So we'll look first at several assertions made about about how this current health care system works, and whether or not it should be abandoned.
This JSObservations post provides some unique insight into the health care debate, as it doesn't use the typical rightwing attacks of simply calling us "commies" for wanting to ensure what, in the Greatest Country in the World, should be a human right. Instead, it breaks down numbers and makes assertions that will, at first glance, alleviate the immediate concerns of those with health coverage at the time they read it.
First, let's address the comment that provoked all of this;
So many people base their opposition to the current healthcare system on the number of uninsured, which is commonly identified as 47 million. However, that number is a sham.
“If we believe the Kaiser Family Foundation, which is a frequent source for the mainstream media, Americans who do not qualify for current government programs and who make less than $50,000 a year total somewhere between 13.9 million and 8.2 million, no more than 5 percent of the population. Furthermore, according to the Congressional Budget Office, 45 percent of uninsured people will be uninsured for less than four months."
Is it really a good idea to junk a system that works pretty well for 95 percent of Americans?
The number that's "a sham" is shown in the post as 46.6 million. A far leap from 47 million, I know (somewhat saracastically), but when we get done looking at this, there won't be any of that "well, they're both fudgin' the numbers" stuff that Carville made fun of in War Room (just to be clear, I can't stand Clinton, but Carville is funny as hell). Here's the problem with arguing about 400K people; the report he cites for the math he uses later in the post says 46,995,000 people uninsured in 2006 (see Table 6, "Uninsured", "2006", "Total"), which is only a difference of 5,000 and has likely surpassed that number by now.
This is not the major contention of the post, nor the motivation for my rebuttal. It does, however, provide a lens through which to read the rest of the logic used to dismiss any health care reforms. That is also not the only reason given that the number is a "sham". Some interesting math, whereby the illegally invited (illegal immigrants to righties), and those who make over $50K a year are subtracted. Why, you ask?
Well, the illegally invited are not our problem. I'm not going to argue this point, as immigrant rights isn't the point of the post, although those who think it's a good idea to just leave them hanging should keep in mind that: 1) There's a big corporation somewhere making a bigger profit due to the unprotected nature of their labor; 2) Leaving 9.5 million people without any kind of health care, illegal, legal, not a citizen, whatever, spells major potential for a public health disaster, whether you're covered or not; 3) If these people go to hospitals anyways and never pay, you will pay for it, either through taxes or higher premiums, and the cost will be higher because out-of-pocket health care costs are much higher.
So, moving on to those other people who don't count. The uninsured who make over $50,000 a year, "ought to be able to afford it." He's absolutely right, that they ought to. But this is one of the greatest faults in conservative logic: "If you work hard, you'll succeed, so if you're successful, you've worked hard." Which obviously translates to "those in trouble didn't work hard enough." There's plenty of people with more measure of success than they've earned, and ALOT more people with less.
How much extra spending cash would you sacrifice your health or your childrens' health for?
The answer is, obviously, you can't afford my or my childrens' health. So why would you assume that people in the position of being uninsured, despite their income, have a price and are doing it willfully? Those who go through life thinking "I'll be fine and nothing's going to happen to me," or "I'm not gonna pay my share in," are not the norm, regardless of what Reagan told you. There's probably a good reason why they're risking bankrupting or debilitating illness while earning what "ought to be able" to pay for health coverage.
Maybe it's because that salary, that income, doesn't quite cut it any longer. 50 or 75K isn't what it used to be. According to the UCLA Center for Health Policy Research, it takes an income of 175.8%-277.6% of the poverty level, depending on your family structure, to afford health coverage. I recall having seen a 200-300% of poverty level standard in one of the comments or the article, and am regretting not being a faster reader; I may be wrong about that. JS is honest, though, and will comment on the origin of that number (it mighta been Captain Morgan who whispered it, so my apologies if it was), but its in the UCLA paper, nonetheless. Those requiring child care are much higher. Is it out of the realm of possibility to assume that stuff just came up that ruined that budget structure and pushed health care out of their affordability column? Probably not.
One can play games with numbers at will, and since I've been dragged into it, I'll do some of that this weekend, too. You can make them say funny things, like the health care system "works for 95% of us" and you can make it come out with an infinite string of subsequent "6's", so the devil returns to provide the Commie solution himself. But no amount of "if a train leaves Milwaukee at 75 mph" fun will change that people are going to go bankrupt (though not as easily, thanks to the GOP and Bush) or die as a result of no coverage or insufficient coverage.
These people are not lazy. They do not expect a handout. They work hard, they love their children. They love their country. But the commitment of some to the market-over-man ethos has sentenced them to financial ruin (about 2 million a year, before the bankruptcy restrictions went into place) or death (18,000 a year).
It's time to let Milton Friedman's ideas go with his spirit, and start looking at this from a pragmatice point of view, and a more selfish (not free-for-all market) point of view. You pay more for someone to tell you to "go screw yourself, that's not covered," regardless of what your doctor says. You're paying for far more than what single-payer health insurance would cost, because you pay for CEO bonuses, corporate profits, administrative overhead, and the ridiculous inflation of unpaid charges to out-of-pocket patients tacked onto the insurance premiums and/or tax obligations of every American. More on all that later.
JS is more than welcome to post a rebuttal and email it to me, which I will post here, or just link it into the "Comments". I prefer a return to dialogue over "socialism" versus "capitalism" talking point disputes, as they're both inaccurate and polarizing. I do apologize for the "you again" and "Stop waisting our time" shots on GTL, as I like to use hard pokes until I know you're really ready to throw down. They make the process of responding to comments easier.
Until then, I'll focus on bashing Eli Pariser and his big league fumble of the "Betray Us" ad, a possible apology (don't hold your breath) to Hillary, and some Iraq war stuff.

