Dear America – We Have A Health INSURANCE System, Not A Health CARE System; They’re NOT The Same Thing

Until we get the framing right, we’ll never fix the problem: our health CARE system is broken because it’s NOT a health CARE system. It’s a health INSURANCE system.

The first question anyone gets asked when they walk into any facility for health CARE isn’t “How can we fix you?”, it’s “How ya gonna pay for this?” Right off the bat, that’s ass backwards. The inmates are in full control of the asylum.

No other industrialized nation has a system like ours — where most Americans get their health INSURANCE (not care) through their employer. There’s a reason — and it’s not because we’re so clever and exceptional. It’s a historical anomaly that we’ve simply never dealt with, addressed or even admitted to.

Back during World War II, every available dollar was put toward the war effort. Rules prohibited companies from giving employees raises or raising salaries for new hires. Big companies, wanting to compete for the best employees, needed another incentive so they began offering free health care — well, they’d pay the insurance premiums.

Note — big companies were able to do it because they could afford (at first) to handle the additional admin and cost of running a health insurance program. As the war went on, more big companies offered the same health insurance benefit. Then the war ended… but the health insurance benefit didn’t — even though it should have.

After the war, all those big companies looked to get out of the health insurance business. They subcontracted out the work to the burgeoning health insurance industry to serve as the “gatekeepers” between workers and their health CARE. To keep costs down, the insurance companies eventually cut deals with doctors to get better rates. All very reasonable except that the insurance companies had now created EXCLUSIVITY where there wasn’t any.

Suddenly insurance companies could control which patients a doctor could see. And then they made their gatekeeping integral to the whole health CARE system itself.

Corporations — like health insurance companies — have a fiduciary responsibility to their shareholders (the preferred class, not the regular class of shareholders) first and foremost. They have NO actual responsibility to “patients”. The insurance company doesn’t actually care what happens to any patient. It’s in their interest to spend the least they can get away with on each patient while collecting the maximum amount of income from him/her.

Is universal single payer perfect? FFS, there’s no such thing as “perfect”. But at least it takes the FOR PROFIT gatekeepers out of the health CARE equation. There will still be gatekeepers for sure — government gatekeepers. But We The People can control how they keep the health care gates for us. We can’t do the same with a corporation.

It is even more absurd to run around all Chicken Little-like about Elizabeth Warren says she’d pay for her Medicare For All plan — without comparing it to either 1) what our current health INSURANCE system costs each & every one of us in cold, hard cash terms or 2) ever asking a Republican EVER what their “health care plans” cost or how THEY might get around to paying for it.

FFS – the Republicans pulled off a massively destructive (to the middle class) tax cut to the rich that they had no intention of every paying for — except by gutting social security and welfare.

America keeps getting tripped up by greed. Greed is what allows Big Pharma to charge extortionist prices for insulin when it’s inside America’s borders and reasonable prices everywhere else.

Greed never makes anyone smarter. It ain’t gonna cure anyone’s ills either.

Introducing ‘Trumpcare PICK-AN-ORGAN’: The A La Carte Health Insurance Company

What to do about Health Care got you tied up in knots?  Join the party.  Better STILL (since it’s the Age of Trump) EXPLOIT THE PARTY!  With that in mind, meet New ‘TrumpCare PICK-AN-ORGAN’ —

Pick An Organ Front Card

Old Fashioned Health Insurance (OBAMACARE FOR INSTANCE) wants to TELL YOU what kind of Health Insurance YOU have to have.  They want to tell YOU ‘what’ you have to insure — even if you don’t have such a thing ‘installed’ to insure.

Like that’s fair?  Men shouldn’t have to pay for icky women’s parts and whatever mysterious things they do that costs so much freakin’ money!  That’s not how insurance works (it IS?  Well who cares — No one wants to swim in a ‘pool’ with some strange woman anyway).

That’s why we here at TrumpCare came up with our greatest great idea yet:  TrumpCare “Pick-An-Organ”.  Here’s how it works —

Think of Life as a Casino Game — and Your Body as ‘A Playah’ in that Casino.

Now — the point of the exercise — in the Casino Game — is to walk away with as much coin in your pocket as you can.  You DON’T want YOUR money to end up in the CASINO’S pocket.  So, you bet ‘smart’.  You don’t bet YOUR money on things that’ll never pay off.

With that ‘strategy’ in mind, we offer a product that allows you to insure the internal organs that probably will go bad or, maybe, could go bad while saving some money by NOT insuring the organs that probably won’t go bad.

For instance — You have TWO LUNGS.  07_Organs_Lungs_Front.pdf_1600x

Odds are nothing will happen to either of em.  But you want to play it safe — so we offer options to allow YOU to decide:  Insure Neither Lung, One Lung or Both Lungs!

See?  Easy!  Now, of course, the trick is, if you insure just one?  Ya better hope like hell you insured the correct Lung. The one needin’ insurance…

OR — LET’S TALK INTESTINES!

human-intestines-sciepro

If you’re like the average Joe, you have LOTS of this stuff inside ya.  You have intestines to spare.  In fact, you have so much intestine you even have two kinds (I know — weird, huh?)   But do you really need to insure both?  Do you really need to insure ‘ALL’ of it?

And what about your APPENDIX?  You don’t even use it — hell you haven’t used it in millions of years.  Only an idiot insures something he can’t use — amiright?

 

I KNOW THAT’S MY LIVER BUT WHAT THE HELL IS THAT ‘GREEN’ THING?

cartoon-of-human-liver-and-gallbladder-vector-7563173The Truth is — Outside of your heart and lungs, your stomach & your anus, you have, at best, a vague idea of how any of your plumbing works.  You know, for instance, that you HAVE a Liver and you think you remember once a matronly old aunt talking about alcoholism and some other old aunt’s liver.

Be that as it may — What in hell’s name is that green thing — and please don’t say I have one…!

And please don’t make me ‘insure’ the stupid thing!

YOUR SPLEEN — 1-2-3-ANSWER QUICKLY:  ‘WHAT’S IT DO?

human-spleen-visceral-surface-synthesizes-antibodies-53319933

 

Not a goddamned clue, amiright (and ‘it spleens’ ain’t it)?

Here – we’ll even show you a spleen and point out all its bits.  Does THAT help?  No?

And you want to insure this WHY?

 

 

 

AND THEN THERE’S THIS ORGAN…

cerebro-humano

Insuring brains is expensive.  In fact, it’s SO expensive, you’d have to be crazy to pay the freight.  So why bother.  Hey — look at all the money YOU just saved!