If anyone thought in the waning weeks of the presidential campaign that
healthcare would return as an election issue worthy of media headlines the
slovenly banking and credit industries pretty much put a $700-billion
kibosh on that.
Prior to September 2001, few outside of the fictional world of
Hollywood and thriller novelists could fathom terrorists in real life
flying passenger jets into buildings. Flash forward seven years: Prior to
September 2008, few outside of the frictional inner circle of Washington
could fathom the federal government bailing out mismanaged publicly owned
financial corporations beset by bad business decisions and downright greed
– regardless of the deregulation blame game, incessant finger-pointing and
the pointless Henry Waxman-orchestrated Congressional grandstanding.
Now, taxpayers will end up footing the bill for corporate CEOs and
Congressional leaders – all of whom either have retained their jobs or
have "escaped" to retirement with hefty golden parachutes and pensions,
despite their despicably subpar performances. Bottom line: They all should
be fired, forced to pay back their ill-gotten gains (even if they retired
or left appointed or elected office a decade ago) and required to perform
community service.
Accountability is the operative word.
So what about healthcare? Imagine if Hillary Clinton and her Jackson
Hole group in 1993 could have used this "strategy" to implement universal
healthcare. That would be then-Speaker of the House Newt Gingrich you hear
hacking up a hairball at the proposition and even the prospect. Not
anymore.
The parallels between the banking and credit institutions and
healthcare organizations – particularly insurance companies, managed care
organizations and payers – are uncanny.
Sure, the healthcare industry doesn’t have derivative profiteers,
speculators, house flippers and those with little-to-no ability to assume
responsibility for a mortgage but "earn" one anyway, courtesy of
incredibly relaxed rules and standards that stretch logic (as an aside,
why hasn’t former Fed Chairman Alan Greenspan weighed in on all of this
yet?).
But imagine what a $700-billion infusion of cash into the healthcare
industry could do to yank it back from the brink? Nothing, you say? Not
necessarily. On the surface it would seem simply enough like the money
would shoot pneumatic tube-style through the system only to end up in a
black hole without fixing the inherent operational inefficiencies.
Ah, but au contraire. If someone like Treasury Secretary Henry Paulson
(he of Goldman Sachs stock) were to apply his draconian white knight
heroics to the Department of Health and Human Services, as well as the
Centers for Medicare and Medicaid Services, he should be able to
accomplish more than, say, any medical doctor in Congress whose family
owned the largest investor-owned hospital chain in the nation.
With great loans comes great responsibility – as in rules. Or at least,
that’s how it should be with plenty of legal and regulatory strings
attached. Think of the possibilities: Under a Paulsonic-initiated and
federally backed universal healthcare system, access would be guaranteed,
errors would not be tolerated, electronic health records would be
mandated, quality would be enforced and reimbursement would not be denied
for pre-existing conditions – specifically if the feds became part owners
of the payers.
Some will argue that because hospitals have to treat patients
regardless of their ability to pay (because that’s the foundation for the
charitable ER Inc.) we already operate a form of universal healthcare. At
least that’s more realistic than a federal bailout of the healthcare
system.
Fixing the "broken" healthcare system requires some agonizing decisions
that will generate considerable pain that all must suffer – not just a
particular class or creed. The same should happen in the fiscal frat-like
financial system. Alas, that’s not happening either.