1. I don’t know if you’ve been on the bus lately, but I have. There are a lot of crazy people on the bus. Oh, I get it…that’s why you haven’t been on the bus lately. You went on the bus that one time and encountered the crazy people and you haven’t been back.
2. I recently had a proposal writing job for a doctor who wants to become a PPP provider. It was inspiring to meet a doctor who provides care to low-income, uninsured people—and wants to do more of that with the financial help of the County of Los Angeles. Yet it struck me as entirely inefficient for this doctor to have to prepare a lengthy application for the County’s Department of Health Services. This guy is a well-established doc with almost 30 years of experience providing medical care in East LA. Let’s not waste his time with him having to come up with a business plan to explain how he’s going to fund care for people who can’t afford it—let’s let him be a doctor.
3. I have a friend who needs a liver transplant. She had to go before some kind of board and get interviewed to get on the transplant list, and she made it. Now she had to get an insurance rider to cover the transplant. It’s looking like she will get the care she needs, but it strikes me as completely wrong that she has to become an expert health-care advocate (for herself) when she is very ill.
No health care system is perfect, but the American system of health care is broke and baroque. Health care should not be a capitalistic enterprise. No, I’m not saying doctors shouldn’t be paid, I’m saying that providing health care should not be a money-making business.
The single-payer system isn’t perfect, but it is better than what we have now. We’re not going to get it at the federal level, because health insurance companies are major political donors. Some smart folks in Pennsylvania are advocating for it at the state level. Let’s do the same, so that the crazy people on the bus can get the care they need, so that doctors can be doctors, and so that my friend doesn’t have to wade through ridiculous bureaucracy at precisely the time she is least able to do so.
For your consideration: