Tag: ACA

I Can’t Even…

 

Rather than dwell on this week’s inauguration (i.e., the monstrous legitimization of humanity’s most base and vile impulses), I will focus on the future — even though that future may be poor, nasty, brutish, and short.

Perhaps the biggest quandary facing our country — in a cavalcade of complex and stomach-churning quandaries — is what our healthcare system will look like.

You see, the GOP has made it clear that Obamacare is the gravest threat facing America (well, other than the constant dread that grizzly bears will burst into our nation’s schools and eat all the students, but I digress).

So the Republican Congress is working feverishly to replace the Affordable Care Act with something more free market-like, with less big government and more choice and more freedom and blah blah blah. Yes, they have had years to come up with an alternative, and have failed miserably to do so. But to be fair, all their energy was taken up with hating on Obama. So you can see how some minor details — like a coherent proposal on a life-or-death issue — might have slipped through the cracks.

In any case, I have a question, one that I am frankly shocked that our highly paid media pundits are not asking.

Here it is: Why do we have to replace Obamacare with anything?

After all, when the ACA was first being debated, one argument we heard from the GOP and everybody at Fox News was that the America — and this is a direct quote from multiple conservative sources — had “the greatest healthcare system in the world.”

Again, we are not talking about the distant past. This was just a few years ago.

 

Now, at the time, many liberals pointed out that this was nonsense. A five-minute Google search would reveal undeniable statistics that showed the USA spent way more than other industrialized countries, got far worst results, had unhealthier citizens, and ranked shockingly low in terms of nationwide health.

But Republicans insisted that “the greatest healthcare system in the world” cliché was the pure truth, and not just bald-faced bullshit designed to rile up the ignorant and the racially insecure.

So now, years later, the Republican Party should be forced to answer a fair question.

If that was so very true, why not just repeal Obamacare and go back to “the greatest healthcare system in the world”? Surely we can just revert to a system that every American loved and never caused any problems and that got such amazing results.

Can’t you just hear every citizen clamoring for that?

Hmm, that is indeed strange. Because it seems that, even as it faces certain death, Obamacare has never been more popular.

Even many Trump voters don’t want it repealed. Of course, one has to wonder why they would vote for someone who said that he would cut off their healthcare. Perhaps it’s because they didn’t take him seriously and brushed it off as campaign rhetoric, which oddly enough, is not what they thought when they heard him babbling about building a wall or deporting every Latino and Muslim in the country.

Apparently, only the threats that applied to other people were to be taken seriously.

But speaking of Latinos, it’s clear that Hispanics have greatly benefitted from the ACA and will be punished severely if it is repealed. In fact, about 4 million Hispanics have obtained health insurance through Obamacare, and the percentage of uninsured Latinos has gone down.

That hasn’t stopped the GOP from attempting its own form of Latino outreach, which I would say is breathtaking in its cynicism and contempt for Hispanics, but come on, look who we are talking about here. The bar is pretty damn low. Hell, the bar is wedged underground at this point.

In any case, the good news is that if Obamacare is repealed, 18 million people will lose coverage the first year, and health insurance premiums would spike up to 25 percent.

You might ask, how is that good news? Well, if the ACA dies and is not replaced, “within 10 years, 32 million more people would be without health insurance [and] healthcare costs would continue to rise every year.”

That’s the bad news.

So again, I have to ask, were Republicans lying when they said America had super-duper healthcare that was the envy of the world? And if so, why the hell should we trust them now?

Clearly, they expect the American people not to remember their mendacity and horrible judgment.

Sadly… that’s a pretty good bet.

 


A Bad Term

Marketing is everything.

For example, witness the well-documented phenomenon of many Americans despising Obamacare while still liking the Affordable Care Act (fyi: they are the same damn thing).

Or consider the worst branding decision of all time: “global warming.” As we all know, climate deniers just scoff and say, “Then why was it so cold this winter?” Such idiotic assertions are easier to dismiss with a new and improved term (i.e., “climate change”).

We are seeing the same pushback, the same dismissal of reality with the phrase “white privilege.” Now, for those who are unclear about this concept, white privilege refers to societal privileges that benefit white people beyond what is commonly experienced by non-white people. We can nitpick this definition, but that would be a whole other article.

The problem with white privilege is that the concept is painfully easy to refute. I’m not talking about right-wingers who insist that racism is dead or that white people are actually the disadvantaged class in America. There’s just no reaching those people.

No, I’m referring to white individuals who hear the word “privilege” thrown at them and interpret it as an individual attack rather than as a societal fact. Their reply is frequently, “There’s nothing privileged about my life.”

Indeed, as the wealth gap increases, plenty of white people are being left behind. And many of those struggling individuals come from ethnicities that endured their own struggles in the past (and occasionally, in the present). Under such circumstances, it’s galling — even ludicrous — to be told that you are privileged.

And what have good liberals done when confronted with this response? We stammer that privileges are often invisible, or that white people are less likely to be harassed by the cops, or that we’re not implying white people have had everything handed to them on a silver platter.

SilverPlatterSized-300x274

 

That’s all true of course. But it’s also true that if you’re explaining, you’re losing.

And that’s why we need to drop the whole thing — not the concept, mind you, which is crucial to our understanding of racial inequalities and American culture itself. We need to rebrand.

This has been pointed out before, but so far we have failed to come up with a good alternative.

So let’s begin the discussion in earnest. Let’s make it a real goal to replace the needlessly confrontational term “white privilege.”

I’ll get it started. How about “white advantage”? It’s still racially loaded, but the idea of “advantage” is much easier to accept than “privilege.”

Hey, just take it as a first draft. I’m sure working together, we can come up with something better.

Because we really need to.

 


The Best of Intentions

President Obama recently held a town-hall meeting to pitch the finer points of the Affordable Care Act to Latinos. And when I say, “the finer points,” I mean that he basically said, “This is driving me nuts. You should be signing up in droves.”

But Hispanics are doing no such thing, and despite the fact that “the Latino population is disproportionately uninsured and relatively young… enrollment hasn’t been going well.” This is because, like all things related to the Obamacare rollout, things were botched and fumbled.

Fumble

For example, “instead of starting with what would resonate with Latinos, outreach campaigns were developed in English for English-speaking audiences,” with the result that Obamacare details and benefits were not “directed particularly at the Latino population.”

Even more alarming, many Hispanics are under the mistaken impression “that signing up for the Affordable Care Act could get family members deported.”

So now some of Obama’s biggest supporters — who also stand to benefit greatly from the ACA, and who are also more likely than most Americans to be uninsured, and who are more at risk for some particularly vexing diseases – are cowering in fear rather than bum rushing the registration desks and swamping the ACA website.

It’s a cruel irony, and one that could have been easily avoided, if the Obama administration had put as much effort into proper outreach as they do in fending off right-wing attacks.

But a quick and easy solution isn’t coming. Indeed, at Obama’s town hall, “as the questions came, some of the challenges the president and his administration face in selling the health care law were brought into focus.”

Hopefully, they got the message.

 


Double Agents

So it looks like many of the bugs have been worked out, and Obamacare is more or less chugging along.

Or is it?

questionmark

According to some commentators, the key to the ACA’s ultimate success or failure is, as with many aspects of American society, none other than Latinos.

This is because “as the youngest, fastest growing, and least likely demographic in the United States to be insured,” Hispanics “represent a huge opportunity to inject a broad swath of young, healthy adults into the healthcare system.”

However, a mix of “cultural barriers, mixed-status families, and the delayed launch of Spanish-language enrollment tools” could limit “efforts to encourage Hispanics to get coverage.”

So will Latinos accomplish what the GOP could not? Could Hispanics kill Obamacare? 

Well, I find that hard to believe, since Latinos are among the biggest supporters of so-called socialized medicine. Unless, of course, we have been GOP spies all along who are intent on undermining Obamacare from the inside.

Wow, that’s either the best or the worst political thriller of all time.

 


Up and Running

As we know, the Affordable Care Act went into effect this month.

So-called Obamacare “is particularly critical to Latinos, who have the highest rate of being uninsured in the nation.”

Yes, about nine million more Hispanics will now be eligible for health insurance, and this thought terrifies the Republican Party, which sees nine million more voters who will think positively of the Democratic Party.

So we just had to have this shutdown nonsense, so that the GOP could stop its collective foot and scream, “Socialism!” one more time, for nostalgia’s sake.

boehner

Interestingly, many Americans blame the Democrats for this mess. While I have my own issues with the Democrats, which I’ve written about in the past, I am stumped over how this cannot be construed as a 100% GOP-manufactured crisis.

As many people have pointed out, the ACA passed Congress, was signed by the president, upheld by the Supreme Court, and put into effect. That’s the way our country works.

We don’t say, “Hey, the minority party, which overwhelmingly lost the last election, doesn’t like the law. So we have to negotiate.”

What in fuck’s name is there to negotiate?

It’s the law. Deal with it.

 


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