EppsNet

I will actually give you a speech made up entirely–almost at the spur of the moment, of what a candidate for president would say if that candidate did not care about becoming president. . . .

“Thank you so much for coming this afternoon. I’m so glad to see you, and I would like to be president. Let me tell you a few things on health care. Look, we have the only health-care system in the world that is designed to avoid sick people. [laughter] That’s true, and what I’m going to do is I am going to try to reorganize it to be more amenable to treating sick people. But that means you–particularly you young people, particularly you young, healthy people–you’re going to have to pay more. [applause] Thank you.

“And by the way, we are going to have to–if you’re very old, we’re not going to give you all that technology and all those drugs for the last couple of years of your life to keep you maybe going for another couple of months. It’s too expensive, so we’re going to let you die. [applause]

“Also, I’m going to use the bargaining leverage of the federal government in terms of Medicare, Medicaid–we already have a lot of bargaining leverage–to force drug companies and insurance companies and medical suppliers to reduce their costs. But that means less innovation, and that means less new products and less new drugs on the market, which means you are probably not going to live that much longer than your parents. [applause] Thank you.”

— Robert Reich

My fellow Americans –

Perhaps it was unfair of me to be critical of President Obama’s healthcare speech without having heard it. There’s not much to do on a Saturday night when you’re dead, so I read the transcript:

We’ve estimated that most of this plan can be paid for by finding savings within the existing health care system, a system that is currently full of waste and abuse. . . . The only thing this plan would eliminate is the hundreds of billions of dollars in waste and fraud, as well as unwarranted subsidies in Medicare that go to insurance companies . . . Reducing the waste and inefficiency in Medicare and Medicaid will pay for most of this plan.

And how much money are we talking about, sir?

Now, add it all up, and the plan I’m proposing will cost around $900 billion over 10 years.

WTF?!

I will not accept the status quo as a solution.

OK — cut the bullshit, my friend. Your “plan” vs. “the status quo” is a false choice. You’ve just said so yourself. If you’ve figured out how to eliminate $900 billion in waste and inefficiency from the current system, GO AHEAD AND DO IT! Why are you tying that to 1,000 pages of unrelated “reforms” that no one has even bothered to read?

If you can eliminate hundreds of billions of dollars in waste and inefficiency — I don’t believe that for a second, but let’s say you can — you will have no greater supporter than old Tom Jefferson. AND — you will have acquired so much credibility that you’ll be able to pass any reforms you like.

Don’t present false choices to us like we’re a nation of fools. Cut the bullshit and DO something.

— Tom