It’s the End of America as We Know it…And I Feel Fine!

A day after the election, the doomsday nuts are out in full force, more than I would have even guessed. On Facebook today here are just a few of my personal favorites:

  1. “America will never be the same. We are so screwed”
  2. “I’m convinced that America as we’ve know her died tonight”
  3. “America is officially dead and will never be strong again.”
  4. “America died last night. And my grandchildren will never know how great we once were.”
  5. “Guess I better plan on going back to being an “employee” of someone rather than running my own business. Depressing!!”

The first four were cracking me up, but I think #5 is the most telling. Sure he was kidding but still, in response to about how business is today, the answer in another post was “Our business is fine and going strong.” As an entrepreneur that also has a business that has been “fine” and “going strong” under Obama’s first term, I think this perfectly highlights the unbelievable high level that the rhetoric has reached. Given the sheer numbers actually out of work and suffering in the recession, I simply cannot imagine being so crass. I think the biggest irony is that every one of those came from self-proclaimed Christians. What would Jesus think? I think he might tell them they are being a little self-absorbed and then leave to help the poor and to spread the message of love and compassion.

As usual, and I guess not surprising, is that Obama-care and welfare in general is still the resounding rallying cry of the right. I am always surprised that this bill has generated this amount of focus and public attention. Yes, you can debate the relative worth, but when you hear the rhetoric about how it will bankrupt the country, and end life as we know it, you have to scratch your head because the numbers simply do not add up. That is usually when I flip on Fox News and realize, oh, I forgot about them.

As a self-employed entrepreneur, I have been purchasing my own health insurance on the open market for the last 10 years or more.  The amount that I have paid monthly into the system over that time is tremendous. I went to the doctor one time a few years ago to have a boil lanced but I did not come close to exceeding my deductible for that year. I did get some form of health care from a guy that helped me devise an exercise program to help me with the genetic lower back disorder I inherited. None of that was covered by my insurance and I paid it all out of pocket. The surgery that I am working hard to try not have in the future will be covered 100% and I am sure they could happily be slicing and dicing me in under a week, no questions asked. I guess I should be happy that I am protected by the greatest health-care system in the World. My back is a little nervous about that though.

I also pay for a yearly blood test out of pocket and I am in perfect health, except for my back. I am meticulous about exercise, diet and wellness and my wife and I have both taken advantages of alternative care and wellness services so that we can stay as healthy as we can, as long as we can. Again, all out of pocket and not covered by insurance.

So, what I would like, is for someone to explain to me why exactly I should be outraged about Obama-care? When you consider just how much money I have forked out for health-care in the past ten years for medical care I did not receive, why exactly should I be more outraged about having to pay for a surgery to save the life of a poor lady that got hit by a car, than I am about having to pay for a surgery to make it physically impossible for a wealthy fat lady to eat five Whoppers? And when you consider that I already am paying for the care of the uninsured poor lady on the back end with my ever increasing insurance dollars, and that the lady, that was already too poor to buy insurance, is now going through an expensive public bankruptcy process, the outrage becomes even more of a critical thinking mystery. Unless I guess, you are hoping the uninsured just don’t bother going to the hospital to save themselves. In that case you are correct, the current system probably does save a few dollars. I guess that is better than socialism?

In a world where most people get their health insurance through their employer as a benefit, I think it is difficult for them to understand how much they each already are paying for socialized health-care for, pretty much every single citizen less the few that Obama-care picks up in an effort to curb the cost we already pay for the uninsured. If people had insurance expenses taken out of their paycheck like I do instead of off the top as a company “benefit”, I think the obvious path toward a public option would face little opposition.

Only in a public option framework can we then move toward a more reasonable and productive system where health-care providers are not compensated by the number of procedures or drugs they sell, but instead by the number of procedures or drugs they help their patients avoid. They wouldn’t be penalized for treating ill patients but there would be an incentive for patient wellness where there simply is not in the current system. And if as a patient in a public system, I have an option to meet wellness goals to lower my tax that might work well for me too. In fact, the incentive is actually the opposite for for-profit health-care providers. With a little new motivation, I have a strong feeling that quite a few health-care providers will start finding surprising new ways to motivate their patients, and quite a few of those “last resort” bariatric surgeries might not be needed; and neither will a good number of the dollars I currently spend paying for them. In a for-profit entrepreneurial reality, those bariatric surgeries are an absolute gold mine. That is just one example. Please feel free to do your own critical thinking on other scenarios.

Is this line of reasoning that difficult to accept on a critical thinking level? What exactly am I missing? And sorry, your answer cannot be “Obama-care is Socialism” or “Obama-care is killing America”, although I do realize that limits your options.

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