The American
public has been treated to a sad spectacle in recent weeks. With the fate of
the Affordable Care Act (ACA) hanging in the balance, the country’s political
leadership—from the President on down—engaged in an off-putting war of words
and partisan sniping. All the players clung to unbending ideological positions,
exhibiting a stubborn determination to seek political advantage.
Utterly lost
in this first chapter of the battle for healthcare reform under the new
Administration—the first of many political skirmishes, undoubtedly—was the fate
of millions of poor or relatively poor Americans. Their access to quality
healthcare depends on what their representatives in the nation’s capital manage
to come up with. Their well-being, not politics, should take center-stage. The
duty and high calling to serve the common good—as inscribed in the country’s
founding documents—should guide legislators on both sides of the aisle.
Sadly,
things are off to a very poor start; and with the battle for tax reform looming
large as the next showdown in Washington, D.C., it is to be feared that genuine
healthcare reform may get lost in the shuffle. As a result, the ACA, for better
and for worse, will hobble onward for the foreseeable future—continuing to
protect some, while raising the financial burden for many others as premiums rise
and the pool of insurers shrinks, not to mention a host of other unresolved,
compounding difficulties dogging the program.
On a
practical note, it must be remembered that the ACA was not solely the invention
of the Obama Administration. The pursuit of providing healthcare to the legions
of uninsured Americans dates back some 30 years, to the efforts, however
imperfect, of the First Lady during the first Clinton Administration. The
simplistic, jingoistic slogan “repeal and replace” badly fails to do justice to
the complexities involved. Still more seriously, such an approach overlooks the
urgent needs of the ultimate beneficiary of any reform: vulnerable and needy
Americans of all backgrounds.
It is clear
that the ACA bears improvement. All stakeholders—legislators, insurers, drug
companies, medical device makers, health care providers., as well as the
American people at large—are in agreement that there is a need for a certain
repair and degree of transformation. However, common sense and a focus on the
common good should guide the necessary process—not self-serving partisan
politics that play fast and loose with the physical, emotional, and mental
well-being of untold numbers of ordinary Americans.
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