A Romney win terrifies me. A Romney/Ryan win will destroy the remaining middle class, public education and will indenture labor. He will rapidly steal from the poor and middle class to further enrich the 1 percent while destroying our planet. His Supreme Court appointments will codify the abuses and make it all worse.
In our view, Democrats generally tend to be more specific and realistic about their plans and outlook, while Republicans tend toward the broad-brush approach. For example, President Obama paints a picture of the current economic outlooks as a realistic “no pain, no gain” path and delineates specifics that some may not like but are necessary to get us out of this mess. On the other hand, Romney says he has an unspecified plan that appears to eliminate much of the scary Ryan approach, but seems to be a vague version of trickle-down economics. The base view pits the very wealthy versus a not-so-healthy and diminishing middle class. It’s not pretty in Congress. Are we doomed?
If Romney wins and the middle class is destroyed, then many well-armed people will have nothing to lose. Eventually there could be a bloody revolution and civil war.
The current Congress has the lowest approval ratings of any in history. Do you believe the Tea Party is to blame? Even most traditional Republicans think they’ve gone too far.
Yes, the Tea Party has gone too far. They are bullies eating their young. The blame lies with Newt Gingrich’s negative and polarizing attacks, the Tea Party, the uninformed voter, the profit mongers using the PR firms to mislead and Citizens United together with other lack of campaign finance regulation.
Finally, as a doctor you must be an expert on Medicare. What are your thoughts on the competing plans and what do you think has to take place to ensure these benefits—and those of Social Security—continue in perpetuity?
I am not an expert on Medicare, but I know who to ask. Medicare, other health care, and Social Security need benefit prioritization, careful budgeting and means testing to function well for many future decades. Medicare costs are more challenging than Social Security. Social Security has a current $2.4-trillion trust fund surplus and, even with a 4.2 percent payroll tax, we took in more than was paid in benefits last year. Medicare costs rise with longevity, technology advancements and disease prevalence, like obesity. There is too much “profit extraction” in our health system. Our fee-for-service approach fails to align medical system use with outcomes and cost. Doctors often prescribe patented rather than generic meds with no efficacy difference. In Haiti, AIDS treatment dropped from $1,500 per patient a year to $450 with the same life expectancy by using a protocol of generic medicines.