The Next Bamboozle
Josh Marshall at Talking Points Memo, who led the charge against the social security phase-out plan, has gotten off to a good start on this one too. The centerpiece of this new plan will be medical savings plans, which would allow people to put aside money pre-tax to pay for health care should they need it. In keeping with their one-trick-pony policy-making approach, there's a tax cut angle to this too: people will also be able to write off their out-of-pocket health care costs.
As usual with the Orwellian PR machine of the conservative movement, you can pretty much assure that their stated goals on any given initiative are probably exactly the opposite of what they're really trying to accomplish. It's sort of like a game of "Where's Waldo" - you just have to look real hard at Bush's proposals to find out exactly how the middle and lower class are being screwed in favor of the rich.
Now I don't know about you, but I'm not crazy about putting aside any more of my money to pay for something that may never happen. I want INSURANCE! I don't want to roll the dice that the amount I put aside is going to coincide with the amount I need when I'm really sick - I want INSURANCE! And I don't want another regressive tax cut that gives a millionaire in the 36% tax bracket a 36% break on his health care while the guy making minimum wage only gets a 15% break. I want INSURANCE to cover all of my health care costs - whether I have a job or not. Does that make me a bad guy?
As Josh points out in his piece on this, the hidden motivation behind all of this is that Bush and his team actually think people have too much health care. They want to encourage people to spend their own money, in the form of accumulated balances in their medical savings accounts, because they think that people will then be less willing to go in for those lavish, extravagant procedures, like cosmetic triple bypass or elective brain surgery. They think the reason why health care costs are going up is that we all are just out there getting chemotherapy and colonoscopies because we can - because somebody else is picking up the check.
Now I'm no health care policy expert, but I think there are tons of more plausible reasons why health care costs keep going up - the cost of paying for uninsured, the arms race of hospitals buying high-tech equipment to compete with each other when their patient loads can't support it - there are any number of reasonable explanations, but my cat wouldn't even buy the Bush logic, and she leans pretty predictably to the right. Actually, you can make an argument that the Bush plan could have the opposite effect; if people can spend their own money and don't have to get an insurance company's approval for a procedure, they may make even wackier decisions about what they need (think bigger boobs, more girth).
Anyway, I've just expended roughly 10 time more brain power on this than our vaunted media establishment will over the next few months ("Didn't the President's codpiece look exceptional during the State of the Union?"). I'm sure they will give it the same even-handed treatment they gave Clinton's plan, which would actually be saving people's lives today had the media focused on its merits rather than, you know, blow jobs...
