My fifteen minutes of blame
Blame the Republican house, blame the Republican party, Blame the Republicans. Yesterday evening Steve Womack – Republican representative for the third congressional district came to Russellville, Arkansas for a townhall meeting. A small crowd of about thirty folks listened quietly for about a half an hour as he politic-ed. From the nature of his presentation it was obvious that he worried more about his right flank.
He explained how shutting down the government over Obamacare was a bad idea. Not because it would harm the public welfare, but rather because it was politically unwise – it would turn the public away from the party. He staked out the traditional republican position, railing against spending, the Affordable Care Act, and the senate position on immigration. This kind of republican is actually more dangerous than the buffoons of the tea party.
A couple challenges from his right, shutting down the government and deporting all 12 million undocumented people were deflected. The real fun came from his left. A local pastor who happened to be sitting next to me made an eloquent and sensible argument for passage of the senate immigration bill. She spoke of how two of her parishioners, brothers, risked their lives (and their mothers life savings) by riding on the tops of trains for three weeks to get to the United States for a job. She was taunted somewhat by the crowd about lazy Mexicans, even though she had previously said that they had traveled for three weeks and risked life and limb FOR A JOB. I suspect those brothers have a stronger work ethic than most of the people in the room.
Then I got a few bites at the apple. On one of his slides (there’s an anachronism) he included a bullet on health savings accounts. [ME] OK, consider a guy with a health savings account who gets really, really sick; cancer, heart attack, or stroke with extended hospital care. He runs up a tab that is twice his savings. Who picks up the remainder of his costs? Somebody needs to pay for the drugs and reimburse the nurses and aides and janitors who cared for him. Bankruptcy is about his only alternative. I’ll tell you who pays, we do through our insurance premiums! [HE] ummm. He gave no real answer, he just went off on how if you have this savings and you don’t use it for healthcare, then you have this nice little savings account to use for other purposes. The long and short of it: he wouldn’t or couldn’t answer the question.
Probably my favorite encounter of the evening is when I asked another simple question: [ME] I understand why we all have an obligation to our common national defense, why not a similar obligation to our common national health? [HE] uhhh. Then he gestured by holding his hands in the air as if he were trying to measure the relative weight of a couple of objects. [HE] The two aren’t the same, providing for the national defense is in the constitution! [ME] So is providing for the general welfare! Then he said something about having skin in the game, but provided no real answer. He tap danced around the subject for a while, only to make his case worse.
He said something which I still don’t understand about do I pay to get my teeth cleaned. Maybe he was leading to a discussion of preventive care. [HE] I’m proud that while mayor of Rogers, AR we built a taxpayer-funded Adult Wellness Center. A lot of people benefit because of the center, why one gentleman I talked to said that he paid over 2000 dollars a month for some medication but since he started coming regularly to the center, his costs for the medication have been cut in half!
My jaw-droppingly obvious answer: [ME] My point exactly. If we taxpayers act together we can save ourselves some money. If we provide preventive care for the poor we will save money overall. Ten cents a day spent on the front end for a generic blood pressure drug can save us hundreds of thousands dollars in the prevention of just one hear attack or stroke. And that is a big part of the Affordable Care Act! [HE] We’ll just have to agree to disagree! He made my point, what else could he say?
One final egotistical riff. Another participant there who knows me commented on something about caps on payments for physical rehab. He said “as Dr Allen said…” while gesturing towards me. Womack swung his gaze at me and his eyes got just a little bit bigger. I guess titles still impress some people. It was just a funny moment.