Comments by "Xyz Same" (@xyzsame4081) on "The Majority Report w/ Sam Seder"
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The healthcare industry has realized that they cannot completely prevent change. But they can delay, water down and fool the voters (or more pecisely: let media and politicians do that).
the more sophisticated attempts to muddy the water - include THOUGHT STOPPING CLICHÉS:
People are used to it that there are private insurers, the concept "Why not offer choice" seems plausible on the surface. Private for-profit is not always better - and with healthcare it raises costs and introduces red tape or even dysfunction, nver mind toxic incentives.
All two tier systems are more expensive than the systems than have little to no role for private insurers.
(That is why the Austrian system costs 6k per person per year, versus 4,700 - 5,600 in most other wealthy single payer nations, versus 10,240 in the U.s.
Choice and having a private offer as well (or only a private for profit offer) would be sensible for any product and service where there is a "free market" possible and there will competition. That does not apply to healthcare. At. All.
But you will hear the "free market" lingo applied to the area of healthcare all the time. If people started thinking about it beyond the soundbite they could realize easily why healthcare is not at all like other products (sell more, market to entice people to consume, it is expensive, complex, often about life and death or future ability to life well and earn an income, impossible to assess for lay persons - even doctors consult other specialists.
Anyway: expect some serious propaganda:
it is a trillion dollar industry, the U.S. spends approx. 3,2 - 3,4 trillion per year - and if the U.S. had set up the system in a reasonable manner it would be in the range of 1,6 - maximum 2 trillion per year. (that would be 10 % of the GDP, more to the high end but acceptable. The other wealth nations spend between 7 and 11 % of GDP.
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NOW the Medicare for ALL Lite Bills are popping up, the lobyists are doing overtime to work their politicians. The Harris / Booker version is like a public option I think. Well wouldn't that be a gift to the industry ?
A hybrid system is invariably more expensive. For the 4 year transition stage it makes even less sense. Apart from top positions I do not think that many employees have really good insurance via the company. The spending per person in the U.S. is roughly double - so an employer has to invest a lot if they grant benefits (no deductibles, no co-pays) that would be considered default under the public coverage in Germany, France, Netherlands, ....
people can of course have private insurance full coverage or for extra packages - as long as they also fully participated in the mandatory public service that gives full and good coverage. If the public version is good (menaing reasonably set up and sufficiently funded) few people will see the necessity to even have private insurance.
See: Germany (10 % of the population have full coverage under private insurance) in Australia it is public only for the basics (and the big stuff in the hospitals). In both cases it CREATES the NEED for private insurance. If there are enough clients that will bring higher revenue doctors will try to only accept them as patients. Expect also non-harming but useless procedures like unnecessary testing for patients ith a good contract.
Under public coverage every test that prevents damage in the future will pay for itself. But unnecessary testing is avoided. If one person can have it, all can have it and it would cost too much ....
Especially if there are not enough doctors they will try to take only patients with the "better" insurance (the one paying the higher rates). Inferior quality under public coverage (for instance longer waiting times) then forces people to buy an upgrade or stay fully with "private" - which is of course left to the private insurers. It is a way to do favors to the insurance industry, but with higher costs for everyone. And this is in countries where the industry never honed a toxic culture and the art to ripp of patients, to bribe politicians and to game the system.
Give them 4 more years with the chance to cherrypick the pools and see what happens.
One of the major cost advantages of single payer is the streamlined admin - a hybid system wastes a lot of that potential (more complexity, more chances to sneak in costs). They had a video on it on TheRealNews Single payer could save 1,5 trillion (I think that was the title, beg. of March approx. a numbers cruncher, an professor of economics from Amhurst and a Harad trained doctora and speaker of a group of doctors for single payer.
The U.S. will not profit from the full savings immediately anyway (backlog, training of then obsolete staff for billing and in the insurance companies, transition costs, new software, ...)
Medicare and Medicaid are already being defunded, the many that stand to lose a lot of money will mess with the sytem to make public look bad and private look better. The indoctrinated citizens will find out that they would like to switch to MfA but it is just not up to expectations (of course not with insufficient budgets, even good operations can be ruined - that is the strategy with which the Tories have been defunding the already very cost-efficient NHS for 10 years. To run it into the ground in order to "justify" a privatization. Think charter schools in the U.S. the same handbook).
If the private insurers have the whole pool of 25 - 55 year old - they can and should give better rates right away. And if not it is on them.
Drug prices could be negotiated by public agencies and private insurers together, so every insurers has the same costs (would need a legal amendment, Medicare is currently not even ALLOWED to negotiate, this is not a technical but a political/corruption problem). And the private insurers would already have a cherrypicked pool (no one older than 54 years). So when they do not reduce prices - it is on them. (Which should help to put more political pressure on them or discredit the system. When the first round goes well the 4 yours could be reduced.
I think there might be need for more nurses and doctors.
In the first round of the proposal Sanders supports people till 25 and from 55 on would be under MfA.
Old age is a major factor for healthcare costs, so the private insureres do not even have the most expensive age group - not now (from 65 on they are with Medicare already, and with the Sanders version of MfA in the first round the people from 55 on will be included).
With a public option private insurers would have the chance to purge their pool even more.
Their packages would look good, the public agencies have all the costly patients. So it is easy to badmouth the costs of the public agencies. Some sneaky defunding should help as well - then the public agencies will be able to pay only insufficient rates for treatments - so doctors would not accept the patients, or give only shoddy services.
So it is "proven" that you NEED private insurance after all (they can offer seemingly reasonable prices to the extra purged pool - still overpriced, but international benchmarking will not be possible because they cover only a manipulated age group of 25 - 55. It is not even so much the size of the pool - take 100,000 people and it is fairly representative - but not when the composition of the group is changed in favor of the insurers.
10 % of the partients cause 90 % of the costs. So the advantage of a cherrypicked pool is huge and the population does not know how much leverage it gives the insurers. They very likely could parade their offers around as "good" - when they are still overpriced considering the preselection.
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Macron the "economist" is so fucking clueless that he mentioned Germany as economic role model (see my comment above). Neoliberalism WORKS for rich people, multinationals, and finance. So maybe he knows what he is doing, he just can't admit it. - Or he is so in love with every economic theory that serves finance well, that the is unable to assess reality . Like Alan Greenspan, who for a long time was heralded - in the media owned by rich people - as highly qualified. In hindsight - no, he wasn't. He was an ideologue, and he did not notice when reality did not match up with his neoliberal ideas.
The interesting thing is to what degree educated and likely intelligent people can disregard reality (and the role of human nature, greed, the potential for corruption) so they can keep their pet theory (which happens to justify an economic order that massively favours them).
Or the economists and analysts of the many huge banks that were instrumental for the Great Financial Crisis ?
- The London School of Economics were in a sort of embarrassed disconcertment when the Queen asked them if the crisis was really impossible to anticipate. They came up with some lame non-answer some days later (she posed that question during a diner to a representative of the LSE).
Well, there were SOME economists who had seen it coming (some years before) and had warned as far as their platform would reach. And of course the appraiser had sent a public letter (published in the New York Times) how the banks pressured them to give them too high appraisals - or they would not get more orders from them. A bank wanting to do honest business in the mortgage business and expecting the loans to be paid back, does not do that. That is a red flag, it was a red flag in the 80s - which Greenspan should have well known. He certified in a letter of reccommendation the excellence of a major player in the S & L scam, which shortly afterwards was prosecuted for fraud.
But the economists using commong sense (instead of preaching whatever finance, and big biz likes) are not the ones who will be hired to advise politicians, if they work in central banks they know how to shut up.
And those economists who are presented in mainstream media or even in mainstream academia do not bother anyone with inconvenient insights (inconvenient for the 1 %).
Hollande did not challenge the neoliberal status quo ( fake left resp. Champaign Socialism)
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+ Mikhail Salzberg Germany has the strongest (most profitable) export industry in Europe. The INSANE export import imbalance has been EXPLODING since 2000 - on the back of the majority of citizens and the business sector that serves the domestic economy. If you are economically literate you will KNOW that such imbalances are not good for a country; in general they serve mainly those on the top (same with China, German does the same gig, just from a higher level, suppress wages, have a too weak currency, the population does not reap their fair share from the good performance, the country exports way, way more than they import, because they are underpaid and can't afford to consume as much as would be due to them).
Germany is on decline from a high level and they are living off their former glory (and the former infrastructure investments, you can neglect them for a decade or two but it will eventually show, which is now respectively the recent years. First attempts to privatize some motorways had already the time to have devastating results).
Wait till the "retirement poverty" sets in Germany. The export industry profited from neoliberalism, from the EURO which is too weak for such a strong economy as Germany, from the "reforms" of the welfare system and the labor "reform" (read suppress good industrial wages - again helping mainly the export industry).
Austria has meanwhile surpassed Germany in GDP per capita. That is unheard of. And it is not a reason to be cheerful for Germany's little sibling either. When Germany is in decline, over time Austria (supplying a LOT to Germany) is going to suffer as well.
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@MorePlatesMoreRapes It is possible that Labour would have won the heartland with a soft Brexit but lost London. Or narrowly win in the Remain areas but not be rewarded for having a CLEAR soft Brexit position w/o the 2nd referendum. (the positioning was decided on the party conference and the Blair / Remain wing of the party shaped it. I heard that Corbyn would have been for another course. If that is true - that would have been the time to dig in his heels and do his thing.
Needless to say the Remainers that lost their seat now complain * but do not mention that little fact of the strategy being democratically determined. (if you think about it, the regions that are more behind Corbyn, and were pro Remain (most likely they dominated at the conference) did not have a clue what was going on outside their region - to them the decision making was handed over. Oops !
exhibit a) Ruth Smeeth, Jewish, Friend of Israel, "Protected source for the U.S." (according to Wikileaks !) ushered into a seemingly safe seat in 2015, backstabber extraordinaire.She was long active / employed in the party apparatus but a rookie as MP, nontheless as soon as Corbyn became party leader she was part of the opposition. Helped to get rid of Marc Wadsworth, with some drama. .... narrowly held her seat in 2017. Her district voted 72 % Leave. so her campaign before the referendum was not very convincing it seems . Nontheless after the referendum she too supported the Chicken Coup against Corbyn.
It should have been clear to her that her position was difficult - so she should have worked her district all the more - maybe with help of Momentum. - Nah, she was at odds with them - as ardent opponent of the left wing of the party.
Boris' last proposal is a soft Brexit w/o worker protection (softer according to Farage than the last proposal of May. In other words: the U.K. - not the EU - blinked first). - Now the Hard Brexit and "Brexit is Brexit" and "we won" cult might forgive BoJo for having a soft Brexit - and the Daily Fail and the telegraph and the Sun would graciously condone that.
Corbyn likely would have been ripped apart for the exact same proposal by the rightwing tabloid media so the positive response of the heartland was not so certain. They would have been told to vote for BoJo to get a "proper" Brexit.
- I saw a clip of old people in Wales, hardcore Labour country, it looked like they selected for voted-for-the-Tories-for-the-first-time-in-my life. The reasons - if any given at all - were astoundingly shallow. - not to be judgemental but that sounded like Turkeys voting for Chrismas to me.
They did not even mention Brexit. Nor sure how many "foreigners" they even have in that area and if it played a role. it would have been of course interesting if the interviewer had dug more, they did not rush the interviewees, they clearly wanted to drive home the point how extraordinary it was tha these people had switched to the Tories. But no explanation offered by the voters (me father would roll in his grave) nor extracted by the "journalist".
Why does a lifelong Labour voter go for Tory even though she does not even like BoJo.
Orin another case: what does "I do not like Corbyn" mean ? The region does not do well, wouldn't you think they would cite some economic reasons (even if they fear the proposala would be unrealistic, or wrong or whatever ...) or objections against immigrants.
They seem to feel safe that their retirement will be paid, that they will get healthcare - so they indulge in "feels" ?
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JB JG In the U.S. it is not that candidates / parties have to court the voters. It is upon the voters (especially the D base) to "prevent the worst" - because the Democratic Party for sure cannot be bothered to do everything they could do, to get back both houses with convincing majorities and the presidency.
That would go against the interests of the Big Donors, and they always hope to pull off a narrow win, without giving the base anything of substance.
The voters have to dutifully deliver a vote for the Democratic party, and they always are urged to look at the narrow framing of "this election only" and to prevent the worst from happening.
You think we are useless ? Or we sell you out ? Have you seen the Republicans ??
Nice little country you have here, wouldn't it be a shame if something bad happened to it ...?
Well it is is framed as the duty of the D base to prevent Trump - because the Democratic party sure as hell does not give them anything to vote FOR.
That btw was very clear in the midterms 2018 : still not much of substance (the Big donors do not like policies that help the masses, it costs them profits).
A bold stance for MfA in summer / fall 2018 (not the Lite versions that now pop up since they try to stem the tide in a sneaky manner) would have delivered a landslide win.
The message could have been: Turn out, give us majorities and exactely this and this we are going to do for you.
The 2017 spring townhalls held by Democratic establishment were very telling (we must prevent ACA from being repealed - sure that means that lots and lots of subsidies are fed into the completely overpriced private for-profit system).
Feinstein, Pelosi, Wasserman-Schultz used right wing talking points and LIES to misrepresent single payer systems when the increasingly better educated base presses them. It is the job of the elected "representatives" to KNOW about those systems - they deliver healthcare for half the spending per person for billions of people and since approx. 70 years.
The U.S. system is a complicated machine, the system is not going to be as efficient as that of Germany, France or Japan right awyay. But major improvements that help voters are immediately possible (drug prices). That would have been a very tangible, pressing matter that would have done extremely well even in the more conservative blue states.
But it was not THAT important to get high majorities in both houses - not when if would go against the interests of the Big Donors in the healthcare industry.
So "Russia" and "Trump bad" and values and vague talking about "healthcare is a right" must suffice.
The boogeyman game or Good Cop Bad Cop routine works on both sides btw. Republican voters were partially scared with Hillary Clinton, while the Democratic base was supposed to turn out to prevent Trump.
And then the parties play around with gun regulation, abortion, LGBT rights - two sides of the coin. Voters are supposed to get all riled up.
These issues (whatever is the outcome: abortion access hindered or possible for instance) do not cost the Big Donors anything. But with a little luck the parties can motivate some voters to go to the polls because of those issues.
And then there is "identity politics" - racism being a special case of that.
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When Obama and the Democratic party started out with the healthcare "reform", single payer was not even discussed, public option (not ideal but an improvement) was killed right in the beginning - by Blue Dogs ! ACA is good for the industry and throws some bones to the citizens
- at excessive costs for the insured and for the government. Protecting the industry profits instead of the well being of citizens.
The Dems will not step on the toes of Big Donors - just to help the constituents.
The Republicans had bad townhalls in spring 2017 - but one could also "enjoy" some rightwing talking points (we know them from the Republicans) from the likes of Pelosi, Wasserman-Schulz or in summer 2018 from Tom Perez, the party chairman. ACA - Yes, Single payer No.
Perez was busy protesting at the Texan border against the separation of children. That does not impact the profits of the Big Donors. The prison / detention center donations (where they hold the pople and also the children) go more to the Republicans.
Abortion, gun rights, LGBT, identity issues are used by BOTH parties to get the voters motivated w/o giving them anything that would reduce profits of the Big Donors. Tom Perez was cornered by Amy Goodman regarding "Universal Healthcare". His reaction: pathetic - he is not even good in sugarcoating and deflecting
The Dems held a Senate hearing in 2009 where the industry was invited. Single payer advocats / experts or the nurses organisation were NOT invited - single payer was not even discussed.
All European countries introduced or expanded their single payer / universal healthcare systems AFTER the end of WW2, even before they had started to recover fully from the war. That's more than 70 years and hundreds of millions of people (you can add Canada, Australia, Japan, ...) - nothing the Democrats thought they should consider in their Senate hearing in 2009. THESE nations realized the obvious: healthcare is a terrible fit for the "free" market,
So all other nations after WW2 decided to not play the for-profit game - they all went for sytems that lean heavily towards the non-profit public side.
Obamastill undermines progressives and FDR style democrats whenever "necessary" - he wants to stay in the good books of the Big Donors to cash in on the presidency. He and the Corporate Democrats are sell-outs.
That is why it is so important to vote in candidates that do not take the Big Donations whenever there is chance, candidates that are against money in politics and for single payer. In most cases they run under the Democratic ticket, as progressives.
The Corporate Democrats and their mouthpieces in mainstream media carefully avoid naming Sanders as possible 2020 candidate (they will discuss Joe Biden who has the same age). They know he means business with good affordable healthcare for everyone. Joe Biden does the folksy talk with blue collars but he is no danger to the establishment or money in politics.
Had the Democratic Party rallied behind Medicare For All in summer 2018 as signature Democratic policy for the midterms they could win Congress AND also Senate. Polling in September: 51 % of Republicans view MfA positively. - Even representatives in a very conservative state would have a winning SIGNATURE issue.
Allegedly Trump and the Republicans are terrible. Not so terrible that the Dems would resort to supporting a very popular policy in order to make sure they take BOTH Congress and Senate. If possible with a decisive majority. Looks like it is not that important.
The Big donors do not care much, they always win, not matter if the D or the R wing of the Big Donor party wins the race. They will reward obedient shills who lost a seat - that is important for the system to function for them and they honor such obligations.
If an unispiring spineless Corporate Democrat "beats" a progressive with the help of a lot of money in the primaries and then loses against the Republican in the GE - he or she still worked well for the big donors. Especially if the politicians or candidates played really nice with the party leadership they will be taken care of. Maybe as strategist / consultant in the big-money-election-circus or as lobbbyist.
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I heard that several times - "Something happened to Ford - but it wasn't "our" guy." TRANSLATION: we cannot help to notice that her testimony was strong, and Kavanaugh was a mess. Or at least we do not dare to call her outright "nutty and slutty" like Anita Hill. Times have changed - it might alienate even conservative women. We are going to need every vote we can get in the upcoming midterms, and Trump lost support among white females.
Double think in action:
that is our way to reconcile the inconsistency (because IF she is such a strong witness - than a cloud of doubt hangs over our guy. But we get the best of both worlds: Yes her testimony is somewhat true and our guy for sure didn't do it.
Then maybe we should have asked "our" guy to step down and return to his other life time seat on the U.S. court of appeals for the D.C. circuit.
And we could nominate ANOTHER conservative judge.
Although she called Kavanaugh and Mark Judge by name and also other people that were at the gathering. The calendar entry of July 1st 1982 is a good fit - that could have been the day of the assault.
The prosecutor asked a few question - but she could not dig deep: Lindsey Graham jumped into action and performed his tantrum, then they had a break and then the Republicans dismissed the prosecutor. she never had time to dig deeper regarding July 1st, 1982. which happens also to be the date when Maryland raised the drinking age from 18 - 21.
That is another lie that Kavanaugh told - the gathering (under the week - another lie - not only on weekends) - may have been a party in defiance of the new law.
Truth is Kavanaugh comes with a bonus (extra conservative, anti abortion, anti unions, anti consumers, pro businesses AND he would protect Trump).
Likely there were some talks. Which may have "qualified" him for the nomination (apart from his 2009 opinion that the president should not be bothered with law suits). did not apply to Bill Clinton.
Kamala Harris some weeks ago: Did you discuss the Rober Mueller investigation with a lawyer of lawfirm xx (she said the name, they are linked to Trump). A professional judge would have said: No of course NOT. I would have to recuse myself if something related to that would ever come before my court.
K. endlessly dodged the questions, played dumb, fished for details (which lawyer - so did he talk to more than one lawyer about the Mueller investigation - and on top did he not know for whom they work ? - That was another dumb remark, that was a large law firm he could not know any of their lawyers. Well, he had not business discussing the Mueller investigation with anyone.
He knew he had a shot at a SCOTUS nomination !
Did he discuss such a sensitive matter - he is judge at the 2nd most important court - if the matter would come before him he would need to recuse himself. Well, he would not recuse himself voluntarily of course - but if that was known ....
He ALSO lied under oath in the confirmation hearings for that position. In 2006. Unlike the claims of Dr. Ford there is written proof - they kept almost all records of the Bush era under cover - but the little which they released already shows that he committed perjury in 2006.
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+ Matt w Yes and Sanders said the same - more often - and managed NOT to offend people who were more than reluctant to vote for her (he would have killed it as Democratic candidate, and he WOULD HAVE GOTTEN some of the moderate Republicans. And the young, and the African Americans.)
Imagine a person that already nodded their head to Trump (gladly ignoring the racial remarks, the manners, etc. etc.) because of the economics issue.
And then gets told that 50 % of them are deplorables.
Will an undecided voter leaning somewhat towards Trump flatter themselves to be sorted by her majesty into the box of non-deplorables ?
And if they are not deplorable what are they then - stupid ?
(Well many are, but you do not tell voters that).
Trump said once that Iowa is stupid (in the primaries and before he won there). Well, HE could afford such brash remarks. BECAUSE enough people thought he was hearing them.
HRC was clearly not listening OR understanding.
Apart from the political stupidtiy - and that was a prepared speech! - Did she think it would be reported with all the NUANCE ?
What was the GOAL in making that (prepared) remark in her speech ? And does she have no advisors ?
She was preaching there to the choir - her audience would vote for her anyway (but could feel elevated that they were better than these "deplorables"). The "deplorables" didn't give a damn and certainly did not change their opinion because she scolded them.
So WHY make the remark at all ?
All it did was offend - and it may have cost her votes of undecided voters. The people that are sensitive at all to certain things, do not need to be told all the time that Trump is impossible.
She could have stuck to policies and let them come to their own conclusion that the clown is unelectable.
(Of course she did not have that much policies, they were copied partially from the Sanders campaign and she had no intention to fight for those populist positions.)
So the Clinton campaign revolved around "Trump bad" and did not concentrate too much on policies. (Her ads were especially without policy substance).
She did something like that recently in India as well - in March 2018 !! - "I won the areas with the highest contribution to GDP, where there is progress, innovation, forward thinking. The areas where Trump won on the other hand ... " Paraphrased - it came accross that the Trump win was only possible in the areas of the backwards minded people, who do not have much of an economy (and WHO signed the trade deals that thinned out the heartland ?)
Many people considered Trump because they SENSE that the elites don't know what they are doing, they are lying - and they don't care for the little people. And the elites - unlike the little people - came out just fine out of the financial crisis.
Michael Moore got that vibe - and predicted the Trump win.
Some of those folks plus the votes of the usual Democratic base would mean the win that allows to promote GOOD policies. And when the economy works for everyone that placates eveyone but the wildest racists.
Hillary told the voters that things are going O.K., that the country IS already great (So make America great again was not necessary) and that she stands for more of the same.
Many Latinos and women voted for Trump - which is proof for the the anger about the economy - they just waited for someone they could follow. This is why Sanders and Trump shocked the establishment.
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