Sunday, February 07, 2010

Mental Illness and Health Care Reform

In 2009, health care spending grew by 5.7 percent, now reaching $2.5 trillion. It is the largest increase since the federal government began tracking these figures in 1960, according to a report from the Centers for Medicare and Medicaid Services (CMS). Health care costs also made up 17.3 percent of the US's gross domestic product (GDP), which was 1.1 percent higher than in 2008. CMS's 2009-2019 projections indicate that health expenditures will continue to grow "increasingly faster," at an annual rate of 6.1 percent - 1.7 percentage points faster than annual GDP growth - and climb to $4.5 trillion.

With the loss of the Democratic 60 vote supermajority in the Senate, it seems likely that the Health Care Reform legislation passed by both houses of Congress and scheduled for Conference Committee deliberation is on terminal life support. While the legislation produced to date is a weak excuse for real reform of the industry stranglehold on the economy and well being of the public, it was a step in the right direction. Even if the Conference Committee could craft a compromise that satisfied a perceived majority and was in the best interests of the public, that compromise would have to pass both houses. The new configuration provides the GOP their coveted procedural tool of blocking any form of public oriented legislation. The lobbyists for Insurance Industry groups and major health care conglomerates like WellPoint, Humana and Blue Cross-Blue Shield, that hold legislators in their thrall [if not by their scrota] will not allow any reform to pass that might challenge their irrational profit scheme.

In an environment of recession, economic meltdown and sacrifices that have destroyed not only economic stability but even the hope of many families and households in the country, these so-called “health care industry” agents have spent hundreds of millions of dollars to preserve increasing revenues that outstrip the economy by approximately 200%. But that is not the true problem that the country and the people face.

In light of this seeming irrational imbalance of power in which the health care industry is figuratively raping the populace and at the same time excluding more and more families from basic health care, the voters are following, like a herd of lemmings, the clarion call of the Right Wing leadership to advance a campaign to block any real effort to try to restore a modicum of balance. Brown was elected as a new GOP Senator from Massachusetts to replace Ted Kennedy with the express purpose of defeating health care reform. Using fear mongering tactics about "government expense" and taxes associated with health care reform, they conveniently ignore the fact that, according to the CMS Report: “Without the passage of a health care reform bill, currently stalled in the House, public spending will comprise more than 50 percent of all national health expenditures by 2012.”

Ironically, major factors in the inexorable climb of health care costs and public spending for health care in the form of Medicare and Medicaid are: a) the amount of per patient usage and b) the rising unemployment rate from a worsening economy. In the first instance, the health care industry has managed to induce US customers to spend more than twice the average per capita amount spent by developed nations for health care, although the impact and level of overall health derived from such expense places the USA below average among the same developed nations. In the second instance, the Health Care industry has managed to profit from the disadvantage of millions of people in the US resulting from the failing economy.

Behaving as though it is experiencing a psychotic break, the public is being exhorted to get behind right wing demagogues in an effort to prevent any development or passage of legislation that might actually benefit the average citizen and which might both limit the increase in health care costs and provide basic health care coverage to all families in the country. It is only a few steps removed from the mass insanity that led the group in Jonestown to drink the lethal kool aid punch. As long as the public can be driven to mass delusional behavior, believing in actions directly contrary to their own future physical and economic health, then the health care industry will be able to exploit this public mental illness to their economic advantage. And why not? Can you name a single health care executive who does not have the best health care services available 24 hours a day for his family? How fortunate that the very people being exploited can be duped into attacking the ones seeking to help them, rather than the ones profiting from their misery.

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