Tuesday, October 17, 2017

Role of Public-Private Partnerships after Repeal and Replacement of Obamacare

by Mark W. Gaffney
Kentucky Senator Rand Paul appeared on CBS News Face the Nation, Sunday sitting on the hot seat in an interview with John Dickerson to lambast an inordinate amount of government subsidy to bail out the health insurance industry. Senator Rand Paul berated the issue of excessive government subsidies of health insurance industry with the following statement,
“ I’m not for any taxpayer money going to a company that makes 15, or an industry that makes $15 billion a year. I think it’s absolutely wrong”
Senator Rand Paul outlined his plan to fix healthcare on Face the Nation:
“I would let everyone in the individual market join a group plan. How would I do that? I’d let group plans be formed by anybody that wants to form them. Chamber of Commerce, a farm bureau, credit unions, you name it. I’d let anybody form an association. And what would happen is almost everybody would flee the individual market because it’s a terrible place.”
Kentucky Senator Rand Paul’s opposition to the current Senate healthcare legislation  matters because loss of only two U.S. Senate  votes can doom the new Repeal and Replace  Obamacare legislation to failure. How Senator Rand Paul’s plan can be implemented on the state level in a fair and equitable manner inclusive of all American citizens who have made a contribution to the labor market is challenging daunting task.
How economic policy implemented by Kentucky Senator Rand Paul may facilitate conditions enabling sick people to join a  group plan remains to be seen. An establishment of fair and equitable inclusive healthcare policy is essential to democracy as detailed within my Facebook Reflection Inc. post.
Why is the healthcare issue so important ?  During this historical epoch characterized by an accelerated rate of scientific progress and technological returns debate about healthcare has direct implications about intrinsic value of human beings and contributions by individuals over course of a lifetime.
People work their entire lives to achieve the American dream and save to make a better future for their children and children’s children. Our nation is built upon the principal of an inalienable right to life, liberty, and pursuit of happiness. Any legislation that makes medicines unaffordable and setup conditions allowing denial of quality healthcare for American citizens who have worked hard in their lives to make a contribution is an infringement upon an inalienable right to life, liberty, and pursuit of happiness
One can read the transcript of John Dickerson’s CBS Meet the Press interview with Kentucky Senator Rand Paul at the following URL address:
The mother of all paradox and irony of all ironies is that Senator Rand Paul’s concerns about government subsidy of Healthcare insurance industry may be right to a certain degree.  An article published by the reputable fact checking media company, Politifact, entitled Michael Moore: Obamacare Sends over $100 Billion Annually to Insurers, validates Kentucky Senator Rand Paul’s concerns from perspective of one of the most liberal political pundits on Earth.
One can read the article, Michael Moore: Obamacare Sends over $100 Billion Annually to Insurers  at the following URL address:
The Politifact article cites the U.S. Federal government Ways and Means Committee portraying the healthcare insurance industry as heavily taxed with following statement,
The overall plan raises billions in taxes and fees. In 2017, the government expects to collect about $11.4 billion from insurance companies. That could cut into profits but most analysts, including the CBO and America’s Health Insurance Plans, an industry trade group, expect companies to pass those costs on to consumers.”
If the healthcare insurance industry are beneficiaries of government subsidies under Obamacare, than it is an enigmatic oddity that the healthcare insurance industry have also been benefactors of tax breaks based upon salaries of healthcare insurance executives under Republican leadership.
An article published by CNBC News entitled, Outrage over $400 million tax break for health insurance executives under GOP Obamacare replacement plan, outlines tax breaks based upon healthcare insurance corporate executive salaries.
My proposal is superior to the GOP practice of providing tax deductions based upon salaries of CEOs at health insurance companies because instead of basing tax deductions upon salaries of CEOs at health insurance companies tax deductions are used as incentives for health insurance companies and other corporations comprising private sector to invest as stakeholders in hospitals and other medical institutions.
My proposal can be found published on my commercial Facebook page Reflection at the following URL address:
As a freelance writer and political consultant, my proposal to transfer massive government healthcare spending to the private sector may help Republicans reduce the national fiscal deficit on financial documents only.
My proposal will help Republicans address the massive fiscal deficit by transfer of government healthcare expenditures to the private sector on financial documents only. The establishment of public – private partnerships under my proposal will simultaneously bolster the medical community thereby creating a health care system capable of providing superior healthcare for all Americans.
I strongly believe my idea about the expanding role the private sector may play to financially support hospitals and other Medical institutions after cutbacks in federal programs under Trump Administration is a good idea for a syndicated article. In order to implement my proposal lawmakers may have to modify current Internal Revenue Administration ( IRA ) rules, regulations, and laws.
It is not known rather or not my proposal will work. The proposed cutbacks under Trump Administration may be devastating to millions of Americans, therefore lawmakers do not know for certain if the new health care legislation will work either. We all know that legislating is a trial and error process given the incredible number of ever changing economic variables.
IBM Watson is artificial intelligence designed to enable quick data driven insights under changing economic conditions. My freelance article entitled, Today's Neo Marxist Quagmire: The 2008 Financial Collapst as neo Marxist Quagmire, provides socioeconomic insights into implementation of artificial intelligence. 
If government healthcare benefits for millions of Americans are slashed plus millions of Americans loose coverage after repeal and replacement of Obamacare then this will be financially devastating to hospitals, medical institutions, doctors, nurses, as well as the entire medical community. The new health care legislation may sink the Republican party permanently in upcoming elections if compromises are not worked out. The proposals outlined in my freelance article may be the compromises necessary to make Trumpcare work.
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.
Philanthropy is about volunteerism. However, altruism regarding becoming a stakeholder in hospitals and financial institutions is an intelligent investment for corporate America. Corporate America should have a financial interest in quality healthcare because corporate America needs strong healthy employees. 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. 
I would like to write and syndicate my article in numerous print publications in United States . I believe my proposal has vital implications to help both Democrats and Republicans get what they want, which should be a better health care system for everyone
According to Google, a corporations is defined as:
  1. company or group of people authorized to act as a single entity (legally a person) and recognized as such in law.
Thus, corporate infrastructure of healthcare insurance companies likely represents owners of major business throughout Corporate America. It has often been commonly argued that corporations are not people. although corporations represent large segments of people within a population that lawfully can act as one business entity. How sick people, elderly, disabled, disenfranchised, and unemployed people who unfortunately are not members of a corporation can move away from individual plans to much better group plans offered within markets on the state level is a problematic issue.
My proposal is a synergy of strategic Investment and leveraging the power of philanthropy for the common good.
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:
According to the Harvard  Business Review  article,
But there is another, more truly strategic way to think about philanthropy. Corporations can use their charitable efforts to improve their competitive context —the quality of the business environment in the location or locations where they operate. Using philanthropy to enhance context brings social and economic goals into alignment and improves a company’s long-term business prospects”
“In the long run, then, social and economic goals are not inherently conflicting but integrally connected. Competitiveness today depends on the productivity with which companies can use labor, capital, and natural resources to produce high-quality goods and services. Productivity depends on having workers who are educated, safe, healthy, decently housed, and motivated by a sense of opportunity”
In Reflecting upon a quote from former President George H. W. Bush as shared by the bipartisan political advocacy group No Labels I shared the following thoughts on my commercial Facebook page Reflection:

“When people put there party’s fortunes, whatever the party, before the public good, they court defeat not only for their country but for themselves.”
In Charles Dickens,  A Christmas Carol, Scrooge and the ghost of his deceased business partner Marley were talking about success in business. Marley shook his chains and cried out ‘ mankind was my business ‘.
The private business sector has a vested interest to build human capital. The process of building human capital allows private industry to expand and increase market share.
The process of building human capital is an Intelligent data driven task of analyzing impact of inflationary and deflationary pressures upon middle class citizens within various geographic areas.  One major goal for intensive data driven task of analyzing impact of inflationary and deflationary pressures within vastly different wide ranging economies is to make intelligent shrewd business decisions so as to prudently adjust cost of living index in order to remove obstacles and prevent stifling personal growth and development of citizens.
Intelligent data abstraction about complex factors influencing markets by Artificial Intelligent systems like IBM Watson can play a significant role in reducing economic disparity  by facilitating barter and trade between vastly different geographic regions.
Intelligent surveillance applications will create conditions where crime does not pay thereby increasing municipal funds.
Personally, I am opposed to repeal and replacement of Obamacare, but instead favor overhauling Obamacare by introduction of capitalist free market practices. It may be possible to tweak socialized medicine with capitalist free market practices to improve healthcare for all American citizens. I wrote about this legislative process in a previous freelance article I wrote:
No Labels is a new political advocacy organization that encourages Republicans and Democrats to work together engaged in art of compromise to craft excellent legislation beneficial for all American citizens.
My freelance article is an unbiased examination of the aftermath of repeal and replacement of Obamacare from an optimistic perspective:
My freelance article is an unbiased examination of the aftermath of repeal and replacement of Obamacare from an optimistic perspective:
It is possible proposals outlined in my freelance article may help lawmakers (1) reduce the massive federal deficit by transfer of government healthcare spending to the private sector, (2) improve healthcare for all American citizens by establishment of public – private partnerships and (3) improve healthcare for all American citizens by incentivizing private sector investment within medical community.
My commercial Facebook Reflection page includes a Reflection about these issues:

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