Economy

Investing in America

When my three children were toddlers and in the early grades of elementary school, my wife and I would read to them before bedtime. My middle child was three years younger than her older sister and one year older than my youngest, so this was no small task. My wife would generally read to the oldest, or the oldest would read to her, depending on the difficulty of the story. I would read to the two youngest, and then say good night to my eldest daughter.

Eventually, my youngest daughters started reading to me.

I was investing in my children’s future. The nighttime reading ritual is considered one of the most important actions you can do help your children learn to read.

My disappointment with Republican policies keeps escalating as per Pres. Trump’s skinny budget; they fail to invest in America’s future. At first I thought it was that they keep ignoring facts and science. Climate change is happening, and they continue to deny it. If you want to decrease abortions, then start teaching comprehensive sex education. Some Republicans still insist on abstinence-only sex education even though it has been proven that comprehensive sex education reduces unplanned teen-pregnancy rates.

When Republicans refuse to invest in America, it is as if they are failing to read to their kids at night.

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The Economic Policy Disaster

There was something missing in the coverage of the most recent presidential campaign—policy. The major networks, ABC, CBS, and NBC devoted only 32 minutes of airtime to policy issues from the start of 2016 until late October according to the Tyndall Report:

No trade, no healthcare, no climate change, no drugs, no poverty, no guns, no infrastructure, no deficits. To the extent that these issues have been mentioned, it has been on the candidates’ terms, not on the networks’ initiative.

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Strong Stances, Good Messages

According to Washington Post columnist E.J. Dionne Jr., “Pollster Allan Rivlin has been offering a compelling presentation to Democrats, arguing that they lack a clear, comprehensible and convincing economic message. He’s right. It’s time they got one.”

Let me second, third and fourth that. Democrats have not been getting their message out for a long time. This has caused the Democrats to lose big in the 2010 and 2014 midterms, and to lose the most recent presidential election in the Electoral College. In contrast, the unified messages provided by the Obama campaigns in 2008 and 2016 have contributed to his wins.

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Health Care and ‘Skin in the Game’

Other countries have implemented Medicare-for-all systems that do not require “skin in the game,” and they get better health outcomes at much lower costs. In fact, “skin in the game” causes consumers to forgo necessary health care. The most common way to implement “skin in the game” is with high-deductible health plans. As one health expert stated:

The nation continues to push forward with expanding deductibles in health plans in spite of evidence that they are creating great harm by increasing financial burdens on individuals and families and by impairing access to essential health care services and products.

Meanwhile, health insurance and pharmaceutical executives have no incentive to improve the system. For too long these executives have been able to act however they want without any consequences. This has literally killed people and caused bankruptcies—all in efforts for the companies to keep their profits high and for the CEOs to keep their salaries astronomical.

It is time to force these executives to have “skin in the game.” We need to define a series of performance goals for our health care system.

The first goal should be that our health system covers everybody.

The second goal should be to eliminate financial stress from accessing health care. Eliminating copayments and deductibles can achieve this.

The third goal is that patients should have the freedom to choose any medical professional or hospital.

The fourth and fifth goals should be to have the per capita health expenditure equal to or less than $4,750 and the health expenditure as a percentage of GDP that is equal to or less than 10 percent. According to data from the Organisation for Economic Co-operation and Development, which represents 35 countries, the average per capita health expenditure is about $4,750 for developed countries, and the average expenditure as a percentage of GDP is about 10 percent.

Until all goals are met, health insurance and pharmaceutical executives are limited to compensation that does not exceed ten times the minimum wage. Profits from the companies shall be used to reduce health care costs until the goals are met. Once met the companies may use their profits and compensate their executives however they want.

These executives have perpetuated a system that requires too many patients to sacrifice their good health, their financial well-being, and/or their lives. It is only fair that we make the executives have “skin in the game.”

Medicare-for-all—There Is No Better Solution

Republicans have been saying for many years that the Affordable Care Act, aka Obamacare, needs to be repealed and replaced with something better. Medicare-for-all is that something better.

Unfortunately for Republicans and the rest of us, after six years of complaining, they still have no idea of how to replace Obamacare. Their latest proposal is to repeal Obamacare, then delay the repeal for two to three years in the hope that they can force Democrats to negotiate a replacement.

Republicans argue falsely that the current problems in our health care system have been exacerbated by Obamacare. In fact Obamacare has mitigated some of the worst problems by reducing the number of uninsured by about 12.5 million and allowing people with pre-existing conditions to get insurance.

However, even Obamacare has not been able to fix the systemic problems that cause the United States to have the most expensive health care system in the world with some of the worst health outcomes of any developed nation. We pay for a yacht, but get a dinghy.

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