Wednesday, July 4, 2012

Health Care ruling and Jimmy Carter article

http://www.nytimes.com/2012/06/25/opinion/americas-shameful-human-rights-record.html?_r=1

The first thing I wanted to do is link to that article- it's President Carter's view on Obama's foreign policy/human rights record, and I think it's exactly what needs to be said.  Wish McGovern had taken a similar tack in his last book, the more elder statesmen that come out and declare that the Democratic Party's rightward shift is shameful and untenable the better.

Well, happy fourth to all.  I think it time to comment on the upholding of the Health Care Reform bill.  Many of you know my sentiments, but I will restate the crux of the matter here: Health Care is too important to be determined by the market.  It is a right, not a commodity, and no so-called reform bill that allows private profit margins to influence health care decisions will have my support.  The Affordable Care act does not meet my standards of even s step in the right direction, as it keeps public health insurance off the table for the vast majority of Americans.  I know the mandate is lenient and difficult to enforce, but the fact remains that the government has once again agreed that the profit of the insurance companies is a legitimate consideration, yea even at the expense of the people's health.  Obliging the government to foot part of the bill for poor people's treatment with the new subsidies is correct in principle, but as the industry remains profit-driven the offered subsidies will either soon prove inadequate, or bankrupt the government as it strives to keep pace with the rocketing cost of insurance, driven by speculation, inefficiency, and above all the drive for profit.

That said, there are a number of useful regulations in the bill, and had the thing been struck down in its entirety, it would have been a loss.  I am personally benefiting from the policy enabling parents' health insurance to cover children until age 26, and once the prohibition of refusing coverage to those with preexisting conditions kicks in, it will be somewhat helpful too.  Furthermore, insurance companies are now barred from charging women more than men for the same health care, so that's a positive too.

Of course, none of this changes the underlying problem: capitalism's disregard for humanity.  My fears now are twofold- that the government will be weakened by the loss of the sums it must now hemorrhage to feed the insurance companies whose profit motive as recently as 2009 was responsible for the deaths of 45000 people a year, according to Reuters, and that having applied the palliative of "Hope and Change", the nation will fail to undertake serious action to address the root of the problem for a long time to come.

To solve this problem, the first step would be to expand Medicare to all those who want it.  This could be paid for by charging reparations from the insurance companies for the damage they have wrought upon us, but I would much prefer a more sustainable solution: namely Socialized medicine.  Health care providers should be employed by the government, funded by taxation, and able to help patients without answering to anyone's bottom line but that of their conscience.  You can't put a price on the priceless, like good health, but we can certainly learn the cost of the status quo as the quality of care keeps deteriorating to better profit the private companies who now as before have the full support of the government.

Nationalize the lot of them.
In Solidatität
Genosse Graham

2 comments:

  1. Dear Graham,
    you know I agree with you on almost everything here, and I admire you for having the courage to stand up and say this on the internet. However, I do think your fears about the government going bankrupt are unfounded. The government is not a company, it is not bound by the laws of market economics, and it certainly is not out to turn a profit. That is why Socialism suggests that it should be in charge of things like health care. But hold on a minute, there are countries whose governments do run their health care system, and while it does ensure the health of their citizens I would not exactly call it care. In France for example, if you are in need of health care, you do not have to pay for it yes, but you also do not get treated well. The French government is a vaste bureaucracy which only cares about it's citizens the way a mechanic cares about car parts, he only cares that they are doing their job. They call their government employees "foncionnaires" that is functionaries, i.e. things that work. They are not humans, they are cogs in a machine. I know this from personal experience when I was in France last summer my mother contracted sciatica. At the hospital they refused to give her any more than the absolute minimum care possible. Had we not been lucky to have a yoga instructor and a chiropractor in our French class, who offered their services for free, this would have been quite an expensive malady (and our insurance certainly would not have covered it since it does not cover therapy of any kind). Certainly had we been on the government issue French plan it would not have covered things that are "optional" (but necessary for a happy life) like a chiropractor or a yoga class. given the amount that each French citizen pays for health care in taxes it seems like it ought to cover a bit more than just the very basics. That is the problem that I think you will find with government health care, it is just as impersonal and inhumane (why would you expect a government to be humane?) as a free market system. Which is why a system that is half-and half is to my mind the best. And why would the government have to "feed the insurance companies"? it has no reason to care about them. more likely it will drive them all into the ground unless they change and quickly. And why should the nation fail to undertake serious change to address the root of the problem? our essential American spirit has not died, contrary to what you may see in inner city St. Louis. My State's license plates do not say Spirit of America for nothing Graham, we have not changed THAT much since 1776. The nation will undertake serious and sufficient change to address any and all root problems that occur the only part that's up to the Tea Party is whether or not it will require a civil war.
    Live Long and Prosper,
    Sophie Jones

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    1. Thanks for reading! Sorry I didn't see your comment until today. I appreciate your points. My counter is that France has tried to Americanize over the past few decades, especially under Sarkozy, while the nations with the MOST socialist health care systems are those that are in the best shape right now. not coincidentally, the only European country in serious financial trouble that has experienced anything like a recovery is Iceland, which did it by more nationalization, and tight currency controls to keep prices affordable and keep people working. That said, I know Germany's half-and-half system works really well too, but the same factor is the presence of a strong public alternative to the avarice of the market.

      Solidarität

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