A repository for Marcospinelli's comments and essays published at other websites.

Obama Trade Deal Secrecy Insulting, According To Key Democrat

Sunday, June 10, 2012


it will take a lot to convince the many Americans who say, "Private industry can out perform government and therefore we will not stomach a single payer government health plan." 

You speak of "general agreement that the insurance industry's control over people's access to affordable quality medical treatment had to end." I agree that there was agreement that health care was too costly. But agreement that insurance companies made it too costly and their reign had to end is another story. The primary Republican doctrine is that government should only do what private business cannot do - because private enterprise is always more efficient and less costly.


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When you say that "it will take a lot to convince the many Americans who say, 'Private industry can out perform government and therefore we will not stomach a single payer government health plan'", that's what I meant when I said "education is the solution".  Educating with facts:  Private industry doesn't outperform government.  

In the case of healthcare, private industry (insurance companies) does for 23-30% (and it can be as high as 39%) what government does (Medicare) for between 2-5%.  Either the private insurance companies are grossly inefficien­t or they're extremely profitable for the people who run them.  Insurance companies profit by denying medical care to subscribers.  And net profit is what's left after all the bloated salaries of the upper management team are taken out.  

What's wrong with that is that CEOs are making 400-500 times as much as the line workers and they're not doing it because they're incredibly savvy, efficient, inspiring leaders; they're doing it because they run in a rarified circle of like-minde­d people that mutually justify their obscene compensati­on packages. 

Meet The New 1%: - Healthcare CEOs replace bankers as America's best paid:
Pity Wall Street's bankers. Once the highest-paid bosses in the land, they are now also-rans. The real money is in healthcare and drugs, according to the latest survey of executive pay.  One example is Joel Gemunder, CEO Omnicare, who had a total pay package in 2010 worth $98 million.
'Line workers', by the way, are the actual providers of healthcare services, and in most cases their rates haven't been raised in close to 20 years.  

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Read the Article at HuffingtonPost

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