Guiliani's health "plan"
My wife, although she doesn't go out of her way to mention it, graduated from an evangelical Christian high school in the suburbs of Philadelphia. She's Episcopalian, and not a typical graduate of the school, but got a good education. We went to her class reunion one year and I had a chance to talk to a lot of people. What struck me was how focused many of them were not simply on their conservative religious faith, but on "having my own business." It didn't seem to matter what sort of business: Amway sales, construction, carpet cleaning, you name it.
I thought about them today when former New York mayor Rudolph Guiliani gave a speech lashing out at "government-controlled" health care and proposing tax subsidies that will supposedly enable uninsured Americans to buy their own health insurance plans. Guiliani and the Republican Party want to move away from employer-provided health care, which should scare the hell out of most Americans, evangelical or not. At best, it's a pipedream. At worst, it's a strongarm robbery of the vast majority of the American middle class.
Who would benefit from the Republican plan? Small business owners like the people at my wife's class reunion for one. In other words, the Republican base. They'll get help buying plans for themselves, and they won't have to worry about providing health insurance for their employees. Business owners large and small will benefit as the money spent on health insurance flows to the bottom line. What they spend on your health insurance now is part of your compensation, even if you never see it. Think they're going to give you that money if they don't spend it on health insurance? Bwa-ha-ha-ha-ha-ha-ha.
Who loses? Just about everybody else. Many people who get employer-sponsored health insurance won't be able to buy individual plans because of pre-existing health conditions or because the plans are simply too expensive.
The good news is that this "plan" has no more chance of being enacted than did Bush's plan in 2005 to privatize Social Security. That's another dream of the Republian base, by the way--not having to pay the employer's share of Social Security. The Republican dream is every man for himself. If you lose, too bad. If your kids die, it's your fault.
Guiliani waved the bloody shirt of socialism in his speech. I don't think that's going to work with many people anymore, and I credit Michael Moore and his film "Sicko" for much of that. His film opened American eyes for the first time to the truth that Canadians, British, French, and most other western Europeans have better healthcare than we do. The social democratic movements in their countries after World War II lifted the weight of worrying about paying for health care from the vast majority of their citizens. We must do the same.


