Let’s face it, Healthcare reform debate has dominated the news recently. It’s been hard to miss it even if you tried. Talk radio, town-hall meetings, telephone surveys, cable news shows, in short-media coverage wall to wall, 24/7. But has it truly been a debate? An exchange of ideas, opinions and differing visions for the future of healthcare in this country?Well, sort of. There has been a lot of shouting, fist-pounding and generally angry people, some rational, some seemingly not so rational. Some of this anger certainly seems to have been orchestrated by well-funded lobbying and special interest groups who don’t want any type of healthcare reform. For such groups,healthcare may simply be a nearly unlimited source of profit, a golden HMO goose, far too valuable too be plucked or reformed, now or at any point. And while we are not kidding ourselves about the state of our healthcare, let’s be frank about some other facts.
First, for quite some time now, a majority of Americans polled have responded that they do support reforming our system of healthcare, that number has been consistently well above 65%, and just recently was at 72% according to a Pew Research Institute poll. Second, the numbers I just cited have also been decreasing as the impact of counterattacks by opponents to healthcare reform,far too much of which has been distortions and fear-mongering, have been increasingly, well, frightening off would-be supporters.Third, the quality of debate that we have, as a nation, been engaging in about this critical issue of healthcare reform has been rapidly deteriorating.
Lately, this debate seems to be about such utter nonsense as “deathpanels” and enough doomsday projections from both sides, one if reform is enacted, one if it is defeated, to fill an Edgar Allen Poe greatest works compilation. Not so much talk it seems about the nearly 50 million Americans who are uninsured and face every day with fear that something may happen and they simply cannot afford to visit a doctor or even have routine preventive care visits. Not so much talk it seems about the millions of Americans who are uninsured and pray they don’t have anything serious happen to them that requires medical care or continue to work dead-end or low-paying jobs due to fear they cannot afford to lose their healthcare coverage. Not enough discussion about the roughly 870,000 Tennesseans who are uninsured and the many more who greet each day being under-insured. We have also not heard even close to enough about making real reform address the very real problem of healthcare choice and access for far too many of our citizens who live in rural areas, work on farms, or who simply can’t travel many miles to get the care they need. We need to be fight on their behalf and ensure there are enough incentives to get enough doctors and facilities to practice right in the communities of our rural neighbors and friends. I know I will continue to keep trying to call attention to this issue even if opponents to reform seem like they’d rather just talk about “rationing care” and “keeping government hands off of Medicare.” Yep, think about the logic of those last two phrases for a moment or two, you’ll be glad you did. Here’s a hint-try convincing your HMO to not “ration” your access to care based on the plan you can afford and secondly, is it actually possible or preferable for Government to keep its hands off a government-run program like Medicare? See what I mean, sometimes the question is the answer!
Overall, here’s my simple request for the healthcare debate in general and specifically tomorrow right here in Clarksville when my opponent Marsha Blackburn holds a townhall meeting at 4:00pm at Civic Hall in Veterans Plaza-let the discussion be an open, frank and civil affair. As our President has asked, let’s talk to and not at each other. Let’s dial down the shouting and ramp up the reasoned exchange of views. Passion is vital to effecting change or if one is not so minded, keeping the staus quo. But passion unchecked can simply poison informed debate.
I would also challenge my opponent to be frank and open about the fact that when she calls for, as she has repeatedly done, “reform” to be patient-centered and market-driven, she should also explain just how that will come about without genuine reform. As it has not yet happened in our current,private-sector, market-driven and at least promised “patient-centered”system why would it then somehow occur on its own? Without real competition,just how will a system that is currently dominated by monopolistic giants like Blue Cross Blue Shield, a system where in virtually all major markets is controlled by one and at most two large private insurers, just how will they all of a sudden not make profit and the creation of executive bonuses their goal as opposed to say, quality and affordability of medical care and access their reason for doing business? And really, is it fair to expect that afor-profit system dominated by healthcare giants who have no real reason to be patient-centered for fear of serious market-share loss will, out of the goodness of their hearts not control a system where some insurance risk-agent comes between you and your doctor?
A recent study by the Urban Institute reported that a public plan option could save taxpayers between $224-400 billion over 10 years by lowering the cost of proposed subsidies for the uninsured, while preserving private coverage for most citizens. What happens in an unchecked, relatively unfettered market-driven healthcare system? Well, about what you’d expect-the big keep getting bigger, the huge pharmaceuticals keep putting more and more money into marketing than in R&D for cures and ever-higher premiums keep getting passed onto the consumer. Meanwhile, as Republican Senator Olympia Snowe has said, there is a serious problem with the lack of competition currently among insurers. So much for any magic hand that will somehow drive down premiums,increase quality medical care, control skyrocketing prices of prescription drugs all while addressing the current obstacle of pre-existing conditions that so many Americans find terminal when it comes to coverage. And let’s not forget what opponents like Congressman Blackburn are always fond of giving lip service to but apparently not truly caring about when it comes to healthcare reform and that is American small business. Healthcare reform, especially with a public option, will allow small businesses across America to no longer be crippled by their inability to ensure their employees will be covered. I am a believer in capitalism and the marketplace but I appreciate the monopoly-busting that Teddy Roosevelt did back in the day to also make sure there is healthy competition in America. It just doesn’t seem like we have healthy competition in ironically,the healthcare industry and too many American lives depend on our leaders making it happen and not simply continuing to be the mouthpieces for the healthcare giants.
But wait, we may need to address the so-called “Death Panels” in the news of late and so I now shall. It is a deliberate attempt to use inaccurate and inflammatory rhetoric to stir up fear and provide misinformation among many Americans, especially the elderly, in an attempt to make the debate about this and not about more genuine, though perhaps less dramatic issues. “DeathPanels” is also a term favored by the no-longer Governor of Alaska Sarah Palin and apparently by my opponent, who recently referred to this term in one of her town hall meetings and has, to my knowledge, refused to refute this characterization of the end-of-life counseling provision in some of the proposed legislation. This, despite folks in Palin and Blackburn’s own party saying things like, “It does us no good to incite fear in people by saying that there’s these end-of-life provisions, these ‘death panels’-quite honestly,I am so offended at the terminology because it absolutely isn’t in the bill.There is no reason to gin up fear in the American public by saying such things…” (Republican Senator Lisa Murowski). Blackburn’s colleague,again in her own party has said, “How someone could take an end of life directive or a living will as (death panels) is nuts” (Senator Johnny Isakson R-GA).
Well, I am also offended by such fear-mongering and purposeful distortion when it comes to such an important issue like the health of my fellow Americans, and I, too, think that it is indeed nuts. Enough fear-mongering and distortion and more reasoned debate. Let’s have representatives like Blackburn stop pandering to the extremes and work in a bi-partisan way to craft a common-sense bill that provides genuine reform without breaking the bank. In fairness though, since healthcare special interests continue to be one of her top sources of campaign contributions asking this of her or some of her similarly positioned colleagues may not be realistic.
By the way, are such distortions I’ve identified and those that have been refuted by more moderate Republicans than Blackburn as nutty as the”Birther bill?” Well, tomorrow, when it comes your chance to speak,why not ask Congressman Blackburn herself? In addition to this whole”death panels” nonsense, she is also a co-sponsor of the “Birtherbill.” But most of all, let the debate tomorrow and to the future be open,be frank and let’s try and ensure that whether you are genuinely angry or not we actually have a debate and not just a lot of shouting. Let’s save that for football season.
Best Wishes,
Dr. Greg Rabidoux