Zeke's book actually says that choice is an essential element of any health care plan. He says that if you want to pass comprehensive health care reform, it is essential to strike when you are able. He says that the there are seven "pillars" for a good plan and that the balance of a bills provisions are basically details that can be sorted over time. The seven pillars are:
These are all debatable, but hardly the makings of a conspiracy or "dirty secret".
- Coverage of all Americans
- Effective cost control
- High quality coordinated care.
- Choice of insurance plans, doctors, and hospitals along with the ability to buy additional insurance coverage
- Fair funding requiring all Americans to contribute to the cost of services
- Reasonable dispute resolution to replace the current malpractice system
- Economic revitalization from removing health insurance as a responsibility of employers.
Personally, I think ethics rest in how you do things, not why. You can be an ethical conservative or an ethical progressive. You can be an ethical Christian, an ethical Muslim or an ethical atheist. You become unethical when you decide that the inherent "goodness" of your goals justifies actions that would otherwise be unacceptable. Zeke Emanuel appears to state his positions clearly and in an intellectually honest manner. He does not appear to misquote others or take what they say out of context. He does not hide his own beliefs or biases. His positions appear to be reasoned and measured whether one agrees with them or not. I do not know enough about his life or activities to comment further. However, to me he appears far more ethical than almost anyone posturing on the issues on television, in blogs, and most in Congress.
Pillar 2- Cost Control. This is a concept foreign to our government. We can NOt trust them to oversee Cost Control.
Pillar 3-High Quality Care, that's what we have now and that's what we won't have once the bearucrats take over.
Pillar 4 -We have choice of health care now. The goobs can only screw that up.
Pillar 5 Fair Funding Who is going to pay for the folks with no money. I don't think it fair that I have to pay for them!
Pillar 6 Yes, we need Tort Reform but, we don't need to gooberment to oversee it because only the gooberment can make it worse.
Pillar 7- Having employers pay part of the cost of Heath Insurance is a nice perk for those that WORK FOR A LIVING!
Seems only fair that health insurance perks should be taxed ... like any other monetary bonus. The unions might not be happy with that, though. Some union workers get their health benefits through their union, rather than employer. They might not mind. OTOH, if union workers get taxed on employer-paid health benefits, then they will want to "replace" that $ for their workers through higher wages in their negotiations.
As a employer what ever cost is FORCED on me will be passed on to the employees. Business is so competitive that we are bidding and losing work right now. If it stays bad enough long enough those bidding work at or below cost will be gone and prices will stabilize. Then we can raise prices and saleries. Maybe if business got a tax break for providing insurance.........