The truth is that most people don’t know the open enrollment dates, and they don’t know that the deadline this year is December 15 — not January 31, like last year. They don’t know that by shopping on Healthcare.gov they are likely to find a plan that costs less than a $100 a month. I know this, because my office produced reams of data that proved the overall effectiveness of outreach advertising.
Signing up for health care is a big decision, especially for those who have never had health insurance. People think it’s out of reach, that they can’t afford it, that it’s just too difficult — or they’re young and healthy, so why bother? And the ongoing public debate about repeal has only added to the confusion. So it’s no surprise some people will throw up their hands and roll the dice, betting they won’t getting too sick or too injured.
Advertising, backed up by an informative website and in-person assistance, can help people grasp that health coverage under the ACA may be more affordable than they think, leading them to sign up.
This shit isn’t magic. I know everybody thinks that with the Internet all you have to do is put something “out there” and everyone will flock to it but news fucking flash, lots of people aren’t online constantly, lots of poor sick people aren’t online especially, the communal computers at the library don’t have a waiting list because high-speed Internet is available everywhere, and basically this is like the least dumb thing we could be spending our money on.
You have to go where people are, and you have to pay for that. I wish there was a way around it. God knows lots of things would be easier without money, such as food and shelter and actual health care, but right now where we are is so fucked that it’s going to require buckets of money to pull us out.
I started thinking the other day about all the damage Trump is doing, and that the GOP has done over the past 40 years, destroying most of all the will to preserve the common good. I know so many rich/middle class people who genuinely believe paying taxes is like some kind of favor they do for poor people, like they don’t get roads and snowplows and parks out of it, like the water just comes out of the tap by magic. It’s become so easy, in our politics-as-persecution-theology, to imagine ourselves alone.
It’s going to take buckets of money to pull us back from that and our Dem leadership is so shitass scared of being accused of GIVING ALL YOUR MONEY TO THE BLACKS that they’re willing to bend over for every tax incentive that lifts its skirt, but not willing to be honest about how much shit costs AND how much we should be willing to shoulder those costs because of the benefits. Heaven forfend we appear to be on the side of the widow, the orphan, and the goddamn parents just trying to figure out how to buy milk.
Building things costs money. Flood remediation costs money. Healthcare costs money and I’m about done hearing that we should just GoFundMe every single disaster instead of using the giant GoFundMe mechanism known as government to get some shit done.