The 20th century has been
characterized by three developments of great political importance: The
growth of democracy, the growth of corporate power, and the growth of
corporate propaganda as a means of protecting corporate power against
democracy.
-- the late Australian social scientist Alex Carey
This article
was published last year, when Secretary of State Hillary Clinton (then
a candidate for the presidency) was proposing a system of allowing the
private, for-profit health insurance companies to work together to
cover everyone (?) rather than scrap it all and build us, from the
ground up, a powerful, comprehensive, nationalized system like the ones they have in other developed (and even some undeveloped) countries. Jake at Whiskeyfire writes:
The
truth is that large government run programs such as social security are
models of efficiency. We have the data and proof. At any rate they
couldn't be less efficient than the private health insurance industry.
Many estimates of the waste inherent in the private healthcare industry
run in excess of 1 trillion dollars annually. There is the answer to
that question about where we might find a trillion dollars a year to
finance this venture.
We should not forget as we wind our way
through this debate about dollars, medical records, reimbursement
rates, economies of scale and the like that real people are suffering
every day at the hands of people who are willing to sacrifice the
health of their fellow men and women for a bit more money. Let me just
say that this is what evil looks like and if there is a hell this would
consign one to the lower levels in my estimation. If your work causes
people to suffer that is evil and your soul is corroding as quickly as
your wallet is growing.
Under President
Obama, the current reform plan under review is, let's face it, a
diluted, hybridized, private-public version; it's far from the
socialized medicine model many of us lefties believe is the fairest,
most efficient, most cost-effective, and most humane way to care for
the health and well-being of our citizens. Even so, the
currently-discussed "plan" has obviously got Big Insurance, along with
its PR firms and personal handmaids supporters in Congress--Ben Nelson, cough cough--in a tizzy. Big Insurance doesn't want us to have any public option at all. Because then, they will have to compete with an entity that actually provides access to health care.
(What, you thought health care insurers were in it for the rewarding,
patriotic, humanitarian aspects of providing access to health care for
Americans?)
And for some reason, what Big Insurance wants is getting plenty of traction, when in fact there are, what, a couple of hundred million of us and a relatively small number of them?
Democracy? Now?
The statistics laid out herein, alone, demonstrate that the bullshit we're already being bombarded with courtesy of Big Insurance--Oh,
but Americans will lose their ability to make choices! Americans don't
want to have health care rationed! Americans don't want to be on
waiting lists!--is exactly that: bullshit.
Restriction of choices. Rationing. Waiting lists. Those of us who've sat through even a single semester of PR or advertising will immediately recognize these as negative transfer words,
sledgehammers in any propaganda-writer's arsenal. They're words
(oftentimes they're images) with widely-recognized positive--or, as in
this case, negative--associations. And you plaster them all over the
thing onto which you want to transfer the previously-established
positive or negative reaction. Hence, if you want to make a politician
look good, you place lots of flags, smiling children, and green rolling
hills in his television spot, since people already react positively to
flags, smiling children, and green rolling hills--in pretty much any
context.
Correspondingly, if you want to make a policy proposal
look bad, you recycle the same negative associations with
worst-case-scenario tales from abroad--disingenuous, out-of-context,
and even outright false though they may be--that were instrumental in deep-sixing said policy the last time around. Restriction of choices. Rationing. Waiting lists.
I'm
just amazed they haven't resurrected Harry and Louise. (Or dug them up,
since I don't remember them ever getting the coverage or the health
care they talked about needing, so perhaps their stories ended as
tragically as have the stories of so many Americans.)
Make no
mistake: the companies fling that bullshit at us because they do not
want Americans to think about the long wait-times and restriction of
choices they already endure, even
with top-drawer PPO health coverage: three or four weeks for a simple
appointment at the pediatrician's; six months to see a psychologist or
gastroenterologist (and if you don't have private insurance, forget
about seeing those specialists altogether, because the first question
the receptionist will ask, when you call, is not "What's wrong?" or
"How may we help you?" but rather, "Who is your insurer?"); the
"choice" of paying for vital but non-formulary (and thus exorbitantly
expensive) prescription medicine instead of taking care of car-repairs
or, heaven forbid, buying something to eat other than lentils and rice
that month. They do not want Americans to consider the fact that
"elective" surgery--i.e. having cataracts removed so that one can, you
know, see properly, which is
considered elective or optional surgery by many policies including
Medicare--can cost an American tens of thousands of dollars
out-of-pocket.
Or just bankrupt him completely: as reported
everywhere this week, there are serious financial meltdowns going on
within families around the country when someone falls ill or has a
serious accident, which are things that can and do happen to us all,
every single day. More than 60% of bankruptcies in the United States are caused by a health care crisis. Not frivolous spending or mismanagement of income or living above one's means. A health care crisis.
In other words, whereas some citizens of the world have free*, fully-accessible medical care, well-care, prescription medicine, and emergency care--plus
the security of being able to live their lives, do their work, and
engage in sports and exercise without the crushing worry that an
illness or accident will strip them and their families of everything
they own and have worked for--AND whereas those citizens might
sometimes have to wait for non-emergent surgery like cataract removal
(although that, too, will still be paid for by the state when it comes
time for the surgery)--something not unlike the wait period that even
the best-insured American, save perhaps the odd sports celebrity or
movie star, endures to have any sort of non-emergent treatment,
depending on the number of specialists in any given field and
geographic location, and the demand for their services...
...whereas
some citizens of the world get to have all that, America gets to have
meaningless, semantically-dependent non-benefits like "choice" and "no
wait times".
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