“Let’s stop subsidizing the wealthy. Stop crony capitalism. Stop corporate welfare. Means-test our entitlement programs.”
The above quote was not said by some wild- or starry-eyed liberal. It was said by the Buddha of budgetary knowledge on the right, Paul Ryan, on ABC’s This Week last Sunday.
In the spirit of the New Year and New Beginnings, let us end this year with a note of agreement. I agree with Mr. Ryan that we should stop crony capitalism—the only kind there will ever be without adequate public attention—and stop corporate welfare—corporations are doing just fine, thank you—and we should means-test our entitlement programs—especially Medicare, which is, as Paul Ryan knows very well, the biggest driver of our long-term debt problem.
And Paul Ryan also knows very well that the plan he advanced earlier this year—which nearly every Republican this side of the Asteroid Belt voted for—would end the system created in 1965, even if the name would live on. (No matter what Politifact says.) Let’s all at least agree on that.
And let us agree that the current Medicare system, which took more than 50 years to bring into reality, should be preserved. After all, it was signed into law by a Texan, Lyndon Johnson, and was supported by almost half of the Republicans in Congress at the time.
So sensitive are Americans to perceived government interference, that even the sainted FDR dared not force the issue of public health insurance—which he supported—before the enactment of his social security bill was assured in 1935. And despite Missourian Harry Truman’s efforts to get the job done—President Johnson would eventually credit “the man from Independence” for those efforts and make the 81-year-old fighter the program’s first enrollee— it took another generation before folks without means could rest a little easier knowing they had at least basic health insurance they could afford, when they were on the unprofitable side of life.
And among those who could rest a little easier were my parents. My dad, who was 56 years old when Medicare was passed, worked all of his pre-heart attack life. My mom worked full-time at home and part-time at what she called the “dime store.” Were it not for Medicare, well, the alternative for them would have been and, for me, remains, unthinkable. Let’s agree that, for them and millions of people like them, access to affordable government health insurance made—and for now, still makes—America a better place in which to live.
Truman, in a special message to Congress in November of 1945—1945!—said there were “certain rights which ought to be assured to every American citizen.” One of them, he said, was “the right to adequate medical care and the opportunity to achieve and enjoy good health.” What a shame, more than 65 years later, we are fighting over The Affordable Care Act, which guarantees Americans, sick or well, rich or poor, the right to health insurance, or rather the right to purchase health insurance from profit-minded private insurers. It is, by no means, a fulfillment of the vision of liberals, old or new. But it ain’t nothing.
And yet we fight. Let’s agree to stop fighting about something so necessary.
In the past, the benefits of modern medical science have not been enjoyed by our citizens with any degree of equality. Nor are they today. Nor will they be in the future—unless government is bold enough to do something about it.
People with low or moderate incomes do not get the same medical attention as those with high incomes. The poor have more sickness, but they get less medical care.
He didn’t must make that statement in 1945 without evidence to back it up. And he had plenty:
The people of the United States received a shock when the medical examinations conducted by the Selective Service System revealed the widespread physical and mental incapacity among the young people of our nation…
As of April of 1945, nearly 5,000,000 male registrants between the ages of 18 and 37 had been examined and classified as unfit for military service. The number of those rejected for military service was about 30 percent of all those examined. The percentage of rejection was lower in the younger age groups, and higher in the higher age groups, reaching as high as 49 percent for registrants between the ages of 34 and 37.
Think about that. And think about the health of those back then who were in their forties and fifties and sixties and beyond. Truman, understanding that the child is father of the adult, said that it is “important to resolve now that no American child shall come to adult life with diseases or defects which can be prevented or corrected at an early age.”
Let’s agree that health care involves inter-generational agreements. Old folks, let’s make sure the young are cared for, even if their parents are not rich. Young folks, let’s make sure the old are cared for, even if they lack wealth. All of us are either young or getting old. The Affordable Care Act is simply a part of these inter-generational agreements—without which any modern and civilized society cannot continue to be modern and civilized. It ought to be without controversy, or at least without animus.
But it’s not. We have folks around the country, and folks in Congress, who are fighting for the repeal of the Affordable Care Act with a kind of religious zeal, as if to lose the battle would mean the end of a God-blessed America. There are even some radicals who would move us back to not only 1964, before Medicare, but to 1934, before Social Security. They would leave the non-rich at the mercy of charities or family and friends, of whatever means.
But if we can’t finally agree, as Paul Ryan seemed to suggest last Sunday, that entitlements—Social Security, Medicare and Medicaid—are a permanent part of our social fabric and that in order to afford them we may need to, among other things, means-test them, then I’m not sure there is anything we can agree on as a civilized nation.
As Harry Truman said so long ago, our government needs to be “bold enough” to do something about inadequate health care in our country. All he was really saying was we-the-people need to be bold enough.
Bold enough to agree.