| If we can pry ourselves away from Very Serious Person Andy Dillon's suggestion that we solve the state's budget problems by makng things worse for thousands of people, I'd like to direct you to an editorial in this morning's Lansing State Journal. The people of mid-Michigan may have a better understanding of the shift in health care than their counterparts in other states. Economic tsunamis tend to clear away all but the most vital concerns. And what Greater Lansing and the rest of Michigan have learned in the last decade is the existing employer-based system of health insurance for working Americans is ill. It's sick because the global economy has changed faster than Michigan-based firms have.
I don't have any special problem reopening negotiations with various unions and squeezing concessions out of them, I suppose. Things are really very crappy in this state right now, and at some point everyone has to ante up and kick in. On the other hand, Dillon's proposal to screw state workers really just frankly ignores that the entire health care system is broken. It's not just the state of Michigan's approach. Anyone who thinks we can continue without some kind of universal health care is deeply deluded. It's just not going to happen. In fact, things are going to get worse as our biggest generation -- the Baby Boomers -- continue to age. The American health care system, as it exists today, is going to have to go away and be replaced by something universal. You can attempt to split the issues. We have to balance our budget in Michigan, and we also need to fix the national health care system. Frankly, I think that means creating an excuse to not pressure Washington to do what's been needed to be done for the last two decades. The only thing that will push Washington into doing something, and not doing the stupidest thing possible, will be concerted pressure from all the various players -- medical professionals, employers, state governments. I'm also frankly skeptical of letting the state Legislature do this before the end of this fiscal year. This strikes me as the kind of thing that would be contentious enough without worrying about hitting a deadline in two months. I also have zero confidence that a deal will get done in good faith that isn't at the last minute and makes a further hash of things. This state Legislature has demonstrated extreme aptitude in bolloxing everything it touches, and I can point to the past failures of the 2008-09 budget, the replacement of the SBT, the presidential primary, and a whole host of other things. |