My Healthcare Day Dream…In All of its Most Likely Unconstitutional Glory.

Here is my dream healthcare plan (it’s most likely unconstitutional, practically impossible, doesn’t address really any of the nuanced issues, and is highly unorthodox). Regardless, I do believe that it represents the greatest use of democratic principles:

Step 1: Design a strong public healthcare option in Congress. Forget about the rest of it, just make sure the public option is everything that it should be (“Socialist” or not). 

Step 2: Figure out how to set aside a chunk of money to pay for the public option. When Blue Dogs and Republicans get upset, just let them talk.

Step 3: Declare that we believe each state should have the right to decide whether or not to adopt this public option. Those who don’t want it, don’t have to have it. How can those who believe in States Rights not accept this? Let the advertising and mudslinging, state by state, begin!

Step 4: Put it on the ballot, state by state, and allow the citizens to vote on it.

Step 5: Those states where the proposition passes will have the public option implemented in their state (which will not take away the right to keep current coverage for those who are happy already), and will receive the necessary federal funding (as well as any other funding being provided by other elements of the healthcare industry).

Everybody (or at least a voting majority) gets what they want!

Epilogue: Two things might happen in this scenario- a) the vast majority of states could pass the prop, thus taking the decision making out of the politically motivated hands of their clearly incompetent representatives. This would be extremely bad news for Republicans. Or, b) the measure passes in some states (perhaps those that light up blue), but not others. If this happens, I foresee massive migrations over the next decade to states that offer a public plan, thus cutting down populations in some states and adding to others. This of course will have a major effect on the number of representatives allotted to a state, etc, but at least these states will be able to save themselves from what they perceive to be Socialism. 

Of course this is a pipe dream. But, then again, what would be so wrong with letting each state decide? Wouldn’t that be extraordinarily democratic? It would certainly serve to diffuse a lot of the political pressure on Congress. Then perhaps they could put together some legislation that will actually work.

UPDATE: I don’t believe that only those who are poor and uninsured would migrate to states with a public option. Rather, I think it would be a major selling point for businesses who would no longer have to pay for their employees’ healthcare, as well as for anybody with domestic help who pays for healthcare for their employees (ie upper middle class+).

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6 Comments

Filed under Congress, Politics

6 responses to “My Healthcare Day Dream…In All of its Most Likely Unconstitutional Glory.

  1. jacksmith

    LEAD, FOLLOW, OR GET OUT OF THE WAY. (Thomas Paine)

    We have the 37th worst quality of healthcare in the developed world. Conservative estimates are that over 120,000 of you dies each year in America from treatable illness that people in other developed countries don’t die from. Rich, middle class, and poor a like. Insured and uninsured. Men, women, children, and babies. This is what being 37th in quality of healthcare means.

    I know that many of you are angry and frustrated that REPUBLICANS! In congress are dragging their feet and trying to block TRUE healthcare reform. What republicans want is just a taxpayer bailout of the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT health insurance industry, and the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT healthcare industry. A trillion dollar taxpayer funded private health insurance bailout is all you really get without a robust government-run public option available on day one. Co-OP’s ARE NOT A SUBSTITUTE FOR A GOVERNMENT-RUN PUBLIC OPTION. They are a fraud being pushed by the GREED DRIVEN PRIVATE FOR PROFIT health insurance industry that is KILLING YOU!

    YOU CANT HAVE AN INSURANCE MANDATE WITHOUT A ROBUST PUBLIC OPTION. MANDATING PRIVATE FOR PROFIT HEALTH INSURANCE AS YOUR ONLY CHOICE WOULD BE UNETHICAL, CORRUPT, AND MORALLY REPUGNANT. AND PROBABLY UNCONSTITUTIONAL AS WELL.

    These industries have been slaughtering you and your loved ones like cattle for decades for profit. Including members of congress and their families. These REPUBLICANS are FOOLS!

    Republicans and their traitorous allies have been trying to make it look like it’s President Obama’s fault for the delays, and foot dragging. But I think you all know better than that. President Obama inherited one of the worst government catastrophes in American history from these REPUBLICANS! And President Obama has done a brilliant job of turning things around, and working his heart out for all of us.

    But Republicans think you are just a bunch of stupid, idiot, cash cows with short memories. Just like they did under the Bush administration when they helped Bush and Cheney rape America and the rest of the World.

    But you don’t have to put up with that. And this is what you can do. The Republicans below will be up for reelection on November 2, 2010. Just a little over 13 months from now. And many of you will be able to vote early. So pick some names and tell their voters that their representatives (by name) are obstructing TRUE healthcare reform. And are sellouts to the insurance and medical lobbyist.

    Ask them to contact their representatives and tell them that they are going to work to throw them out of office on November 2, 2010, if not before by impeachment, or recall elections. Doing this will give you something more to do to make things better in America. And it will help you feel better too.

    There are many resources on the internet that can help you find people to call and contact. For example, many social networking sites can be searched by state, city, or University. Be inventive and creative. I can think of many ways to do this. But be nice. These are your neighbors. And most will want to help.

    I know there are a few democrats that have been trying to obstruct TRUE healthcare reform too. But the main problem is the Bush Republicans. Removing them is the best thing tactically to do. On the other hand. If you can easily replace a democrat obstructionist with a supportive democrat, DO IT!

    You have been AMAZING!!! my people. Don’t loose heart. You knew it wasn’t going to be easy saving the World. 🙂

    God Bless You

    jacksmith — Working Class

    I REST MY CASE (http://krugman.blogs.nytimes.com/2009/07/25/why-markets-cant-cure-healthcare/)

    Republican Senators up for re-election in 2010.

    * Richard Shelby of Alabama
    * Lisa Murkowski of Alaska
    * John McCain of Arizona
    * Mel Martinez of Florida
    * Johnny Isakson of Georgia
    * Mike Crapo of Idaho
    * Chuck Grassley of Iowa
    * Sam Brownback of Kansas
    * Jim Bunning of Kentucky
    * David Vitter of Louisiana
    * Kit Bond of Missouri
    * Judd Gregg of New Hampshire
    * Richard Burr of North Carolina
    * George Voinovich of Ohio
    * Tom Coburn of Oklahoma
    * Jim DeMint of South Carolina
    * John Thune of South Dakota
    * Kay Bailey Hutchison of Texas
    * Bob Bennett of Utah

  2. For the sake of factual accuracy, I would like to point out that on the above list of Republican Senators up for re-election in 2010 there are a couple of mistakes:

    -Sen. Mel Martinez will not be running for re-election in 2010. Rather, Gov. Charlie Crist and Marco Rubio will be running against each other (and perhaps others?) in the Republican primary.

    -Sen. Sam Brownback will not be running for re-election in 2010 due to self-imposed term limits. Reps. Jerry Moran and Todd Tiahrt will be fighting it out in that Republican primary.

    -Sen. Jim Bunning will not be running for re-election in 2010 due to poor fundraising results. The Republican primary looks like it will be between well-funded Secretary of State Trey Grayson and Rand Paul, son of Ron Paul.

    -Sen. Kit Bond will not be running for re-election in 2010. Rep. Roy Blunt has announced his intention to run for that seat.

    -Sen. Judd Gregg will not be running for re-election in 2010. Kelly Ayotte will be running on the Republican ticket.

    -Sen. George Voinovich will not be running for re-election in 2010. Rob Portman will most likely be the Republican contender, as there do not seem to be any other major players in the running for the nomination.

    That’s all! Thanks for your comment!

  3. Oh! I forgot one:

    -Sen. Kay Bailey Hutchison is supposed to formally announce any day now that she’ll be running against Rick Perry in the race for the Texas governorship, thus also taking her out of the 2010 race for Senate.

  4. *Sen. Hutchison will be running in the Republican primary against current Gov. Perry. The winner will of course then run against the Democratic candidate in the general election, but, due to the nature of Texas, the primary will essentially be the real race. It’s assumed the Republican candidate will win the seat.

  5. Well… Sam Brownback was a good on his position

  6. lol some of the observations readers post are a little out there, many times over i question if they truly read the writing and reports before posting or if perhaps they just read the post title and generate the initial thought that pops into their heads. in either case, it is enjoyable to browse clever commentary once in a while rather than the exact same, traditional post vomit which i generally , discover on the net i’m off to take up a couple of rounds of facebook poker farewell

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