Ten years after World War II had ended, as the US was
exercising economic hegemony over much of the world, Will Herberg came out with
his book, “Protestant-Catholic-Jew.” A book which socio-politically went a long
way defining the American Way of Life as a recipe of two lofty ingredients
mixed in equal parts: democracy and free enterprise. Something that today we
are more inclined to call by its appropriate name: materialism.
Accurately or not, the American way of life was presumed to
be not just individualistic but humanitarian as well; and, to many, a religion
of sorts, becoming part of the trinity that historically rules the American
psyche: America’s Exceptionalism; the American Dream; and the American Way of
Life. Today, a half-century after the book’s publication, those who do care to
look beyond anachronistic symbols of a bygone era are seeing a harsh reality
much different from that which existed in 1955 White America.
And although “life, liberty and the pursuit of happiness”
has always appeared as a proprietary triad for the citizens of these United
States, such a lifestyle seems to apply more and more to other modern societies
. . . and less and less to our very own. Where more enlightened nations tend to
identify and meet the needs of their citizenry as a whole . . . we, obtusely
and catatonically, refuse to accept the rights of “the commons;” rights which
supersede the rights of any one individual for a just society to function. It
applies to the basic needs of food and shelter followed by health care and
education.
It is in the background of a deteriorating economy that the
inadequacy of our health care system is being placed at the legislative table
as a key problem, one long postponed, now requiring immediate attention as it
affects the entire nation, not just the uninsured.
For all the talk and discussion filling the airwaves these
days, whether coming from the right of the political spectrum or the moderate
left, there are dirty little secrets that no one is willing to touch; dirty
little secrets that really hold the answer to universal health care and how the
government should, and could, provide it to everyone living in this wealthy
nation we call the United States.
Michael Steele, chairman of the Republican Party, just
summarized Monday before the National Press Club, the view from the Right as to
what the overhaul of health care in America would be: Socialism. An inane way,
yet very effective in a thoroughly brainwashed society, to portray this needed
overhaul as yet another risky experiment by Obama that this nation cannot
afford.
Meanwhile the $1.4 million a day ad campaign by insurers
goes on to enlist support from the majority of people that now have health care
coverage; a campaign of scare tactics that worked well for them in the early
90s against Bill Clinton’s intended reform. To counter that, the voice from the
moderate left, soft and without funds to match, decries the profit motive in
something as important as the people’s health, something that is part of “the
commons” to be regulated and controlled accordingly, and not left in the hands
of predatory capitalist enterprise.
But the criticism from this moderate Left does seldom, if
ever, go beyond the insurers’ profits, or the outrageous salaries their CEOs
get. At times, if infrequently, criticism will also be directed to the
pharmaceutical industry, but little else is said as to why 14 to 15 percent of
our Gross Domestic Product is dedicated to a health care system that barely
covers the needs of 85 percent of the people. That, while the rest of the
industrialized nations spend proportionately half to two-thirds as much to
cover 100 percent of their people. Are all these nations so much more efficient
than we are, or is the US victim of predatory capitalism at its core . . . even
in the area of health care?
The bottom line is that we shouldn’t be looking for
additional sources of revenue to pay for the millions now uninsured. The
two-plus trillion dollars a year we are now spending should be ample to take
care of the health needs of our entire population with billions to spare. It is
not about the billions ending up in the coffers of insurers as profit; nor is
it about a pharmaceutical industry preying on us under the overblown pretense
that they need all the profit for research; nor is it about the compensation
that doctors and nurses receive relative to those in other wealthy nations (25
percent more on average). It’s about all of these things, and how when left
helter skelter on their own, they’ve helped create the most expensive and
exclusionary health care system in the modern world.
The American Medical Association (AMA) claims to support the
achievement of “a meaningful health system reform.” Yet it is the AMA that put
this nation where it is today, an organization serving the needs (desires) of
its membership and not the health and well-being of the American population. Had
the AMA placed its advocacy with the people, both pharmaceutical and insurance
costs would have been contained; instead, its own restrictive vested interests
have created a monopoly for the training of physicians, creating doctor
shortages in the most blatant ways, and the corresponding high compensation. (In
1994, JAMA, its official journal, predicted a surplus of 165,000 doctors by
2000 . . . yet the shortage turned out to be close to 50,000.)
For all practical purposes, the AMA has become as effective
a lobby for its monopolistic views on health care -- and all its constituent
parts -- as AIPAC is for Israel in critically determining US foreign policy. Any
public criticism of either organization is taboo; and, since we are not
anticipating any major changes in America’s foreign policy, why would we expect
any significant changes in the health care system of this nation? Haven’t we
yet learned how our legislators are elected to Congress?
© 2009 Ben Tanosborn
Ben
Tanosborn, columnist, poet and writer, resides in Vancouver, Washington (USA),
where he is principal of a business consulting firm. Contact him at ben@tanosborn.com.