I really did not think I was going to have to write a follow up on this one. I should have known better. So, this follow up is really to address the contradictions I have encountered from the left.
Some have claimed that because I am stating that universal healthcare would have to be phased in that I am in some way against universal healthcare. The first thing that is obvious about that argument is that they have not read my writing, including the entire first article. They claim they did, of course but if they did, the indication is worse. It means they are arguing for the sake of feeding their addiction to conflict. I made it very clear on too many occasions to count just how much I am in favor of universal healthcare, so their arguments hold no water at all.
Rational approach. Every single thing that I write comes from a rational perspective. In this case, I have not only formally and informally studied economics for over 30 years but have direct experience with basically everything involved. I have been a nurse for over 25 years. I have written medical protocols. I have worked as a subcontractor for multiple insurance companies and the longest position in that respect I resigned from because of my own ethical objections to changes in criteria which denied needed imaging studies. Lastly, I have been writing about politics for years. Thus, I know politics, economics, medicine, medical protocols and the insurance/medical funding processes.
Compassionate approach. Not only is everything I write rational, it is also humanitarian in nature. My detractors on the first article are still absolutely set on the idea that insurance company employees would be able to transition directly and immediately to a government universal healthcare system. That would not happen. It could not happen. It is all but impossible.
Location, location, location. First, detractors are making the completely erroneous assumption that new jobs will be created in the same cities in which they currently exist. That would not happen in the majority of cases. There may be a select few jobs available in larger cities created but not enough to replace all the jobs which would be lost by a long shot. Maybe they think workers can simply pull up their entire lives and relocate to where the new jobs are created. Leave their homes, their families, their friends and all that they know for the sake of a paycheck. A few may be willing to do this but they will be an extreme minority. That thought process also takes no account of what that would do to the housing market. So, who is thinking about the direct welfare of those workers and their families? Me or my detractors?
Money is not healthcare. Detractors have said to me that insurance is not healthcare. I agree. Know what else is not healthcare? Throwing money at the problem. I explained in detail the challenges of training, building and expanding systems, contracts, staffing, etc. Just funding is not enough. Throwing money at a problem does not make it go away. The moment that universal healthcare passes, I explained that the stock market will plummet. Perhaps they think this only has implications for rich investors. However, it would definitely affect the average American who has a diversified 401k. People could lose a significant portion of their life savings within hours. Just funding would not create the needed systems and medically trained personnel needed to provide the care and services required. Who is thinking about the average American with retirement accounts and the lapse in services? Me or my detractors?
Staffing, education and licensing. I covered this in the first article but let me repeat it. Medical training takes years. Implementing universal healthcare will place a heavy burden on the system we currently have. Waiting times will lengthen and there is already insufficient staffing in many geographic areas. Yes, you can increase pay/bonuses/benefits but then you merely move the shortage from one place to another. More people will have to be trained and licensed. Would you want your family member in a hospital which was still accepting patients at half the minimum staffing levels? I have been a nurse long enough to have had 14 patients on a surgical unit, 40 patients in inpatient hospice with one CNA, over 60 in a nursing home or skilled nursing unit, over 300 patients one time in a long term rehab unit. Those are the kinds of things that led to the nursing shortage and almost made me leave nursing. Do you want that back? Who is thinking about patient safety and who is not? Me or my detractors?
Overburdening. One thing is absolutely true. Before you can train people into a new system, the system has to exist. While those opposed to me claim workers can be trained into the existing system, the Medicare/Medicaid system is not created or equipped with the resources or even protocols needed for a universal healthcare system. However, let’s say the protocols and computer systems existed. What happens then is that you overburden the current workers with training new employees. Even after a person is trained, they have to have their work overseen and reviewed for accuracy for weeks or months. That includes for fraud, waste and abuse. During this time, the processing time for claims would be extended considerably. Perhaps taking weeks or months. So, who is thinking of the people who are actually ill, acutely or chronically during this period? Me or my detractors? Who is thinking of the stress level placed on already overworked government employees? Me or my detractors?
Offshore effects. Not many Americans have any realization as to how much of their medical claims process takes place in other countries. Yes, your private medical information is sent to other countries on a daily basis. I know this because of my experiences doing preauthorization for medical imaging studies. One big reason for this is that the insurance companies pay workers in other countries far less than domestic workers. I have also worked in medical facilities that send imaging studies to Australia to have reports written. That’s so they do not have to keep a Radiologist PhD on staff at all times. Now, while I strenuously object to our medical information being sent to other countries, I accept the fact that the workers in those countries rely on that employment for an income. An immediate change to universal healthcare would leave them without an income with no warning. So, who is more compassionate to those workers? Me or my detractors?
Probationary period. One cannot deny that implementing universal healthcare would be harshly scrutinized and criticized by capitalists. That includes the capitalist media who make many many billions per year hosting advertising for insurance and drug companies. So, how would they be reporting on this transition? If we suddenly had tens or hundreds of thousands out of work, waiting times and processing times extended to months, a stock market crash and seeming incompetence all along the way? Do you remember how much of a problem it was to bring the ACA online? The problems with the government portal? How many times the system crashed? The processing time to get people enrolled? Do you remember how the media reported on every single tiny problem? The absolute fact is that capitalists would be seeking any and every excuse to declare universal healthcare a failure. That is ALL they would report on all day, every day. While probably blaming Russia, of course. So, who is thinking of how imperative it is that universal healthcare be implemented in a way that considers all that can go wrong, plans for exceptions and has contingencies in place? Who sounds like they want it to be successful, me or my detractors?
Too many of my detractors are completely driven by emotion. That emotion is unreasoning, uncompromising, compulsive and selfish. As a nurse, I am trained and experienced in applying critical thinking to achieve results which are based on emotion, compassion, caring. As a nurse, I am also absolutely no stranger to setting my own emotions aside while applying that critical thought process or even doing what the patient wants when my own choice would be far different.
I am very much in favor of Socialism and my writing displays that. However, as a reasoning person I also think clearly that transitioning in that direction must be done gradually and with extreme planning. We cannot throw one system out completely without having a new system already built to replace it. That is the equivalent to learning you have lung cancer and the doctor’s response is grabbing a scalpel and removing your lungs with no anesthesia, no transplant organs. “Well, we have funding for it!” How would that work for you?
The whole point is that using critical, rational thinking to detail exactly HOW things can be accomplished effectively with the fewest complications does not lack compassion or emotion in the least. You would not want someone performing surgery on you or administering medications to you when they have no knowledge on the procedures. It doesn’t matter how much emotion they put into it, certain things take knowledge, planning and education. Your FEELINGS don’t matter if you sabotage the system you implement while causing very real danger to the beneficiaries of that system. If we cause more problems than we solve, we doom that system before it ever gets off the ground.
Care enough to THINK.