To the Editor of the New York Times:
We don’t need all this noisy handwringing about healthcare. The solution to creating a better American healthcare system is actually very obvious, if one simply decides what it is intended to do.
If the intention is to ensure that all the citizens of America have affordable access to satisfactory health care, then we already have a successful model that can expanded almost overnight: Medicare, now for All.
If the intention is to free up unthinkable amounts of money to make rich Americans even richer (at the cost of creating an underclass of medical beggars), then Congress should just pass any one of the Trumpcare versions floating about and be done with it.
See, this is all about a hierarchy of values. One hierarchy goes like this: 1) proudly caring for all Americans; 2) spreading risk over a massive/universal pool; 3) controlling runaway costs by negotiating from a formidable position of strength; 4) employing preventive measures that inevitably redound to the benefit of both patient and payor.
The other hierarchy of values goes like this: 1) seeking re-election on the basis of pretending to keep campaign “promises”; 2) accepting increased suffering of the most defenseless in order to favor the 1%; 3) letting future generations deal with the calamitous condition of both our citizens and our economy who will be crippled by inferior healthcare at costs at 40-50% of GDP.
Really pretty simple, like I said.