As Americans are being hoodwinked by a slick health insurance industry PR campaign, the time has come to carefully examine Medicare For All by separating myth from reality.

While morally repugnant, the privately-owned health insurance industry's deceptions are economically understandable. By the time Sen. Bernie Sanders (I-VT) introduced the Medicare for All Act of 2019 in the U.S. Senate --- two months after Rep. Pramila Jayapal (D-WA), co-chair of the Progressive Caucus, introduced H.R. 1384 - Medicare for All Act of 2019 in the House --- the industry realized that it faced an existential threat.

Medicare for All would create an entirely new single-payer healthcare system that, with limited exceptions (cosmetic surgery, home care nursing), would eliminate the need for anyone to purchase health insurance.

While the parasitic health insurance industry has faced-off against them in the past, single-payer advocates are better positioned to prevail in 2020 than at any time in the past 75 years. Sanders' single-payer healthcare legislation, S. 1129, was co-sponsored by 14 Senate Democrats. Those co-sponsors included several Presidential candidates --- Elizabeth Warren (D-MA), Kirsten Gillibrand (D-NY), Cory Booker (D-NJ) and Kamela Harris (D-CA). More than one-half of all Democrats in the House (112), co-sponsored Jayapal's version of the bill. Medicare for All is also supported by 63 national organizations. More importantly, a poll taken in 2018 --- prior to a barrage of pro-insurance industry propaganda --- found that Medicare for All was immensely popular. It was supported by a whopping 70% of all Americans, including 84% of Democrats and a mind-boggling 52% of Republicans.

With their very survival at stake, the health insurance profiteers, along with large hospitals and the pharmaceutical industry, created a new PR front-group, Partnership for America's Healthcare Future (PAHF), to wage their defensive. According to Wendell Potter, a former CIGNA executive and author of Deadly Spin: How PR is Killing Healthcare and Deceiving Americans (2011), PAHF is the industry's newest propaganda arm.

In addition to carefully-timed commercial advertising, PAHF acts in concert with industry-funded politicians and mainstream media pundits. Their goal is to erect an industry-friendly frame that serves to mask the blatant deficiencies of our inordinately expensive, yet woefully inefficient, subsidized "free market" healthcare system. This, as Julie Hollar of the media watchdog FAIR observed, has succeeded in turning some of the recent Democratic Presidential Debates into "over the top, industry-friendly spectacle[s]."

Potter, the recovering healthcare industry veteran, told Los Angeles Times columnist Michael Hiltzek: "Health insurers have been successful at two things: making money and getting the American public to believe they're essential." But, "the truth", argues Hiltzik, "is that private health insurers have contributed nothing to the American healthcare system."

Most Americans, he charges, "blindly tolerate" our inordinately expensive, yet dysfunctional private insurance system "because the vast majority...don't have a complex interaction with the healthcare system within a given year...[One percent] of patients account for more than one-fifth of all medical spending, and 10% account for two-thirds." Far too many Americans fail to appreciate the "inadequacies of our private insurance system" until those inadequacies are thrust upon them by an unexpected serious illness or injury, according to the Pulitzer Prize winning business columnist.

Hence, the need to separate healthcare insurance myth from fact-based reality...

"Some men see things as they are, and ask why. I dream of things that never were, and ask why not." - Sen. Robert F. Kennedy, 1968

It is really of no moment whether or not the mainstream media was correct when it proclaimed that "Medicare-for-All" will be "dead-on-arrival in a Republican-controlled Congress."

Politically, the decision by Sen. Bernie Sanders (I-VT), together with 16 co-sponsoring Democratic Senators, to introduce a new "Medicare-for All", single-payer healthcare bill, must be seen as a stroke of political genius --- a strategy that could provide a path to securing Democratic majorities in both Houses of Congress as a result of the 2018 midterm elections.

Most Americans, including the author, thought the national trauma occasioned by "repeal and replace" ended on July 28 with the dramatic thumb down presented by Sen. John McCain (R-AZ). But, alas, like a zombie, another monstrosity --- the Graham-Cassidy-Heller-Johnson ACA repeal bill --- has arisen from the crypt of its legislative graveyard. And this time, the desperate hope was to move so swiftly that the Congressional Budget Office (CBO) will not have time to score it.

According to the Center for American Progress, Graham-Cassidy would not only add 32 million to the ranks of the uninsured but create huge premium surcharges for pre-existing conditions, ranging from $17,320 for pregnancy to $142,650 for metastatic cancer.

Republican willingness, indeed outright audacity, to repeatedly bring back a legislative obscenity that elicits as little as 12% support amongst the American electorate, is, in part, reflective of the tactically flawed strategies of their Democratic opposition.

Tactically, with the 2018 midterms on the horizon, the introduction of a "Medicare-for-All" --- a single-payer healthcare bill that by every objective measure is vastly superior to our existing corrupt, inefficient, dysfunctional and deadly government-subsidized, "free market" system --- has the potential to be a game changer, especially if the latest "repeal and replace" measure somehow defies the momentary odds and succeeds...

Guest blogged by Ernest A. Canning

Substantively, not much has changed since we analyzed the Senate version of the health care bill in "'Reform' or Legislative Obscenity?"

We noted then:

Yet Rep. Dennis Kucinich (D-OH), an original co-sponsor of H.R. 676 "Medicare for All," and a consistent critic of the pending obscenity masquerading as "reform" because it would serve to institutionalize the privatization of our health care, has now publicly declared that he will vote for the bill as presently drafted while continuing the fight for a rational, public health care system.

Meanwhile, Alan Grayson (D-FL), with 50 co-sponsors, has introduced "The Public Option Act," a bill which would provide all citizens with the option to buy into Medicare, though he, too, will vote for the Senate version of the health care bill...

Guest editorial by Ernest A. Canning

There have been a few occasions during my 62 years when I heard something profound that stuck with me.

The year was 1969. I was attending a freshman college history class, shortly after returning from Vietnam, when my professor said:

His words came back to me as Brad Friedman and I simultaneously made guest appearances on Live from the Left Coast with Angie Coiro.

While the topic was Afghanistan, a concern emerged over the splintering of the Left as a product of what Coiro described as strident "rhetoric," such as the suggestion that President Obama was a "sell-out" or the announcement by Rep. Dennis Kucinich (D-OH) that he intended to introduce a privileged resolution to stop the "criminal enterprise" in Afghanistan. The concern was the potential for that "rhetoric" to adversely impact the Democratic Party in the 2010 and 2012 elections.

Unfortunately, in part due to technical difficulties they had on the show that night, I failed to adequately articulate my concerns, which go to the core of the Progressive dilemma in U.S. electoral politics....

Guest blogged by Ernest A. Canning

As recounted in a front-page article in The New York Times, on the strength of a single "yes" from a member of the Party of No, President Barack Obama described the 14 to 9 Senate Finance Committee vote in favor of the Baucus health care bill as "a critical milestone," adding, "We are now closer than ever to passing health care reform."

With all due respect, Mr. President, it is nothing of the sort. To the contrary, the Senate Finance Committee has produced nothing less than a legislative obscenity.

After nearly a year of back room deals and unending propaganda, which has included extensive corporate media coverage of insurance industry sponsored, wing-nut assaults on town halls, fabricated issues about "death panels," the exclusion of single-payer advocates from the White House and the Senate Finance Committee, and a deafening corporate media silence about the widespread public support* for a single-payer (Medicare for All) system, the time has come to pierce through the confusion by asking and answering a few simple questions...

Guest editorial by Ernest A. Canning

"You must be the change you wish to see in the world." - Mahatma Gandhi

In "ObamaCare: Right Diagnosis, Wrong Prescription" I noted that it was virtually impossible to mount an honest defense of the current U.S. health care system. Doing so would amount to suggesting that the obscene wealth of a few health care insurance company CEOs and their Wall Street investors has a greater social value than the lives of 18,000 of our fellow citizens whom the current system annually sentences to death simply because they are too poor to purchase insurance coverage.

Today, as I mulled over the legislative obscenity that Sen. Max Baucus (D-MT) and a former vice president of WellPoint spent months preparing --- an insurance carrier wish-list that contains no public option, no means for controlling costs or abuse; a measure that does not merely protect but expands the already obscene wealth of the few by mandating that every citizen purchase insurance, with massive subsidies flowing into carrier coffers --- I learned that I was wrong...

Guest editorial by Ernest A. Canning

Last week, in his address to a joint session of Congress, President Obama correctly noted:

That was the easy part. Anyone who has paid attention understands that the core problem lies in the profit motives of the private insurance and pharmaceutical industries.

Thus, the President's diagnosis of the U.S. health care system was accurate, but did he prescribe "change we can believe in?"...

Guest editorial by Ernest A. Canning

In "Single-Payer and the 'Democracy Deficit'," citing empirical studies, polls and the extensive data assembled by Physicians for a National Health Program, I argued that the current for-profit health care system is not merely corrupt, irrational and dysfunctional, but deadly; that it pits the obscene profits of a few health insurance company CEOs and their Wall Street investors against the health of our people, whose very lives are treated as nothing more than a commodity.

In that article, and in subsequent posts, I noted that those who seek to preserve the status quo are advocating nothing less than a death sentence for the more than 18,000 Americans who die each year simply because they can't afford insurance; that countless others die after being denied vital procedures.

I cited empirical data that demonstrates that so-called hybrid systems, including one with a "public option," are inordinately expensive as most of the monies find their way into the insurance industry coffers by way of subsidies. Single-payer systems, with administrative costs in the 1% to 2% range, are far more efficient than our multi-payer system where 31% is squandered on for-profit carriers.

I pointed to the undue influence of corporate campaign contributions which have corrupted the legislative process, where the likes of Senator Max Baucus (D-MT) have worked tirelessly to keep single-payer off-the-table. In yet another piece, I noted how wing-nut mobs have provided cover for this betrayal of the American people.

Well, here's your chance, America...

Guest blogged by Ernest A. Canning

In the final analysis, the ideological differences between Republicans and the corporate/controlling sector of the Democratic party are relatively narrow and insignificant as compared to the bi-partisan link to corporate wealth and power --- a link both share with the corporate-owned, mainstream media.

In 2008 it was the insanity that was the Bush/Cheney flirtation with fascism. Today, it's imaginary "death panels" and the undereducated, easily manipulated wing-nut mobs sent to shut down one of the oldest forms of American democracy --- the town hall meeting.

These provide the perfect cover. They permit the more gifted corporate Democrats, for example Barack Obama, to seduce the great masses of working stiffs who make up the American electorate with soaring, but ultimately deceptive, rhetoric; producing brief euphoria on the eve of the last election, followed by no real substantive change.

As the corporate media misdirects focus on brown shirt-like disruptions at the town halls, the real "death panels" --- the corporate profiteers and their bought-and-paid-for politicians --- hammered out a pseudo-reform package that will perpetuate a corrupt, dysfunctional and deadly health care system which kills more than 18,000 Americans each year simply because they can't afford coverage and countless more when carriers refuse to authorize vital, life-saving procedures...

Guest Editorial by Ernest A. Canning

"Americans think that it’s healthcare that produces health, when there really is very little evidence for that. What turns out to be really important is the nature of caring and sharing in society….Where societies are more equal --- and economic equality is the thing that is most important in this --- people look after each other…and pretty well everyone does better. There’s almost nothing that is better in a society that tolerates the extreme levels of inequality in the United States. And so, we end up dying younger than people in all the other rich countries, despite spending half the world’s healthcare bill." - Dr. Stephen Bezruchka, March 30, 2009

"Who are we? Is this what we have become --- a nation that dumps people off like garbage who can't pay their hospital bills?" - Michael Moore, following a segment in which a confused elderly woman in a flimsy hospital gown is dumped curbside near a Skid Row rescue mission, in his documentary Sicko!*

In Failed States (2006), Prof. Noam Chomsky, a preeminent linguist and one of this nation’s most prolific political writers, concludes that the U.S. suffers from a “democracy deficit” --- the significant gap between the policy positions of the electorate and their elected representatives --- which he attributes to the manner in which “elections are skillfully managed to avoid issues and marginalize the underlying population…freeing the elected leadership to serve the substantial people.”

The deficit is especially acute in what Chomsky describes as “the most dysfunctional healthcare system in the industrial world.” Chomsky notes that a single-payer system --- that is a system in which all medical providers would be paid by a government entity as now occurs with Medicare --- has long been overwhelmingly favored by “a considerable majority” of the American people, but routinely dismissed by both the corporate media and the leaders of both political parties as “lacking political support” and not being “politically possible.”

The issue touches on the core contradictions which arise because we have allowed private authoritarian entities, corporations, to subvert democracy by controlling our economy, our mass media and the manner in which we conduct elections.

This piece will focus on the irrationality of a privatized health care system which values the wealth of a handful of CEOs of the parasitic and entirely unnecessary middle-men --- for-profit carriers and HMOs --- over the health and very lives of our people. It will explain what corporate America and their bought-and-paid-for politicians do not want you to hear...