May 12, 2017

Who Should Pay for Ordinary Healthcare?

Uh. Oh. Budget Director Mick Mulvaney, who might be the most honest person in the Trump Administration, stuck his right foot in and shook it all around again.

Mulvaney, you may recall, was the guy who told us that Trump was an #AmericaFirst candidate, and we elected an #AmericaFirst president and there should be no surprise that his budget was an #AmericaFirst budget, the sketch of which was put together from Trump's speeches, campaign promises and the like.  So there should also be no surprise that he thinks we should have an #AmericaFirst health insurance system.

Mulvaney was speaking at Stanford, and was asked a question about the Jimmy Kimmel test. Here's Senator Bill Cassidy, Louisiana Republican, explaining what that means.
The Jimmy Kimmel test, I think, should be that no family should be denied medical care, emergency or otherwise, because they can't afford it. Can that be the Jimmy Kimmel test? Is that oversimplifying it?
Here's what Mulvaney had to say about it
I do think it should meet that test. We have plenty of money to deal with that. We have plenty of money to provide that safety net so that if you get cancer you don't end up broke... that is not the question. The question is, who is responsible for your ordinary healthcare? You or somebody else?
That doesn't mean we should take care of the person who sits at home, eats poorly and gets diabetes. Is that the same thing as Jimmy Kimmel's kid? I don't think that it is. 
Wow. I  thought the Republican argument that Only Skanky Whores Need Birth Control was bad -- but now, Mulvaney is attacking not just Mitt Romney's 47%, but the whole basket of deplorables who voted for Trump. Yowser, as my sister-in-law would say. Yowser!

I shared the Only Skanky Whores Need Birth Control argument back in July of 2014, when we in dealing with the 'corporations have deeply held beliefs' case we all remember.  Here's how I started that post:
I've been torturing myself reading comments posted on various Burwell v. Hobby Lobby articles. And out of fairness, I've tortured myself leftly and rightly, not wanting to miss anything. Trust me, there's a lot that's worth missing.
After reading through opinions ranging from the ridiculous to the sublime, it seems that people have no clue how insurance works. There's a huge misconception out there that a health insurance policy should be completely individualized, so that for example a man would never have to pay for maternity coverage, seeing as how he would never have to use that specific benefit. And now that thinking has been extended to include contraception, because a guy would never have to use The Pill or an IUD so why the (insert curse words of your choice) should he have to pay for it for anyone else?
That argument is one of the Republicans' favorites. Birth control is a lifestyle choice, not a health care issue. Here's more from my post:
In reality, the hatred and vitriol (spliced with an occasional very detailed description of natural birth control) isn't about health insurance, it's about lifestyle and about women and about the 47%.  Because "if those whores would just keep their legs closed this wouldn't be an issue" and if they were good girls not "those skanks who sleep around and expect someone else to pay for their goddamn birth control" we probably wouldn't be having this discussion at all...
But of course wife, daughter, sister, and mother on insurance-covered-birth control, and men with insurance paid-for vasectomies, and honest-to-God hardworking me, well, those are the antithesis of skank, whore, and 47%er.
So now, the wife, daughter, sister and mother feeding their kids Big Gulp sodas, fast food and crappy school cafeteria lunches because their school district prioritizes cheap salty sugary food ahead of nutrition, and the husbands, sons, brothers and fathers hanging out at the bowling alley or chugging a few cheap draft beers in the corner dive after their shift in the mine or the factory, or killing a bag or two of Doritos watching NASCAR on FOX?  Yeah, they're the equivalent of those skanky whores and their birth control, if they think we should pay for their diabetes treatment, it would seem.

What Mulvaney is suggesting, and what others before him have suggested, is not a health insurance program. Again, from the previous post:
Most people would recognize this as a draconian way to finance health care, if we all were individually underwritten (that means no family coverage folks - we are all on our own), based on a complete medical history going back a few generations, a comprehensive medical exam including tests for all things known to man, God and nature, and an NSA-style examination of what we eat and drink and how we exercise or don't and how long we sleep or don't and with whom, and so on.  Full invasive medical and lifestyle exams for all -- paid for out of your own pocket, of course, because you can't have insurance that covers medical exams until you prove you're worthy. And done on a regular basis, because we know that lifestyles change, with age and circumstance and environment.
Mulvaney may be brutally honest, but wherefore art thou, cojones?

If he and the rest of the Trumpians really don't want to pay for Joe the Plumber's diabetes and Larry the Cable Guy's heartburn and Billy Joe Jim Bob's erectile dysfunction stuff (oh wait -- it's OK to pay for that - heaven forbid we don't let a good ole boy have an erection) and Sally's depression because her husband spends all his time and all their money at the bowling alley, Mulvaney would slash all funding related to health care and health insurance, other than pools for non-self-inflicted pre-existing conditions, from our #AmericaFirst budget.

  • No tax credits to buy insurance - that's money that should go to the federal kitty to pay for our $54B military build-up. 
  • No Health Savings Accounts to help pay for deductibles and coinsurances and stuff, that can be passed on from one generation to the next, because that's money that should go to the federal kitty to pay for that Aesthetically Pleasing on the North Side Only Border Wall.
  • No Medicaid block grants to states to allow them to cover benefits for citizens - that's money that should go to the federal kitty to pay for banning Muslims.
#AmericaFirst, 'ordinary healthcare' paid for, right there,  Mr. Mulvaney: every man, woman and child fending for themselves.