Wednesday, September 9, 2009

Health Care Reform: My Thoughts on "The Speech"

This evening (as most people know), President Obama addressed a joint session of Congress on Health Care, specifically:
  • the current state of it in the U.S.
  • his thoughts on why reform is needed
  • what reform should accomplish
  • what is/is not true about the rumors that have circulated about the proposed reform "bill."

    (I put "bill" in quotations because no official bill has yet been agreed upon. Four submitted, one more on the way)
A number of things stand out with this address, both in regard to his speech, and the nature of the event. While the President often addresses the nation, be it on prime time TV or otherwise, presidential speeches to joint sessions of Congress come few and far between. The last one given, to my knowledge (and excluding State of the Union/Inaugural Addresses), was given by President Bush after 9/11. I personally think this scarcity is because of how much time is spent applauding (if you're the party in power) and attempting to look as-defiant-as-one-can-while-sitting-during-a-joint-session-of-Congress (the minority party). The fact that Obama chose to hold such an address on health care stands as a testament its importance.

So, enough about the actual event, what about the speech? Overall, I found myself pleased with the speech. The President seemed to approach the entire debate head-on and systematically work through some problem issues. Could there have been more discussed? Of course. More details given? Without a doubt. From a practical stance, however, he seemed to cover the most important things as best as he could for the time being (it was only a 45 min speech, after all). I was specifically glad to hear Obama address the few following things (among many others, because my opinion obviously weighs heavily on both him and Congress):
  • The current outrageous costs of health care when compared to nations similar to the U.S. Health care accounts for ~18% of our GDP , while the next closest country slides in at ~9% (That link is also just a good website to checkout for general health care facts).

    When compared, health rankings between the US and similar nations have no real statistical difference (measures include infant mortality, life span, cancer survival rates, etc). If there's no real different in that, and in patients' satisfaction with their physician, why does our cost so much more? For more information, this article summarizes things pretty well and pulls statistics from the CIA World Fact Book.

  • The idea that an extreme change, to either the right (complete individual privatization) or the left (national single payer), can not be viewed as a feasible option right now. The health care system ties too tightly into the entirety of our economy and way-of-life that any major overhaul would simply be too detrimental .

    One of the most frustrating things to hear others talk about is how the US will have "socialized medicine." It's just not going to happen, and really, socialized medicine wouldn't actually be the end of the world (surprised, no?), we as a country just make terrible connections when we hear the world "Socialism" (You can thank the National Socialist German Workers Party for that, along with the Cold War. Oddly enough neither are true examples of socialism).

    I'm also glad he addressed other silly things like the idea of death panels and the fact that many in the GOP (and some on the left) are actively choosing to not work because it's a better political move. I'm sorry, I like to think that you were elected to work. I wish all in Congress would work so hard that there was no one the people could NOT reelect them rather than sitting-bored because you'd rather not make waves.

  • His inclusion of Ted Kennedy's well-touted view that the health care debate should not be a political or partisan debate, but a moral debate. It's not often that I would prefer our Congress to debate moral issues, however the issue of health care strikes a different chord with me.

    I've always thought a person's ability to easily access adequate medical care when needed as something that just makes sense. I cannot understand why people are more than okay with protecting citizens and their safety by having military/police/firefighters/clean water/etc but then run scared when prompted to protect a persons general well being.

    It just does not compute for me. I think when people get sick they should be able to focus on getting well rather than even entertaining the idea that they might not go see the doctor because of access/cost.
I could go on for pages explaining all of my thoughts and comments about the speech and debate, but I'm not sure how many people have made it this far. If you really want to read more of my rambling ideas: click here.

If you missed the speech, NPR has a pretty good summary , or you can read the entire text here (it's a few clicks down, past an initial summary).

For a good website that just has interesting health care facts, check out the NCHC (National Coalition on Health Care- they were linked above too). I find the "Facts" tab at the top to be most interesting.

Sidenote: I wish my time stamp was accurate. Anyone know how to change that?

Lastly, what did you all think of the speech? Or how do you feel about the debate/reform? I'm happy to discuss or just see what other people think. Until next time.

6 comments:

Anonymous said...

1) Joe Wilson needs to shut the hell up. He has a point, but not a very good one, and that's definitely not the way to get it across.
2) For as "bold" and "courageous" a speech as that was supposed to be, I can't help but feel that it was somewhat ambiguous, perhaps intentionally. He left the door open for dissent, but maybe he wanted to hear other opinions. Or at least look like he wanted to hear other opinions.
3) And maybe I'm just not well enough informed, but my largest complaint with the entire notion of a public option is the repercussions that it would have. I don't necessarily believe that it means the government will run health care (although I do think they're running GM, and that scares me a bit), but if you provide a public option for the purpose of a lower cost, the quality of health care, in my mind, would automatically be lower. There would be no reason to provide a better product because it's all regulated anyway, so why bother working harder than the guy next to you? And if private providers remained an option, and it doesn't sound like that's a guarantee, especially if Obama wants to make coverage mandatory for adults, then what's to keep the private providers from slacking off? They're bound to lose a lot of business to the lower-cost public option, and to lower their own costs would mean working just as hard, if not harder, for less gain. People don't work like that. There's no reason to work harder than everyone else is you're not going to be rewarded for it.
4) Finally, President Obama continues to tell us that this plan won't add a penny to the deficit. I see where he's coming from, but the fact is that it's simply not possible to do what he wants to do without adding hundreds of millions of dollars to the deficit. And some of the things he wants to do to keep the cost down (because it is only reducing the cost, it really is impossible to eliminate cost on a plan this huge) are rather unsettling. For instance, cutting Medicare payments to providers by more than $500 billion. ...That's a lot of money that would hit hospitals and Medicare Advantage (the section of Medicare operated through private insurance companies) pretty hard.

I don't know, maybe he's got it all figured out and will save the country, nay, the world. Personally I wish him the best of luck, but I worry about the direction he wants to go right now. People are driven by the desire to have more success than those around them, it's in our nature, and he is taking that option away. In my mind, that plan backfires really hard.

Good to see you on Saturday. Hope the wife is well.
-Ryan King-

Shannon said...

Yo, I'm not even gonna touch on the Obama stuff, cause I don't know. I have no clue and I'd look like a dumbass if I even tried.

But, your timestamp issue: Go to your dashboard, click on your settings tab, then you have your time zone choice and your timestamp options. Is that what you meant? Good luck figuring it out!

Shannon said...

I forgot a step! Click on settings, then formatting, then your options are there. And it's not your dashboard, it's when you click "customize". Sorry trying to think and watch 3 children isn't mixing well this morning :)

Tyler Harnett said...

I like you. I will be glad to have you as a doc when I am getting free public health care.

I would like to hear more of your thoughts, but your "click here" link didn't work...

Nicolas Frisby said...

I like your comparison to fire fighting and such; I hadn't heard that yet.

I disagree that all treatment should be free and immediate. For common, mundane health issues: sure, but for uncommon, severe illnesses, the cost for such specialized care should be taken under consideration. I think that sort of specialization may strain the analogy to the other government-provided/tax-supported services.

– When you're editing your post, click on Post Options on the left side below your post, this will reveal a couple fields where you can edit the timestamp. Blogger needs to get it together and let you make the timestamp be when you publish and not when you initially create the post!

Anonymous said...

I think that some form of nationalized (yes socialized YES for everyone by everyone, yes yes yes) NEEDS to happen.

God fucking damn. Because I have a prediagnosed condition, when I get kicked off in April (yes, THIS april), I am fucked. I have to go through a variety of hellish loopholes (eventually going to "high risk health insurance" which is $14,000 a year, just for the deductible--not to mention all it doesn't cover) because if I'm EVER not covered, even for a second, I will lose insurance. For one week in the hospital (as I was just in) is about $30,000. I get sick at least once a year.


I don't know what the answer is. But I want one. I need one. And I'm not the only one. Why is this such an issue. I'm with you Matt, I can't figure out why it is? We can spend billions on "defense" from other countries who we go and destroy and...

okay, I'm rambling. I don't know the answer. Single payer, woo!

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