The health racket Stamp mandate was crafted by the Republicans (the Heritage Foundation via Romneycare; Obama bragged about this) and enacted by the Democrats. It will never increase actual coverage nor control costs, and was never intended to.
“Health insurance” doesn’t even make sense as a concept. The goal of any insurance is to maximize premium extractions and minimize payouts. That can’t possibly work in the case of health care. There’s no possible way you can have a pool based on profiteering which isn’t automatically a conflict of interest between the racket and its customers, between the racket and the public interest.
To recap, the bill is:
1. A bailout for the insurance rackets. In spite of the antitrust exemption which protects them from market competition (and which explicitly forbids the “interstate commerce” which racket supporters fraudulently claim characterizes this Congressionally commanded “market”), these parasites are increasingly unable to compete with rational and morally justified non-participation.
So the bill is a command economy measure which creates a forced market with only one willing participant.
It contains no credible restraint on Stamp rates, and isn’t meant to impose any such restraint. On the contrary, it’s meant to use the government power to extort these costs from the people so the insurance rents can continue to exist at all. It’s just like the Bank Bailout, only it’s a direct robbery instead of an indirect one.
2. It’s an austerity bill whose goal is to absolve private employers of responsibility for health “insurance” and drive people as atomized individuals into the individual “market”. At the same time government gets to continue to abdicate on its core function responsibility to provide Single Payer.
As even the NYT has been steadily documenting (e.g. here and here), this process of corporate exemptions, insurer concession takebacks, and setting up individuals to be driven into the individual market, has been gathering momentum all year. These broken promises constitute the metric of Stamp austerity.
So here again, the bill will not control costs and was not intended to. Like ever austerity bill, it’s meant to increase costs while shifting all costs from corporations to the individual.
(To the extent any promised benefits of this bill materialize at all, they’ll simply be paid for by jacked-up Stamp premiums across the board. None of this will be cost-free to the people. Nowhere will the rackets have to relinquish one cent of extractions; at worst they’ll shift some of them from the poorest to the somewhat less poor. By design the bill doesn’t require one cent’s worth of contribution from the rackets. On the contrary, it promises to increase their extractions.)
This is exactly the outcome Obama wanted, as all the evidence of his state legislative career (where he was already a lackey of the Stamp rackets) to the present day proves.
3. The bill is a Poll Tax. Like all poll taxes, its goal is social and economic control. I’ll say more about this in a subsequent post.
So we have clarity on how irrational, impractical, and immoral this bill is. It illegitimate props up an irrational, impractical, and immoral system. When we consider the full extent of the policy’s corruption, and the systemic corruption of the entire fraudulent market, we also achieve full moral clarity on the issue.
Any individual has the right to refuse to pay this corporate extortion yet still demand necessary health care. If the government has failed to provide Single Payer, that’s its own abdication. Since a profiteering health care market is an automatic market failure, provision of Single Payer is a core government function. That this government refuses to recognize its responsibility is proof of its own illegitimacy. None of this reflects poorly in any way on the individual who has been abandoned and then victimized by a criminal system. On the contrary, anyone who would cast such aspersions is simply a pro-racket criminal himself.
Therefore, no one who supports this corporatist bailout bill, or who supports the very existence of the purely parasitic, purely destructive insurance companies, has standing to utter a word about individuals who allegedly free ride or shift costs. The insurance rackets are free riders infinitely worse than all uninsured individuals put together could ever be, while corporate employers and derelict government are the ultimate cost-shifters. Given these facts, to say a word about individuals is automatically to demonstrate one’s bad faith and complete lack of integrity.
By definition, anyone who cares about free riding and cost shifting, and reform itself, demands the complete eradication of the Stamp rackets and the institution of Single Payer. Everyone who’s even modestly informed about the issue knows this is the only moral, rational, and practical solution.
So the second any hack starts in with any anti-citizen argument (here’s several such swine at the NYT), we should reject him automatically and immediately. His position is a fraud on its face, and he’s clearly nothing but a criminal. That “opinion” has no right to exist.
So to recap: The Obama/Republican (Heritage Foundation) bill never intended anything but to:
1. Maintain and enhance insurance rent extractions;
2. Enable employers to shift their costs onto individuals;
3. Enable government to continue to abdicate its core responsibility;
4. Force atomized individuals into the individual market, which Obama’s own CBO says will become more expensive;
5. Where the government goon will force them to buy worthless “policies”, Stamps.
The bill is not designed to control costs and will not do so. It was designed to increase costs, but shift them all onto the individual.
Meanwhile the quality of care delivered will continue to deteriorate, since the bill is also not intended to force insurance to provide affordable care. The Massachusetts experience has already proven that.
What should we say is the ideological nature of this bill? It’s not classically “liberal”, since it enshrines the abdication of a core government function. But it’s not classically “conservative”, since it does enshrine a massive extension of aggressive government goon power. It’s strangely redolent of economic “libertarianism”, which wants to gut government in all the things a government is supposed to do, while aggressively expanding all its goon and thug dysfunctions. It’s really a radical enshrinement of neoliberal corporatism (which is the same thing as conservatism in practice): Government should be big and aggressive, but only as a corporate deputy. All its actual public functions should cease to exist. It’s classical tyranny, a usurpation. Such a government is clearly nothing but a parasite and a predator, exactly like its corporate masters.
So there’s the first reason to reject this bill and refuse to purchase this Stamp: It’s the enshrinement of corporate tyranny.
And even if one is a slave by nature who accepts neoliberal ideology and corporate tyranny, health insurance still makes zero sense as a concept. It doesn’t work. (Most people who go bankrupt for medical reasons have insurance.) So there’s the second reason.
In part 2 I’ll discuss the third reason, the fact that the Stamp mandate is unconstitutional.