White House Chronicle

News Analysis With a Sense of Humor

  • Home
  • King’s Commentaries
  • Random Features
  • Photos
  • Public Speaker
  • WHC Episodes
  • About WHC
  • Carrying Stations
  • ME/CFS Alert
  • Contact Us

The Health Care Fix That Dare Not Speak Its Name

July 29, 2009 by Llewellyn King Leave a Comment

 

Workaround is a made-up word that came to us from the computer industry – at least, that is how it came into general usage. In that industry, a workaround can be a crafty piece of engineering to get the results you want without infringing on someone else’s patent.

 

Watching President Barack Obama at last week’s prime-time news conference, one had the feeling that he was engaged in a workaround. He was selling a vague health care reform proposal. His spiel was very long because he was selling something that is still a work in progress. Worse: Whatever Obama gets is not going to be the real thing. It is going to be a workaround.

 

One has the feeling that congressional pusillanimity has the Democrats and their leader working around what at heart they know is the only solution to the challenge of health care – a strong federal role. Call it the solution that dare not speak its name, like Oscar Wilde’s love.

 

One had the feeling in the East Room last week that the president wanted to lay down the burden of political gamesmanship and say, “National systems work from Taiwan to Norway, Canada to Australia; why, oh why can’t we face this reality?”

 

The first answer is that no one has the courage to face the Banshee wails of “socialism” that already echo from the right and would intensify to the sound of a Category 3 hurricane. Politically, it would be seen as a bridge too far. Had Obama said in the presidential campaign that he was for a single-payer option, the Democrats on Capitol Hill might have had the temerity to investigate what works remarkably well in Belgium and Japan, among dozens of other countries.

 

Globally, the single-payer option – or, let’s face it, nationalization – has brought in universal coverage at about half of what the United States spends today; let alone what we will spend with the clumsy hybrid that the president is selling and Congress is concocting.

 

Under nearly all state-operated systems, private insurers have a role. My friends in Britain and Ireland all have private insurance for bespoke medicine above that available on the state system. Sure, state systems are criticized, especially in Italy (along with everything else), but not one country that has a state system has made any political move to repeal it. State systems are popular.

 

In Britain, where I have had most experience with the National Health Service, it is the third rail of their politics. Even the great advocate of free enterprise, Margaret Thatcher, did not dare to even think of touching it. Every British Tory wants to make it more efficient, but none wants to repeal it. Thatcher repealed anything that had the whiff of socialism about it and privatized much, including the railways, but the health system was sacrosanct.

 

The issue should not be whether we can keep every insurer alive and whether we should continue to burden employers with the health care of their staffs and their families, but whether a new system will deliver for all Americans at reasonable cost.

 

It is probably too late to rationalize the system all at once. There are too many interests, too much money at stake and a pathological fear of government, fanned by the loud few. No matter that the Tennessee Valley Authority works well, that the Veterans Administration is a larger, and probably better, state program than those in many countries. It is not just in health care that Congress and the administration are engaged in workaround. Cap-and-trade in energy is another piece of avoidance.

Utility chief, after utility chief, after utility chief–among them, John Rowe of Exelon and James Rogers of Duke–has said that a simple carbon tax would be more effective and cheaper than cap-and-trade. But the same people who yell “socialist” get severe arrhythmia at the mention of “tax.” Workaround.  –For North Star Writers Group

 

 

 

 

Filed Under: King's Commentaries, Uncategorized Tagged With: cap-and-trade, carbon tax, heath care reform, Margaret Thatcher, nationalized health care

White House Chronicle on Social

  • Facebook
  • Twitter
  • Vimeo
  • YouTube
Psychiatrist Would Abandon Research on Long COVID and Chronic Fatigue Syndrome

Psychiatrist Would Abandon Research on Long COVID and Chronic Fatigue Syndrome

Llewellyn King

The knowledge that the National Institutes of Health will be spending $1.15 billion on Long COVID was music to the ears of people who suffer from Myalgic Encephalomyelitis, also called Chronic Fatigue Syndrome, and often linked in the acronym ME/CFS. Long COVID is affecting people who had the virus, had seemingly recovered from it, but […]

Alternative Energy Hailed as a Megatrend, Disrupting World Order

Alternative Energy Hailed as a Megatrend, Disrupting World Order

Llewellyn King

Glance up and around and you’ll know the horizon is changing. From Canada to South Africa, Brazil to China, windmills and solar panels are telling a story of change. In the United States, the landscape is collecting a kind of 21st-century raiment. Wind farms, solar farms, and just stray windmills and solar panels on roofs […]

The Great American Reset Is Underway and Will Change Everything

The Great American Reset Is Underway and Will Change Everything

Llewellyn King

It is underway. It has huge momentum, and it will change everything we do — work, leisure, health care, education, use of resources — and, as a bonus, how the world sees us. It is the Great American Reset, where things will be irreversibly changed. It is a seminal reset that will shape the decades […]

How China’s Rare Earths Monopoly Controls Our Destiny

How China’s Rare Earths Monopoly Controls Our Destiny

Llewellyn King

A world commodities rebalancing is underway, and China is in a position of dominance. Take lithium, where China is a major processor and battery manufacturer; cobalt, where China has dominated the supply chains; and rare earths, where China has an almost total monopoly. Taken together, these three commodities are key to the future of alternative […]

Copyright © 2021 · White House Chronicle Theme on Genesis Framework · WordPress · Log in