December 16, 2009

RIP Health Care Reform

The headline says "Single Payer dies in Senate." But what died in the Senate wasn't single payer, it was honest reform of the system. Both the notion of enabling a "public option" for ordinary systems through "medicaid for all" or through a State run alternative; never even got to the floor except as an amendment offered by Bernie Sanders. What is coming instead is a mishmash of lobbied initiatives meant to satisfy the giant corporations that run our country while appearing to do the will of ordinary people. In short we've been conned by the con men again. I'm with Howard Dean, might as well trash the whole thing, and launch a campaign to clean house in the next set of elections.

Not that this is anything new. Our various chambers of commerce, and the people who own them, have been trying to run the world from behind the scenes since the 19th century. Only their rivalries and incompetence have kept them at bay. If the French, British, and German oligarchs could have agreed on how to divide up the world, they'd still, probably, be running a dysfunctional and increasingly dystopic world. But the marriage alliances between bankers and royalty, didn't manage to reduce the inbreeding of either set enough to keep the various grandchildren of Queen Victoria from warring with one another and almost destroying Europe in the Process. People forget that in some ways World War I was as destructive in its own way as World War II was. Indeed the two wars were pretty much a continuation of each other, as the cold war has been a fallout from World War II.

This struggle for health care reform echoes back to World War I also. We had soldiers fighting in that war who were exposed to punishment worse than anything soldiers have been exposed to since. They were hit with chemical warfare agents that killed their lungs, messed with their immune system, and poisoned them as badly and as thoroughly as a nuclear strike. Teddy Roosevelt's speech starting the initiative came on the heels of them coming home and his compassion, and warrior's empathy, at seeing them.

Some other things were presaged by that war. The false prophet, Marx, was sure that "Capitalism" would destroy itself and bring in a Golden Age. He was half right.

Capitalism is self destructive. But no golden age followed from his prescriptions. The man felt that "history" was God, and that it was a historical inevitability that the workers would overthrow their bosses and install a collectivist world where "Government" would whither away. As a means, folks like Lenin added the notion of a "vanguard of the proletariate" and intellectuals, labor leaders, and ambitious others enlisted themselves to bring about this "worker's paradise." Instead of bringing about a workers paradise they brought about amplified conflict. And their "ends justify the means" morality meant that they used immoral means to seek abstract goals, which inevitably meant immoral results and degraded goals. The Communists won in some instances, were suppressed in others, and held their own in other places. Where they lost most abjectly is where they succeeded. The "vanguard of the proletariate" became what Trotsky would come to call a "nomenclatura" -- a new class of bureaucrats. And since Byzantine bureaucracies have a way of surviving changes of rulers, the only effect they had was to cause a lot of suffering and death and poison the countries they controlled.

Meanwhile theories were developed to fight communism. And guess what, those theories were designed to also attack any critics of capitalism around and to demonstrate that any degree of socialism, local democracy, or worker power was bad for workers. The counter-reformation was on; Minimum wage -- bad for workers. Universal health care -- bad for workers. "Die Quickly" -- good for workers. And that counter-reformation ideology is what just killed health care reform.

That and tons of money poured into advertising campaigns, campaign coffers, astro-turfing, and the dividends of years of investment in astro-turfed institutes and Universities. It is probably fitting that the founder of one of these Universities died last night. He went from petitioning God to take him if he didn't bring in enough money to bringing in so much money that he couldn't refuse the temptation to take some of it for his own aggrandizement. Nevertheless, He lived to see many of his graduates work for the Bush Administration. And since bureaucracies work that way, also work for the Obama administration.

Posted by cholte at December 16, 2009 06:21 PM
Comments
Dear Chris: True health care reform is people not smoking, eating right, drinking in moderation, good hygiene, clean water and air, dressing accordingly, adequate rest, and chanting the Daimoku. Mark Posted by: Mark Rogow at December 16, 2009 09:33 PM
" not smoking, eating right, drinking in moderation, good hygiene, clean water and air, dressing accordingly, adequate rest, and chanting the Daimoku" heh...luxuries, not going around telling people that they will fall into Avici hell... priceless Posted by: CL at December 16, 2009 11:37 PM
I have to agree with you about this mess, Chris. Love Howard Dean btw. Posted by: Letty at December 17, 2009 01:52 AM
You mean you want to scrap healthcare reform because it will do nothing but line the pockets of the insurance industry! That was the whole point. And Joe Lieberman the soon to be Republican from the land of insurance is owed a great debt for keeping out any semblence of progress towards insuring people or keeping costs down. So why does he have his chairmanship? Because Democrats are a joke. Posted by: clown hidden at December 17, 2009 12:55 PM
That was not the whole point. The fact is that there are large elements of the Democratic caucus that sincerely wanted to generate reforms. They knew that the Drug Industry and the health Insurance industry were strong but thought they could get some modest reform this year. Obama and "moderates" made a deal with the insurance companies where they promised to let reforms go through if more serious reforms were avoided. Unfortunately, the Insurance companies played both sides. I suspect their lobbyists plotted things out with a "best case (we right the reforms), "Next Best case" (no reform), and middling bad case ("strong public option") and decided to first avoid the deadline case: nationalization by appearing to offer a starting point compromise, which they knew they could later on sabotage even further. If the debate had started with "Medicare for all" they'd have been even more up in arms than they in fact were. The Senators have been playing their roles in this game with the so-called Moderates moving goalposts around like the Queen of Hearts playing polo with birds. Some have gone along because moderate reform is better for the people than no reform, but in the process they've loaded the bill down with mandates and pork for the insurance companies -- and still gotten opposition from them. The same thing is happening with Wall Street reform, and it is being driven by the same mix of fake ideology ("Fibbertarianism") and big money. There is something for all sides in this. When the regulated captures the regulation process one gets regulation that is only as good as the regulated let it be. When the regulators believe they shouldn't be regulating in the first place you get disasters like the current health care mess or our slowly sinking economic system. In that process you get bad regulation or dysfunctional regulation and this gives fodder to Corporate Anarchists who prefer no regulation -- as if the alternative to bad regulation is no regulation. The trouble is that the alternative to bad regulation is either good regulation or worse regulation (self-regulation by people with no self discipline). No regulation is not an option. Anarchy at the Federal or State rule is just a license for self-rule, (licentous behavior) by predatory corporations or investors. I'm still praying that somehow the "health care reform" bill won't be as bad as the Senate bill looks right now and that the Senate Democrats will grow a pair. It doesn't look like it. The real reason there is no bi-partisanship is that the Republicans think they can get away with murder and then call for investigations. Chris Posted by: Chris at December 17, 2009 03:16 PM
The compromise they've come up with might work. I kind of like non profits like Kaiser Permanente, and if they are available in the mix we'll be back to where health care was in the 70's before they were squeezed out of most Employer plans. Posted by: Chris Holte at December 20, 2009 07:30 PM
Now, if this windfall for the insurance companies becomes law and we lived in a democracy there would be a general strike the next day. But in this country nothing will happen. Posted by: clown hidden at December 21, 2009 11:41 AM
I think you are right. But you should cover more on this topic. editor note: thanks but the viagra ad is a parasite..... Posted by: BlurryMut at December 22, 2009 07:35 AM