Republicans Glowing Over Glorious Repeal Victory–Glowing In The Dark, That Is

Hat tip to Nancy Pelosi for naming the fate of Republicans who voted to trash, not repair, Obamacare today.  Now it is up to friends of actual affordable healthcare for Americans to reject rightwing “framing” and “narratives” and tell the American people plainly what just happened.  Republicans voted for this bill without any clear idea of its cost, without any budget estimate from the nonpartisan Congressional Budget Office, but when those numbers are released the ugly realities will become clearer.  “Framing” or no framing the nasty impact of this bill, if it becomes law, will hit many millions of citizens who have benefited from coverage through the Affordable Care Act, and many more millions of their family and friends.

Regarding the “freedom” Paul Ryan and his fellow zombies say we are about to enjoy, I would ask them to let go of their childish libertarian dreams and acknowledge that they are leaders of a government that got involved in the provision of health insurance because the human toll of destitution and premature death became unacceptable.

Of course there are sometimes tradeoffs between security and liberty.  In the case of health, however, most people experience health, security, and freedom as mutually reinforcing.  There is a loss of freedom, perhaps, if you are forced to acknowledge that you are part of a giant risk pool when you feel fine, or that you may face a day when, if you opt out of acknowledging your membership in that risk pool otherwise known as “society,” you are going to need healthcare at any price right now, and you might not have $150,000 on hand.  Oh, well, that’ll surely never happen.

Healthcare is not a “good” that can be subjected to simple free-market logic without causing massive unnecessary suffering, partly because the market for healthcare does not and cannot operate with the benefit of an essential precondition of efficient Pareto-optimal “perfect competition,” which is “perfect information.”  Perfect information is sometimes almost the opposite of how the healthcare market works.  Think of the market for used cars.  Think of all the very imperfect information,  not to say unrepentant lying, that occur during the sale of a used car.  Now think of yourself as a used car and of trying to “sell” yourself to an insurance company.  You tell them that you have very low mileage, excellent maintenance record, and all kinds of fibs.  They squint at you and want you to pay more than you can afford.  Depressing scenario, isn’t it?  But it gives some idea of what the rightwing framers and narrative-spinners are going to be up against and why the majority of Americans, if polls be believed, are feeling warmer and warmer about Obamacare as they realize their safety net or plan B, or maybe just plan C, could actually be taken away.

Now it is time for Democrats and others sickened by the new regime to make those who voted to mess with the Affordable Care Act pay the price and glow in the dark next year.

Trump Tries And Fails To Make Us Think Health Care Is Complicated

Trump, Trump, Trump, why are you trying to fool us with your fake story that health care is complicated.  It is so easy to understand that anybody who pays any attention at all to details figured it out a long time ago.  Lemme break it down for you, in little pieces you oughta be able to chew:

  1. Your body is a lot like a broken-down used car.  Not a fine-tuned mass-produced brand-new car.
  2. The market for health care is like the market for repairs of broken-down used cars, and not much like the market for new cars.
  3. For “free markets” to work “perfectly” everybody buying and selling has gotta have “perfect” information about the product being bought and sold.
  4. Thus a “free market” system to provide health care is not gonna be perfect.  This is called “market failure.”  Sometimes government regulation does not make everything perfect, but it is often worth a try.
  5. You, as President, have all kinds of power (via the administrative state your strategist says he wants to deconstruct) to negotiate good prices on drugs and the delivery of health care services–on behalf of all 320 million Americans.
  6. The word for your power is “monopsony.”  Look it up, and then use it.  You can become the greatest monopsonist ever!