Lies, Willful Ignorance, Shortcuts, and the Pseudocracy

The rhetoric surrounding the Affordable Healthcare Act continues to fascinate.

**For instance, it has been labeled Obamacare by the GOP–and then by the media. That tells us something about about the media. Need a shorter headline? Try AHCA or AHA. I grew up reading headlines that included JFK and LBJ. That said, President Obama practiced rhetorical aikido when suggesting that he welcomed the nickname, “Obamacare.” Is there a valid gender-related point to be made about “Hillarycare” and “Obamacare”? Hard to say.

**President Obama famously said that if you like your healthcare plan, you can keep it. What he failed to say, or chose not to say, is that you can keep your plan if the insurance company lets you keep it. So he was deemed a liar. He is a politician; therefore, he prevaricates. However, I suspect he was taking a shortcut so as to keep things simple. For we live in a time when sophisticated, complex utterances (as if adding the bit about the insurance companies were complex) won’t fly in politics. The president’s lie, gaff, elision, or shorthand (you choose) was ironic, in part, because the AHCA is in fact not socialistic. You can’t keep your plan if the insurance company won’t let you BECAUSE the insurance company is a private entity, a capitalist corporation, which makes a profit on misery and/or on the prospect of misery. Or perhaps I’m being Dickensian here.

**The AHCA is “big government” and “socialist,” claim some GOPers. When large insurance-corporations became socialist and were taken over by the government, I do not know.

**Then the flap about the health-exchange website. Yes, a classic governmental eff-up, out-dated technology included. A gaff that may have turned President Obama briefly into a Casey Stengel impersonator. When Stengel was managing the hapless Mets, he once (or more than once) yelled, “Can anybody play this game?” However, a reality-check might induce one to mutter instead, “First World problems.” Oh, the Americans are having some software problems with their new health-care initiative. Let us pray! Meanwhile, consider the catastrophic slums in Venezuela and India, for example; or the horrendous problem with the trafficking of girls in Cambodia; or thousands dying of thirst and hunger around the globe.

**The Congressional Budget Office produced a report suggesting that the AHCA might influence workers to work less (fewer hours). The GOP translated that as “the AHCA will cause unemployment.” A CBO spokesperson responded more or less like the unnamed correspondent in “The Love Song of J. Alfred Prufrock”: “That is not what we meant at all.” Paul Krugman asked whether Eric Cantor, for example, had spouted off about unemployment before reading the report, or whether he had read the report and decided to lie. Cantorian willful ignorance was operative no matter what, Krugman argued.

**In “News of the Weird,” we learned that the cost of a scanning-procedure in Philadelphia hospitals can range from about $1200 to $200. Welcome to retail! “How much does this treatment cost?” “Give me your debit card, and then I’ll tell you!”

All of it seems like a cry for help. Swedes and Germans, among others, must look at the spectacle, rhetorical and otherwise, and think, “How effing hard can it be?” Meanwhile, politicians and pundits continue to play the came because (pax Stengel) they can play the game, just not the game that matters to people when they become ill and/or infirm.

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