The Hypocritic Oath

2 comments July 29th, 2009at 11:26am Posted by Eli

I know I’m stating (and probably re-stating) the obvious here, but I just needed to spell it out and get it out of my system.

As the increasingly discouraging healthcare “reform” process plays out, the endgame makes the most sense when you remember that the Prime Directive for Obama and most of Congress is this:

First, do no harm… to the insurance companies.

Sure, Obama and the Democrats really do want to improve healthcare – it’s morally the right thing to do, and it would probably help them in 2010 and 2012 – but they just can’t bring themselves to place the physical health of $50 donors over the financial health of $50,000 (or $500,000) donors.

This is why single-payor is off the table (and how many of today’s public option advocates wouldn’t prefer single-payor if they thought it was attainable?) – it would kill the insurance industry outright (aside from the much smaller business of providing gap coverage), whereas a correctly managed (i.e., small or unsuccessful) public option would only wound them.

The fundamental problem is that the starting point has never been “How do we improve healthcare for our constituents?”, but rather, “How do we make sure this doesn’t hurt the insurance industry?”

But the pretend goal and the real goal are fundamentally incompatible – it’s like trying to turn Iraq into a democracy and a U.S. client state, or, say, trying to clean up our corrupt campaign finance system without making it easier for challengers to knock off incumbents.

Entry Filed under: Corruption/Cronyism,Democrats,Healthcare,Obama,Politics,Republicans,Wankers


  • 1. david  |  July 29th, 2009 at 4:51 pm

    Methinks it’s more about how do we not hurt the providers and especially doctors. They’re the sacred cows. Until we replace fee for service I don’t see how we get costs down. Insurares are just easier to beat up on, doctors are more well liked generally. Not that here aren’t oppotunities to decrease the admin costs that insurance companies add. It’s an opportunity rich environment.

  • 2. Multi Medium » What&hellip  |  December 21st, 2009 at 1:03 pm

    […] I put it back in July: As the increasingly discouraging healthcare “reform” process plays out, the endgame makes the […]

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