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“Drain The Swamp” is the metaphorical description of president Andrew Jackson’s 1828 campaign to rid Washington of cronyism and corruption. This metaphor has new implying in 2017, intensified by the saga of house speaker Paul Ryan’s failed American health care Act (AHCA).
ObamaCare, ironically called client protection and economical care Act (ACA), has created a swamp of metaphorical alligators devouring patients, physicians, and the economy. A partial list includes:
rising out of pocket costs
higher deductibles before “coverage” (if allowed at all) kicks in
restricted networks of doctors and hospitals
reduced availability of medications
reduced availability of home health services and medical devices
greater difficulty getting surgical approvals
reduced access to specialists and longer wait times
overcrowded emergency rooms
devastating regulatory burdens on physicians and hospitals, forcing numerous to close their doors
stunning job-killing effects of the employer mandate
rising taxes, and much more due to go into effect in 2017
Despite fervent Republican promises to “repeal” ObamaCare, Ryan’s AHCA has retained many of its problems. Ryan’s plan did not ðrain the swamp. It maintained the swamp of cronyism, rewards for special interests, synthetic controls on totally free market options, and the features that guarantee much more of the unaffordable costs that drive younger, healthier, low risk clients out of the market.
Mocking the idea of transparency promised by president Trump, speaker Ryan’s plan was crafted in secret behind closed doors without public review—just like Democrats did with ObamaCare. GOP congressional leaders excluded popular free-market advocates such as Dr. Rand Paul, Dr. Tom Price, and others.
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The freedom Caucus members of the house refused support, so Ryan did not have enough votes to pass his bill. It remains to be seen whether this “failure” will be a victory for those who really want to drain the swamp of bureaucracy and special interests, and restore medical freedom to patients.
Ultimately clients will be better off if the Republicans start over. The GOP ought to follow proposals put forth by successful businessman, president Donald Trump, who proposed outstanding recommendations for medical freedom and patient-centered reforms:
lower cost “plain vanilla” risk-based insurance policies
expanded health savings accounts, controlled by patients
ability for clients to purchase insurance across state lines, to select policies from states with lower cost options
state control of Medicaid by block granting federal Medicaid dollars to states
tax deduction of health insurance payments to equalize tax treatment of individually owned and employer-sponsored policies
price transparency to eliminate the confusing and discriminatory price structure created by insurance contracts
patient freedom to purchase medications overseas
Trump’s plan brings the greatest benefit to clients with much more freedom to choose how to spend their own money based on individual needs and values rather than purchasing required coverage mandated by Washington bureaucrats.
Taxpayers ought to also pressure Congress to eliminate the $500 million (half a billion) tax dollars going to planned Parenthood, whose primary company is abortion in their estimated 400 U.S. clinics. low income women already have access to health services in several thousand federally qualified health clinics across the country. This taxpayer funding for women’s health would be preserved in block grants of federal Medicaid dollars to the states.
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If one goal of “healthcare reform” is to eliminate “disparities,” eliminating tax funding to planned parenthood would help save lives of minorities. roughly 80% of abortions in the USA are done for two minority groups: African American and Hispanics. The numbers are staggering: much more than 17 million of the 60 million lives lost to abortion because Roe v. Wade have been black lives.
Most congressmen lack real world company experience in the Milton Friedman model, which teaches that for totally free markets to work, there should be less policy and much more competition. Americans need to seek better qualified candidates.
One to consider is former tech industry CEO and international businessman, Bob Gray, running in Georgia’s 6th congressional district to replace Dr. Tom Price, who is now secretary of health and Human Services. We also need representatives really dedicated to life and liberty, and able to visualize innovative services (e.g. The Grays were the first couple in the us to use an open-adoption for their frozen embryos).
As the Ryan plan’s debacle shows, draining the health-care swamp is no easy task—not when the swamp dwellers have so numerous pals in high places, the bad decisions that caused the crisis were based on deeply ingrained and flawed assumptions in the DC “swamp” culture, with very few “outsider” representatives with real world company experience.
ObamaCare cannot survive. It is in a death spiral as numerous on both sides of the political spectrum have painfully realized. We need fresh approaches, not just new names for old ideas. We need patient-centered options and political decisions based on America’s core principles of preserving liberty and life.
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A window of opportunity is open for true reform with a businessman as President, a physician leading department of health and Human Services, and electing principled reformers and problem-solving company men and women to Congress. This is the “strong medicine” this doctor thinks America needs to rid us of government control of our medical care.
Link to this post:Ryan Care: We need Reform, Not Relabeling
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