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Tuesday, July 23, 2013

National Health Care

Refusing to be drawn into just another pseudo-intellectual and probably un-winnable discussion as to what is or is not our natural right in this country, I will point out to you one undeniable fact of life, using our driver’s license as an example. It is said that ownership or possession of a driver’s license is not a right. It is a privilege. Rubbish! It may be a privilege, legally, but I submit to you that, for a significant majority of citizens in this country, possession of a driver’s license is an absolute necessity, if for no other reason than for the purpose of maintaining employment–i.e. making a living. One has only to ask the many that have had their licenses taken from them. In the same vein, I submit to you that adequate health care, also, is an absolute necessity. Not only is it a necessity of life for our people, it is imperative for the well-being and security of our nation–social status notwithstanding.

In view of this, I propose that a national single payer health care plan modeled after our present system of Medicare be established for the health care of all legal citizens of The United States of America, excluding active military personnel covered under the military system. In the design and development of this system, the interest and wellbeing of our people should and must be our first and foremost priority–not that of business or politics. In putting forth this proposal, I readily recognize there will be those who will complain and object to no end. They will find all kinds of imperfections and faults with its implementation. Again, Rubbish! I don’t want to hear it. I submit to you that there is no imperfection whatsoever–none–that cannot be foreseen, tweaked and/or corrected by an intelligent and conscientious legislature with the “Good of the People” and the nation in mind. I tell you now. This subject has been studied to death, and every aspect, good and bad, is known. Any unknown that might exist should be minimal and can be corrected. Healthcare is one of the most important and urgent issues in our nation today. We should resolve it and resolve it now.

In conjunction with this, our government must be honest with our people, and let them know healthcare is not free. A major problem with our current system seems to be that everybody wants healthcare when they need it but don’t want to pay for it. Everybody should and must be willing to pay their fair share based upon their ability to pay. To this end, I propose that this plan be financed (as is in the case of Social Security), using a stand-alone fund, separate and apart from the national budget, a must for effective cost and budget control. Payments into this stand-alone fund should be made by the implementation of a surtax on income based upon a percentage calculated at the beginning of each year by dividing the year’s projected total health care expense for the year by projected total taxable earned income for the same period. That percentage, so calculated, should be adjusted at the beginning of each succeeding year so as to adjust for surpluses or deficits in the prior year, thereby effecting a pay as you go plan. Again, separation of the fund from the national budget is imperative.


The two largest objections to this proposal will come from two arenas of the populace, those who expect something for nothing, and those who will cry “Socialist”. To the former, I say you are unworthy of discussion–the best interests of the nation are more important than your selfishness. To the latter, you may rest assured I am not proposing Socialism. An individual system does not have to be Socialistic. Deng Xiaoping (a socialist leader of China in the 1990’s) said, "It doesn't matter whether a cat is white or black, as long as it catches mice" (he chose state capitalism for China). My proposal “catches mice” for the citizens of the United States of America. It provides for the health care of our people; and it pays for itself on a continuing basis without contributing to the national deficit, ultimately contributing to the reduction of our national debt. Under my proposal, all those under the age of 55 can relax.

If my proposal is adopted, a fine health care system will not be the only benefit. Listed below are others:

  1. We will not be spending millions upon millions of dollars arguing as we do now. 
  2. Healthcare will be “off the back of” business. They can plan and operate their businesses without worrying about the hours in a work week, unplanned cost increases, etc. 
  3. The change in hours in a work week and its impact on national income need not become a national economic problem.
  4. Healthcare costs can be more easily controlled. 
  5. We will be able to move on to resolving other urgent national problems.

Ronald Miller
mtss86@bellsouth.net




 
 


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