By Mark W. Gaffney
Bleep rolls downhill. An article published by Reuters entitled, Trump attacks Mitch McConnell for second day over Senate health policy failure, depicts how bleep rolls downhill as Kentucky Senator Mitch McConnell becomes a target of Donald Trump’s firestorm Twitter tirades.
http://www.reuters.com/article/us-usa-healthcare-mcconnell-idUSKBN1AQ1QK?feedType=RSS&feedName=topNews
In the aftermath of U.S. Senate failure to repeal and replace Obamacare, Sorry to say I told you so. As a political consultant and freelance writer, my article entitled, Double, Double, Toil, and Trouble, outlined legislative risk of compressing 75 years of political battles regarding healthcare reform into a short 4 year administrative term as Chief Executive.
My freelance article, Double, Double, Toil and Trouble, can be found at the following URL address:
The GOP should be careful not to bite off more than they can chew too quickly early onward within legislative sessions. The passage of health care reform is a gigantic fire breathing dragon within the political arena that has made mincemeat out of great lawmakers and politicians of bygone decades.
Many decades during twentieth century saw fierce resistance to socialized medicine. The history of health care reform is outlined in an article entitled, Long Time Coming: Why Health Reform Finally Passed, published in Health Affairs journal.
A key quote from the article, Long Time Coming: Why Health Reform Finally Passed, is the following snippet:
"The twentieth century was unkind to health reformers. National health insurance proved a maddeningly elusive goal, as a parade of presidents—Harry Truman, Richard Nixon, Jimmy Carter, and Bill Clinton—tried and failed to overhaul the nation’s health system.1 Every time reformers got their hopes up, their plans ran into an array of formidable obstacles, including fierce opposition from stakeholders . . ."
The health care system is so big that a parallel can be drawn with 'too big to fail banks' that contributed to the financial collapse of 2008. Legislative tinkering with institutionalized medicine during the Trump administration can cause unprecedented economic devastation if lawmakers don't exercise great care.
As a political consultant I would advise the President to proceed with caution in terms of moving too quickly to overhaul socialized medicine, essentially known as Obamacare. I would advise the President to move slowly towards incorporating free trade practices within competitive markets with ultimate goal to synthesize Trump Care based on capitalism.
Notice I used the term overhaul, instead of term dismantle. Although, radical staunch conservatives within the rank and file Republican base vehemently opposed to socialized medicine may like the term "dismantle" instead of "overhaul" for all practical pragmatic purposes overhauling Obamacare is a realistic goal to achieve for a successful Republican Trump presidency.
Donald Trump's quick sign off of executive orders for legislative action to dismantle Obamacare is simply to placate staunch radical right wing conservatives within the Republican rank and file base. Many staunch radical right wing conservatives within the rank and file Republican base paid big money to help Donald Trump get elected into the White House.
An overhaul of Obamacare is a process of introducing capitalist free market competitive practices within dynamic framework of socialized medicine to revve up the dragster speed monster hot rod engine of the American health care system synthesized into Trump Care. Trump Care synthesized as Obama socialized medicine tuned up with capitalist free market competitive practices will be a revved up dragster speed monster hot rod engine capable of profitability providing superior health care for everyone.
Everyone has the same goals. Everyone wants a health care system that can profitably provide superior healthcare for everyone. Everyone may have a different strategic plan for how to create an exceptional model health care system capable of profitably providing superior health care for everyone.
As a political consultant I advise our President to appeal to sensibilities of radical staunch conservative campaign donors, who are vehemently opposed to socialized medicine, in regards to quickly dismantling and replacing Obamacare.
It took over one half century for legislative passage of institutionalized government healthcare. It is simply unrealistic over one half century of legislative work will be dismantled and replaced overnight. Also an inherent risk of economic devastation exist, as a consequence of moving to fast, rushing to overturn socialized medicine.
One can easily empathize with radical staunch right wing conservative rank and file Republicans vehemently opposed to socialized medicine. Major Republican campaign donors who negotiate health care contracts on behalf of employees amounting to billions of dollars are understandably incensed by a stakeholder claim by government benefactors in a business they built from scratch as a direct result of socialized medicine.
President Donald Trump rejected my proposal to postpone real work of overhauling socialized medicine until the second year of Donald Trump’s first term in office. My proposal to postpone real work of overhauling socialized medicine until the second year is to allow time to forge working relationships among lawmakers.
In early legislative sessions the most immediate concern is to forge working relationships among House colleagues from opposite sides of the aisle. In terms of forging working relationships between Democrat and Republican colleagues in early legislative sessions more work gets done on the golf course and in other relaxed informal settings than within tense Congressional chambers.
It may be a good idea to postpone the real work of overhauling socialized medicine within tense Congressional chambers until the 2nd year of Donald Trump's first term as President. Negotiations about nitty gritty details of overhauling socialized medicine within tense Congressional chambers may be more successful in 2nd year of Donald Trump's first term in office because during second year liberal and conservative Congressional colleagues will have forged improved working relationships within relaxed informal settings conducive to getting spectacular legislation passed.
So why did President Trump urgently want to take such an enormous political risk by rushing headlong into repeal and replacement of Obamacare early onward in his presidency? The answer to this question may be discovered by fully understanding what Donald Trump means when he says Obamacare is about ready to implode.
What does it mean when Donald Trump claims Obamacare is about ready to implode?
Eventually, Obamacare will implode due to Obamacare adding to (1) fiscal deficit, and (2) adding significantly to the tax payer burden. An escalating high cost of Healthcare ultimately is accrued to the United States government in the form of tax deductions and subsidies offered by the U.S. Federal government to healthcare insurance companies. Obamacare will implode upon collapse of the United States federal government.
My well researched article entitled, Mother of all Paradox Revelations Sinks U.S. Senate Healthcare Bill, outlines how Obamacare is quickly imploding:
Liberal political pundit Michael Moore butted heads with former President Barack Obama over the matter of 100 billion dollars of federal government money used to subsidize health insurance companies. Michael Moore has not been heard from as much after this debate.
The article published by the reputable fact checking media company, Politifact, entitled Michael Moore: Obamacare Sends over $100 Billion Annually to Insurers, is referenced in my freelance USA Politics Today article, Role of Public-Private Partnerships after Repeal and Replacement of Obamacare at following URL addresses:
http://www.politifact.com/punditfact/statements/2014/jan/03/michael-moore/michael-moore-obamacare-sends-over-100-billion-ins/
An inordinate amount of power and control by either public or private sector over lives of private citizens is a major concern in current Senate healthcare debate given we live in historical epoch where an accelerated rate of scientific and technological returns is rapidly changing society.
My freelance article entitled, Repeal and Replacement of Obamacare is Not a Campaign to Slash Healthcare Coverage, but Instead a Fiscally Prudent Effort of GOP Conservative Republicans to Manage Powerful Market forces to Control Escalating Prices, corrects erroneous public perceptions about legislative effort of GOP conservative Republicans:
GOP conservative Republicans are not engaged in a crusade to increase cost of healthcare insurance nor slash healthcare coverage. Instead, repeal and replacement of Obamacare is a fiscally prudent effort by GOP conservative Republicans to manage powerful market forces to control escalating prices. Ultimately, inflationary cost of medicine accrued to government increases size and scope of federal government.
Although, the American Medical Association campaign to insure all Americans have healthcare insurance coverage is a noble effort, the AMA campaign can potentially foster codependency upon pathological market pressures that contribute to spiraling inflationary price increases accrued by U.S. Federal government.
My proposal to control escalating cost of healthcare is outlined in my freelance article entitled, Public-Private Partnerships after Repeal and Replacement of Obamacare, at the following URL address:
My proposal is a synergy of strategic Investment and leveraging the power of philanthropy for the common good. Investments by private sector in hospitals and medical institutions is tantamount to contributing to healthcare savings plans of citizens by lowering overall cost of medicine.
An article in Harvard Business Review entitled, The Competitive Advantage of Corporate Philanthropy, provides insights into strategic philanthropy and leveraging power of Investment to increase corporate profits as well as contribute to the common good. The Harvard Business Review article entitled, Competitive Advantage of Corporate Philanthropy, can be found at the following URL address:
The proposal outlined in my freelance article may not be considered practical. Government healthcare is a highly regulated industry whereas laws force mandatory compulsory compliance to insure quality healthcare for all American citizens.
It may be possible for lawmakers to provide incentives in the form of tax deductions for the private market sector to invest in hospitals and medical institutions.
Photo courtesy of Alarcon Benthos @ Pixabay https://pixabay.com/en/users/AlarconBenthos-4350688/
Photo courtesy of Alarcon Benthos @ Pixabay https://pixabay.com/en/users/AlarconBenthos-4350688/
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