GEORGE TEMPLETON
COMMENTARY
By George Templeton
Gazette Columnist
Healthy
For man that is born of woman is of few days, and full of
trouble. He flees like a shadow, and continues not.
When Adam and Eve ate from the tree of knowledge they violated
the one prohibition that God had given them, giving birth to sin, the curse of
conscious perplexity, suffering, and death.
Science claims that there was a time before death.
Death did not appear simultaneously with life and is not prerequisite for it.
The cells that make up our body are the result of a billion years or more of
evolution leading to sex, obligatory DNA programmed aging and unavoidable death.
Religion simplifies illness as demonic possession, testifying
to the power of our inner self while retreating to antiquity. Science narrows
illness by reducing it to our worn-out parts. Bill Moyer’s book Healing and The Mind seems forgotten or
discredited. We yearn for the simplicity of a time gone past and avoid
unpleasant realities. Regardless, aging and death will not be denied.
Together
The Affordable Care Act (ACA) concerns everyone, not just
individuals, but also our nation’s productivity and economic
competitiveness. It helps the sick and infirm and is the mark of a moral
civilization. Will we be a country where we accept that uninsured
millions are subject to devastating economic and health risks? Can unfettered
free enterprise alone solve complexity and confusion, a lack of performance benchmarks,
costly inaccurate paperwork, and a system that manages disease instead of
promoting health?
They say the government is the problem, but it is us and they
are wrong. They say that business greed is the problem, but America
must make instead of take. When government and business work together, only
then will the whole be greater than the sum of its parts.
Divisive
How can hunger justify government crop insurance when health
care is divisive? Divisiveness is more than rhetoric. It is not
simple, certain, or safe, but embraces our innermost being. Conflict from
diverse opinion must be welcome, not feared. The politics of envy should
be feared, not supported.
Slippery
The ACA is friendly to the market. It is not socialized
medicine or a “one size fits all” plan. It does not disregard
free market competition and individual choice. The insurance plans that
are offered are all private. There is no public option. The
government does not own or operate the hospitals and their equipment, or hire
the doctors, nurses, and technicians. The ACA uses private contractors
and the same providers, doctors, nurses, specialists, laboratories, and
insurers that now exist. The ACA won’t take your doctor away.
It’s like the health care provided for Congress.
When an uninsured person is billed ten times the cost for the
same medical procedure, it is not free enterprise. Our insurance premiums
carry the costs of poverty and lack of preventative care. This extortion
could be stopped by denying service to those who can’t pay, leaving them
to die on the steps of the emergency room.
Reality
There is no youthful demographic to help with the inevitable
illness of baby boomers. There is no way to pay-off our incurred debts
without more from the wealthy and middle class. That’s why both the
ACA and Paul Ryan’s plan include the same 716 billion dollars of cost
reduction. They are not Medicare benefit cuts. Hospitals and
insurance companies will be asked to be more efficient and results oriented.
We can help by adopting a healthier lifestyle.
Affordability
When Republicans say that America has the best health care in
the world they mean for the wealthy. When parameters like cost, preventable death,
infant mortality, life expectancy, and end of life counseling are considered we
do not fare so well.
The individual “tax” mandate and reduced spending
will shrink our national debt. Standardization of electronic records will
improve accuracy, reducing fraud and waste. Already, the law has improved
efficiency, generating more than $1.1 billion in refunds because it requires
more than 80% of your premium to be used for you instead of profits and
promotion.
Our transition over the last forty years to a minimum wage,
part-time, service economy has left many without benefits. When companies
provide health insurance, they advise that there is no guarantee that they will
continue to do so in the future. Secure portable insurance will increase
employee mobility helping employers to hire the people with the skills they
need. Isn’t it good that the ACA will allow pre-existing
conditions and provide health coverage for 50 million uninsured Americans? Many
poor people who would drift into poverty and Medicaid will be covered.
The cost of small company insurance is related to business
size and whether any employees have an expensive illness. Management pressure
to encourage the voluntary separation of employees with costly chronic health
conditions can be avoided. The ACA spreads costs over a larger typically
healthy population, eliminating the choice between competitive insurance cost
and just treatment of the employee.
If you don’t have a pre-existing condition, aging will
give you one. New DNA bio-technology could reveal pleasant truths about
your destiny. You can keep your record clean by refusing treatment, but
for how long? Our current health care system denies insurance to those
who need it the most. Premiums jump thirty to fifty percent. People
are charged more than they can afford.
Rationing
Health care is not like recreational shopping. Doctors
define the treatments we should have. The ACA does not create a board of
bureaucrats to ration health care or a “death panel”. It sets
standards to reduce confusion and the sparring between doctors and insurance
companies. For example, insurance sold in the exchanges have to provide equal prices
for women and men. HMO’s and insurance companies, or the governor
in the case of Medicaid, can deny coverage or funding. De facto rationing
results from the inability of people to pay. The ACA will reduce
this by spreading costs over a larger population.
Fifty-four percent of youth aged 18 to 26 are unemployed.
The ACA lets them have coverage under their parent’s insurance until age
26. The assertion that the ACA favors the poor at the expense of the
middle class and the old at the expense of the young is wrong.
Mandate
The sixteenth amendment to the Constitution implemented
wealth redistribution. Taxes take our money and give it to others for
services deemed essential to a healthy society. Voluntary individuality
is too capricious to sustain the job that is needed.
The requirement for individuals to purchase health care
insurance came from a conservative think tank and was endorsed by Republican
representatives and senators who called it individual responsibility, a
responsibility that was not person to person, much bigger, and for the good of
all. Mitt Romney implemented an individual mandate. Now he calls it
socialism and government overreach.
The purpose of the individual mandate was to protect the
private insurance companies, who would be required to cover people with
pre-existing conditions. People who can afford to buy insurance, but
don’t, are the only ones who will have to pay a fine. There will be
help with insurance cost by tax credits scaled according to income.
Healthy young people will have to buy insurance to fund coverage for the ill
and elderly. Even healthy young people need insurance, because accidents
can permanently change lives.
Religious
Market values are not the only morality. Ethics springs
from the subconscious self, not politics. The inner world is more important
than outer rationalization. Politics inflames intolerance and incites
envy when it fibs that birth control will be free under the ACA because there
is no copayment.
The bumper sticker reads “God said it, no further
discussion allowed”. Arguing that divine inspiration directs us,
the preacher warns his followers not to associate with or listen to any
opposing views that might lead one astray from God’s will. Christian
soldiers, marching in a culture war, do not act in a spirit of love and
humility. They incorrectly argue that “biblical law” requires
the overthrow of the ACA because it confiscates wealth and redistributes it.
The culture of life is more than opposition to abortion and
birth control. It is more than punishment, coercion, and trying to force
an absolute morality that lacks empathy and understanding of the individual
situation. It recognizes the efficiency of preventative medicine,
pre-natal care, the reality of sexually transmitted diseases, and domestic
violence.
Unfortunately the morning after pill works identically to
prescription birth control. So now, birth control and abortion have
merged. Birth control has become a wedge strategy to destroy the ACA, in
spite of the fact that no one forces anyone to take it. Insurance companies
have offered to make it free to their beneficiaries, eliminating employer
subsidization. This is not sufficient when freedom means forcing values
on others. The solution is to legally define “personhood” at
the moment of conception and to deny abortion unless rape was “legitimate
and forcible”. This language reveals suspicion that some girl, who should
become a mother, might game the system and get away with it.
Mark Rubio’s religious freedom bill would hamper
government’s compelling interest to reduce abortion by supporting
woman’s health, birth control, and counseling. This is divisive! What
is not divisive is the ACA’s requirement that every state must offer at
least one health exchange plan that does not cover abortion. Principled
individuals can buy from it.
Republicans should be flattered that the ACA mirrors Romney
Care. Massachusetts,
the Romney Care state, requires insurance to cover abortion, but law prohibits federal
coverage except in cases of rape, incest, and threat to the mother’s
life. The ACA does not preempt state law. Many states will prohibit
abortion coverage.
Does religious freedom go beyond churches to include “for
profit” businesses and individual citizens? Should we be required
to pay taxes when we do not agree with our government? Did we exempt
those who disagreed with war from the draft?
Only
The religious right claims that only voluntary one-on-one charity
is dignified, liberating, and moral, and that only they are personal and
caring. Does their absolute prohibition of abortion and birth control
reveal their respect and empathy for others?
Jung
Carl Jung said, “Where love rules, there is no will to
power, and where power predominates, love is lacking. The one is the
shadow of the other”. A communal illness springs from the denial of
our God given instincts. Lost innocence abandons subconscious intuition
and morality to the world of conscious politics reflecting our materialistic
culture and our economic and spiritual distress. Envy, pride and greed
must be overruled by kindness, humility, and charity.[Payson resident George Templeton writes a regular column for the Rim Country Gazette Blog.]
1 comment:
While I can agree our health care system is unfair and cost containment must be achieve, Obamacare does NOTHING to contain costs. It pledges to make insurance AVAILABLE to all, but not necessarily AFFORDABLE to all. My premiums have already started shooting through the roof because of all the so-called "free" stuff it requires insurance companies to provide.
THIS IS NOT THE ANSWER!!!!!!!!
People are all excited about Obamacare now because of the free services they can get but who the hell do they think is paying for them? Wait till it's time to pay the piper and see how happy people are with this boondoggle of a law.
Wait until employers stop paying for insurance, or start laying off workers to enable them to afford to cover the rest. Wait until all these people who are used to having their insurance benefits delivered up gratis because of an employee benefit package start having to pay their own insurance bill, like I do.
Wait until they realize that they're forking over 1/4 or 1/3 of their income for health insurance with increasingly higher deductibles and co-pays.
Anyone who thinks Obamacare solves anything doesn't have a clue what is in that bill, nor what is coming up in the next couple of years.
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