USA: Senate Health Bill - Early Gift or Lump of Coal?

In late December Senate Democrats passed their version of a health insurance reform bill. American workers ought not get too excited about the Affordable Health Care for America Act. This “early Christmas gift” is more like a lump of coal!

On Christmas Eve morning, Senate Democrats followed through on their promise to pass their version of a health insurance reform bill before the Christmas Holiday, delivering what has been hailed by many liberal commentators in major media outlets as an “early Christmas gift.” However, American workers concerned about the rising costs of health care, the poor quality of service provided by private insurance for those who can even afford it, and the millions of people left behind by for-profit, market based health care ought not get too excited about the Affordable Health Care for America Act. This “early gift” is more like a lump of coal!

Health care workers, activists, and patients, as well as labor leaders and rank and file workers in general -- many of whom voted the Democrats back into power in the “hope” they’d deliver a Universal, National Health Service -- have been left feeling confused, frustrated, and downright betrayed.

The Senate bill, like the House version, cedes even more power to the already influential private, for-profit insurance industry: the same industry that financed the Democratic Party and President Obama’s victorious electoral campaigns in 2008 while simultaneously padding the war chest of the Republican Party. They also bankrolled the fear-mongering and reactionary tea party “movement,” which turned the longstanding American tradition of town hall meetings into an “at your own risk” excursion in 2009. That is to say, the health care industry funded both “sides” of the “debate,” and now stands to reap a tremendous profit from their investment; all at the expense of the American working class.

The Senate bill differs little from the version passed in the House back in November. For the first time, individuals will be required by law to purchase insurance policies and maintain coverage, or pay punitive tax fines for non-compliance. Much of the language of the regressive Stupak Amendment, which prohibits the use of federal funds “to pay for any abortion or to cover any part of the costs of any health plan that includes coverage of abortion,” is included in the Senate bill. A tax on so-called “Cadillac” insurance plans will hit unionized workers especially hard and undermine generations of struggle by workers for a decent standard of living. The insurance industry will receive billions of dollars in additional profits, guaranteed by the personal mandate, fine scheme and taxpayer funded subsidies, and gain access to new markets as the privatization of Medicare/Medicaid continues unabated and Medicare faces upwards of $400 billion in cuts. The industry also gets to keep its decades-old anti-trust exemption.

This scheme will cost American taxpayers over $800 billion dollars over the next decade and will do next to nothing to control costs; handing the great bulk of that money to the same private, for-profit insurers who have made a killing (literally!) denying Americans coverage or providing extremely limited and unreliable coverage, driving up costs and forcing many working class individuals and families into bankruptcy and poverty.

Even more despicable is the 12 year market protection extended to Big Pharma for name-brand and high-tech prescription drugs, effectively a government guarantee of private corporate profits. Over 20 million people will still be left uninsured by the Senate bill, and countless more will be left without access to the healthcare they really need because, as many people have learned in the recent economic crisis, insurance does not guarantee access to actual care, especially not “affordable” care.

Of course, the only health care guaranteed to be “affordable” to all is universal healthcare, and we can only have this by demanding, organizing for and winning a “Medicare for all” reform that includes everyone and leaves no one out, along the lines of the now-defunct HR 676 or SB 703. Public opinion polling has consistently shown for nearly a decade that Americans prefer such a national universal program over market-based proposals, and back in 2005/06 many leading Democrats paid lip service to such legislation, even promising to pass it if only American voters would deliver Democrats a “super majority” in the House and Senate. Well, the Democrats got their wish, and all American workers got was this lousy bill for $800 billion, which we get the “gift” of paying for over the next decade.

As many Americans crowd the post-holiday lines at our local department stores, seeking to return or exchange unwanted gifts, we ought to remember that the party-line vote to approve the Senate Democrats’ bill was 60-39, with the Republicans favoring doing nothing and the Democrats supporting what amounts to a multi-billion dollar handout to the industry which is directly responsible for the death of 60 people in the US each and every day and the bankruptcy of thousands.

Neither of these corporate, capitalist political parties represents the interests of the American working class, who make up the vast majority. America needs a working class party, an independent, mass party of labor based on the unions to fight uncompromisingly for the real interests of the majority. Only thus can we end the rationing of healthcare services based on economic privilege and win quality health care for all.

Source: U.S. Socialist Appeal