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THE UNFULFILLED PROMISE
Posted by Time for change in General Discussion (1/22-2007 thru 12/14/2010)
Thu Oct 08th 2009, 06:10 PM
So vast is the majority in favor of a public option that even 70% of Republicans favor it. So, in order to turn us against it, the health insurance industry has to make us believe that it is something that it is not.
Anyone who tries to tell us that support for a public health insurance option in the United States is weak or non-existent is either lying or seriously misinformed. As for Republican House Minority Leader John Boehner saying “I’m still trying to find the first American to talk to who is in favor of the public option”, what planet does he live on?

It is true that some opinion polls on the public option show support to be as low as about 55%. But that’s only because of the confusion that the insurance companies and its bought-and-paid-for politicians have sown about it. As a result of that confusion, a recent (August 27, 2009) poll by Nate Silver showed that 23% of American admitted they didn’t know what the “public option” is, 13% believe it is a network of health care cooperatives, 26% believed it to be “a national health care system like they have in Great Britain”, and only 37% correctly answer that it is “a government created health insurance company that competes with existing private insurers”.


Overwhelming support for public option when it is described in clear language

When asked a straight-forward question about the public option in a way that describes what it actually is, Americans routinely demonstrate overwhelming support for it. Here is a question that measures actual support for the public option because it asks about what people actually want, without giving it a label:

In any health care proposal, how important do you feel it is to give people a choice of both a public plan administered by the federal government and a private plan for their health insurance – extremely important, quite important, not that important, or not at all important?

When asked that question in an August 2009 poll, 77% of Americans answered that it is either “extremely important” (58%) or “quite important” (19%). Here is the breakdown by demographic group, of the percent of respondents who say that a “choice of both a public plan administered by the federal government and a private plan…” is either extremely or quite important:

Gender
Male: 71%
Female: 83%

Race
White: 75%
Black: 84%
Hispanic: 91%
Other: 75%

College attendance
Yes: 75%
No: 80%

Income
< $40 K: 80%
$40 K – $80 K: 74%
> $80 K: 76%

Age
18-34: 85%
35-49: 71%
50-64: 77%
65+: 77%

Region
Northeast: 80%
Midwest: 71%
South: 78%
West: 78%

Ideology
Conservative: 67%
Moderate: 80%
Liberal: 90%

Party affiliation
Democratic: 86%
Independent: 71%
Republican: 71% (!!!!!!!!)


So there you go. Even Republicans favor the public option when given an accurate definition of it. Undoubtedly, if Republicans were told before answering the question that President Obama favors the public option their support for it would plunge dramatically.


Requirements of a reasonable public option

It should be evident to most Americans by now why our country needs a public option: Private insurance companies, in their quest for profits, have failed to meet the health needs of the American people. It’s that simple. 47 million Americans are uninsured today. Just as bad, many of the 250 some million Americans who do have health insurance do not have the health insurance they need – as exemplified by research showing that health insurance companies operating in California alone denied more than 45 million health insurance claims (22% of all claims) over a 7 year period. Consequently, nearly one million Americans go bankrupt every year as a result of medical bills – and that number is on the increase.

Because government sponsored health insurance will be unhampered by the need for profits that characterize the private health insurance industry, it will be able to offer a much superior product. But the fact that it is able to do so does not mean that it will do so. It could very well turn out that our Congress, in an attempt to appease their constituents by passing legislation that contains a “public option” will offer a public option of little value. In this way they may be able to appease the insurance industry by offering a product so poor that few people will choose it over private insurance, while simultaneously appeasing their constituents by saying that they passed a “public option”. So, this is a tricky issue, and one that we need to watch out for. We need to consider the criteria for a public option that will meet our needs. Here are some of the most important:

Universality
For obvious reasons, a “public option” should be an option for all Americans. In that regard, I was disappointed in President Obama’s September 9, 2009 speech to Congress, in which he proposed a “public option”, but one which “would only be an option for those who don’t have it” and for which “we believe that less than 5% of Americans would sign up.”

As I discussed above, it is not only Americans who currently totally lack health insurance who are in need of a decent insurance plan. Most of us who do have private health insurance are also in need of a decent insurance plan. If our government subsidizes the purchase of health insurance, and yet ends up providing a government plan to only 5% of the American people, such a system will turn out to be a massive gift to the private insurance industry at taxpayer expense.

Cost
A major reason why so many millions of Americans lack health insurance is that it is too expensive for them. Many tens of millions of Americans are barely scraping by today from paycheck to paycheck. Having to pay additional money for health insurance would tip many of these people into financial ruin. For these people, government subsidies should cover the entire cost of whatever public option is available. For the rest of us, sufficient subsidies should be provided that, at a minimum, we are no more burdened in paying for health insurance than we are under the current system.

Health care is a necessity of life. Most people who lack health insurance do so because they cannot afford it, not out of choice. Meaningful health care reform means that health insurance will be affordable for all Americans.

Quality
It is not easy to precisely specify a minimum acceptable quality for a health insurance plan. At a minimum, there should be no discrimination based on pre-existing conditions, and all reasonable health care needs should be met. It is of course difficult to say exactly what “reasonable” health care needs are. Since our society does not have unlimited resources, there must necessarily be some limit on the amount of health care that can be provided by government. Perhaps the health care needs that are met by Medicare would be a good starting point for comparison.


The politics of health care reform

We must keep in mind that the driving force behind opposition to meaningful health care reform – which must include on option to obtain health insurance from the government instead of through a private plan – is the health insurance industry. If our government offers us a superior and less expensive health insurance plan than we now obtain through private insurance, that would cut greatly into the business and profits of the health insurance industry.

So the outcome of the quest for meaningful health care reform in the United States boils down to whether or not the health insurance industry can convince Congress to either say no to all proposed plans or pass legislation that lacks a public option or one that contains a public option that is virtually worthless. Since Congresspersons are dependent upon their constituents to vote for them to continue in office, that means that the health insurance industry – and their lackeys in Congress – have to convince the American people that the provision of a government sponsored health insurance option is a bad thing.

But how can they do that when the vast majority of the American people favor a public option? So vast is that majority in favor of a public option that it is likely that not a single Congressional district in the United States opposes it. As noted above, polls show that even the good majority of Republicans favor it.

So, in order to turn us against it, the health insurance industry has to make us believe that it is something that it is not. They talk of death panels. They tell us that the option to choose government sponsored health insurance over the for-profit insurance that they offer us would not be an option at all, but a mandate. They tell us that we will have to give up our choice of doctor if some people – anyone at all – have the option of purchasing government sponsored instead of private health insurance. And that is why their bought-and-paid-for politicians, like John Boehner, make lying fools out of themselves by saying things like “The public option is as unpopular as a garlic milkshake” or that they’ve never met single person who was in favor of it.

We have to make sure that Congress understands that we understand this game and that we will not be happy about any Congressperson who votes against or otherwise obstructs the passage of health care legislation that contains a good strong public health insurance option.
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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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