Monday, April 13, 2020

"Health Care after COVID19" Letter to the editor Tom Denton

Health Care after COVID19
The fall Democratic primary campaign was consumed by debate about health care, and specifically, Medicare for All.  With the onslaught of COVID19, that debate has raised new questions.  The weaknesses of the American system of health insurance tied to employment are vividly exposed.  17 million Americans, and counting, have applied for unemployment benefit relief, but how many of them will lose the health insurance offered by their employers?  How many, in these circumstances, can afford the cost of COBRA, which allows them to buy into their plan for 18 months at full premium cost?  How many will qualify for Medicaid, whose requirements vary widely in different states, and how many of them live in one of the 14 states that did not expand Medicaid eligibility and benefits as part of the Affordable Care Act?  The answers for millions will be, Out of Luck.
Opponents of Medicare for All claim that most Americans like the health insurance they currently get from their employers.  Of what use is that insurance when either financial and market collapse or catastrophic viruses wipe out jobs, industries, governments?
Maybe America, staring at the prospects of future pandemics, might use this moment to separate health care from employment and find a new path forward, whether through single payer or hybrid systems of public and private insurance.  The bottom line will be this:   how many of us, after this pandemic subsides, will demand that the country act on the proposition that health care for all residents is a human right? 
Publishing history:
Shawangunk Journal, 
New Paltz Times    4/16/20
Times Herald-Record     4/13/20

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