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Momma said wonk you out

WHO'S AFRAID OF THE UNINSURED?

The recession is a mental disorder, according to John McCain's economic adviser Phil Gramm, and the ranks of the uninsured are a category error:

Mr. Goodman, who helped craft Sen. John McCain's health care policy, said anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort. (Hospital emergency rooms by law cannot turn away a patient in need of immediate care.)

"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care.

"So, there you have it. Voila! Problem solved."

Yep, problem solved. If you can't afford a doctor, but the census bureau stops describing you as uninsured, voila! Your problem is solved! And if you're getting your wages garnished because you fell ill and had to be rushed to the emergency room but the census bureau puts you in a different category, voila! You problem is solved! And if you have cancer, and you go to the ER, and they refer you to a hospital for scheduled treatment, and the hospital turns you away because you don't have insurance, I bet they can call John Goodman and, voila! Problem will be solved.

This is what we call a Kinsleyan gaffe: A mistake that reveals the truth. John McCain's health care plan is, by the admission of his own advisers, not particularly interested in the problem of the uninsured. It doesn't try and cover them or address their plight, and for a very simple reason: Conservatives in general are not interested in the problem of the uninsured. And why should they be? Health care is a market good, and not everyone can afford every market good, and if you distort the market thus to ensure universal access, you'll probably do more harm than good. There's even an "Anti-Universal Coverage Club" over at Cato for conservative brave enough to admit this truth. "To achieve 'universal coverage,'" they say, "would require either having the government provide health insurance to everyone or forcing everyone to buy it. Government provision is undesirable, because government does a poor job of improving quality or efficiency. Forcing people to get insurance would lead to a worse health-care system for everyone, because it would necessitate so much more government intervention. In a free country, people should have the right to refuse health insurance.

The right tor refuse health insurance, and the right to be unable to afford it. At the same time, the "uninsured" are a potent political category, and conservatives worry that their favored reforms will be overwhelmed by societal sympathy for this category. So give John Goodman his credit: He really has solved the problem. If you stop counting the uninsured, then they stop being much of a political problem for you. After all, they don't vote, they're not organized, and they certainly don't give money. And if you don't believe their existence poses a moral or substantive dilemma -- in fact, if you believe them to be necessary to the functioning of an efficient and responsive system -- then voila! The problem really is solved.



COMMENTS

Maybe we can get the Dept. of Treasury to start calling pennies "hundred dollar bills". I'll be a millionaire!

In any case, I love how openly McCain's advisors talk to the media about how voters need to shup up with the complaining, already. It's like they're campaigning for Obama.

So John McCain has taken a page out of the Wallmart employees' benefit package: dump them on someone else's health care door step. Don't these guys realize they're incrementally paving the way to a universal tax supported, government administered system? Once the costs of their "emergency room coverage" policy are compared with with the costs of Medicare for All, we'll soon have the universal coverage we deserve.

I guess these dopes have never been to an emergency room. Right now emergency rooms are clogged with people who chose to buy food for their kids or to pay their rent rather than $500+ a month for private insurance.
Would McCain's skin cancer have been treated through an emergency room - No.
Idiots.

But you know where else John McCain's skin cancer wouldn't have been treated, CParis?

That's right -- in the tiny cell he occupied in the Hanoi Hilton when he was a POW for 5 and a half years.

anyone with access to an emergency room effectively has insurance

How is this not a story by the media? Do they not think that the electorate would be outraged at this odious statement? Both conservatives and liberals alike have a stake in timely health care. Overcrowded ER's mean slower care even for the true emergent conditions.

So the uninsured are like dead Iraqi civilians. Don't count them and the problem goes away.

Besides, they are not half as interesting as columns, or haircuts, or sighs, or ...

I guess Goodman never actually read the signs in the ER, or asked what free care he could get. The signs say 'stabilizing care' here in Oregon: if you have a knife wound, stop the bleeding. Perforated organ? Oh, that requires surgery and that's beyond stability.

These modern conservatives sure do know how to simultaneously look like monsters and make people hate them with passion - to the point of wanting to cause them injury and then offer only the conservative's 'solution'.

But then, if one thinks that it isn't torture if a hidden law brief says it isn't, then 'health care' can mean 'no health care'.

I'd like to stabilize Mr. Goodman's nuts in my vise for a few hours and remind him that it isn't torture (he's a terrorist and he didn't die) and that his crushed nuts could be stabilized by quick removal in the ER. Neuter him like a male dog. I'd even let him eat his balls for dinner.

It's hard to outdo the archetype of callous, aristocratic indifference to the peasants' suffering: Qu'ils mangent de la brioche!" -- "Let them eat cake!"

But at least brioches would have been fine as a replacement for bread, if they'd been available. The incredible thing here is that everyone knows that ER care is no substitute whatsoever for regular health care, even if it is available, which in the real world it's often not.

I don't even know what an equivalent would be. Maybe, "Let them eat mustard!" I'm sure the McCain Admin would classify it as a vegetable.

It's the principles of Newspeak: remove heterodox language to prevent heterodox thinking.

That statement has an ad waiting for it.

"...from describing any American – even illegal aliens – as uninsured."

I think I heard Lou Dobb's head explode when Goodman put illegal aliens in the "American" group. But, maybe McCain just solved the illegal immigration problem too!

That's right -- in the tiny cell he occupied in the Hanoi Hilton when he was a POW for 5 and a half years.

Don't be too sure. He had medical care while he was a POW. Per Hackworth:

Yet in McCain's own words just four days after being captured, he admits he violated the U.S. Code of Conduct by telling his captors "O.K, I'll give you military information if you will take me to the hospital."

Sounds like he had better medical care over there than a lot of the uninsured people over here.

Is it the government's job to ensure that all are provided with health care, particularly as more and more of the middle class are being priced out? Valid question. Gets to one of the fundamental differences between Conservatism and Progressivism.

The problem is more and more Americans want the government to help with rising health care costs. But the Conservatives don't want this at their core. But they do not want to discuss it on the public stage so it becomes about scary elites who are secret Muslim Communists.

It's all so cynical and mind-numbingly stupid. Nice to see Goodman telling it how it really is.

I wish this election was actually a discussion about the merits of aggressive military meddling in sovereign lands and the merits of government subsidized care. But its not.

It's about stupid things like houses and tenuous ties to radicals. All the while civil liberties are being taken away, social security threatened, and the globe is becoming a permanent war zone.

Wake me up when the nightmare ends.

How is this not a story by the media?

Because they think 'ER' is real?

As for Cato, the salient point is that a hypothetical whack around the head with a baseball bat is much easier to treat than a real one.

For shame, Walter Sobchak.

IF THERE IS ENOUGH MOENEY FOR A 10O YEAR WAR, WHY NOT MONEY TO INSURE THE UNINSURED?

STOP FAVORING ILLEGAL ALIENS AD START HELPING OUR OWN FIRST.

Is it the government's job to ensure that all are provided with health care, particularly as more and more of the middle class are being priced out? Valid question.


Sure. And another question is:
How can we control skyrocking health care costs? Make care unaffordable for more people thereby bringing down overall cost. Or, bring everyone into a large pool and through collective bargaining, lower administrative costs, and yes, smaller profits for the insurance industry.

Just because the DR cannot refuse you, it doesn't mean the care is free and the gov't doesn't cover it. The uninsured will still get a bill from the hospital and the doctors. So either the care is written off and no one is paid or the patient gets more in debt.

Y'all are missing the real scandal...health insurers skimming, what?, trillions and trillions of dollars in premiums paid by corporations to cover workers who already had insurance.

How is this not a story by the media?

If, by the media, you mean the television networks, they are not interested in topics like this. Literally, per their own statements on the topic. They do a small story on it once in a while for a bit of soap opera and if they can get some dramatic visuals, but actual intense coverage and study would bore them and hurt their ratings.

Do they not think that the electorate would be outraged at this odious statement?

Again, the only people who have the power to make this statement part of our national dialogue are a small group of network news executives and anchor/editors. They never give stories like this intensive coverage because it would harm the most popular politician in their social circle, John McCain. He is their candidate, this year, just as George W. Bush was in 2000 and 2004. You’ll see some negative campaign coverage of him here and there, but the primary televised news outlets will mention it, mute it, explain it away if they can, and forget it.

The game is too early for any player to really develop any guide that can contain that valuable of information that another can offer considering the game has yet to even be released. Why pay for information when many sites even provide that information for free. Majority of the information these paid for guides are scraped off other sites, blogs and forums and combined, compacted and reworded to become their own guide.

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About Ezra Klein

Ezra Klein is an associate editor at The American Prospect. An archive of his articles for The American Prospect can be found here.

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