There’s a very interesting article in today’s Counterpunch by Andrew Stewart, ‘Down With Obamacare, Up With Single-Payer’, which examines the various problems behind Obama’s affordable care act, and discusses the real reason the various private health insurance companies support it. And it ain’t pretty. In his article, he discusses how Ted Kennedy argued for a single-payer healthcare scheme, which would provide uninsured Americans with proper healthcare coverage while still involving the insurance companies. Stewart writes
At the end of his life, Edward Kennedy laid out in his book America Back on Track his logic and reasoning for creating a single-payer healthcare system. His argument was that Medicare could merely reduce the enrollment age to birth and almost instantaneously a federal program that is highly lauded would be able to provide healthcare for millions of uninsured Americans. As it stands right now, the insurance companies already make out fine with Medicare, they act as facilitators for payment of taxpayer funds and have booming business providing primary payer care for the elderly. Health insurance scholar and retired medical school professor Dr. John Geyman recently wrote (http://www.truth-out.org/speakout/item/39570-how-the-gop-can-avoid-the-trap-of-repealing-the-aca) “If the GOP pursues its claimed conservative principles, such as maximizing efficiency and choice, enhancing value, lowering costs, and reining in excess bureaucracy, another alternative is in plain sight, which supports these principles — single-payer national health insurance (NHI).”
So why don’t Conservatives and the insurance companies support single-payer? Because the private healthcare industry is a fundamental element in keeping workers in their place, subservient and dependent on their employers.
The issue is simple, healthcare is a major impediment to wider labor mobility in the job market. Under the ACA, people are restricted by large income caps. If they go over the income cap, they are slammed with huge copays and deductibles. As such, the law incentivizes living below the poverty line until one finds a full-time employer with a decent benefits package. This gives the employer the upper hand in any instance when they sit across the table from the workers. The ACA is nothing more than part and parcel of a larger system of control, created in collaboration between the private and public sectors, to restrict workers in their demands for higher wages and better quality of life. A single payer health plan would enable the type of labor mobility that would be a genuine benefit for working people nationwide. Even the desirable anti-discrimination clauses in the ACA, which quite admirably ended decades of industrial practices that targeted women and those with pre-existing conditions, are nothing but band-aids on a massive gash in the social safety net. The fact Bernie Sanders continues to support this diabolical system is nothing but wretched.
He then argues that neo-liberalism is as racist in its control of the poor as the various Nazis and White supremacists with whom Trump has stuffed his cabinet. The neoliberals’ war on the White working class has led directly to the rise of right-wing Fascism and populism under Trump. He argues strongly and persuasively that the Left needs to purge itself of the neoliberals, and concludes
The cancer of neo-fascism, neoliberalism, and accommodation is only going to be eradicated finally with a full-throated set of demands that includes single-payer healthcare. Anything less will only enable a further slide in our socio-political discourse towards reaction.