Start stockpiling those pills. Republicans in the Senate have just released their latest revised healthcare bill, and it does not look promising. Despite a few tweaks, for example to planned tax cuts for the rich and lower-cost options for buying insurance (eliminating benefits considered essential under the Affordable Care Act, such as maternity care), several huge, ugly bugs remain in the system: deep cuts to Medicaid resulting in loss of coverage for millions (the CBO, which predicted a loss of 22 million for the previous version, will weigh in next week- hopefully before the Senate vote), loss of guaranteed protection for pre-existing conditions, etc. On this eve of Bastille Day, the current political turmoil- including Healthcare, the Trump/Russia investigation, Paris Accord, Muslim travel ban, and so much more- brings to mind the storming of a prison or fortress by a population which has reached the end of its rope.
The people demand liberty, including freedom of the press, speech and assembly. To me, liberty also includes- within reasonable limits- freedom from fear: fear of hunger, oppression, deportation, terrorism, global warming, pollution- and also illness. Access to healthcare should be part of our daily expectations, but a GOP-controlled Congress doesn’t agree. As Joel Baden, at the Yale School of Divinity, recently pointed out: Republicans like to quote from the Book of Proverbs, wherein the righteous are consistently rewarded and the wicked are punished; in this worldview, it follows that the successful (i.e. rich) must be more righteous than those who struggle (the poor). Mo Brooks (R-Alabama) said the poor should pay more for healthcare, because “those people who live good lives, they’re healthy.” He must not have read Ecclesiastes 9: 11-12: “the race is not to the swift, nor the battle to the strong, nor bread to the wise, nor riches to the intelligent, nor favor to the skillful; but time and chance happen to them all.”
They demand equality: equal pay and treatment in the workplace, social and environmental justice, educational and employment opportunity. And, as you might expect, equal access to healthcare! The proposed bill would throw millions of people off Medicaid, while providing tax breaks for the wealthy. Everyone understands that if the entire country had health insurance, pooling the risk would enable equal treatment of the whole spectrum of medical conditions, from the worried-well to the chronically and severely ill. Not requiring health insurance, Speaker Paul Ryan says, would give people the freedom not to buy something they don’t want. So he wants to give them freedom, not healthcare. That has the callous, unthinking feel of “Let them eat cake!”
Although deeply divided, the people need fraternity as well. Cross the aisle. End mindless, tribal partisanship. Talk amongst yourselves. One bright spot: Susan Collins (R-Maine), in rejecting the proposed GOP bill, says she is ready to work with Democrats on improving the Affordable Care Act- imagine that! Improve Obamacare? Not “repeal and replace?” Not “lock ‘er up,” “murderers and rapists,” fake news, witch hunts and chaos? Yes: a return to sanity, mutual respect and the realization that dominance-based politics destroys fraternity, equality and liberty.
Wishing all of you out there a happy and healthy Bastille Day!