The Doctor will see you now.

The health care debate is heating up. I must say that regardless of your position on this issue, it is a nice debate to be having for once. It's a break from the 'how much torture is too much' debate, or the 'I know the WMDs got around here somewhere' debate. It is a debate being lead by someone who can complete a sentence, and when Obama speaks about health care you get the feeling that he knows what he's saying. That in itself is a breath of fresh air. Also, it's about something that genuinely effects the quality of life for millions of Americans.

As one of the 40 million uninsured in this country, I have been following the debate with a degree of interest. The single payer system, which is used across much of Europe and Canada, seems to be off the table at this point. The private insurance companies simply have too much power in Washington, D.C. and those in Congress are too cowardice to bite the hand that feeds them. So what will most likely happen is we will get a bill that props up the private insurance companies by subsidizing policies for those that cannot afford it on their own. The insurance companies win and we will continue to waste billions of dollars in administrative costs. Even those insured will be at the mercy of what their insurance company will decide to cover.

This is not actual health care reform. It might be considered health care 'improvement'. A single payer system, where everyone pays to a single entity, usually the government, for a standard of health care, is what we need in this country. That is actual reform that would cover everyone. You get sick, you go to the doctor, you get your prescription, it costs you nothing above what you have already paid in taxes, and you go home. Is it socialized medicine? Yep. It is. Just like our socialized education system, police forces, public transportation systems, and postal service.

The larger question posed in this health care debate is whether or not a basic standard of health care is a right that comes with being an American citizen. At some point in history we as a people decided that education fell into this category. President Carter created the Department of Education to help regulate the basic standard of education that every child, even those of undocumented immigrants, would receive. Not every public school is up to the same standard and our education system has its share of problems, but every child has access to a teacher and a classroom. They can learn to read and write and think for themselves.

Imagine if you will what our country would look like if you had to purchase private insurance so that your child could go to school. It would insure generational poverty and create a caste system that would manifest all sorts of social issues between classes. Your parent's can't pay now, then you miss out the foundational building blocks of success that could help you rise above your situation in the future. This is what our health care system looks like from my perspective at the bottom.

All this talk of reform, however, has awakened the conservative scare machine. They have taken a momentary break from eating Sarah Palin's pussy to paint for us the horrific picture of what an America with a single payer health care system would look like. I find it hard to believe that anyone listens to these guys anymore, but apparently their message of fear still resonates with many people. There is no example of health care tales gone wrong in other countries that they have not incorporated into their talking points. "A guy I know in Canada had to wait two months for gall bladder surgery," they say. "He almost died." Well, that may be true, but 40 million of us in this country are not going to be having any gall bladder surgery, and we might actually die.

Even with a single payer system that covers every American, private health insurance is not going away. This is the other big conservative lie. They claim that it will stifle competition in the industry and hand us and our health over to the evil government. What they fail to mention is that there are plenty of private companies that compete just fine with the U.S. government. Take UPS, FedEx, private schools, taxi cabs, and a wide variety of security services that successfully compete with their 'socialized' counterparts as some examples. There will always be the wealthy that will purchase their own insurance to received this, that, or the other service not covered in the public plan. And there will be plenty of private insurance companies happy to take their money and provide them coverage for their boob job, chin lift, late term abortion, and lasik eye surgery.

I guess as a person that currently does not have access to health care through no fault of my own, I tire of these Republican talking points. They see Obama's commitment to reforming health care as an Achilles heal they can attempt to exploit. Senator Jim DeMint, a Republican from the south, said last week that "If we are able to stop Obama on this...it will break him." And that about sums up the debate. While Obama works diligently to bring the type of reform the American people voted for last year, the Republicans are going to do their best to stand in the way, make him look unable to lead in this arena, and then use it against him three years from now. This is not a debate about which reform is best. It is between doing something and doing nothing. If I am wrong in understanding the dialogue this way it is because the Republicans are not letting the American people in on their excellent ideas to reform the health care system. I can only assume it's because they don't have any.

Whether or not you agree wholeheartedly with any of the bills that are making their way through Congress at the moment, I have to hand it to the president for placing health care reform at the top of his domestic agenda. He has learned from the mistakes of the failed attempt in 1993, and has a comfortable relationship with our Democratic congress. And maybe....just maybe, I'll be able to go to the doctor some day. What a thought.