I know I talk at length about the dominant culture and discourse (the structural and institutional power source) and how targeted populations (folks that are not white, heterosexual, male, wealthy, and Christian) should unite and engage the dominate culture in a way that works towards creating equity across the board. This means a re-distribution of wealth and health insurance for all human beings. Today I want to talk about how tired I am about all this mishigas over the Affordable Care Act.
Sadly, all we hear from 99% of the media is the crash of the Affordable Care Act and has President Obama lost credibility? Really? This the question? Why are we not asking how many people are already enrolled and are still trying desperately to enroll? Why are we not asking how we can create a more equitable way of taking care of all of our citizens regardless of party lines? Why are we not asking where were all the critics when Mitt Romney had trouble rolling out the exact same health plan in Massachusetts? Why are we not asking about the cost of the government shutdown and how much of that money could have gone to health insurance? Why are we still tying employment to health insurance?
Of course, I have to bring up race and class again. Those that are not part of the dominant culture (as defined above) suffer disproportionately as far as employment, health care, and poverty. Do we just discard human beings in the United States if they don’t fit in to the boxes we assign them? Let’s look at a simple fact: at least 20 Million people in this country are uninsured and will have the ability to be insured thanks to the ACA. No amount of GOP whining, media distraction, website downtime, or pundit bloviating changes the fact that this is a simply good thing.
The constant barrage of criticism uses words like “debacle” and “disaster.” Are these accurate? Objectively, NO! Let’s explore the three basic criticisms of the ACA: website, signups, and cancellations.
First, the most legitimate criticism: the website doesn’t work very well. That appears to be true. The deliverable product is very complex. It needs to interact with multiple government agencies, multiple private companies, and the fundamental operations of the ACA. At the same time, it needs to protect privacy and pass along a significant amount of information. Yes, the government should have focused on making this rollout a success. On the other hand, nearly 20 MILLION visitors have started come to the site, providing a great deal of stress. GOP governors repeatedly rejected state exchanges, forcing their citizens to the federal site, contributing to overload. Many of the federal employees responsible for making the website a success were either furloughed during the shutdown or bogged down answering questions from GOP House members. Objectively, the website needs serious improvement, but the loudest complainers (are you listening, Boehner and company?) are the biggest obstacles to its viable completion.
Pundits and so-called journalists are also bemoaning the sign-up levels. The number 27,000 is used a lot lately. Yes, that number is lower than the initial estimates. Given that nearly half of America lives in cities smaller than 25,000 , however, that means the typical U.S. citizen is seeing their entire town given health care. The dire figure also ignores a significant number of other factors. Nearly 100,000 people have signed up through state exchanges, proving that the “states rights” option that should have appealed to the GOP is a big success. Medicaid enrollment, a major element of the ACA, is up by nearly 400,000. People under 26 can stay on family plans under the ACA, leading to a large (but so far uncalculated) number of younger Americans having coverage they would not have had. So the real number easily 20 times larger than the pessimistic reports.
How about those cancellations? Anyone on an employer plan should remember that the plans change every year or two. That’s right, those cancellation notices that the media are saying prove the ACA doesn’t work are business as usual for insurance companies. Sadly, the cancellations that make the news ignore two other very important facts. First, many of these plans were at best cheap, ineffectual coverage. Second, many of the people who need to look for new plans qualify for much better insurance for little or no increase in payments through state or federal exchange programs.
Yes, there are legitimate frustrations. Certainly the website should have been better stress tested. At the end of the day, however, what matters is CARE. Thousands, leading to millions, of US citizens will have better coverage — or the first coverage in years (or ever) — as a result of this law. Could it be smoother or simpler? YES. But the GOP refused to pass that kind of law. The ACA is a strong step in the right direction and must be given time to succeed. Millions of Americans need that. The media need to focus on facts and benefits and stop the senseless, sensational reality-show shenanigans–all in the name of profits for the top 20% of the country. What would it be like if each citizen was guaranteed the same health care package that all 535 congress people receive? What is getting in the way of accomplishing this?