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THE UNFULFILLED PROMISE
Posted by Time for change in General Discussion (1/22-2007 thru 12/14/2010)
Wed Aug 05th 2009, 09:30 PM
It is now up to the American people. In the coming weeks and months we will be continuously bombarded by insurance company misinformation, lies and all kinds of assorted propaganda. The American people will either see through that propaganda and put
Anybody who’s been following the health care debate knows that the American people want universal health care much more than do their elected representatives. When 18 years of polling in a democratic country consistently shows that a clear majority of people believe that government should guarantee health care for all, the continued absence of such a system is a good indication that democracy isn’t working very well in that country. The strong association between the receipt of campaign contributions from the health insurance industry (and other special interests) and the obstruction of meaningful health care reform goes a long way towards explaining how our system of government is failing us today.

Just as important are the many millions of dollars that the special interests spend on propaganda to dissuade the American people against the need for meaningful health care reform. Between that propaganda and the echoing of that propaganda by the politicians who are in bed with the special interests, the United States of America has never had universal health care and remains the only industrialized country in the world today without it.

Since there are no good arguments against universal health care, these propagandists rely totally on misinformation, lies, and confused logic to drive home their points. They use a great many of these arguments. In this post I’ll talk about three of the most hypocritical of them:


“Government run health care will result in health care rationing”

First of all, let’s get something straight. None of the health care plans on the table today – not even single payer plans – involve “government run health care”. I’m not saying that wouldn’t be a good idea (It works pretty well for the military), but that’s not what is being proposed today, and any attempt to imply that it is is simply dishonest. To the contrary, what is being proposed by progressives are national health insurance plans – to ensure that the vast majority of Americans have access to decent health care.

All health insurance plans ration health care
So, what does “rationing” mean in the context of health insurance? It simply means an insurance plan that does not pay for every conceivable kind of medical care. That is, the plan makes distinctions between what kinds of health care are worthy of being included in their clients’ policies and what kinds are not.

The most hypocritical aspect of those who disparage government health insurance with the claim that “the government will ration health care” is that ALL HEALTH INSURANCE PLANS RATION THE HEALTH CARE THEY PROVIDE. That is not a criticism of those health insurance plans. But the failure to mention that obvious fact while disparaging government health insurance for doing the same thing is hypocrisy of the highest order.

Any reasonable health insurance plan would exclude at least some treatments that have not been shown to be beneficial, that have been shown to be far less beneficial than other available treatments for the same medical conditions, and treatments that are inordinately expensive compared to the benefits that they bestow. Failure to do that would mean that the plan would have little or no ability to control costs – and as we all know, cost control is imperative in today’s health care environment in which costs are continually spiraling out of control. Therefore, as David Leonhardt notes in “Health Care Rationing Rhetoric Overlooks Reality”, “The choice isn’t between rationing and not rationing. It’s between rationing well and rationing badly.”

Government can ration health care much better than private insurance companies
So the question we should be considering is not whether or not government will ration health care. The question is how it will ration health care compared to how health care is currently rationed by private insurance companies.

Currently, health care is rationed in numerous ways. Most glaring is the fact that 47 million Americans – many of them children – have no health insurance whatsoever. Health care is rationed for those people simply by virtue of the fact that they have little or no money to pay for it.

Then consider the nearly two hundred million Americans who have private health insurance, and ask yourself how their rationing of health care compares to how government would ration it. The most important thing to consider is the non-health care related costs that are involved. Private health insurance companies use the health insurance premiums they receive from their customers to pay for propaganda... I mean marketing, lobbying, bribery... I mean campaign contributions, multi-million dollar giveaways... I mean salaries for their CEOs, and then they have to have enough money left over for profits for their investors. By contrast, a government health insurance plan would not have to pay for marketing, lobbying, or campaign contributions, it would not pay out multi-million dollar salaries to anyone, and it would be non-profit.

What would be the significance of the vast differences between the non- health care related expenses of private insurances companies compared to those of government? That would represent a great amount of money that would be available to the government to pay for actual health care – health care that private insurance companies routinely deny because they have relatively little money left after paying for all those other things mentioned above. In other words, it is a near certainty that government will provide more health care and ration it less than private insurance companies.

But what if government does ration health care more than private insurance companies?
That leaves one last question about health care rationing. What should people do in the highly unlikely event that a government run health insurance plan rations health care more than private health insurance plans do? Or more likely, what if some Americans simply believe that there health care will be rationed more by the government plan than by their private insurance companies? The answer to that is simple. If you believe that your private insurance company plan is better than the government run health insurance plan, then just stay with your private plan.


“Health care isn’t a right”

The assertion that health care isn’t a right is an attack on the very core of the rationale for universal health care. Beyond that, it is an attack against any humanitarian endeavor. Some 20 thousand Americans die every year because they have no health insurance. Therefore, saying that they don’t have a right to health care is tantamount to saying that they don’t have a right to live. I don’t understand how any moral person could say that.

I’m not a follower of religion, but since Christianity is the most common religion in the United States, I think it’s worth quoting a Christian minister on the subject:

Jesus was a healer, and healing was one of the most important aspects of his ministry. The gospels are replete with stories of Jesus healing the sick… He cared deeply for the spiritual welfare of all. He empowered others "to proclaim the kingdom of God and to heal" (Luke 9:2). He never refused to heal someone because they could not pay, and pre-existing conditions were his specialty….

Nevertheless, those who maintain an interest in keeping health care inaccessible to those who lack the money to pay for it – Christian and non-Christian alike – come up with all kinds of arguments to justify their inhumanity. Here’s a good one by Clifford Asness:

Listing rights generally involves enumerating things you may do without interference (the right to free speech) or may not be done to you without your permission. They are protections, not gifts of material goods. Material goods and services must be taken from others, or provided by their labor, so if you believe you have an absolute right to them, and others don't choose to provide it to you, you then have a "right" to steal from them. But what about their far more fundamental right not to be robbed?

In other words, Asness is saying that nobody has a right to material goods – even material goods that are necessary for life itself – because having a right to material goods involves stealing them from someone else. Or in other words, giving people the right to health care would be tantamount to making health care providers, such as insurance companies, give us health care for free.

That argument stands reality on its head. No currently proposed health care plan would require health insurance companies or anybody else to provide people with health care for free. All we are asking the health insurance companies for is to get out of the way and quit trying to buy off our elected representatives to squelch health care reform. The purpose of a democratic form of government is for people to get together to develop means for serving each other’s needs – as a community. Health care is paramount among those needs. To those who don’t like that, I say: You’re free to leave. We don’t need you.


“Government run health insurance will be unfair to insurance companies”

The insurance companies and their right wing supporters have a big conundrum when they try to pass this one off on us. On the one hand, they want to whine about government run health insurance providing “unfair” competition to the insurance companies. But how to do that without making it seems as if government run health insurance is actually better than private health insurance?

The answer is to play the “Big Bad Government” card – make government out to be public enemy # 1. Here’s an example from Asness’s article, to justify his whining about government competition to the private insurance industry:

The government does not co-exist or compete fairly with private enterprise, anywhere. It does not play well with others… It cannot compete fairly while it owns the armed forces and courts. Finally, it cannot be a fair competitor… The first thing the government does is under-price the private system…. The government can always under-price competition, not through the old fashioned way of doing it better, they never do that, but by robbing Peter to pay for Paul…. Second, the government ultimately always cheats when it's involved in "honest" competition…

No, you idiot! The reason why the government can easily under-price private insurance companies is that it doesn’t have to pay for marketing, lobbying, and bribing politicians, while still making a profit and paying out multi-million dollar salaries to CEOs. There is nothing difficult to comprehend about that. If you think that’s cheating, your intellectual capacities are beyond hope.

The whole purpose of government involvement in health care is to ensure that the American people have access to decent health care – NOT to help the private insurance industry to continue to screw the American people. That goal is accomplished in part by ensuring that the insurance they provide is allocated to health care – NOT to all the other things for which health insurance companies use the money that they obtain from their customers.

Government is NOT inherently all those bad things that Asness and his fellow right wingers claim it to be – although it can be. In a democracy, government IS the people, or at least it is elected to represent them. So if the United States government, acting on behalf of the American people, chooses to put the American people above the profits of the health insurance industry and other special interests, it would behoove those special interests to stop whining about it and lying about it.


In conclusion

As a consequence of the need for private insurance companies to make profits, lavish princely sums of money on their CEOs and do all the other things that they do in their quest for profits, they are enticed into developing many creative ways to deny health care to their customers. In the beginning of this post I talked about health care rationing by health insurance companies. They not only ration health care up front, by pre-specifying it in their policies, but they often do so retroactively as well. As most of us know, health insurance companies often cheat their customers in order to increase their profits.

The cause of good health for the American people is not furthered by having health insurance companies act as intermediaries between them and their doctors. Health insurance companies exist to make a profit, not to provide health care. They have repeatedly shown that any time they can sacrifice the latter to increase the former, they are likely to do so. In short, the consumers of private health insurance do not benefit from the many billions of dollars that the health insurance industry spends on marketing, lobbying, campaign contributions, and the rewarding of their investors and CEOs. To the contrary, the American consumers of health care suffer from those many drains on their health care premiums, in the form of denied health care coverage. It is well past time to replace that system with something much better.

It is now up to the American people. In the coming weeks and months we will be continuously bombarded by insurance company misinformation, lies and all kinds of assorted propaganda. The American people will either see through that propaganda and put pressure on their elected representatives to put the interests of their constituents above the interests of the big moneyed special interests…. or they won’t.
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The Unfulfilled Promise
The Unfulfilled Promise of the American Dream: The Widening Gap between the Reality of the United States and its Highest Ideals




Time for change


Notwithstanding the lofty sentiments and purpose of the U.S. Declaration of Independence, the reality of the United States of America did not then – and never has – lived up to its ideal. Our nation remains today a long way from fulfilling the promise implied by those ideals. Yet, our Declaration was a great start, and it has long shone as a beacon of hope for people all over the world.

Throughout our history, while many have striven to close the gap between our highest ideals and the reality of our nation, others have focused on the accumulation of private wealth and power, at the expense of everyone else. In recent decades the latter have gained much ground, leading to increasing imperialism abroad and deteriorating democracy at home, characterized by routine (and legal) bribery of our public officials, the fusion of government and private corporate interests (corporatocracy), a corrupt election system largely in the hands of private corporations, a corporate controlled communications media, and the widespread acceptance of Executive Branch secrecy, routinely justified with little if any questioning, by the magic words “national security”. All of this is rapidly turning our country from the democracy proclaimed at our founding into a plutocracy (government by the wealthy and for the wealthy). The result is the most obscene wealth gap our country has ever known, the highest imprisonment rate in the world, rampant militarism, routine flaunting of international law, the least efficient health care system in the developed world, a pending environmental catastrophe that threatens to destroy the life sustaining forces of our planet, and myriad other problems that threaten to destroy our nation and tyrannize our people.

My new book, The Unfulfilled Promise of the American Dream – The Widening Gap between the Reality of the United States and its Highest Ideals, explores the roots and consequences of the demise of our democracy, and why most Americans have been unable to understand this process or even become aware of it. A good understanding of why and how we have deviated so greatly from the ideals of our nation is the first and necessary step towards getting back on the right track and revitalizing our society.

The book is currently being sold in electronic PDF format and can be purchased at http://www.unfulfilledpromise.com/Buy-the-... for $3.99. It will also soon be available in Amazon Kindle format. DU members who cannot afford to buy the book but would like to read it can pm me with your e-mail address, and I will send you a free PDF copy.

I’ve previously posted on DU a slightly earlier version of the introduction to the book, which is also posted at my site. Here is the Table of Contents, followed by a brief description of the three parts of the book:


TABLE OF CONTENTS

Introduction
Acknowledgements
Prologue – What is Wrong with the United States of America?

Part I – Root Causes of the Impending Demise of American Democracy
Chapter 1 – Legalized Bribery
Chapter 2 – Human Psychological Factors
Chapter 3 – Corporatocracy
Chapter 4 – Corporate Control of Media
Chapter 5 – Corrupt Election System
Chapter 6 – Government Secrecy
Chapter 7 – American Exceptionalism

Part II – A Sampling of Imperialist Actions
Chapter 8 – Slavery and its Legacy
Chapter 9 – Early U.S. Imperialism
Chapter 10 – U.S. Imperialism in Cold War
Chapter 11 – Iraq War and Occupation
Chapter 12 – Afghanistan War

Part III – Consequences
Chapter 13 – Election of George W. Bush
Chapter 14 – War and Imperialism
Chapter 15 – Class Warfare
Chapter 16 – Predator Financial Class
Chapter 17 – Shock Therapy
Chapter 18 – Contempt for Int. Law
Chapter 19 – The “War on Drugs”
Chapter 20 – Climate Change
Chapter 21 – “War on Terror”
Chapter 22 – Health Care
Chapter 23 – Unaccountable government
Chapter 24 – Response to 9/11 Attacks
Epilogue


PART I – Root Causes of the Impending Demise of American Democracy

It is somewhat difficult to separate the causes of our problems from their consequences, since they combine to form a long chain of cause leading to consequence, leading to more consequences, etcetera. Nevertheless, it seems worth while to identify the root causes of our problems, those that occur early in the chain and lead to so many of the tragic consequences we see today. The only chance we have of reversing the demise of our democracy is through addressing and attacking its root causes.

At the top of the list is the systematic bribery of public officials by the powerful corporations (Chapter 1) whom our government is charged with regulating in the public interest. Instead of calling it bribery, we call it “campaign contributions”, but what we call it isn’t as important as what it is. It is hard to fathom how democracy can survive when such a practice is legal and condoned.

Working in tandem with our system of legalized bribery is the nature of the people who inhabit our country. That is not to say that Americans are inherently substantially different than any other people. Human beings are imperfect, and that is probably a major reason why in a world where civilization began more than five millennia ago, the oldest written national framework of government in the world today – the Constitution of the United States of America – is only a little more than two and a quarter centuries old. Chapter 2 explores the roles of basic human needs, authoritarianism, psychological defense mechanisms used to prevent us from perceiving reality as it is rather than as we’d like it to be, and corrupted ideologies in causing us to passively accept the accumulation of power in the hands of ambitious and ruthless individuals who care about little else than expanding their own wealth and power.

When bribery of public officials is tolerated as an inevitable aspect of public life, government inevitably grows close to the wealthy interests that shower it with money in return for legislative and other favors. A malevolent symbiosis grows between the state and corporate power, resulting in rule by an oligarchy that is highly detrimental to the lives of ordinary people (Chapter 3). Using their accumulated wealth and power to manipulate our legislative process, the oligarchy grabs for more and more control of the communications media (Chapter 4) that are used to control the information available to and shape the attitudes of our nation’s people, in pursuit of their own narrow interests.

Since the 1980s an orchestrated campaign has been underway to demonize “big government”, thereby paving the way for private corporate control over more and more functions that were previously deemed intrinsic functions of government. Among those functions is the running of public elections (Chapter 5) – the function that symbolizes democracy perhaps more than any other single function. Consequently, the purging of selected registered voters from our computerized voter rolls has become a routine recurring event throughout much of our country, and without a doubt determined the results of the 2000 – and probably 2004 as well – presidential election. Just as bad, more and more of the counting of votes in our public elections have been turned over to private corporations, which count our votes using electronic machines using secret software to produce vote counts that cannot be verified by anyone.

Bribery, the fusion of government and private interest, fake and biased news, and corrupt elections are not things that government and its corporate allies want us to know about. Consequently, they construct walls of secrecy (Chapter 6) to keep us from obtaining information that sheds light on their activities. The perfect phrase for facilitating this is “national security”. When our government tells us that the “national security” requires that certain things be kept secret from us, the understanding is that to question such a pronouncement is unpatriotic, and to actually attempt to obtain the “secret” information may be treasonous.

But indefinitely maintaining secrets from the American people can be very difficult, because at least some people want to know what their government is up to. So in addition to the formal mechanisms of secrecy, informal mechanisms are constructed (Chapter 7) to keep vital information away from us. One of the primary methods for doing this is to make certain sensitive subjects taboo – that is, to create the widespread belief that discussion of these topics is so outside the bounds of acceptable human discourse that anyone who discusses them should be shunned by society, or worse. The most common issue that falls into this category is any discussion that sheds light on the disparity between American ideals and the reality of life in our country today.


PART II – A Sampling of Imperialist Actions in U.S. History

Notwithstanding the fact that our founding document says that “all men are created equal” and speaks of the inalienable rights of humankind, the United States has throughout its history partaken of massive exploitation of other peoples.

It is estimated that at the time of our birth, 18% of our population was black slaves. In our expansion westwards during the late 18th and 19th centuries, we decimated the original inhabitants of our continent, and often treated them with great cruelty. In 1846 we manufactured an excuse for war with our neighbor Mexico, in which we continued to expand our country westwards and southwards. In 1893 we began our overseas imperialism with the conquest of Hawaii. Our overseas expansion was greatly accelerated in 1898 with our participation in the Spanish-American War, which led to our conquest of Cuba, Puerto Rico, and the Philippines. With our arrival at world superpower status at the end of World War II, we began the Cold War, which led to and served as a rationalization for covert and/or direct military actions against myriad foreign nations over the next 46 years. With the September 11, 2001 attacks on our country, we declared a perpetual “War on Terror”, which served and continues to serve as an excuse to invade and occupy Iraq and Afghanistan, nations that posed no threat to us. We do not know when or if this perpetual war will ever end. We don’t know how many additional imperial conquests it will lead to.

Most Americans don’t think much about all this. Many of these actions are done in secrecy, and the American people don’t find out about them until many years later – or we never find out about them at all. Those that we do know about are spun into the most favorable light, to make them seem benign or even noble.

But these actions come at great costs: in the lives of our soldiers; in the ruined lives of the peoples of the victim countries; in trillions of dollars cost to our people and their future generations; in our international reputation; in anti-American hatred leading to terrorism; and, to our democracy itself. For how can a nation claim to believe in the inalienable rights of humankind specified in its founding document, while making a mockery of that belief in the way it treats other peoples? For that reason alone it is worth while to take a brief look at our long history of imperialist actions.


PART III – Consequences

In the Prologue I give a brief account of what I see as some of the worst and tragic consequences of the root causes that I discuss in Part I – to enable the reader to see where this book is heading. When elections of our public officials are for sale to the highest bidder… when our public officials are so addicted to the “campaign contributions” of their wealthiest constituents that they develop a symbiotic relationship with them… when our communications media are owned and controlled by an oligarchy of wealthy elites… when our citizenry lack the ability to differentiate propaganda from reality… when we allow machines provided by private corporations to count our votes using secret electronic software… then we should expect that the consequences will not be pretty or comfortable for the vast majority of our citizens.

In Part III, I explore those consequences in much greater detail, in the hope that the reader will agree with me that these are very serious problems, and that they must be successfully addressed if our country is ever to fulfill the promise of its ideals, or even make progress in that direction. When enough Americans recognize our problems as problems, stripped of the gloss and spin put on them by our oligarchy, they will rise up and do something about them. Until then there will be no progress, and we are very likely to head in the direction of all the former empires of our planet, ending in chaos, widespread catastrophe, suffering, and ignominy.

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