The Hard Costs of Trump’s Big Beautiful Bill: Healthcare costs too much and does all the wrong things

As President Trump’s Big Beautiful Bill passes through its steps, with budget hawks jumping rope with reality, it’s worth talking about some of our expectations on fixed cost maintenance, things that people have come to expect the government to provide, such as Social Security and Medicare.  I hate those programs; they were part of a growth of government that started essentially in the 1930s and has communist sweat dripping from them in horrible ways.  I’d rather have the money that goes into Social Security to invest myself because the government doesn’t do a good job of making money.  And the cost of health is horrendously out of control, so throwing more bad money at a bad system is just ridiculous, with Medicaid expansion as has been done over the years, especially in reaction to Obamacare, the takeover of a fifth of our national economy.  Unfortunately, healthcare is directly attached to big government, and it’s fair to say I despise it.  I have several family members who work in healthcare, and I try hard to keep my opinions to myself, for their sake.  But our meetings end with dramatic tension because I hate healthcare so much at its foundational principles.  Few things make me angrier than when someone gives me a doctor’s note for not attending their professional occupation, as if the doctor has some exclusive management rights over me.  In my family, the discussion of healthcare is a significant problem that sets me off like a bomb quickly.  And I try very hard to avoid confrontations for the sake of the people I care about.  But I think we should be performing regenerative medicine and not just maintaining declining conditions, which our entire healthcare costs are built around.  And ultimately, that’s where the costs are. 

I was reminded of just how much I hate the healthcare industry recently when one of my daughters was having her second baby, my fourth grandchild.  Of course, as she was having the baby, we gathered at the hospital to welcome the little girl into the world, and it was a generally happy occasion.  Most of the time, birthing is a happy time to go to the hospital, as opposed to all the other times, where someone you care about is stuck there over some physical health issue for which they seldom ever fully recover.  Our healthcare system is about maintaining declining conditions.  Where birth is about growth and opportunity.  So I hate hospitals.  I hate their parking lots.  I hate their receptionist desks, their elevators.  I hate their bathrooms.  I hate hospitals because they are primarily about declining conditions, where the authority over individual lives is surrendered to an administrative state.  So as we were parking to see our new grandchild, my eyes were wide awake to the massive costs associated with the social venture of a hospital culture.  It was a busy place full of people living off the healthcare industry.  And from where we are now, there is no good way to reform anything in healthcare because, in doing so, you would eliminate so many jobs where people serve some small, bureaucratic function in the managed decline of civilization.  What’s broken in our current model is our expectations of what healthcare is and what it should cost.  For our society, it’s one of the things we encourage our children to invest their lives in, like being lawyers, school teachers, and doctors.  We expect those are good, well-paying jobs, and deep down inside, we are committed to preserving them even if they aren’t the best way to approach the growth of a civilization.  So changing it would take a lot of time, gradually.  Not suddenly.

But the waste was evident to me everywhere as we visited our daughter, giving birth to a wonderful young grandchild with her whole life ahead of her.  I felt sorry, though, for all the people at the hospital stuck in that horrible system, either as employees or as victims of some health ailment that could easily be cured by regenerative medicine.  It was hard for me to listen to the conversations about the placenta disposal that were taking place as we welcomed a new baby into the world, because there are enough stem cells in that placenta to fix a lot of the people in the hospital of their health problems.  But fixing them would mean that many of the employees at the hospital would be out of a job, and essentially, a vast majority of our economy would be torpedoed.  So we are a long way away from fixing the horrible problem of healthcare, and Obamacare was never the answer.  But these days, even President Trump is taking credit for helping to keep the socialist approach to healthcare provided by the government somewhat functional, which means people have some medical coverage to throw at this ridiculously wasteful system of health maintenance.  It’s a two-problem condition, the system itself is built to keep people sick and employees employed.  And where the money comes from comes from sources outside of private insurance because the costs are so out of control that only the government can afford to sustain the ridiculous enterprise.  So our expectations of what medical care should be are at the heart of the problem, and we have come to look at the government as a way to keep us alive, which was the goal of communism all along.

President Trump has brought a lot of Democrats over into the GOP and made it a huge tent party.  So, to the budget hawks, trying to drive down the spending in this Big Beautiful Bill of Trump’s, this is a fight for another time.  We need to attack healthcare expectations before we can peel away funding for it, much like education debates.  We have to get the government out of education and healthcare before we can reform them and make these things better.  Because too many people are wrapped up in the system itself, they make their living off the decline of other people.  That’s why I don’t even bring it up to my family members who work in healthcare and its maintenance.  I’m at the scrap the whole thing level and don’t want to spend one cent on it.  Regenerative medicine is the way to go, nobody should ever die of cancer.  And people should be able to live into their hundreds, and keep working as long as possible.  So, all the Social Security processing and health insurance talk infuriates me at the basic level.  And seeing my new granddaughter, it was nice to welcome her into the world, but it reminded me of how much I hate hospitals.  The people there reminded me of hamsters running on the hamster wheel, pointlessly, aimlessly, and only to provide incomes to people for jobs they shouldn’t even have.  There are many better things to do besides health maintenance of declining conditions.  And the authority we have given doctors over our economy, which was most notable during Covid when they made a power grab through the World Health Organization to take over the global economy.  I am proud of Trump for standing up to those losers, but that’s where the fight is, in the social construction of the current healthcare system.  People aren’t ready to cut the funding to a failed model yet, because they work for that system with comfortable jobs that they like too much.  But the time for that discussion is coming, and I can’t wait for it.

Rich Hoffman

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