Healthcare Reform Update

Hey folks, we've been missing the main point in this healthcare reform debate. I know, you're tired of hearing about it, but back here at the Trailing Edge, we've hit on the solution!(1) And since this is a blog, we're going to share this amazing discovery with both of you. The solution to the high cost of healthcare and the way to eliminate the need for healthcare reform, which was right in front of us all the time, is…

Stop Being Poor!

That's right! All you poor folks who are getting way too sick before you go to the doctor or hospital, all you poor folks who are eating all the wrong things because healthy food is too expensive, all you poor folks who are smoking, drinking, or using street drugs because you need to face your life in a fog just to be able to face it at all – all of you just stop being poor! Your health problems will be solved!

Amazingly simple! Healthcare costs in all the major city hospitals will drop dramatically! The healthcare reform bill, which does not distinguish well between the needs of the rich and the needs of the poor, will work! The recent increases in health insurance that the insurance companies blame on the healthcare reform bill won't be necessary. They'll continue, but they won't be necessary, and that's the main thing. Why? Because there won't be any poor!

You poor people must quit your selfish adherence to poverty. Just stoppit.

I know it'll take a while; there's a lot of inertia from the rich and well-placed that you'll need to overcome. But don't be daunted. Here are the five simple steps to stopping your dependence on poverty – with a few necessary sub-steps, naturally:

1. Find jobs that pay better.
1.a. To do this, you may have to get somebody to recognize that you can't acutally stop being poor unless you have income from a single, full-time job that is 200% of the current poverty level or more.(2)
1.b. To get a raise to above the laughably low poverty level, you may need to unionize your workplace. To do that you may have to overcome a few problems, but nobody said this was going to be easy. Just simple.
1.b.i. Find a workplace.
1.b.ii. Seek a union that is acceptable to both you and your employer.
1.b.iii. If attempting 1.b.ii. results in your losing access to that workplace, find another workplace.
1.b.iv. Repeat 1.b.ii. and 1.b.iii. as necessary.

2. Make sure your increased income includes the benefits necessary to keep you out of poverty.
2.a. Since half or more of all bankrupcies are due at least in part to the cost of healthcare, you'll need to have health insurance.
2.b. And a primary healthcare provider who makes sure you get high quality healthcare so you can keep working.
2.b.i. As necessary, see 1. b., iv., above.

3. Start eating better – whole grains, lean meats with minimal processing, fresh fruits and vegetables that don't have too many toxic pesticides still in them.
3.a. Some of your fruits and vegetables will need to be organically grown so you can avoid toxic pesticides, but the extra cost is only about double, and believe me, it's worth it.
3.b. You may need to move to a different neighborhood where healthier food is available.

4. See your primary healthcare provider for regular check-ups and health maintenance.
4.a. If your insurance does not pay for check-ups you'll need to pay for them out-of-pocket because in addition to keeping you healthy, these check-ups lower healthcare costs for the rest of us, which is, of course, the point.
4.b. Make sure your income is sufficient to cover health maintenance costs. (See, for example, 1.b., above.)

5. Make the other lifestyle changes that your improved economic outlook and sense of well-being allow.
5.a. Plan for a healthy, loving home environment for your future family before embarking on puberty.
5.a.i. Some attention to your mental health may be necessary to overcome some of the misadventures of your childhood or to stop consuming or otherwise using some substance that is detrimental to your health.(3)
5.a.ii. In some cases, you will perceive a sort of chicken-and-egg phenomenon where you will need to complete step 5 before attempting step 1 but can't afford step 5 until step 1 is accomplished. Just do your best. You're sort of on your own here.
5.b. Make sure your children do the same - that is to say, all of the above. This will do much to eliminate that pesky multi-generational poverty thing.

With our simple 5-point plan, the entire US could be on its way to reduced healthcare costs and true healthcare reform.

Don’t thank the Trailing Edge for generously offering this simple solution. Just envisioning the millions of no-longer-poor healthy, happy children that the tens of millions of no-longer-poor parents can afford to nurture, feed, and love is thanks enough.

Footnotes:
(1) We've always said that one of the advantages of always being late is that we get to hear lots of different viewpoints before making a decision. Of course, we lose lots of potential friends and miss out on lots of useful information, but no system is perfect.
(2) For those of us who are arithmetically challenged, this means that to stop being poor, your income has to be twice what the US Federal government currently defines as being poor. The US government is changing this definition, for statistical purposes at least, but why wait? For those of us who don't know what "arithmetically challenged" is, as a prerequisite to step 1 (that is to say, before undertaking Step 1) you'll need to find somebody rich to support you while you go back to school.
(3) You will likely need to pay for these mental health services yourself, as most insurers include only nominal, inadequate coverage for mental healthcare. In addition, if you happen to reside in one of the states that is medically underserved (that is, there are not enough mental healthcare providers anywhere in the state), you may need to relocate and begin again at Step 1.

Coming soon: How to eliminate inequities due to gender, age, education, and inherited country or countries of origin: Be a young, male, college graduate of predominantly Western European ancestry!

Our Children, Our Future

Congress passed an excellent, bi-partisan bill to fund the State Children's Health Insurance Program (SCHIP). President Bush vetoed it, claiming we can't afford it. (Any guesses about how many days' funding for the president's war for oil it would take fund this bill fully?) Congress is scheduled to vote to override this veto on October 18. I just received an automated telephone call today from the US Chamber of Commerce claiming that this bill would help too many children - not just the poor ones. Balderdash! SCHIP is intended to provide healthcare coverage for children of working poor families; they and only they will benefit from this bill. Here are a few questions and answers for your consideration:

Is this SCHIP bill really necessary?
Yes. Almost one third of our children are receiving healthcare under a program paid by our taxes. This SCHIP bill offers our best hope for healthy, productive, self-supporting families.

• Our Protection for Working Americans -- With SCHIP, parents can keep working even when their salaries and benefits can’t pay for healthcare for their children.
• * 70% of the children now enrolled in SCHIP are in families with incomes below 200% of the federal poverty level (about $40,000 for a family of four).
• * This bill limits states' ability to enroll children whose family income is more than 300% of the federal poverty level. It prohibits enrolling undocumented immigrants.
• * About 45% of new enrollees will come from working families living in poverty (about $20,000 per year for a family of four).
• Our Children's Safety Net -- SCHIP helps families purchase private healthcare for their children. Four million children are eligible for SCHIP but not enrolled.
• * You do the math: aren't most, if not all, of these the 45% of expected new enrollees who are now eligible for SCHIP but for whom there is no funding? States need the federal funding this bill provides to reach out to those children, and this need is growing.
• * The percent of children younger than 18 with public health plan coverage, including SCHIP, increased from 22% in 1997 to 32% in 2006. (Source: National Health Interview Surveys, U.S. Department of Health and Human Services, 1997 – 2006.)
• * The 2006 National Health Interview Survey results showed for children younger than 18 years are 9.3% uninsured, 59.7% with private insurance, and 32.3% with public health plan coverage at the time of interview (Source: Early release of selected estimates from the National Health Interview Survey, tables 1.1-1.2, U.S. Department of Health and Human Services, 2006.)
• Our Insurance for a Productive Future Workforce -- Regular and timely healthcare is a necessary part of development to our children's full potential as productive adults.

Is SCHIP really a good solution?
Yes. The availability of health insurance coverage continues to decline. Our children’s access to healthcare is better than for adults, but healthcare coverage for children would be worse if it were not for SCHIP.

• More than 17 million Americans younger than 65 years – almost a third of whom are middle income – have not had health insurance to help cover their medical bills for at least 4 years. (Source: “The Long-Term Uninsured in America, 2002-2005: Estimates for the U.S. Population under Age 65,” aAgency for Healthcare Research and Quality, MEPS, Statistical Brief # 183.)
• * “Had public programs such as Medicaid and the State Children’s Health Insurance Program (SCHIP) not enrolled more individuals, the number would have been higher.” (Source: State of the States, January 2006, Finding Their Own Way, Alice Burton, et al., Isabel Friedenzohn, ed., publication of AcademyHealth, national program office for State Coverage Initiatives, an initiative of the Robert Wood Johnson Foundation.)

Can we afford it?
We can't afford not to have SCHIP, and we can't afford to reduce funding for this critical program.

• There is no general tax increase in this bill.
• * SCHIP will be partly funded through an additional 61 cents per pack of cigarettes (federal tax).
• * Increased tobacco taxes have been shown to have the greatest impact on decreased smoking in youth.
• * The President’s Cancer Panel recently recommended imposing an excise tax on tobacco products to help discourage youth smoking.
• * This plan redirects children into privately managed plans and should increase the total number of children enrolled in private plans.
• * According to the Congressional Budget Office, this plan is “as good as it gets” when it comes to reducing the danger that families will choose SCHIP over their current health insurance program.

We owe it to our children.
Our future depends on the health and well-being of our children. Our moral and ethical values require that we help those who are working hard to help themselves. Our humanity demands that we take care of our young.