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stoningroll.com sent the letter below the following description of the problem for Tulsi’s position on healthcare to the Tulsi2020 website in August 2019 -

Some Tulsi surrogates on Twitter have recently suggested that Tulsi’s healthcare plan is a single-payer Medicare for all plan, arguing that other countries that have their version of single payer healthcare also have a role for private health insurance companies to provide duplicative care (forbidden under the plans of Bernie and Pramila Jayapal). The disingenuous suggestion of Tulsi surrogates (or trolls posing as such) is that Tulsi’s healthcare plan is compatible with other countries’ single-payer healthcare systems - you don’t have to ban private health insurance companies’ providing coverage for duplicative care in order to be single-payer. Neither Tulsi nor her surrogates (or trolls posing as such) publicly mention that she is a co-sponsor of Jayapal’s (house) bill on Medicare For All, which (like Bernie’s) bans private health insurance coverage of duplicative care - the same ban which she claims is ‘un-American’.

The key point to note is that in the primary case of another country with a single payer health care system (no premiums, no co-pays, no deductibles) which also has duplicative healthcare, that duplicative health care DOES NOT INVOLVE PRIVATE HEALTH INSURANCE! The country in question is Canada. In Canada, private health insurance companies are banned from providing coverage for health services covered by the single-payer system. Yet nobody comes south from Canada to the USA for basic healthcare.

In the United Kingdom, everyone is covered for healthcare by the National Health Service, paid for by taxes (just like (best in the world) BBC programming has no commercials but is paid for by a TV license fee). Due to conservative government cuts on funding, the NHS has endured hard times and patients have endured waiting lists for non-critical operations. As a result, about one in ten people in the U.K. (those who can afford it) can pay for treatment in private clinics on a one-off out of pocket basis to ‘cut in line’ or join a private health insurance company (e.g. B.U.P.A.). Private health insurance companies in the U.K. are for the wealthy elite, not the average sick person. Tulsi surrogates (or Twitter trolls posing as such) don’t acknowledge that when Tulsi told Anderson Cooper that she was against banning private health insurance companies (since that would be ‘un-American’ - much like the McCarthyism of the Cold War era), she is NOT acting on behalf of regular Americans who need healthcare. Tulsi is acting against those interests - she is a good looking McCarthyist, selling you work-out videos whilst pretending to be progressive.

The success of a private health insurance company is measured by how often they can get away with denying people coverage when they need it. It is very disappointing to see Tulsi disregarding this point.

The (open) letter to Tulsi is as follows:

Hi Tulsi!

I have a site called stoningroll.com, which includes op ed pieces about politics. I recently wrote an op ed piece about your apparent inconsistency regarding your stance on regime-change wars and your position on health care. The url for the piece is:

https://stoningroll.com/index.php/election-2020/129-tulsi-warren-and-bernie

I will publish an article on my site to correct any errors you find or criticisms you have with regard to the above piece. I support your progressive policies generally, but don’t understand why you are in favor of keeping private health insurance.

I am originally from Northern Ireland (part of the U.K.) where hospitals are nationalized (doctors work for the gov) but there are no private health insurance plans! Instead, there are private health practices where wealthy people can get private health treatment.

I’m concerned that you will be criticized for advocating Medicare for all, whilst apparently also (inconsistently) advocating that people can keep their private health insurance if they like it. The goal of private insurance is to deny people coverage as much as they can get away with it, in order to max profits.

Thanks for reading this. Thanks for supporting Bernie in 2016 (unlike Warren).

Slante / Cheers

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