Washington Post Editorial Board Spreading Fictions About Bernie Sanders

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The Washington Post has carried op-eds both in support of Bernie Sanders and in opposition to him. I looked at a couple of them yesterday. The  Post followed this up with an editorial full of right wing attacks on Sanders which were out of touch with reality. Bernie Sanders has responded:

At a breakfast with reporters here Thursday that was hosted by Bloomberg Politics, Sanders fired back — again and again and again.

“That’s not a new argument. We’ve been hearing that months and months, and that’s in a sense what this campaign is about,” Sanders said in response to a request for his reaction to the editorial. “People are telling us, whether it’s the Washington Post editorial board or anybody else, our ideas are too ambitious — can’t happen. Too bold — really? Well, here’s something which is really bold. In the last 30 years, there has been a massive transfer of wealth from the middle class and working families of this country. The middle class has become poorer and trillions of dollars have been transferred to the top one-tenth of 1 percent.”

“That’s pretty radical, isn’t it?” Sanders said. “Where was The Washington Post to express concern that the middle class was shrinking?”

…When he was asked about foreign policy, Sanders detoured: “Getting back to The Washington Post — check out where all the geniuses on the editorial page were with regard to the invasion of Iraq.” (They supported it.)

At another point: “I know The Washington Post may think I’m radical, but I’m not.”

More on Sanders’ response at Common Dreams.

Just as The Washington Post was wrong on the facts when they supported the Iraq war and in ignoring the economic meltdown, they totally botched the health care issue:

He admits that he would have to raise taxes on the middle class in order to pay for his universal, Medicare-for-all health-care plan, and he promises massive savings on health-care costs that would translate into generous benefits for ordinary people, putting them well ahead, on net. But he does not adequately explain where those massive savings would come from. Getting rid of corporate advertising and overhead would only yield so much. Savings would also have to come from slashing payments to doctors and hospitals and denying benefits that people want.

He would be a braver truth-teller if he explained how he would go about rationing health care like European countries do. His program would be more grounded in reality if he addressed the fact of chronic slow growth in Europe and explained how he would update the 20th-century model of social democracy to accomplish its goals more efficiently. Instead, he promises large benefits and few drawbacks.

Medicare for All is not a program which Sanders has pulled out of the air. Supporters of health care reform have discussed this for years. It is not difficult to see where the savings would come from. To begin with, Medicare is much more efficient in the use of health care dollars than the private insurance industry. This isn’t just about getting rid of corporate advertising and some overhead costs. This is about eliminating the vast amount of money spent on the health insurance industry and the huge profits they make. This is all money which would be better spent on health care for Americans.

Rationing? These days all health care payers have restrictions on what they will pay for. We already have rationing, and often it is the private payers which are more restrictive than the government Medicare program.

Some of the savings will come from the fact that Medicare often pays less than private insurance. Despite this, there is good reason why many of us doctors support the plan. The secret is that we believe we will come out ahead financially with Medicare for All. Here’s why–

Back in the old days, a medical practice would typically have one biller. Now things are much more complicated. Many practices need to pay additional people to handle the billing because of the complexity of handling different rules from each payer–and the billers are very likely the highest paid non-medical employee in any medical practice you step foot in. It gets even worse. We also have to have employees to handle getting prior authorizations from different payers for tests, procedures, and prescriptions, again dealing with multiple sets of rules. On top of all this, a growing amount of payment to physicians comes from incentive payments which come from not only practicing medicine as required, but having somebody enter all the data into the insurance company computer systems. Again, each payer has their own set of rules, often requiring more than one employee to handle them. Plus it is a headache to try to keep track of all the rules from each payer.

Just compare this to the overhead of a medical practice in Canada, which has a single payer plan similar to Medicare for All.

Plus if we have Medicare for All, we will no longer have to worry about bad debts from uninsured patients, and receiving payments significantly lower than from Medicare on patients with Medicaid. It is a win financially for many physicians, as well as for most Americans who will no longer have the large insurance premiums and out of pocket expenses they now face.

The Washington Post also questions whether Sanders  can pass his agenda. Whether or not he can is a fallacious reason not to support him. Sanders’ supporters see what Sanders speaks about as being a description of his long-term goals, not a set of promises to be completed his first hundred days in office. With our current grid lock in Washington, no candidate will be able to quickly get their goals through Congress, but I see Sanders has having a far better chance of bringing in members of Congress who will support him than Clinton. If Clinton is the nominee, my bet is that many people will split their ticket, wanting members of the other party to keep an eye on a president they know is untrustworthy.

Plus the important thing in voting for a president is over matters more directly under the control of the president. Sanders is far less likely to get us involved in unnecessary wars than Clinton or the Republican candidates. Sanders is more likely to reform the surveillance state and back away from the drug war. A Sanders Justice Department will treat those who violate the law on Wall Street far different than I would expect a Clinton Justice Department to respond.

It is The Washington Post, not Bernie Sanders, which is spreading fictions.

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