If They Only Had a Heart (Karma’s a Bitch)
Representative Mo Brooks, Republican of Alabama, was one of the members of the Freedom Caucus that directed the Trump Health Care bill. His statement on the impact of the bill (if it were to become law) on those with pre-existing conditions is not only significant, but horrifying in its implications.
Mo Brooks on Pre-Existing Conditions
For those who choose not to click on the link – here’s the synopsis:
Brooks stated that in order to bring insurance premiums down for those who have lived “a healthy life” and “done all of the right things” sick people (those with pre-existing conditions) should pay more. While he then states that not all sick people are at fault for being sick, we need to balance their needs against the needs of the “healthy” to pay less.
The clear frame of reference: sick people are getting what they deserve.
Mo Brooks is not a “barn burner” like former Congressman Joe Walsh. He represents a tremendously conservative part of the world, and was born and raised there:
Raul Labrador, Congressman from Idaho (and the Hispanic Conservative Republican hope) stated:
“No one dies because they don’t have access to health care.”
Labrador – News and Guts
It is of course the fallback position for de-regulating health insurance. NO ONE DIES – because they can always go the the emergency room. NO ONE DIES – because they can get emergency care without insurance. It ignores the whole proven effect of preventative care, of making prescription drug use affordable and therefore consistent, and of early detection and intervention. THE REALITY – many will die if their only access to medical care is emergency care. Not only will many die, but their medical care will be delivered in the MOST EXPENSIVE way possible, through emergency services.
And the argument that the truly poor can get on Medicaid starts to collapse, when Medicaid is on the chopping block. Fewer people get insurance, more people DO get their only medical care through emergency rooms.
By the way, when all of the emergency care is charged off, where do the costs go? Who pays? Oddly enough, not the government. The cost is absorbed into the overall operating costs of the hospital, those costs are then distributed among the paying customers. So in the end, we pay, we pay through higher hospital costs (or higher insurance costs) to cover those who can’t pay.
I don’t believe (or choose not to, anyway) that Mo Brooks and Raul Labrador are so hard hearted to wish people to die. They want to lower the costs of premiums for their chosen constituents (and reduce taxes and controls on their chosen contributors.) The problem, taking care of the “chosen” means that those who truly can’t afford insurance are left even farther behind.
So what’s the deal? Insurance companies don’t want to insure people who are more likely to get sick. That sounds like a stupid statement, but it’s completely valid. Insurance companies aren’t about protecting people, they ARE about making money. Sick people cost a whole lot more than well people (who just pay into but don’t take out of their insurance policies.) So if they can find a way to “bring competition into the market” by “charging more for pre-existing conditions” they can make more money. From all of the sound bites, the current House bill states that as long as you don’t drop (or get dropped) from your policy, you won’t have your premium raised for a condition. However, if you change jobs, if you fail to continue your current coverage, or if you somehow lapse in coverage, you are vulnerable to a huge increase under the current House bill.
“But we have returned power to the states, where they are closer to the people, rather than the federal government!!” Power to the states, where gerrymandered districts have guaranteed that insurance companies will be in control of any legislation. States can get waivers from even the modest requirements that the House bill suggests.
Maybe the title of this blog should be “Karma’s a Bitch” rather than “IF They Only Had A Heart.” Because as cruel as it may seem, I hope that the authors and supporters of the House bill may someday face the results of their legislative prowess. Because if “Karma’s a Bitch,” they are in for some difficult times.
Who’d have thought, Donald Trump, Bernie Sanders and I all agree on something. Australia has better health insurance that we do!!!! Please Mr. Trump, put single payer/government run insurance in place!!!
OOOH, I was right with you up til last paragraph. That seemed uncharacteristically harsh. Perhaps I read it wrong.