Editore"s Note
Tilting at Windmills

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for Free News & Updates

December 14, 2009

LIFE AND DEATH.... When people talk about why health care reform is necessary and why the dysfunctional status quo is unsustainable, the list of reasons includes plenty of obvious bullet points: tens of millions of uninsured, medical bankruptcies, spiraling costs, deficit reduction, undermined businesses and entrepreneurship, putting America at a competitive disadvantage, etc.

One of the most morally unambiguous arguments often goes unsaid: if health care reform fails, more Americans will die.

It sounds overdramatic. Overwrought. Something "serious" people aren't so supposed to say.

But the data is hard to ignore. Ezra Klein reports today on the Institute of Medicine's "detailed methodology for projecting the lives lost due to lack of insurance." The figures point to at least 150,000 American deaths this decade, not including bankruptcies and/or people who are suffering but haven't died.

We're very comfortable talking about the financial cost of health-care reform. We're less comfortable talking about the human benefits. But the fact that health insurance saves lives isn't controversial.... All this is intuitive. The uninsured are less likely to seek early care. They are less likely to get good care. They are less likely to return for follow-up care. They are less likely to be able to afford the maintenance of chronic conditions. At its most basic level, that's what this is all about. That's why people have been fighting for universal health care for almost a century now. That's why this matters, and why the basics of the bill -- subsidized access to health-care insurance -- are so terribly important. This is life and, well, death. Lots of it, in fact.

It's why, before this year, seven presidents have tried to reform the broken system -- we have a medical system that saves lives, but too few Americans have access to it and too many Americans are kicked out of it when they need it. We pay too much and get too little. Ezra added:

[T]hose who would be so cavalier as to close the door because of the public option, or the Medicare buy-in, or the absence of either thing, should think long and hard about those numbers.

I could imagine a cost-benefit analysis that judges the whole bill worth it, or the whole bill not worth it. But it is very, very hard to imagine a cost-benefit analysis in which small policies operating on the margins and promising to save small-but-measurable amounts of money are worth more, in either direction, than the hundreds of thousands of people who will be saved -- not to mention spared bankruptcy, and lifted from chronic pain or impairment -- by the rest of the bill. The areas of controversy have become very slight given the magnitude of the underlying bill.

I'm reminded of a poignant piece Chris Bowers wrote a couple of weeks ago, effectively arguing that this comes down to the plight of the uninsured, and the thousands of Americans who die every year because they lack coverage. Even without a public option (or Medicare buy-in), the Democratic plan would vastly improve this national embarrassment.

Steve Benen 2:00 PM Permalink | Trackbacks | Comments (21)
 
Comments

but but but it's not obama's fault if health care is not reformed by the so-called Health Care Reform Bill to be passed soon. It's the meanie Republicans.

Posted by: gregor on December 14, 2009 at 2:07 PM | PERMALINK

As a republican, why would you believe that I should give a damn if a bunch of poor or working class peons die?

As a wealthy American, I understand that this is just a small price to pay for increasing the wealth of myself and other worthy Americans.

Our low information base will not care either, because we will make sure that our corporate media and our power hungry religious leaders keep them uninformed.

As a wealthy republican, I can assure you that providing health care to working peons is not on my list of priorities, especially when there is a chance that it would negatively impact my wealth.

Posted by: RepublicanPointOfView on December 14, 2009 at 2:08 PM | PERMALINK

These live saving measures are being opposed by the majority of the pro-life community. Why no one in the media is asking them to explain why they are so sensitive to potential lives and so indifferent to the lives of actual living persons?

Posted by: Yoni on December 14, 2009 at 2:14 PM | PERMALINK

My brother, who did not have insurance, recently died from the cancer that was not found before it was too late. The thought of taking a baseball bat to the head of that sanctimonious SOB keeps coming to mind when I see Joe's picture.

Posted by: montag on December 14, 2009 at 2:18 PM | PERMALINK

This is the sort of stuff where speaking in "stark moral terms" from the left is appropriate: smash-mouth progressivism.

Republicans are murderers because of inaction.
Dems are the Pro-Life party, as in we want people to live longer, better lives.

Posted by: r_m on December 14, 2009 at 2:20 PM | PERMALINK

Scary brown people kill 3k Americans, and we suspend the constitution, spend trillions, kill tens of thousands.

But something to actually save lives? Har!

Posted by: Dems lose huge in 2010 on December 14, 2009 at 2:21 PM | PERMALINK

Your indignation is misplaced.

Obama has never said that he wants is a real Health Care Reform package. Whenever he has talked about it, he has talked more about the financial side - no effect on deficit yada yada yada. In summary he is more concerned about pleasing the Republicans than saving lives.

We voted for Obama.

He baited and switched.

First, we should be blamed for being so easily snookered.

And then Obama who snookered us.

Joe is an insignifacant man.
Obama made him significant with his pussyfooting.

So even Joe is Obama's fault.

Posted by: anon on December 14, 2009 at 2:24 PM | PERMALINK

As a Canadian, I would be grossed out to have to live in a world where fellow citizens around me were suffering needlessly.

As a conservative, I recognize that the liberal solution to a complex societal problem is the better than any conservative alternative.

I doubt very much that U.S. Republicans can look people in the eyes.

Posted by: Bob M on December 14, 2009 at 2:26 PM | PERMALINK

So what are you saying shmuckhead anon? we'd have been better off with McCain and Palin.

Posted by: Gandalf` on December 14, 2009 at 2:31 PM | PERMALINK

I think he's saying that Hopie is not who he pretended to be with all pretty talk last year about changing the world. Or as Pete Townshend said, Meet the New Boss. Same as the Old Boss. But hey, I'm just guessing.

Posted by: Pat on December 14, 2009 at 2:33 PM | PERMALINK

Gandalf

Actually I am beginning to think we might have been better off, for McCain would not have had to placate the Republicans or Joe at every step of the way.

Nixon and China and all that.

Obama has retrospectively proved to be a bad choice. I do not think that whatever policy decisions that he has made so far are too different from GWB's and since McCain's would have been similar, I think that you Obamabots are exaggerating the importance of having elected Obama.

Posted by: anon on December 14, 2009 at 2:37 PM | PERMALINK

The GOP would dearly love for the health care reform debate to center around the congressional personalities and the policy abstractions. Talking about life and death infuriates them because it reminds people of the actual human costs of killing the bill and the enormous cynicism that has dominated the right wing through their obstructionist tactics. Their discomfort should not inhibit our discussion of the human costs of derailing (instead of debating and improving) health care.

Paging Dr. Grayson.

Posted by: danimal on December 14, 2009 at 2:42 PM | PERMALINK

Point at the deaths resulting in inadequate health care and inadequate coverage. Don't let the financial agruments get a hearing. If this country can spend trillions on war, we certainly can spend a trillion on covering ALL Americans, documented of not, with adequate healthcare.

Posted by: disgusted on December 14, 2009 at 2:55 PM | PERMALINK

It is not like all of a sudden people are dying because the privatized health care system in this country is corrupt. the infantile american public may see it that way.

In our technological world, corporatized giganticism, etc., mass-murder is the underlying theme of every corrupt and 'conservative' decision by this government -- not just the wars both Dims and Repugnants run to kill Other peeps... they mass-murder the American peeps, too, every day...

"benign neglect" and corruption is as american as apple pie...

Posted by: neill on December 14, 2009 at 2:59 PM | PERMALINK

1. If thousands of uninsured people die,
2. and you oppose affordable coverage,
3. then you are a murderer.

The prosecution rests.

Posted by: buddy66 on December 14, 2009 at 3:33 PM | PERMALINK

buddy66: That says it quite clearly. Too bad it is already off the table. See the next post from Steve B. Back to talking about reconciliation and strategy.
The bottom line is that this is murder and the Congress is complicit. No other argument is relevant.

Posted by: disgusted on December 14, 2009 at 3:41 PM | PERMALINK

I think the hard part is that if reform is pared back to incremental fragments, we're not saving all of those 150,000 lives — and it doesn't make such a great moral argument to say you must vote for this program that will let only 140,000 people die needlessly.

Posted by: Suzii on December 14, 2009 at 4:10 PM | PERMALINK

Amazing reading how people prefer to let others die because "it costs money to keep "them alive."
Talk about an American Holocaust, or can i use that word?

no lies are called on in the media.
no one calls anyone liars

Republicans, especially, are human profiteers on human misery.

greedy deathers these ilk.

Posted by: bernard on December 14, 2009 at 6:51 PM | PERMALINK

Will it actually get more people covered or just get more people in debt and more imprisoned.

My friend has Medicare but lives below the poverty level. His cardiac cath was $11,000+ and his part of that was near $800. Paying for oxygen and monthly medical bills makes it impossible for him to make even a $10/mo pymnt on the cath procedure.

Get the point. If he needed a hip replacement etc. he would find it hard to survive owing everyone and not capable of paying...even with ins.. This bill must change that so Medicaid is not 30% of poverty level. Will it? The concerns of many is that throwing the rest of those who are forced to get private ins into the fire because it will save lives corresponds to refusing to stop funding the war because many would die if they didn't have enough bullets to protect themselves.

It's not a trade off when we are perfectly capable of doing both...stop funding the war and protecting the troops as we get them out of harm's way = providing health care to those who don't have it while ending the profiteering, pre-conditions, caps and rising costs for those who do have ins. I don't like being played one against the other. I don't like people saying "just accept it all it will save lives" as if that is the only way to save lives. Shooting Lieberman, Nelson and all senate republicans is another...that's 43 senators dead compared to 45,000 that will die this year if these senators don't change...yet no one is playing them off against each other...No one is screaming "we must kill senate republicans if we are to save lives"...because it is unnecessary...just like dicing the HC bill to save lives is unnecessary...we can still save lives without ruining this bill. How much does it take for you to say "No-way"...Stupak expanded, no regulations on private ins.,...Now that they know you'll do anything to save lives...what is there to stop them from adding anything they want if they can get Joe to agree with anyone item. Screw this bill and change the senate rules on opening next sesson and begin again. (Screw this "we can save many lives if you'll just surrender" logic. Somethings are worth dying for)

Posted by: bjobotts on December 14, 2009 at 7:30 PM | PERMALINK

Echhooooooooooooooooo chamber!

Posted by: Pat on December 14, 2009 at 9:58 PM | PERMALINK

Obama has failed Americans by putting politics over principle . Health care is a moral issue! Joe Lieberman is amoral. He has sold his soul to the demonic right wing!Americans continue to suffer for the 1% rich.

Posted by: ml johnston on December 15, 2009 at 7:36 AM | PERMALINK
Post a comment









Remember personal info?










 

 

Watch the Video -- Read the Report

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for Free News & Updates

Advertise in WM

Contribute to Washington Monthly


View Understanding REDD




buy from Amazon and
support the Monthly


Place Your Link Here

--- Links ---

Loans

Moving Companies

International call for FREE

Engagement Rings

Promotional Products

Flowers

Slimming and diet pills

Loans

Personal Loan

Personal Loans

Addiction Treatment

Phone Cards

Less Debt = Financial Freedom

Addiction Treatment Programs

Credit Cards & Debt Consolidation

Vacation Rentals