMO's are and always just assume that I'll never get any coverage for anything. I have never, ever been totally honest with any doctor I have ever had for fear of having my honesty come back to haunt me. No doctor of mine has or will ever know that I used to smoke cigarettes, how much I drink, past drug use etc. I feel that I am always trying to game a system that would like nothing more than to game me.

This is something I'd never actually considered. Frank's the son of a Doctor so he's been on the inside his whole life. I suppose I've been more of a naive trusting optimist, and having never had any other regular doctor than Dr. Halpern, who was my pediatrician and saw me once or twice as an adult, I've always been totally honest with health care people. It's never occurred to me to do otherwise, because they're supposed to be evaluating my health, and I assume they need all the data. I also assume at some level that what I share with them is private.

This, of course, is not really how it works. The fact that we have a system which employs the profit-motive to drive denial-of-care of course does mean that people lie to their docs. This is just another example of how deeply-grooved the wrong in our system of Health Care is. It's paradigmatically perverted. Spiritually fucked.

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Sicko (or, my adventures without insurance)

So, you know, you can get this off the internet the same way I get most of my video entertainment (savvy?), and I just watched it and it was really good. I don't go for Moore's coy, "gee mister, don't people in Cuba have to pay for healthcare" character, but his films can be quite thoughtful, and this is some of his best work. The assembled stores really speak for themselves.

One thing that stuck out for me was this bit from France, where they make sure that if you're poor and you need to take a cab home you can walk out with some cash. There's a line where the French doctor says, when asked about paying bills, something along the lines of, "the only qualification for walking out is that you're healthy enough and are going someplace safe."

That hit home for me, reminded me of the bike crash that got me wearing a helmet:

Actually, the stitches are not that much of a pain. There were a few woozy moments in the ER, but the real damage is muscular. I righteously pulled out my groin and jammed by elbow, both on the left side. Heading in I could walk and move pretty well. Walking out of the hospital took me a full five minutes gimping along, coming close to out and out crying on the ramp leading to the street. It’s a hell of a thing to be totally incapacitated.

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Johnny Sunshine Blows It On Health Care

I disagree with most of my friends. I think the Health Care plan John Edwards proposed yesterday is a massive dud, and I'm very disappointed.

Here's Candidate Edwards looking and sounding pretty good on the issue:

But here's a summary of his plan, which also remarkably light on specifics and isn't available as HTML (wtf?):

  • Require businesses and other employers to either cover their employees or help finance their health insurance.
  • Make insurance affordable by creating new tax credits, expanding Medicaid and SCHIP, reforming insurance laws, and taking innovative steps to contain health care costs.
  • Create regional Health Markets purchasing pools to ensure that every American has a way to purchase an affordable, high-quality health plan, increase choices among insurance plans, and cut costs for businesses offering insurance.
  • Once these steps have been taken, require all American residents to get insurance.

Emphasis all mine, but notice the difference? Candidate Edwards says the word "insurance" exactly once: to attack a sick and parasitic industry which combines the worst aspects of Socialist Bureaucracy and Capitalist Profiteering, and is rightly loathed by virtually all Americans.

His plan, on the other hand, is all about making insurance affordable and creating new markets and choices for insurance. Oh, and also tax credits for insurance too.

This is a huge mistake, for a couple reasons.

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Politics Is Broken

67% oppose the war in Iraq and 70% disapprove of Bush's handling, but nobody is talking about taking a hard stance against the Bush/McCain/Lieberman tactic of escalation.

Likewise, everyone knows the health care system doesn't work and understands that the only entity which has a shot at fixing it is the federal government, but we've yet to hear anyone step up and catch that 70% of public opinion in their sails.

Finally, clear majorities want to invest in efficiency and alternative energy sources, and yet our leaders are stuck dicking around with ANWAR and a few underfunded pilot/mostly-for-show projects.

My point is, the Public is actually not that fucking stupid. Our leadership is just timid and out of touch -- if not outrightly corrupt -- and our organs for articulating Public Opinion have fallen so far from the Jefferson/Franklin ideals that they're closer to the state propaganda machines in the USSR than a legitimate Free Press.

People in this country are a little out of shape and kind of materialistic, but "big dumb America" actually has much a better grasp of what the fuck is going on than the elite leadership.

We're going to see some serious realignment over the next decade, with either a major shift in "national prorities" from the power-elite, or the rise of localism as cities, counties, states and regions begin to abandon the ossified and ineffective federal system in favor of their own problem-solving.

Hopefully we get both. ;)

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