More Details/Rationalization on These Complex Proposals
For years now a lot of the debate on improving quality and lowering costs in how we experience Health Care in the United States has ultimately become mainly about who's going to get the political credit and special interest payoffs when all is said and done.
That's insane, and obscene; because while the partisans endlessly preen and bicker, our health care costs and uncertainties keep rising; employers face increasing confusion and market instability in their role as the prime drivers of insurance pools and coverage for most Americans.
Meanwhile, public options like Medicare for Seniors and Tri-Care for military members are working well, by and large, and remain popular with those who have access to them. The data indicates that Medicare for example, continues to chug, chug, chug away effectively on behalf of its users (mainly Senior Citizens) thanks mainly to federal subsidy support, the efforts of many unsung public servants nationwide, and the herculean flexibility of medical practitioners across the nation. So don't let the partisans on cable news or the Internet mob fool you: Despite all the political chefs stirring its soup, Medicare performs competitively as an innovative government-provided health insurance option (though for a limited number of American citizens.) It is indeed a good model for future expansion of government-driven options in the wider health insurance market.
And yet, despite all of this talk in Washington, D.C. by politicians and industry lobbyists on "the importance of finding solutions on Health Care", the fact remains that tens of millions of our neighbors still lack access to any stable source of health care services, or can't find properly affordable coverage for their families. This issue is especially vexing in smaller cities and rural areas like we have in the 4th District.
Health care workers, despite the heroics we have come face-to-face with in recent months -- still face continued uncertainty in their workplaces, muddy career paths, and limited training for professional advancement. American leadership on the advancement of medical treatment options and innovation on key medication access and cost has stalled.
Does any of this sound like progress to anyone?
So it makes sense in 2021 for Americans to switch-off the fruitless partisan and talking-head debate around health care and focus instead on common ground where we know fixes can (and must) be made right now (even in our bitterly divided Congress): In 2020 traditional, employer-driven health insurance provided by for-profit entities is how most Americans access health care; so let's start there.
In 2021 we also have to further strengthen the protections the Affordable Care Act introduced against excessive profiteering or exclusionary practice when it comes to pre-existing conditions and “actuarial demographics” such as age, race, gender, ethnicity or lifestyle.
In 2021 let's also get bright young minds in the health care industry together to create a "not-for-profit" government insurance option that operates like a private company in all the good ways private enterprises innovate to succeed:
In addition to helping expand the portability of coverage of for-profit, employer-driven insurance coverage options most of us use today, let's look to empower community organizations, faith-based institutions, and other community non-profit organizations to establish insurance pools of their own to offer interested members or neighbors.
Finally, let's work with industry to bolster the skills training options, career path and life-work balance management, ergonomics and workplace quality of life, and the every day personal safety conditions experienced by our dedicated health care providers. This is an effort we need to focus on immediately in 2021 by coupling the research and innovation capabilities of the federal government with practitioners and making investments that ensure continuous improvement and career development in the industry for decades to come.