Political games are alive and well in Washington, D.C. First the House releases HR 3962, a disappointing bill with an optimistic and completely misleading name – the Affordable Health Care for America Act. Then the GOP decides it’s an opportune time to release its own bill, which House leader John Boehner says will lower cost and expand access by “making the current system work better” with less government intrusion into the private sector. Sounds great John, only, well, there is no system … and that whole government intrusion line? Well, that brings me to my point. Why do we need a public option again?

It seems politicians on both sides of the aisle have lobbyist-induced amnesia on that aspect. Democrats hope including a public option – no matter how weak and ineffective (a more expensive alternative to private plans that covers 2% of the population? Please!) – is all it takes to please the public, even if it’s designed to fail. Meanwhile, Republicans decry government intervention and propose tweaks around the edges of our disastrous healthcare mess that conveniently avoid touching the profit-driven culprits themselves. In other words, the US has heart disease and our D.C. representatives suggest blood transfusions, an artificial knee replacement and a flu shot.

Case in point: the central aspects of the GOP bill are tort reform, insurance pools, and inter-state policy purchases. Two of the three are already in place in many states – they haven’t budged healthcare costs significantly (tort reform achieves 10% reductions in malpractice insurance, per the CBO.) Tort reform is a good idea anyway, but not for cost curve reasons. The third proposal, while useful, doesn’t help much when insurance costs are out of control nationwide.

Douglas Holtz-Eakin, a senior policy adviser to John McCain’s presidential campaign, knows that now. The same man who touted a $5,000 insurance tax credit per family as the answer to our insurance woes now remains unemployed and his $1,000 per month COBRA is running out. He’s shopping the individual insurance market at age 51 and with a pre-existing condition that insurers cite in denying coverage. Think he’s a bit worried? All politicians should be placed in that situation; maybe they would get a clue.

Anyone familiar with T.R. Reid’s body of work on international universal healthcare systems knows that a public option isn’t a part of many of them (gives “socialized medicine” a rather hollow ring, doesn’t it?) There is a single public payer in some (Canada), multiple private insurance payers in others (Germany, Switzerland) and some countries use a combination (England.) What’s the difference then? Very simply, their ‘private insurers’ are non-profit corporations governed by iron-clad regulations: no loopholes, no kickbacks, no lobbyist favors, no profit or surplus beyond required reserves.

Why is that? Insurers are there to provide payment for the care of country residents, with no deliberate and systematized waste and no tricks. Patients are not pawns in a giant profit mill. Now, does this sound like the situation in the US? It seems like the banks and the healthcare industry own Washington, D.C. While Joe Public pays for congressional salaries and benefits (with fantastic health plan choices), lawmakers actually work for Joe Lobbyist. So whatever regulations are placed around the health insurance industry, we can rest assured they will be weak and full of holes by design.

Making sure people are covered and making sure that coverage is affordable are two different things, a distinction neither party has addressed satisfactorily. A strong public option is just one of two methods to keep private insurer prices and practices in line, regulation being the other. But if regulation is to be the answer, we need a representativectomy and a lobbyist exterminator to spray the capital. That seems unlikely. As Nancy Pelosi “mistakenly” left Kucinich’s state single payer amendment out of HR 3962 (as of scheduling this post, it hadn’t been reinstated), we can’t vote with our feet by becoming interstate medical refugees. So I’m still pushing for a strong public option.

The Teabagger Socialist-Free Purity Pledge

I, ________________________________, do solemnly swear to uphold the principles of a socialism-free society and heretofore pledge my word that I shall strictly adhere to the following:

I will complain about the destruction of 1st Amendment Rights in this country, while I am duly being allowed to exercise my 1st Amendment Rights.

I will complain about the destruction of my 2ndAmendment Rights in this country, while I am duly >being allowed to exercise my 2ndAmendment rights by legally but brazenly brandishing unconcealed firearms in public.

I will forswear the time-honored principles of fairness, decency, and respect by screaming unintelligible platitudes regarding tyranny, Nazi-ism, and socialism at public town halls. Also.

I pledge to eliminate all government intervention in my life. I will abstain from the use of and participation in any socialist goods and services including but not limited to the following:

*Social Security
*Medicare/Medicaid
*State Children’s Health Insurance Programs (SCHIP)
*Police, Fire, and Emergency Services
*US Postal Service
*Roads and Highways
*Air Travel (regulated by the socialist FAA)
*The US Railway System
*Public Subways and Metro Systems
*Public Bus and Lightrail Systems
*Rest Areas on Highways
*Sidewalks
*All Government-Funded Local/State Projects (e.g., see Iowa 2009 federal senate appropriations)

*Public Water and Sewer Services (goodbye socialist toilet, shower, dishwasher, kitchen sink, outdoor hose!)
*Public and State Universities and Colleges
*Public Primary and Secondary Schools
*Sesame Street
*Publicly Funded Anti-Drug Use Education for Children
*Public Museums
*Libraries
*Public Parks and Beaches
*State and National Parks
*Public Zoos
*Unemployment Insurance
*Municipal Garbage and Recycling Services
*Treatment at Any Hospital or Clinic That Ever Received Funding From Local, Stateor Federal Government (pretty much all of them)
*Medical Services and Medications That Were Created or Derived From Any Government Grant or Research Funding (again, pretty much all of them)
*Socialist Byproducts of Government Investment Such as Duct Tape and Velcro (Nazi-NASA Inventions)
*Use of the Internets, email, and networked computers, as the DoD’s ARPANET was the basis for subsequent computer networking
*Foodstuffs, Meats, Produce and Crops That Were Grown With, Fed With, Raised With or That Contain Inputs From Crops Grown With Government Subsidies
*Clothing Made from Crops (e.g. cotton) That Were Grown With or That Contain Inputs From Government Subsidies
*If a veteran of the government-run socialist US military, I will forego my VA benefits and insist on paying for my own medical care

I will not tour socialist government buildings like the Capitol in Washington, D.C.

I pledge to never take myself, my family, or my children on a tour of the following types of socialist locations, including but not limited to:

*Smithsonian Museums such as the Air and Space Museum or Museum of American History
*The socialist Washington, Lincoln, and Jefferson Monuments
*The government-operated Statue of Liberty
*The Grand Canyon
*The socialist World War II and Vietnam Veterans Memorials
*The government-run socialist-propaganda location known as Arlington National Cemetery
*All other public-funded socialist sites, whether it be in my state or in Washington, DC

I will urge my Member of Congress and Senators to forego their government salary and government-provided healthcare.

I will oppose and condemn the government-funded and therefore socialist military of the United States of America.

I will boycott the products of socialist defense contractors such as GE, Lockheed-Martin, Boeing, Northrop Grumman, General Dynamics, Raytheon, Humana, FedEx, General Motors, Honeywell, and hundreds of others that are paid by our socialist government to produce goods for our socialist army.

I will protest socialist security departments such as the Pentagon, FBI, CIA, Department of Homeland Security, TSA, Department of Justice and their socialist employees.

Upon reaching eligible retirement age, I will tear up my socialist Social Security checks.

Upon reaching age 65, I will forego Medicare and pay for my own private health insurance until I die.

SWORN ON A BIBLE AND SIGNED THIS DAY OF ____________ IN THE YEAR ______________.

___________________________

Signed Printed Name/Town and State