Senator Ron Johnson and The American Jobs Act

Wisconsin Republican Senator Ron Johnson recently replied to President Obama’s address to the joint session of Congress. In email sent to Wisconsin voters, Senator Johnson called The American Jobs Act “the definition of insanity” because, to the Senator’s way of thinking, it merely repeats American Recovery and Reinvestment Act of 2009 (ARRA).

Actually, Mr. Johnson could not bring himself to use the proper titles of either the ARRA or the President’s proposed legislation. The latter is simply the “latest government stimulus program.” Neither could Mr. Johnson address any of the specifics of the proposed legislation.

Mr. Johnson did begin with ad hominem.

“As I sat listening carefully to our President, it was painfully clear that his remarks were merely a campaign speech. His proposals were designed to assist in his reelection campaign, rather than a serious attempt to forge alliances, address our massive debt, strengthen our economy and create jobs.”

It has been difficult for Republicans to deal with a president who is arguably the best communicator to occupy the Oval Office since President Ronald Reagan. It is particularly grating as this president follows eight years of Mr. George W. Bush, who was the master of malapropisms. President Obama, however, repeatedly spoke to the concerns of both Republicans and opponents in his own party. He appealed for their support in terms of their own goals. Mr. Johnson’s claim that Mr. Obama’s address was only a campaign speech is inaccurate and unfair.

Certainly Mr. Obama’s speech cheered his supporters and annoyed his opponents. It is undeniable that Mr. Obama is running for a second term and the speech did not hurt that effort. That there was a political aspect to the speech is unsurprising to any mature observer of our government. Characterizing the detailed proposal the President set before the joint session of Congress as merely a campaign speech, however, only reveals the weakness of Mr. Johnson’s position.

That weakness is manifest as Mr. Johnson sputters on in his email.

“Even worse, the overall substance of his proposals were nothing more than a rehashing and repackaging of the same big government, ideological agenda that our President has already tried – driven our debt up another $4 Trillion - and have failed miserably. These ideas would simply double down on that failure.”

Mr. Johnson needs a grammarian. Verbs are supposed to agree with the subject of a sentence. “Substance” is singular and requires the singular “was” not “were.” He should have chosen “rehashing” or “repackaging.” Using both is redundant. The accusation that the President’s “ideological agenda” drove up the debt “another $4 Trillion” calls for another sentence and should not have been smashed into this one. (Trillion should not be capitalized.)

Mr. Johnson ignores the niceties of grammar and the specifics of the President’s speech because all he has is Tea Party boilerplate. Mr. Johnson rants about “big government” but says nothing about the President’s expressed goal of jolting the private sector back to life. He ignores the President’s proposals to help small business. He makes no mention of the President’s tax cuts for middle class consumers. He is oblivious of the need to help the long-term unemployed.

In sum, Mr. Johnson’s complaint does not touch upon anything the President actually said, but merely repeats the talking points of the House radical Republicans. By ignoring the proposed American Jobs Recovery Act, he fails to prove that it is merely a repackaging of the American Recovery and Reinvestment Act of 2009.

The most significant falsehood of Mr. Johnson’s missive is his assertion that the American Recovery and Reinvestment Act of 2009 was a failure.

“Since his inauguration, during admittedly tough economic conditions, President Obama has taken America 180 degrees in the wrong direction. His failed $800 billion stimulus, Obamacare, Dodd-Frank and the explosion of his Administration's other job killing regulations have combined to put a stranglehold on our economy.”

Mr. Johnson’s only concession to the President is that he took office “during admittedly tough economic conditions.” This is a gross understatement. The President took office after decades of deregulation of the financial market initiated by Republican President Ronald Reagan and fostered by Randian Federal Reserve Chairman Alan Greenspan. Republican policies resulted in the 1980s Savings and Loan Crisis, the 2001 Internet Stock Bubble and finally, beginning in 2007, greatest financial meltdown since the Depression.

Mr. Johnson conveniently ignores the details so that he can continue to rail against government regulations. He specifies no regulations that kill jobs. It is he, not the President, who fails to learn from history.

(Note: Inside Job (2010), the Academy Award-winning documentary film about the late-2000s financial crisis directed by Charles H. Ferguson and narrated by Matt Damon is one-sided, and, I believe, unfair to President Obama. Its subject is complicated. Nevertheless, it is a good introduction to all the facts that Republicans would have us ignore.)

The Republicans have blocked the full implementation of the Dodd-Frank bill, so it is impossible to attribute anything good or ill to it. The Patient Protection and Affordable Care Act – which Mr. Johnson calls “Obamacare”—will not be fully implemented until 2014. That leaves only the so-called “failed $800 billion stimulus,” ARRA, as a possible “stranglehold on our economy.”

Did the American Recovery and Reinvestment Act of 2009 fail to increase employment? Mr. Johnson and his fellow Republicans have repeatedly said that it did. The economy is still in recession. Unemployment is still high. The ARRA did fail to meet with the administration’s projections. All of this, together with the fact that many citizens cannot distinguish GDP from GPS, makes the Republicans’ simple declarative statement, “The stimulus failed,” persuasive.

Repeat a falsehood long enough and you will convince the masses. This is particularly true with a subject as complicated as the economy.

On September 27, 2010, the independent FactCheck.org posted, “The economic stimulus package is a favorite target of Republican candidates and groups, but more than a few ads falsely claim it did not create or save any jobs. … The truth is that the stimulus increased employment by between 1.4 million and 3.3 million people, compared with what employment would have been otherwise.” (FactCheck.org, “Did the Stimulus Created Jobs?”) 

The Richmond Times-Dispatch PolitiFact.com examined Republican Eric Cantor’s May 26^th, 2011, statement, “They (Democrats) passed a nearly $1 trillion stimulus bill which failed to get people back to work.” The Virginia publication rated Mr. Cantor’s statement false after consulting experts from both the right and the left.

Both of these publications based their conclusions in part on the 2010 report of the Congressional Budget Office, which stated: “… CBO estimates that ARRA’s policies had the following effects in the second quarter of calendar year 2010:

•    They raised real (inflation-adjusted) gross domestic product (GDP) by between 1.7 percent and 4.5 percent,
•    Lowered the unemployment rate by between 0.7 percentage points and 1.8 percentage points,
•    Increased the number of people employed by between 1.4 million and 3.3 million, and
•    Increased the number of full-time-equivalent jobs by 2.0 million to 4.8 million compared with what would have occurred otherwise …” ( http://www.cbo.gov )

If Senator Ron Johnson had been doing his job, he would have known about the CBO report.

What animates Mr. Johnson, however, is not concern for the unemployed or the challenges of a global economy in recession. Mr. Johnson, as I pointed out in October of 2009, is an advocate of the Atheistic Capitalism of Ayn Rand. He is a true believer in an ideology that holds that government involvement in the economy, in any way, at any time, is wrong. From health care, to stimulus, to regulation, the government can only kill jobs.

Mr. Johnson writes, “President Obama simply and sadly does not understand the basic economic truth that expansion and job creation must come from the private sector, not government.”

One hopes that President Obama understands that in difficult economic times, remedies must be sought from both the private and public sectors. Progressives hope he understands that the history of this country is in part the history of a mixed economy, with the government playing a positive role in protecting the country from the excesses of capitalism. Mr. Johnson and his ilk hanker for a pure capitalism that has never existed and is every bit as false as Marxist-Leninist millennialism.

It is the insupportable small government advocacy of Mr. Johnson and his Republican colleagues that will take us in the wrong direction, as the August unemployment figures indicate.

“On September 2nd the government reported no net jobs were created in August. To be precise, private firms created 17,000 jobs while governments trimmed payrolls by the same amount. Adjusting for striking mobile-phone company workers, underlying private job growth was actually more like 60,000, consistent with an economy still growing; but barely.” (The Economist, “A Choice of Medicines,” September 10, 2011.)

The Economist does not say so, but I suspect the “governments” that trimmed their payrolls are the state governments run by Republican governors, like Wisconsin’s Scott Walker. Among the jobs trimmed are those of school teachers. President Obama’s American Jobs Act calls for the hiring of teachers to train students to be competitive in an increasingly global job market. This is just one small detail that shows that President Obama is the one working for America’s future, not Mr. Johnson and his small-government colleagues.

President Obama’s American Jobs Act is not all that progressives wanted. It is more than they expected. It is not a magic bullet. It will not immediately reverse the global recession. Mr. Johnson may choose to ignore it. The Congress should pass it and press on to strengthen both the private and public sectors of the economy.

An Unplanned Trip to the Emergency Room

To say that it was a headache would be an understatement. It was a headache from hell. It was a headache that made self-decapitation seem a reasonable alternative.

It was Wednesday, Veterans Day. It was a day off from work for me. The headache came shortly after my wife left for work. It came on suddenly, with full force, closing my left eye. I could not lie down. I could not do anything but pace around the flat howling.

It was difficult, but eventually I called my wife for help. She called neighbors.

One of our neighbors is a retired nurse. She did not take a very long look before she decided that I had to go to the emergency room.

It was fortunate for me that neither she nor her husband is concerned about how litigious this country is rumored to have become. They took me to emergency in their car when they discovered I had no health insurance to cover an ambulance ride. Such generosity is rare and foolish and wonderful. I thank God for my neighbors.

At the emergency room I was asked numerous questions as I writhed in pain. The hospital staff and I each attempted to do our separate parts with aplomb. I cannot complain about my treatment because I was out of my mind.

Blood was taken for tests. A CT scan was run. Nothing came from these or the doctor's examination. The pain was subsiding somewhat, but I was still sick. The doctor prescribed a spinal tap. He was frank about the pain. He was uncomfortably explicit about what the procedure entailed. It sounded terrifyingly medieval.

My head was in pain. I was asked to make a decision. It took time. I have no health insurance. I am spending money and I have no idea how much I am spending. I suspect it is money I do not have. I am sure it is money that was not in the budget. Who budgets for the emergency room?

There was a good chance the spinal tap would show nothing. If the spinal tap revealed anything, it would be something deadly.

I decided for the spinal tap.

The procedure was every bit as uncomfortable as promised. I will take three colonoscopies over one spinal tap any day.

The results: nothing. From the blood tests, the CT scan, the examination, and the spinal tap, nothing to indicate the cause of my sudden extreme headache.

I was sent home with prescriptions for three pain medicines to deal with the headache that might come as a side effect of the spinal tap. I doubt you have to read that last sentence twice to catch the irony. The headache I came to the emergency room with still lingered, less severe, for the next four days. I lost two days of work at a job for which there is no "paid time off."

Now there is nothing very special about my experience. There are people who suffer migraines and cluster headaches frequently. I have never been diagnosed as having either. This little episode, however, does illustrate several facts that undercut the Republican and conservative critique of universal health care.

Health care does not fit in the marketplace.

In my pain I was not offered different emergency rooms with different features. There was no choice of different CT scans with greater or lesser resolutions, or a spinal tap at the base of the spine or the base of the neck. Frankly, those sorts of choices were completely irrelevant. I wanted the pain to stop.

Neither did the services suggested come with a price up front. It was simply take the blood test, the CT scan, and the spinal tap, or leave it. The bill comes later. The doctor gave no indication that he even knew what a spinal tap costs.

Marketplace ideology does not work beneficial health care. A visit to the emergency room is not a trip to the grocery store and conservative critics of universal health care are, at best, fools for not recognizing this.

I was not going to write about this until I read conservative Milwaukee Journal Sentinel columnist Patrick McIlheran today.

Among the many falsehoods the Mr. McIlheran packed into his column was that "of course, the government now ensures the poor and the old get care. It even pays for the not-really-poor via programs like BadgerCare."

This is one of the many assertions conservatives make without support of facts – that the needy are being taken care of, even the not so needy. No need to fix what is not broken.

Well, the call came on Friday the 13^th. The hospital wanted to confirm that I have no insurance and screen me concerning my financial situation to see if I qualify for assistance. I do not qualify for any assistance. I will be getting a bill in four figures from the hospital. And a bill from the radiologist and another from the doctor. I am not poor, and Mr. McIlheran is purposely vague about what he terms "the not-really-poor," but there is no Badger Care for me.

This brings to mind another myth about our current system of health care that conservatives like to assert. It is said that hospitals must provide emergency care, even to the uninsured. In addition, it is said that when the uninsured do not pay, that loss of income is simply averaged over the bills of insured paying patients. The uninsured get a free ride.

I am sure that hospitals lose income treating the poor and uninsured. I am sure that they have found some way to recover that loss from the people who do pay.

The poor and uninsured are billed, however. They are expected to pay. After several billing notices, their accounts are handed over to collection agencies. The collection agencies use all available means to recover the cost. There is no free ride for the poor and uninsured in our current system.

I have never been to an emergency room as a patient before and I hope never to make another visit. If this country had the universal health care that is popular in so many other developed countries, preventative care might have discovered and addressed whatever brought on this headache so that there would have been no emergency room visit.

As it is, I have a debt in four figures and an inconclusive diagnosis.

Cherry-Picking in Health Care

Last month I wrote that there are two important facts that are ignored in our current health care debate.

Everyone gets sick.

Everyone dies.

These facts are not always ignored. For-profit health insurance companies do not ignore these facts. These facts affect their bottom line. Their response to these facts is to cherry-pick among their applicants. They pick those who are the healthiest and youngest.

The cherry-picking begins with the application for insurance.

I have before me an application. It has three and a half pages of intimidating, broadly worded health questions that must be answered before insurance is granted.

The intimidation works this way. The prospective client must answer all the questions with full honesty, or eligibility will be denied. On the other hand, the prospective client, out of reasonable self-interest, will not want to overstate any health issue or problem, or eligibility will be denied.

In addition, if the prospective client neglects to reveal any condition because it is deemed trivial, or for some reason irrelevant, or the prospective client simply forgets, then the company reserves the right to rescind coverage even after granting the policy.

In three and a half pages, the prospective client must reveal the intimate details of his visits to the doctor with the knowledge that everything stated and unstated will be used against him in the event the for-profit insurance company decides that a claim for coverage should be denied. It is nothing less than three and a half pages of self-incrimination on the applicant's permanent record.

Forget what you have heard about "Washington" getting between you and your doctor. The intrusion of the for-profit insurance company is now much worse. The for-profit insurance company now intrudes, accepts premiums, and then reserves the right to use its intrusive, intimidating health history questionnaire to deny coverage.

The first use of the questionnaire, however, is to cherry-pick. Only the young and healthy will qualify.

In my previous post, I recounted the efforts of a worker to purchase a lower premium high-deductible health savings account policy. The worker is healthy, has a healthy life-style that includes a good diet and regular exercise. The worker has made full use of the preventative exams offered by the worker's current health care plan to stay healthy.

The exams, which should be part of any responsible person's health care, revealed two non-life-threatening conditions.

One condition was revealed by advanced medical technology. A few decades ago, I doubt that it would have been a matter of concern at all. The worker is grateful that the condition is being monitored, but has been told by medical professionals that there is no reason for concern. Simple prudence requires a modest amount of monitoring. (Readers will note that I am protecting the privacy of my source by not going into further details.)

The second condition is even more benign. Through the medical history questionnaire, the health care insurance company learned that the worker has a "History of Joint Pains."

Yes, the worker is closing in on sixty years of life. There have been "Joint Pains." There have been no tests, only the most cursory of examinations, and no prescription medicines. There may be a need for more serious care ten or twenty years from now – or not. Now the worker has some discomfort because the worker is closer to sixty than fifty – the pains are just part of getting older.

"History of Joint Pains" is how this company cherry-picks the young and healthy and excludes the rest. The "History of Joint Pains" preceded the worker's current health care plan, and did not resulted in one dime of claims under that plan. The "History of Joint Pains," however, does preclude the worker from getting a cheaper plan.

This worker is healthy. This worker is being denied cheaper health care under the current free market health care system. The practice of cherry-picking is denying healthy workers affordable health care insurance because our so-called free market system grants freedom only to the for-profit health care insurance companies for the benefit of their stockholders.

It is high time to admit it. The United States of America does not have a "health care system." The United States of America has a market where for-profit companies feed upon the facts that everyone gets sick, everyone dies.

Our worker is fortunate. Our worker for now has high-deductible coverage. The premiums have repeatedly gone up, but for now, the worker will manage to cover them.

This will not last. Moreover, there are others less fortunate than our worker.

Forget the public option. Anything less than single payer universal coverage is less than what is needed. Anything less is a shame in the greatest country this world has known.

The Failure of the Free Market Health Care System

Our national health care debate has included numerous anecdotal accounts of the failures of government-run health care policies. From the blogosphere to the mainstream media – and unfortunately today that includes the Fox network – people have come forward to recount how their relative in Canada, Great Britain, Germany and even Norway suffered illness and eventually died.

The fault is, of course, "socialized health care." Never mind that all of the countries named above have widely different systems of providing health insurance to their citizens. Disregard that not all of these countries practice "socialized health care."

Most of all ignore the fact that under any system, sick people will die and bereaved relatives will be offended and will find fault. Sometimes the faultfinding is justified. Many times grief clouds judgment.

What follows is an account where no one is sick, no one dies. It is anecdotal. Nevertheless, it is a true representation of what happens under the free market capitalist system of health care in the United States of America

A worker for a small concern purchases a high-deductible plan that is combined with a health saving account (HSA). It is the dream plan of the Republican Party. Contributions to the HSA are tax-deductible. Funds from the HSA can be used for the high deductible and health care costs not covered by the health care plan.

It is nice that health care savings are tax-deductible. The worker, however, works for a small firm and has an income that is congruent with working for a small firm. Contributions to the HSA necessarily come after paying for daily living expenses. Then there are the health care costs that drain the HSA even while the worker is trying to build this account with tax-deductible contributions.

This system requires constant vigilance.

Happily, the worker is healthy. The worker has healthy habits. The worker exercises regularly. The worker has a healthy diet. The worker is no athlete, and is not young. The worker is responsible and takes full advantage of the yearly physical examinations and screening tests covered by the high-deductible plan.

The worker pays the premiums of the high-deductible plan for two years, during which time the premiums increase no less than three times.

This is where the tale gets interesting.

After the first examination, a condition is revealed which in and of itself is not life-threatening, but could be serious. There are no symptoms of illness. There is only the possibility of illness.

The premiums for the high-deductible health plan go up again. The worker applies for a lower premium plan from another company. The worker's income has never gone up to meet the increase of the premiums.

The healthy worker is denied coverage by the alternate company because of the non-life-threatening condition revealed in the earlier examination. The worker is stuck with paying a higher premium.

The Republican Party has advocated that the free market system offers workers the freedom to make choices congruent with their income. Citizens can choose their health care providers. They can choose their doctors. They can control costs.

The Republican Party needs to return to planet earth.

The only freedom the present system provides is the freedom of heath care insurers to deny coverage and increase profits.

Anyone who is otherwise healthy will have a "pre-existing" condition simply because they have some existence.

The present system of health care provides no freedom for those who have employer-based insurance. It tethers them to their employer. The present system of health care provides no freedom to those who do not have employer-based insurance. They are at the mercy of companies who can deny coverage for the least reason. The present system provides no freedom for the 45 million who are uninsured. They ignore their symptoms until they need the emergency room. Or they die.

The citizens of the United States are at the mercy of so-called health care insurance providers whose motive is profit and not health care.

Read this essay again. It is not the tale of a sick person needing health care. It is the tale of a healthy person trying to pay for health care in this so-called free market and finding no freedom at all.

This is not my story. I have no health care insurance. I have too many pre-existing conditions. I will probably die before there is a civilized health care system in this greatest country the world has known.

Is the Opposition Loyal?

South Carolina Representative Joe Wilson has apologized. President Barack Obama has accepted his apology. Speaker of the House Nancy Pelosi has said that despite the violation of House rules, she is satisfied not to press the matter further since the President has accepted the apology.

It would be nice if the matter ended here. But it has not and it will not.

Mr. Wilson's Democratic challenger received hundreds of thousands of dollars in contributions instantly over the Internet in response to his outburst. The Democratic party is going to make use of this unfortunate incident in its future fundraising.

Mr. Wilson shouted, "You lie," when President Obama stated that the proposed health care reform would not provide coverage to illegal aliens. All authoritative reports have stated that President Obama was right. The proposed reforms explicitly exclude illegal aliens.

Republicans and organizations advocating stronger measures against illegal aliens contend that the proposed heath care reforms, while excluding illegal aliens, contain no measure sufficient for the enforcement of this exclusion. Whatever the merits of their position, it is an issue beyond what President Obama was addressing. He was not lying.

Nevertheless, while Mr. Wilson has become a symbol of Republican intransigence for Democratic fundraisers, he has also become a hero to those who are advocating stronger measures against illegal aliens.

"It is a real shame that the rest of Congress was not on their feet pointing out the president's lie about illegal aliens in his healthcare plans," said William Gheen, president of the Americans for Legal Immigration, a political action committee. (Los Angeles Times)

Without going into all the other permutations of this event, and without detracting from Mr. Wilson's apology or in any way questioning his sincerity, it is important to focus on just what happened and why his action was an offence.

President Obama was acting in his official capacity in addressing a joint session of Congress. There are rules that govern the conduct of the members of Congress in these events. Mr. Wilson and his party have recognized that he violated these rules.

This was not a town hall meeting. This was an official address to the elected members of Congress. It was not a time for debate.

Neither should the customs and rules of this event be confused with the customs and rules of a meeting of Parliament in Great Britain where the Prime Minister is regularly shouted down by the opposition.

We are Americans. We have different rules and customs by which we show respect for the elected head of the executive branch of our republic.

The Republican minority appropriately registered their displeasure with President Obama's speech by remaining seated at the several points when the party of the majority stood and applauded. That is their right. They also have the right to criticize the President after the speech on the floor of their respective bodies and in the press.

What we have here is an instance when the opposition ceased to be the loyal opposition. Mr. Wilson's outburst was not merely an act of opposition, but an act of disrespect for the office of the Presidency. It was such an act, in and of itself, even if – as I suspect – Mr. Wilson did not intend it to be. It was an act of disrespect for the office of the Presidency because it violated the rules and customs for a joint meeting of the Congress.

It is in the observance of these rules and customs that respect for the office of the Presidency is expressed.

William Kristol of the Weekly Standard has advocated that the Republican Party act as the loyal opposition to the agenda of the President and the majority in Congress. This is certainly acceptable and even beneficial for the republic.

The nature of disrupted town hall meetings of August and this incident with Mr. Wilson raise serious questions, however, about the loyalty of the minority's opposition. Unfortunately for Mr. Wilson, his outburst is within a larger context that he may or may not be party to.

To give just one example.

When continued unreasonable questions are raised about the constitutional eligibility of Mr. Obama to be President, and no one in the opposition denounces this absurdity, the question needs to be asked: Does the opposition recognize the decision of the electorate and the legitimacy of this Presidency? Or is this opposition so self-righteously dedicated to its position that it will not let respect for the office or the electorate stand in its way?

It is way past time for the conservative minority to demonstrate the loyalty of its opposition.

Two Ignored Health Care Facts

Tomorrow, President Barack Obama will address a joint session of Congress about the need for health care reform.

In my short life, I have never witnessed a president throw himself so vigorously into the work of his administration. It would be unfair to say that Mr. Eisenhower golfed through his presidency, Mr. Reagan slept, and Mr. George W. Bush spent much of his time trying to untie his tongue. Nothing near these caricatures will be made of Mr. Obama.

Mr. Obama is faulted for trying to do too much. He has not come near violating the Constitution –an accusation that has been made against a couple of our previous presidents. He is faulted for calling upon the legislative branch of this government to do the work of the people and address the problem of health care. He has vigorously taken his case to the people. Agree or disagree with him – and on many subjects I do disagree with him – Mr. Obama is earning his salary.

Yet, there are two facts central to the health care issue that I predict he will not address. He cannot state the case for reform as vigorously as he should because the nation is in a state of denial about these two central facts.

Health care costs are unacceptably rising for those who have health insurance. There are approximately 45 million who do not have health insurance. Even among those who do have health insurance approximately 25 million are underinsured. These and other figures can be disputed and argued about endlessly.

The two central facts remain.

Everyone gets sick. Everyone dies.

We are dealing with mortality.

President Obama is not the foremost agent feeding our national state of denial on this issue. The fear-mongers on the right ranting about socialism, euthanasia, and a host of other horrors have done the most to keep us from considering the consequences of our undeniable mortality.

Talk to a Republican about health care and he will offer you a tax break.

Hence we have Health Savings Accounts coupled with high deductible insurance plans. This is a great idea on April 15. Unfortunately it does little to deliver necessary heath care.

Taxes do not kill people. Wave the voodoo magic supply-side economic tax wand and remove all the taxes. People will still get sick. They will still die.

We would all like to have the life of Paul Newman. Mr. Newman led a vigorous and productive life for many decades. He was beautiful and gracious. And then he died. His death was relatively quick.

Unfortunately this is not true for most. Some get sick early in life and need care for many years. For others, illness is something that needs little medical attention. Still others need hardly any medical attention for many years, and then there may be years of debilitating illness.

The only bright spot in dealing with our mortality is that we do not all get sick, we do not all die in the same way. The fact that we do not all get sick and die in the same way is, over the years and in the population as a whole, a benefit. It means that financial resources can be pooled. Services can be distributed to those in need from the resources of those who have less need. The morality of this pooling and distribution is that everyone will have some sort of need eventually. Because everyone gets sick, everyone dies.

Our undeniable mortality is exactly why a free market capitalistic economic system fails in the area of health care. To recognize this fact is not to embark on the slippery slope to socialism. Capitalism was not revealed to us by God, and it is, like every human invention, imperfect. There is a time and place to pool our finite resources to deal with life's uncertainties.

Those who say that the United States has the best health care system in the world are living in denial. They are ignoring the rising premiums, the millions of uninsured, the millions of underinsured and the millions who will be losing their insurance in the years to come as our population gets older. They are also ignoring the many other industrially advanced nations that, regardless of their other weaknesses, are in fact doing a better job than the United States in this area.

Capitalism does a fine job of delivering goods and services for our temporal existence. We have the freedom to choose many goods and services we want, ignore what we do not want, save and work for what we desire. In many areas of life where our desires go beyond our means, we can still live and find some degree of happiness.

Health care deals with where we lose our freedom to choose. Illness comes unbidden.

Shopping for a car or a house is a fine activity in the marketplace. Shopping for a cure is an act of desperation.

The failure of free market economics on health care is obvious with for-profit health insurance companies.

The rightful task of any for-profit company is to deliver a profit to its shareholders. For-profit health insurance companies are by definition involved with a conflict of interest. They cannot deliver service to very many ill premium-paying customers without cutting into their shareholders' profits. Yet their premium-paying customers are paying them for exactly that reason –to provide care when illness eventually comes. The several different ways for-profit companies unfairly deny claims will always happen because these companies need to serve their shareholders.

There are many other ways the current health care system fails the citizens of the United States. One does not have to be an economist, a medical authority, a pharmaceutical company executive to see were the problem is.

We need to start with the facts – everyone gets sick, everyone dies.