Thursday, October 17, 2013
While the Tea Party turns themselves inside out trying to stop Obamacare, here is the untold story of why ALL of us should be fighting tooth and nail to stop them.
Unless you’ve been bamboozled by the frantic fictions of the right wing, you know that the Affordable Care Act, familiarly known as Obamacare, has begun to accomplish its first goal: enrolling millions of uninsured Americans, many of whom have been living one medical emergency away from the poorhouse. You realize those computer failures that have hampered sign-ups in the early days — to the smug delight of the critics — confirm that there is enormous popular demand. You have probably figured out that the real mission of the Republican extortionists and their big-money backers was to scuttle the law before most Americans recognized it as a godsend and rendered it politically untouchable.
What you may not know is that the Affordable Care Act is also beginning, with little fanfare, to accomplish its second great goal: to promote reforms to our overpriced, underperforming health care system. Irony of ironies, the people who ought to be most vigorously applauding this success story are Republicans, because it is being done not by government decree but almost entirely with market incentives.
Using mainly the marketplace clout of Medicare and some seed money, the new law has spurred innovation and efficiency. And while those new insurance exchanges that are now lurching into business will touch roughly 1 in 10 Americans (the rest of us are already covered by private employer plans or by government programs like Medicare), these systemic reforms potentially touch every patient, every taxpayer.
“This is the 90 percent of the story that doesn’t make the headlines,” said Sam Glick, who follows health care reform for the Oliver Wyman consulting firm.
Since the Affordable Care Act was signed three years ago, more than 370 innovative medical practices, called accountable care organizations, have sprung up across the country, with 150 more in the works. At these centers, Medicare or private insurers reward doctors financially when their patients require fewer hospital stays, emergency room visits and surgeries — exactly the opposite of what doctors have traditionally been paid to do. The more money the organization saves, the more money its participating providers share. And the best way to save costs (which is, happily, also the best way to keep patients alive) is to catch problems before they explode into emergencies.
Thus the accountable care organizations have become the Silicon Valley of preventive care, laboratories of invention driven by the entrepreneurial energy of start-ups.
The Republicans, and their Koch brothers and Heritage Foundation master, just failed to stop a law that is currently doing THIS for the American people.
Why they wanted to do so is for completely selfish, and indefensible reasons, and NOT to protect democracy or the rights of our citizens despite their transparent rhetoric.
So it seems beyond obvious to me that we as a nation should send a VERY strong message to these anarchists in the next few election cycles and purge their Representatives from both the House and the Senate. It is an endeavor that I believe will attract bipartisan support, and that ultimately the country will be very grateful for in the long run.
We tried the Palinization of America and we did NOT like it. Thanks for playing but now take your newly deflated ball and get the fuck out of here!
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