Health Care, Fiddle Sticks, and Ann Coulter (Part Four)
I know, I know…I’m so damn far behind on this series of posts. Better late than never I suppose. I think I’ll make it a goal to have this series done before Thanksgiving.
In case you missed it[1], this is an ongoing series based on an ongoing series by Ann Coulter. Ann begins part four of her series with some words about your health coverage should you have to move or lose your job:
(12) Only national health care can provide “coverage that will stay with you whether you move, change your job or lose your job” — as Obama said in a New York Times op-ed.
This is obviously a matter of great importance to all Americans, because, with Obama’s economic policies, none of us may have jobs by year’s end.
Or you simply lose your job because no one wants to read any more of your cynical opinions. Hmm…there’s a thought. We can wish, can’t we? I know, I know…enough with the “Us vs. Them” mentality, but I can’t help it. With Ann, you kind of have to be a little sarcastic.
The only reason you can’t keep — or often obtain — health insurance if you move or lose your job now is because of … government intrusion into the free market.
That statement is partially true. Our current health insurance system is largely employer-based. If you lose your job, you more or less lose your insurance too…that is, unless you pay for your own insurance. And that is where the rub is. Companies receive group discount rates, whereas many people simply can’t afford to pay the high premiums as individuals. More on the government intrusion part in a sec.
Federal tax incentives have created a world in which the vast majority of people get health insurance through their employers. Then to really screw ordinary Americans, the tax code actually punishes people who don’t get their health insurance through an employer by denying individuals the tax deduction for health insurance that their employers get.
Actually, according to the IRS[2] you can deduct the amount you paid for health insurance premiums for you and your family so long as the following requirements are met:
- You were self-employed and had a net profit for the year.
- You used one of the optional methods to figure your net earnings from self-employment on Schedule SE.
- You received wages in the <tax year> from an S corporation in which you were a more-than-2% shareholder.
The only rub about this is that it doesn’t include people whose employer doesn’t offer a health insurance plan and aren’t technically self-employed. I’m very curious to know how many people this issue actually effects. So, while Ann is correct on her assertion, she is only partly correct.
If Democrats really wanted people to be able to purchase health insurance when they move or lose a job as easily as they purchase car insurance and home insurance (or haircuts, dog walkers, cars, food, computers), they could do it in a one-page bill lifting the government controls and allowing interstate commerce in health insurance. This is known as “allowing the free market to operate.”
While I agree that the interstate commerce restrictions should be lifted, it is only a small part of the solution. No doubt that a lift in restrictions will allow people to move more freely with their health insurance. However, simply “allowing the free market to operate” isn’t going to promote the sort of standards necessary to help drive down rising health care costs. Lots more to think about other than “how can we make it so that the insurance companies get more money”.
(13) The “public option” trigger is something other than a national takeover of health care.
Why does the government get to decide when the “trigger” has been met, allowing it to do something terrible to us? Either the government is better at providing goods and services or the free market is — and I believe the historical record is clear on that. Why do liberals get to avoid having that argument simply by invoking “triggers”?
Why not have a “trigger” allowing people to buy medical insurance on the free market when a trigger is met, such as consumers deciding their health insurance is too expensive? Or how about a trigger allowing us to buy health insurance from Utah-based insurers — but only when triggered by our own states requiring all insurance companies to cover marriage counseling, drug rehab and shrinks?
What I think Ann is trying to say is that the so-called “trigger” option is just another way for the government to control what your health care options are. Problem is that most of the so-called “trigger” options being talked about are just that: they’re just talk. I don’t think any of these “trigger” options will make it into a bill. I hear “trigger” and I think “mandates”. In other words, the moment certain conditions are met certain options then become mandatory. This doesn’t sit too well for many states because you can never really anticipate when certain “triggers” will occur that will have an effect on state budgets. So, no, don’t think “triggers” will be a part of the equation.
Ann did offer a good question: Why not have a “trigger” allowing people to buy medical insurance on the free market when a trigger is met, such as consumers deciding their health insurance is too expensive? My question to Ann is: Isn’t that what the “public option” is all about?
Some of the bills, like the Baucus bill[3], focus on simplifying the access to programs like Medicare for people who are within 150% of the poverty line. This is a good step in the right direction in getting poor people access to health care but it still doesn’t address the availability of affordable health care for those above the poverty line. That’s what the “public option” is supposed to be all about.
Now, I’m a believer that a free market should exist. However, a free market can’t be maintained without fairness. I do not believe that the government is going to be put in a position to decide what good and services the public is able to purchase as far as health care is concerned. If anything, I think the “public option” should be a baseline policy that all health insurance companies have to offer to all Americans. This is very similar to what the Netherlands have setup for their health care system[4]. For those who want a free market, this is probably the only way to do it. A free market can’t really exist unless certain standards are set in place. Having a baseline policy that is affordable to all Americans would be a good place to start.
(14) National health care will not cover abortions or illegal immigrants.
On July 30 of this year, a House committee voted against a Republican amendment offered by Rep. Nathan Deal that would have required health care providers to use the Systematic Alien Verification for Entitlements (SAVE) Program to prevent illegal aliens from receiving government health care services. All Republicans and five Democrats voted for it, but 29 Democrats voted against it, killing the amendment.
Ann is referring to the Baucus bill and the fact that, although it denies illegal immigrants from receiving health care, it doesn’t outline the process on how to screen people for this[5]. This is a bit of a touchy topic because if you put in place a method for which hospitals are allowed to screen people on whether they are illegal immigrants or not, what’s to stop hospitals from denying medical care simply on the basis of a person’s immigration status? At least that’s the fear, I think. If I were a Representative in the House I probably would have voted against it if this question was not addressed in the amendment. I don’t like the idea of anyone being turned away for treatment regardless of immigration status.
On the same day, the committee voted 30-29 against an amendment offered by Republican Joe Pitts explicitly stating that government health care would not cover abortions. Zealous abortion supporter Henry Waxman — a walking, breathing argument for abortion if ever there was one — originally voted in favor of the Pitts amendment because that allowed him, in a sleazy parliamentary trick, to bring the amendment up for reconsideration later. Which he did — as soon as he had enough Democrats in the hearing room to safely reject it.
If any liberal sincerely believes that national health care will not cover illegals and abortion, how do they explain the Democrats frantically opposing amendments that would make this explicit?
Republican Joe Pitt’s talk about an abortion mandate[6] as well as the amendment he proposed[7] is a good example of why religious views do not belong in public policy. While Rep. Pitts doesn’t outright claim it to be a religious view, words like “the destruction of human life” and “health care is about saving and nurturing life, not about taking life” clearly are the words of someone with certain beliefs.
The problem I have with the whole abortion debate is the fact that no one is talking about how changes in policy regarding abortion will effect real women with real problems. It’s almost as if it’s being painted as a black and white issue; either you’re for abortion or against it. There is no grey area; no instances where an abortion might actually be necessary to save lives.
Earlier this week, I posted a story I saw on HDNet[8] about Dr. Lee Carhart, one of the few remaining doctors performing late-term abortions. Anyone who wants to understand the real debate about abortion should watch this story. I would love to hear what Ann’s take is on this story. Would she admit that there are circumstances where an abortion is necessary? If so, why shouldn’t one’s health plan cover it?
More to come soon…
- Health Care, Fiddle Sticks, and Ann Coulter: Part One, Part Two, and Part Three [↩]
- IRS Tax Topics – Topic 502: Medical and Dental Expenses [↩]
- S.1796 – America’s Healthy Future Act of 2009 [↩]
- Healthcare in the Netherlands [↩]
- Rep. Nathan Deal Fights Government Health Care for Illegal Aliens [↩]
- Rep. Pitts: Healthcare Bill Contains Hidden Abortion Mandate [↩]
- A Win for Abortion Opponents in House Bill [↩]
- The True Face of Abortion [↩]
