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09.19 Shell and Exxon's secret 1980s climate change warnings [that capitalists suppressed this for continuing profit is the most unforgivable crime ever]Trump administration rolls back methane pollution rule despite harmful health impacts [continuing in the tradition of stupid capitalism at all costs]
09.18 'I was horrified that children are breathing air this dirty inside the school' [if your government isn't working, change it!]
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09.18 'This Election Is Last Chance to Stop Them': Kudlow Confirms Trump and GOP Ready to Gut Safety Net After Midterms [Yes, there are far too many sociopaths]
09.19 'Killing a generation': one million more children at risk from famine in Yemen [Does America's government have empathy? Does it understand the concept of morality? The Saudi Air Force would be ineffective without U.S. military assistance...]
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09.18 Racist rioting in Chemnitz has reopened Germany’s east-west split [We are all mixed-race after 10,000 generations. Helping suffering people makes us feel good, so become their friends instead.]
Dear President Obama: A Modest Medicare Proposal
20 August 2009
Dear President Obama,
My proposal is not the "single payer Medicare for all" that many of us would prefer, but simply "Medicare for anybody who wants to buy in."
I understand you're thinking of dumping your "public option" because of all the demagoguery by Sarah Palin and Dick Armey and Newt Gingrich and their crowd on right-wing radio and Fox. Fine. Good idea, in fact.
Instead, let's make it simple. Please let us buy into Medicare.
It would be so easy. You don't have to reinvent the wheel with this so-called "public option" that's a whole new program from the ground up. Medicare already exists. It works. Some people will like it, others won't—just like the Post Office versus FedEx analogy you're so comfortable with.
Just pass a simple bill—it could probably be just a few lines, like when Medicare was expanded to include disabled people—that says that any American citizen can buy into the program at a rate to be set by the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS), which reflects the actual cost for us to buy into it.
So it's revenue neutral!
To make it available to people of low income, raise the rates slightly for all currently non-eligible people (like me—under 65) to cover the cost of below-200%-of-poverty people. Revenue neutral again.
Most of us will do damn near anything to get out from under the thumbs of the multi-millionaire CEOs who are running our current insurance programs.
Most of us will do damn near anything to get out from under the thumbs of the multi-millionaire CEOs who are running our current insurance programs. Sign me up!
This lets you blow up all the rumors about death panels and grandma and everything else: everybody knows what Medicare is. Those who scorn it can go with Blue Cross. Those who like it can buy into it. Simplicity itself.
Of course, we'd like a few fixes, like letting Medicare negotiate drug prices and filling some of the holes Republicans and AARP and the big insurance lobbyists have drilled into Medicare so people have to buy "supplemental" insurance, but that can wait for the second round. Let's get this done first.
Simple stuff. Medicare for anybody who wants it. Private health insurance for those who don't. Easy message. Even Max Baucus and Chuck Grassley can understand it. Sarah Palin can buy into it, or ignore it. No death panels, no granny plugs, nothing. Just a few sentences.
Replace the "you must be disabled or 65" with "here's what it'll cost if you want to buy in, and here's the sliding scale of subsidies we'll give you if you're poor, paid for by everybody else who's buying in." (You could roll back the Reagan tax cuts and make it all free, but that's another rant.)
We elected you because we expected you to have the courage of your convictions. Here's how. Not the "single payer Medicare for all" that many of us would prefer, but a simple, "Medicare for anybody who wants to buy in."
Thom Hartmann can be heard daily on his radio show 12pm-3pm ET. Visit www.thomhartmann.com to stream live or find a station near you.
This article was originally published by the Huffington Post and is republished in the Baltimore Chronicle with permission of the author.
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This story was published on August 20, 2009.