This evening I attended a Spaghetti Dinner sponsored by Senator Sheldon Whitehouse (D-RI).
Met up with a couple of people on Sheldon’s staff that I had worked with when we were all at the RI Secretary of State’s office. Overall all about 130 people showed up for the event.
The event was MC’d by Providence Mayor David Ciciline:
And then Sheldon got up to say a few words before handing microphones out to the crowd:
It was a bit of a political who’s who, what with city councilmen John Lombardi (Ward, 13) , Nick Narducci (Ward 4), Peter Mancini (Ward 14), Terry Hasset (Ward 12), and Michael Solomon (Ward 5) and Rep. Grace Diaz. Also in attendance was Providence Police Chief Dean Esserman. One commonality among the politicians that attended, they all represent areas with a large number of elderly and economically disadvantaged.
There were some compelling stories. I didn’t tell mine but I’ve gone without treatment for this inner ear condition because I don’t even have coverage at this point. And the nerve sectioning in the inner ear won’t be cheap I’m sure. Other people were talking about the $15,000 for this, $7,000 for that, etc. The time and money wasted because we don’t have a viable public health care solution yet.
Sheldon did talk about a public insurance program. And he alluded to something that I should have asked but didn’t. He says that the public system will cause the private system to shape up. I suspect the public system would drain off the more expensive cases from the private insurers. In order to balance the system strong regulation would need to be put in place. Perhaps a fair system for those with expensive chronic conditions would be to create a pool of insurers including the public and assign people to those insurers by random lottery. This way all plans would share in the care for chronic conditions.
Sheldon did touch on efficiencies in health care delivery which is encouraging. But the idea of a for-profit insurer or a for-profit health provider runs counter to my beliefs. I don’t mean doctors and nurses should be taking a lower rate of pay, but that hospitals and insurers need to change the focus form providing for the shareholders to providing for the insured.