Posts Tagged ‘Medicare’


My cousin has been in and out of the hospital for the last year. She’s 75, not in good shape, and I have medical power of attorney (as the only nearby relative). It’s been wearing on me — a lot. I’ve been worrying about where she’ll go and what will happen to her after she runs out of money.

In contrast, and worse, what in hell happens to people who are under Medicare age? A very good friend of mine was tortured by cancer for the last decade (including — do not ever under any circumstances do this; it just ain’t worth it, and it doesn’t extend life — prostatectomy), and he and his wife spent probably half their life savings on experimental treatments before he died two months ago.

It was awful to watch.

I breathed a huge sigh of relief tonight when I (rather, the placement agent) found a good place for my cousin.

She’s on Medicare, has enough bucks for a few years, and is going to a place that won’t kick her out (will take Medicare) after her money runs out if she survives that long.

So, “socialized medicine,” Medicare, saved her ass.

For people under 65, it’s still a horror show — albeit a very profitable horror show. There are over one million personal bankruptcies annually due to medical bills in the U.S. In other words, over a million middle-class Americans lose everything they’ve got every year due to medical bills, and the insurance industry and big pharma reap the benefits.

And it gets worse. After giving away a fortune to the 1%, close to $2 trillion, in Trump’s tax scam, it’s virtually certain that the GOP will plead “fiscal responsibility” and try to kneecap both Medicare and Medicaid, driving up our costs, if not eliminating Medicare and Medicaid entirely.

This is all you really need to ask yourself when considering the GOP/corporado mantra justifying horrendous health costs (USA is by far the highest) and being at or near the bottom of health outcomes for industrialized countries):

They warn you against “nameless, faceless bureaucrats making your health decisions for you.”

But what in hell do they think is going on now? Nameless, faceless insurance-industry, profit-driven ‘bureaucrats making your healthcare decisions for you? For their corporate, profit-driven masters rather than you?

How could anything possibly be worse for you than nameless, faceless corporate bureaucrats searching for reasons to deny your claim, and doing their best to maximize profits by providing the minimum amount of healthcare they can possibly get away with? Think about it.

Forgive me, but somehow I’ll trust that non-interested government bureaucrat rather than an insurance company tool.

Count me in for “socialized medicine.”


There seem to be two explanations for Donald Trump’s attacks on the courts, media, and objective reality: 1) He’s a whining, self-pitying baby who simply can’t stand it when he doesn’t immediately get his own way; 2) He wants to pull a full-Stalin by undermining the institutions that stand in his way — the judiciary and free press — and by creating a false reality in which his followers simply accept his bald-faced lies and self-contradictory statements while ignoring abundant and immediately presented contradictory evidence.

These two explanations are not mutually exclusive; both are probably correct.

So, what do we have to look forward to from Trump and his Republican enablers?

  • Repeal of the Affordable Care Act without anything approaching an adequate replacement. Trump and the congressional Republicans will almost certainly take their cues from the insurance industry and big pharma, making healthcare less available and more expensive for the vast majority of people. Probability: Virtually certain. 7-stars-72

 

  • Assaults on Social Security, Medicare, and Medicaid. Congressional Republicans will push for “entitlement reform” (never mind that people paid for these things through payroll taxes), which will amount to at the very least reduction in cost-of-living increases for Social Security and reduction of benefits for Medicare and Medicaid recipients, and more stringent eligibility requirements for Medicaid recipients. Probability: Virtually certain.
    7-stars-72

 

  • Full-scale privatization of Social Security and Medicare. The more ideological (read Ayn Rand worshiping) Republicans, such as Paul Ryan, will push hard for this. If this happens, they’ll likely sell it by leaving a weakened Social Security system and Medicare in place for those over 45 or 55, and privatizing both for those under those age limits. This would result in not only younger people losing those benefits in decades to come, but also resentment among them at paying for benefits for older people which they themselves won’t get. Probability: All too possible. 
    4-stars-72

 

  • Increased voter suppression. The Republicans have used entirely manufactured scare stories about “massive voter fraud” at the ballot box, while providing no evidence whatsoever of it, to push through restrictive laws in states across the country that make it more difficult to register to vote (e.g., among the elderly without photo ID and the poor who don’t have cars who’d have to travel to get state ID) and to cast ballots (restricting early voting). This has resulted in the disenfranchisement, at minimum, of hundreds of thousands of voters, and more likely millions of voters. Now, the Republicans seem poised to do this on a national scale. They’re unpopular (look at their approval ratings), desperate to hang onto power, and are very obviously willing to do anything to retain it, including betraying America’s (supposed) democratic principles. Probability: Very, very high. 
    6-stars-72

 

  • Use of a terrorist incident to suppress civil liberties. The chance of Trump creating a “false flag” terrorist incident are low, simply because of Trump and accomplices’ overall incompetence and the outright loathing the intelligence agencies have for Trump; they very probably wouldn’t allow him to get away with this. On the other hand, if there’s continued instability in the Trump Administration, and continued appointment of the grossly incompetent to decision-making positions, it’s all too possible, in part because Trump is playing into ISIS’s and Al-Qaeda’s hands through his fear-mongering rhetoric and Muslim ban. If there were a major terrorist incident, we can expect demonization of all critical voices and opposition movements, legislation restricting freedom of the press, freedom of speech, and freedom of assembly. Probability: Likely under 50/50, but only because of the professionals in the intelligence agencies. 3-stars-72

 

  • Worsening economic inequality. Trump’s economic policies overall, basically trickle-down economics (or as Jim Hightower puts it, “tinkle-down” economics), will result in continued and worsening economic inequality. Lowering taxes on the rich and corporations will do nothing to create new jobs, because demand creates jobs, not “job creators.” When low- and middle-income people receive more money, they spend almost all of it on food, consumer goods, utilities, and services — they have to. This creates jobs. When the rich receive more money, they spend it on stock buybacks, real estate (among other things, driving up the cost of housing), and luxury goods, such as yachts. This creates very few jobs. And this is the direction in which billionaire, entitled-heir Trump is headed. Probability: Virtually certain.
    7-stars-72

 

  • Continued scapegoating, fear-mongering, and demonization of all opposition. The Clintons, Barack Obama, and the other corporate Democrats paved the way for Trump’s success through their betrayal of those who elected them, through their abject servility to the corporate elite; this resulted in long-simmering anger among working and middle class people. Trump has taken full advantage of this anger and will continue to do so. Probability: Certain. 7-stars-72

 

 


Back in April, I wrote a post titled “Hillary Clinton is all but Unelectable (against any sane opponent).” It turns out she couldn’t even beat an insane opponent.

Four days ago, I wrote another post: “If Clinton loses, who’s to blame?” focusing on the betrayal of low-income working people by the corporate-servant Democrats (Bill and Hillary Clinton, Barack Obama, Chuck Schumer, Donna Brazile, Debbie Wasserman Schultz, Diane Feinstein, et al.) who’ve controlled the Democratic Party for decades.

Clinton’s water carriers will undoubtedly dismiss such analyses and will instead focus on such things as corporate money in politics, the Republican propaganda machine (Fox, Breitbart, Infowars, etc.), and Trump’s racial scapegoating. You’ll see plenty of these in-part-correct analyses in the days to come.

You’ll also see plenty of pieces by Clinton apologists drawing all the wrong conclusions about Clinton’s defeat. For a spectacular example of such wrong-headed analysis, see “The Misogyny Apocalypse” by Clinton cheerleader extraordinaire, Amanda Marcotte.

Rather, I’d argue that you can’t screw people economically for decades,  make it harder and harder for their children to attend college, ridicule them, and then pretend that you’re their friend. There are consequences for this type of behavior. Meet President Trump.

I’ve covered these matters extensively in posts over the last few years–just check the Economics category and search the site for posts on Obama and Clinton–so let’s let this go for now and examine what might happen under the Trump administration.

First the negative:

Immigration. Trump based his campaign on racism and anti-immigrant scapegoating. Here, unfortunately, he’s likely to deliver. Obama has been “the deporter in chief.” Trump will be worse, probably far worse.

Taxation. Trump wants to reduce the corporate tax rate to 15%, reduce individual income taxes across the board, and eliminate the estate tax. These things will lead to massive deficits (similar measures did under Bush the Lesser).

Global Warming. Trump is, at least publicly, a climate-change denier. Expect no action in this area.

Environment. Expect more air pollution, more water pollution, less regulation (including food-quality regulation — lack of which is already a national scandal), more fracking, more despoliation of public lands, especially in the West.

Supreme Court. One can only shudder at what’s to come here: corporate-friendly, anti-individual-rights, religious extremists (a la Scalia and Alioto).

Social Security, Medicare, Medicaid, “Obamacare”: Trump made repeal of “Obamacare” a centerpiece of his campaign. Expect grossly inadequate measures in its place (“competition across state lines,” individual health savings accounts, vouchers), expect millions to lose access to healthcare, and expect at least tens of thousands to die unnecessary deaths because of this dismantling of already-inadequate public healthcare.

Ayn Rand worshipper Paul Ryan is itching to dismantle Social Security and Medicare/Medicaid. Expect some movement in that direction. Expect Republicans to cut benefits for both Social Security and Medicare beneficiaries, perhaps eliminate Social Security as we know it for workers under the age of 45 (or 35 or 55), to at least attempt to replace Social Security with some sort of individual-investment plan (which would leave the bottom 50% or so of workers s.o.l.), and perhaps to eliminate Medicaid outright.

Reproductive Rights. Expect continued assaults on the right to abortion and even access to contraception. If Trump appoints more than one member of the Supreme Court, expect repeal of Roe v. Wade

TBGL Rights. Expect a slew of “religious freedom” measures, both federal and state, to institutionalize discrimination.

Emboldened Racists/Fascists. The KKK endorsed Trump, and in his election campaign he repeatedly endorsed and even urged thuggish behavior. Expect fascists and racists to engage in public intimidation, including physical attack, of political opponents and expect a spike in racist murders of black and hispanic people.

 

Where it’s a wash:

The Surveillance State. Despite his professed admiration for Wikileaks during the campaign, one can assume that that admiration was entirely hypocritical. Like Clinton would have, Trump will almost certainly continue the war on whistle blowers and the mass, intense surveillance of all of us.

 

Now the good news:

Believe it or not, there is some.

Foreign Policy. Given Clinton’s history of poor judgment, arrogance, war-mongering, support of coups (Honduras 2009), friendship with a notorious war criminal (Henry Kissinger), abject servility to the Israeli extreme right, support of repressive Islamist regimes (most notably Saudi Arabia), and bellicosity toward Russia, it’s hard to imagine Trump being worse. He might even end up being somewhat isolationist, which would be a marked improvement over the disastrous Bush/Obama/Clinton interventionist foreign policy.

Trade Policy. The TTP is dead. Clinton would almost certainly have pushed it, under the cover of minor changes that would have “met her objections.” Trump might push for repeal of NAFTA and other previous trade deals. But at this point, the damage from these deals is largely done. Trump might also push for protectionist trade policies, which is worrisome from two standpoints: 1) They primarily benefit corporations, who reap profits as consumer prices rise; 2) Trade wars sometimes precede real wars.

Still, rejection of further “free trade” agreements (they’re not; they’re highly managed trade agreements) is a step in the right direction.

Decline of the corporate, status quo Democrats. The engineers of the Trump/Clinton disaster will almost certainly decline in influence within the Democratic Party, and one hopes, though probably in vain, that they’ll be driven out of town on a rail. If Clinton had won, they’d still be riding high, they and their Republican co-conspirators would continue to screw working people economically, and Republicans would continue to point to the White House while pretending that they weren’t equally if not more culpable.

With Clinton and her corporado friends having delivered victory to the most grotesque major-party presidential candidate since Andrew Jackson, there will be a war for control of the Democratic Party between progressives and the servants of the corporations and 1%. This is good news: the progressives might win.

No full-blown Fascist Movement. If Clinton had won, and the economic situation of working people continued to fester, popular anger would have continued to build, with blame falling on Clinton and the Democrats. This increasing populist anger could all too easily have taken the form of an organized fascist movement. As is, the fascists remain a small, disorganized faction.

Following Trump’s victory, the pressure driving the growth of fascism is off. There will be fascist thuggery and murders in the upcoming years, but fascist factions will likely remain small and disorganized.

Trump won’t deliver on his economic promises. He can’t. His policies virtually guarantee that life will get worse for most Americans, which means he’ll likely be a one-term president. Of course, when things go south, Trump will likely fall back on racial and immigrant scapegoating. But fewer people should buy it.

When at least a substantial portion of his followers realize that Trump and the Republicans have betrayed them–as they inevitably will–and if the corporate Democrats are ousted, real change could and likely will follow.

Let’s just hope it’s change for the better.

And let’s do what we can to make it so.