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COMMENTARY:

We Geezers Got Our Single-Payer Plan. Now Go Get Your Own.

by James Ridgeway
First published in his blog Unsilent Generation on 5 October 2009

So this is what it’s come to in America: Sickly 60-year-olds struggle until they can get their Medicare cards, while cranky old folks hoard their Medicare benefits against the encroaching middle-aged mob. People eyeing each other suspiciously across the 65-year age divide, fearing and resenting one another.

I’ve written many times about how Americans have been set up for a fake intergenerational conflict over supposedly scarce health care resources. The purpose of this phony competition is to distract us from the fact that the resources wouldn’t be so scarce to begin with if we reduced the profits of the insurance and drug industries.

It’s an old bait and switch tactic, and the mainstream media have fallen for it hook, line, and sinker. So instead of talking about greedy pharmaceutical companies that gouge people for drugs they need to survive, or greedy insurance companies that let people die to keep up their share prices, we’re all talking about the greedy old farts on Medicare who don’t want their services cut to pay for younger people’s insurance.

The latest take on all of this, as described in over the weekend in the New York Times, pits the old (over 65) against the not-so-old (50-64). The article focuses on the conflict within AARP, which has spent several decades hitting people up for membership the day after their 50th birthdays, and now includes members from both these warring age groups:

Its 40 million members are split about evenly between those who have access to Medicare, the federal government’s health program for the elderly, and those who are too young to be eligible for such benefits. The younger members, or those between the ages of 50 and 64, sometimes face terrible choices in the private insurance market, with age and declining health status making premiums high and benefits poor. But members 65 and older get among the most secure medical benefits in the country, and many are in no mood to share.

So this is what it’s come to, in the American health care system: Sickly 60-year-olds just trying to hold out until they can get their Medicare cards. Cranky old folks hoarding their Medicare benefits against the encroaching middle-aged mob. People eyeing each other suspiciously across the 65-year age divide, fearing and resenting one another.

Do you think people of different generations look at each other this way in Paris? Or in London, or Dusseldorf, or Adelaide, or Kyoto, or Ottawa? Of course they don’t. That’s because in those countries, EVERYONE HAS MEDICARE. In most of them, everyone has Medicare that’s better than our Medicare. They all carry around the same little card in their wallets–the one that shows their membership in their country’s national health service. And you know what they have to do to get that card? They have to be BORN. That’s it. No age restrictions. No waiting periods. No physicals or tests or worries about pre-existing conditions. And no premiums to pay.

I am more than sympathetic toward the plight of people in their 50s and early 60s. I know my own body started to give me trouble at about 55, and I don’t know what I would have done if I hadn’t had a job with health insurance. I’ve recently written about how the Baucus plan screws people in that age group by permitting insurance companies to discriminate against them. But the solution to these problems isn’t cutting Medicare benefits for people over 65–it’s giving Medicare benefits to people under 65. If everyone loves Medicare, and everybody’s just waiting and hoping and biding their time until they can sign up, why not let them do it now?

Some proponents of an incremental approach have actually suggested just this–opening up Medicare to ages 50 through 65, with some financial contribution from enrollees. And many single-payer advocates, myself included, have simply called for “Medicare for All.” Since single-payer health care systems deliver better care for 20 to 40 percent less money, there would be no need to cut services to any generation.

So as a member of the over-65 crowd and a card-carrying Medicare recipient, here’s what I have to say to younger Americans: We’ve got our single-payer plan. Go get your own.


Born in 1936, James Ridgeway has been reporting on politics for more than 45 years. He is currently Senior Washington Correspondent for Mother Jones, and recently wrote a blog on the 2008 presidential election for the Guardian online. He previously served as Washington Correspondent for the Village Voice; wrote for Ramparts and The New Republic; and founded and edited two independent newsletters, Hard Times and The Elements.

Ridgeway is the author of 16 books, including The Five Unanswered Questions About 9/11, It’s All for Sale: The Control of Global Resources, and Blood in the Face: The Ku Klux Klan, Aryan Nations, Nazi Skinheads, and the Rise of a New White Culture. He co-directed a companion film to Blood in the Face and a second documentary film, Feed, and has co-produced web videos for GuardianFilms.

Additional information and samples of James Ridgeway’s work can be found on his web site, http://jamesridgeway.net.

This article is republished in the Baltimore Chronicle with permission of the author.



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This story was published on October 6, 2009.