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« More Banks In Trouble | Main | Biden Very Hot on Digg »
Thursday
28Aug

McCain Adviser: There Are No Uninsured

Courtesy Dallas Morning News:

But the numbers are misleading, said John Goodman, president of the National Center for Policy Analysis, a right-leaning Dallas-based think tank. Mr. Goodman, who helped craft Sen. John McCain's health care policy, said anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort. (Hospital emergency rooms by law cannot turn away a patient in need of immediate care.)

"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care."

"So, there you have it. Voila! Problem solved."
Everyone can just wait until their condition(s) require emergency care.  There are no uninsured.  There are no uninsured.  There is no spoon.

This is one of the architects of McCain's health care policy?  Denial doesn't create a new reality, despite the best efforts of folks like this.   This "solution" is neither cost-effective nor health-effective.  In fact, it's utterly absurd on both counts.  This ranks right up there with the guy who argued that assembling hamburgers at McDonald's could be classified as "manufacturing."    I think that what really galls me is the "Voila!  Problem solved" comment; let's just count them differently, and the problem will disappear!  *snort*

How stupid and out of touch can one be?


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Reader Comments (14)

I say we just let gubmint give us all free health care.

August 28, 2008 at 06:55 | Registered CommenterRedbeard

Great catch, Wes! I was about to post this up myself when I noticed you'd spotted it already.

"Denial doesn't create a new reality, despite the best efforts of folks like this."

Ever since Suskind's now-rightly-notorious "reality-based community" quote I think we're coming to understand how central to neocon and rightwing extremist thinking is the belief that there isn't a reality on earth that won't eventually yield to a clever enough and sustained enough public relations campaign. It leads directly to Orwell's Newspeak.

I do notice redbeard's sarcasm just completely avoids addressing the subject. No, there is no free lunch. But we could afford better health care for all, for less than we now spend. The healthcare we're currently buying is among the most expensive on earth because it includes tens of billions annually for marketing, advertising, cost-shifting and -avoidance, bloated executive salaries, stock dividends, a crushing bureaucracy and staggering levels of paperwork. Those billions could be spent on committing actual medical care that actually makes people healthier.

No, government is not a particularly efficient way to coordinate resources, goods and services--the market does so far better--but the mission of insurance companies, to collect the maximum and pay out the minimum, is just inconsistent with the goal of achieving a healthy population at affordable cost.

By overwhelming majorities Americans have wanted universal HC since the Truman Administration. Pretending they already have it is straightforward Wingnuttery.

August 28, 2008 at 08:40 | Registered CommenterWinston

Redbeard wrote:

I say we just let gubmint give us all free health care.
That is precisely what Goodman is saying above!!! He's arguing that, since ERs are not allowed to turn away those in need of immediate care, everyone can just wait until it gets bad enough to necessitate a trip to the ER and--voila!--the government pays for it.


Don't you think it more cost-effective, and better for the health of the patient, if there's SOME means by which such people might get some wee bit of, oh, PREVENTIVE care before it gets "bad enough for the ER?"

August 28, 2008 at 09:05 | Registered Commenterwesmorgan1

I say make it free. That will surely keep the cost down.

August 28, 2008 at 15:50 | Unregistered CommenterThomas Miller

This is the basic Republican idea of solving Americas healthcare problems. In the right wing Republican mind the problem isn't a lack of healthcare options for Americans, the problem is that Americans, including those who have private insurance through their employer, demand too much healthcare. Thus the soluction isn't to provide more healthcare it is to get people to accept less.

August 28, 2008 at 15:56 | Unregistered CommenterkwAwk

KwAwk;

Ration healthcare or make it like a piggybank that you think twice about spending? I like the way your going here.

August 28, 2008 at 19:15 | Unregistered CommenterThomas Miller

Republicans have been very clear: they think there's too damn much insurance as it is.

August 28, 2008 at 21:56 | Registered CommenterWinston

I think that there's a place for government in the 'health insurance' business. A full-blown, cover-everything position probably wouldn't work, but one would think that a basic-care, physicals-shots-and-preventive-care subsidy might work well. I've seen research which suggests that close to 45% of ER visits are the result of conditions that could have been managed with preventive care; that seems a good place to start the discussion.

August 29, 2008 at 01:39 | Registered Commenterwesmorgan1

Winston, we never tire of your wit, your falsifications, and your misrepresentations. Don't ever change.

August 29, 2008 at 06:40 | Registered CommenterRedbeard

Winston is half right. Republicans don't think there is too much insurance, they think there is too much healthcare. Republicans advocate a free market approach to healthcare which says if the free market doesn't feel you deserve healthcare then you don't get it.

People on the left and in the middle like Wes feel that everybody should have a basic package of health care regardless of their economic circumstances. As Wes notes it makes good economic sense and it makes good moral sense.

The Republican plan for healthcare doesn't really address people without health insurance. It is simply a plan that says healthcare costs will go down for people, even if they have health insurance if we can convince them to accept less healthcare. The McCain plan is three steps, limit damage awards against physicians to take away their incentive to order 'just in case' testing. The second step is to pay doctors on outcomes, which gives them an incentive to minimize treatment, and third to force everybody into healthcare savings accounts so that they will conciously make decisions not to seek medical care.

There is also the quasi-fourth step which is to allow health insurance companies to operate on an interstate basis, which ofcourse would take away a lot of the rights of states to regulate health insurance.

The Republican plan by all means is not a plan to expand the type of healthcare John McCain enjoys to everybody, it is inarguably a plan to get the American people to accept less healthcare.

It is guaranteed to lead nowhere except to shorter life expectancies for the middle class and below.

August 29, 2008 at 10:41 | Registered CommenterkwAwk

Ummm.... Zoy can we fix that to take my real name off?

August 29, 2008 at 10:42 | Registered CommenterkwAwk

Much better.

August 29, 2008 at 11:47 | Registered CommenterkwAwk

We shouldn't "get" healthcare any more than we "get" groceries or clothes. We buy health insurance, just like we buy groceries or clothes.

Now if we're talking about people who are truly destitute, that's another subject. But the Dems aren't. They're talking about Big Brother universal health insurance for everyone, paid for by a massive wealth transfer scheme.

August 29, 2008 at 13:05 | Registered CommenterRedbeard

Just say it Redbeard. If you are sick and can't afford to see a doctor you don't deserve to get well. If you are hungry and can't afford food, you don't deserve to eat. If you are cold and you don't have clothes, you don't derserve warmth.

It is the typical Republican sociopathic dream society. No empathy for those less fortunate. No forgiveness for people who have made bad choices in life. No understanding of the struggles of others less fortunate than him.

This from the party which claims to be the party that upholds the values of Christ.

August 30, 2008 at 10:57 | Unregistered CommenterkwAwk

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