A socialist advocates ownership of the means of production
by workers collectively or through the government, an equitable sharing by all
of the burdens and benefits of a society and the realization that justice
denied to anyone, anywhere is justice denied to all.
A capitalist believes in free markets, free trade and no
government regulation of his enterprises. He believes that justice is
protecting his property and interest, even if it means others may starve and
die as a result. Basically he believes “I’ve got mine and let everyone else
pull themselves up by their bootstraps to get theirs, although I will do
everything in my power, both inside and outside the law, to keep them from
succeeding.” Shortened version, “I’ve got mine and screw you.”
It seems the healthcare reform deal has been struck and the
‘reform’ will consist of little more than an increase in health insurance
companies’ business and profits. There will be a mandate to purchase private
health insurance and the government will provide subsidies for many to do so,
but still all will not be covered. The health insurers will continue to siphon one-third
off the top for profit and expenses, as costs continue to escalate. We have
been told that pre-existing conditions will no longer be grounds for non-coverage,
but non-inclusion of dental and mental health will continue, along with
co-pays, deductibles and limits on coverage.
Socialists supported adoption of a government single-payer
system in which we would continue to go to our doctor or hospital of choice and
the government would handle all the payments. Dental and mental health would be
included and there would be no co-pays, deductibles or limits on coverage. Keeping
in the democratic spirit of socialism, everyone would be covered. It would be
paid for by redirecting employers’ present insurance payments to the federal
government and taxing those most fortunate in our society. In addition to the
more expansive coverage, families would no longer be burdened with insurance
and other medical payments.
Socialists would also support actual socialized medicine
similar to the VA system or the medical treatment given to our service members
and their families. One in which the government employs all the healthcare
workers and owns the facilities. The choice of doctors and hospitals would
limited, but is that really a concern? Or is the concern that we the people
will be treated by competent professionals.
For the 45 years from 1935 through 1980, the income tax rate
for the top earners that had benefited most from our capitalistic system was
between 70 and 93 percent. This was the one period in American history when we
actually had an expanding middle class and democracy started to take root as
citizens with a few bucks in their pockets had the confidence to stand up for
those less fortunate and take action against segregation and poverty at home
and our wars of aggression in Vietnam, Laos and Cambodia. Raising the top
income tax rate to the 90 percent range would be the democratic way to pay for
social programs like single-payer or socialized healthcare. If this is done we
will still have the rich, just like we did from 1935-1980, they just won’t be
so excessively so.
I enjoyed four years of socialized medicine while in the Air
Force and found the care to be very good. In addition to annual physicals and
dental exams, I had an appendectomy, hospital stay for pneumonia and a
prolonged hospital stay and recovery from hepatitis contracted while serving in
Vietnam; all at no cost to me. Personally now, we are among the fortunate with
my wife having a healthcare policy through her employer which covers the two of
us. Our son and daughter (both in their twenties) do not have insurance through
their employment and cannot afford to purchase it, so my wife and I pay for
their private policies which cover very little. Although we have a healthcare
policy through her employment, we really have no insurance, defined as a means
of guaranteeing protection or safety, since our protection or safety is only
there as long as her employment. If my wife loses her job, as so many others
have, there goes our healthcare.
I remember when our daughter was born. Another little girl
her age had leukemia and there was no insurance in the family. I was happy to
make a small contribution to their fundraiser, but knew that it would be
impossible for them to raise what it would cost for her treatment. Because of
our little girl who was thankfully healthy, I began to notice a constant stream
of fundraisers for others less fortunate in health and medical insurance. I
came to the realization that attempting to provide care to families with
catastrophic illness through fundraisers was a hell of a way for the most
prosperous country in the world to behave. I believe this was the beginning of
my long conversion to socialism.
In another era, my father was a general surgeon who
practiced in NW Indiana until his malpractice insurance carrier refused to
renew his coverage at age 70. He never sent a bill to anyone. If they couldn’t
afford to pay, he accepted that. He allowed his patients to pay by giving him
vegetables from their garden or a quilt they had made and thus keep their
dignity. I certainly was fortunate to have him for a role model.
Our new president was elected on the hopes of the American
people that he would change the status quo. We the people knew something was
wrong. The corporate news media sticks to the capitalist script, with both
political parties supporting elite capitalist rule and the progressive
inequality it naturally creates. Still the people knew that something was wrong
and change was needed. But the self-proclaimed agent of change has claimed at
his New Hampshire town hall meeting that a government single-payer system would
be “too disruptive.” Will it be “too disruptive for the 50 million currently
without health insurance? Will it be too “too disruptive” for the untold
millions more with lousy policies that cover little when you actually get sick?
Will it be “too disruptive” for the millions more with so-called ‘good’
policies that will lose both job and policy under the ‘bankster’ capitalism
currently in vogue?
Of course, reform like single-payer or socialized medicine
is anathema to capitalism and the corporate medical insurers got out their
checkbooks and paid off our president, senators and representatives to
guarantee that it was never even included in the president’s so called ‘all
inclusive’ discussions on the subject. So goes life under capitalist two-party
rule.
Nick Egnatz of Munster, Indiana, is a Vietnam
veteran and member of Veterans For Peace. He has been actively protesting our
government’s crimes of empire in both person and print for some years now and
was named “Citizen of the Year” for Northwest Indiana in 2006 for his peace
activism by the National Association of Social Workers.