Monday, September 30, 2013

Wait. What?

It has come to my attention today that, despite my frequent politically charged posts and the proliferation of garbage that passes for news on the 24-hour news networks, many of my friends out there have absolutely no idea what just happened or why our government just shut down. That's okay. No judgment. Here's the breakdown.

Every year Congress adopts a budget. Simple enough. They decide how much money is going to be spent on different government programs for the next 12 months. That funding runs from October 1st through September 30th. If the Congress can't agree (I know, you'd think that never happens, huh? But, yeah, it totally does) on how much money they want to spend on certain government functions by October 1st, they usually agree to just keep funding those programs at the same level as the previous year. Kind of like saying, well, I know our phone budget for last year was $150 a month and we are really hoping to save some money on telephone bills this year, but until we figure out how to do that, we'd better keep planning on spending $150 a month. This is called a "Continuing Resolution." It simply lets the government continue to function until lawmakers can do what we pay them do, which is to compromise on solutions that benefit the greatest number of us, in theory.

For the last several years, a far right faction of the Republican Party has discovered that they can hold the rest of the Congress hostage by refusing to support the bills put forth by their own party or the opposing party unless their very specific demands are met exactly. This happened last year with the continuing resolution, and again with the debt ceiling increase last fall and again in December. Last year the Tea Party members of the GOP were demanding continuing tax breaks for the wealthiest Americans and refusing to allow even a small increase in tax rates for corporations or high income citizens. This year, they want to "defund" Obamacare.

Now, let me be clear. I am not a fan of the Affordable Care Act. I would have preferred a single payer system. In my opinion, requiring health insurance coverage is about 180 degrees from insuring that every American has access to affordable health care. The mere presence of health insurance companies dramatically increases the cost of care by requiring even small doctor's offices to employ a virtual army of claims processors. Insurance companies are very skilled at bleeding money out of the general population, out of Medicaid and out of Medicare. I mean, once your Medicaid claim is processed and paid, do you ever go back and examine the bill and see what the government actually paid ? Of course not. It's not your money. It got paid, and that's all that matters. Every health insurance claim I have had processed in the last 3 years required at least once call to the company to correct an error and insure that I was paying the appropriate bill, or that the doctor's office was paid the correct amount. A ridiculous chunk of my precious time was spent arguing with insurance companies over the last year to convince them that they should, in fact, pay for my health care, which is their job.

I will go on to say that, just because someone has health insurance, doesn't mean they can afford to use it. A $2,500 deductible for someone making $18,000 a year may as well be $100,000. Its more money than they will ever have available to pay for medical care. And before you say it, no, a person making $18,000 a year does NOT automatically qualify for Medicaid just because they are poor by your standard. That is technically above the poverty line and in most scenarios in North Carolina, would not qualify for Medicaid.

However, even with its inherent failures, the ACA also did several really great things, like end the lifetime caps on coverage, do away with denials of coverage based on pre-existing conditions, and make preventative care 100% free to anyone with a policy. For that reason alone, I purchased a policy. Free physical, free pap smear, free mammogram, free birth control? Bring it on, Obama! The law is flawed, terribly flawed, but it was a grand compromise designed to get the most benefit for the greatest number of people while still managing to pass both houses of Congress, which seems to take a friggin act of Congress lately!

So, the GOP says they hate the ACA and they ain't havin' it! The House is held by a GOP majority who says that the only way a continuing resolution is getting through their chamber is if we fully strip the funding provisions for the ACA. Even if this could get through the Democratic held Senate (which they know it can't), it would never be signed into law by President Obama, so really, it's just a great big game of grandstanding. Which is great. Politicians grandstand all the time. They grandstand until they come close to the brink, and then they do what we pay them do. They think and discuss and compromise and come up with a solution. But not these guys.

When their first proposal was turned down, they countered today with a provision that would have allowed your employer to claim a "conscientious" objection to your being provided with birth control. I'm sorry. Wait. What? You want my employer to be able to decide whether or not my health insurance policy will pay for my birth control? Seriously? Is this 1913? Quick, all the 20-50 year old women in the room who think birth control should be restricted, raise your hand! Anybody? Nobody? No? Didn't think so.

The GOP is going to have to get this rogue bunch of Tea Partiers under control before they sink the entire nation. And they certainly better have a quick Come-To-Jesus session with them to explain that their overarching strategy this election cycle is to overcome the appearance that they are waging a war on women. Sure looks like a war on women to me. You better keep your grubby paws off my birth control GOP, cause Lord knows I can't afford to have more children right now, and you sure as hell don't want to pay for them if I do. Sweet Baby Jesus! I cannot wait to go register voters.

No comments:

Post a Comment