Category: Healthcare

Food Is Power and the Powerful Are Poisoning Us

Food shortages have been tinder for social upheaval throughout history. But this time around, because we have lost the skills to feed and clothe ourselves, it will be much harder for most of us to become self-sustaining. The large agro-businesses have largely wiped out small farmers. They have poisoned our soil with pesticides and contaminated animals in filthy and overcrowded stockyards with high doses of antibiotics and steroids. They have pumped nutrients and phosphorus into water systems, causing algae bloom and fish die-off in our rivers and streams.

Crop yields, under the onslaught of changing weather patterns and chemical pollution, are declining in the Northeast, where a blight has nearly wiped out the tomato crop. The draconian Food Modernization Safety Act, another gift from our governing elite to corporations, means small farms will only continue to dwindle in number.

Chris Hedges | CommonDreams.org

The Question No One Asks About Healthcare

I define health as a positive state of wholeness and balance in which an organism functions efficiently and interacts smoothly with its environment. Good health comes from an innate resilience that allows you to move through life without suffering harm from toxins, germs, allergens and changing environmental and dietary conditions.

By no stretch of the imagination does mainstream American “health care” move us closer to this vision of robust, resilient health. It is a fiscally unsustainable, technology-centric, symptom-focused disease-management system. Consider that two-thirds of all Americans die from cardiovascular disease, cancer, and diabetes, which are all strongly associated with lifestyle choices. Maintaining and paying for our current system will serve only to continue – if not exacerbate – this trend, and bankrupt the nation in the process.

Dr. Andrew Weil | HuffPost.

Healthcare Reform, Not

“It will basically be a government law that says you have to buy their defective product,” says Dr. David Himmelstein, a professor at Harvard Medical School and a founder of Physicians for a National Health Plan. “Next the government will tell us a Pinto in every garage, a lead-coated toy to every child and melamine-laced puppy chow for every dog.”

“Health insurance is not a race to the top; it is a race to the bottom,” he told me from Cambridge, Mass. “The way you make money is by abusing people. And if a public-option plan is not ready and willing to abuse patients it is stuck with the expensive patients. The premiums will go up until it is noncompetitive. The conditions that have now been set for the plans include a hobbled public option. Under the best-case scenario there will be tens of millions [who] will remain uninsured at the outset, and the number will climb as more and more people are priced out of the insurance market.”

Chris Hedges | CommonDreams.org

Nearly every other advanced country has a largely nonprofit national health system that guarantees universal care. Even countries with private insurers, like Switzerland and the Netherlands, require uniform prices and benefits and limit profits. Not only are expenditures much lower in other advanced countries, but health outcomes are generally better. Moreover, contrary to popular belief, they offer on average more basic services, not fewer — more doctor visits and longer hospital stays, and they have more doctors and nurses and hospital beds. But they don’t do nearly as many tests and procedures, because there is little financial incentive to do so.

Marcia Angell, M. D. | HuffPost

In many ways, foreign health-care models are not really “foreign” to America, because our crazy-quilt health-care system uses elements of all of them. For Native Americans or veterans, we’re Britain: The government provides health care, funding it through general taxes, and patients get no bills. For people who get insurance through their jobs, we’re Germany: Premiums are split between workers and employers, and private insurance plans pay private doctors and hospitals. For people over 65, we’re Canada: Everyone pays premiums for an insurance plan run by the government, and the public plan pays private doctors and hospitals according to a set fee schedule. And for the tens of millions without insurance coverage, we’re Burundi or Burma: In the world’s poor nations, sick people pay out of pocket for medical care; those who can’t pay stay sick or die.

T.R. Reid | CommonDreams


Obama’s Trust Problem

Now, politics is the art of the possible. Mr. Obama was never going to get everything his supporters wanted.

But there’s a point at which realism shades over into weakness, and progressives increasingly feel that the administration is on the wrong side of that line. It seems as if there is nothing Republicans can do that will draw an administration rebuke: Senator Charles E. Grassley feeds the death panel smear, warning that reform will “pull the plug on grandma,” and two days later the White House declares that it’s still committed to working with him.

It’s hard to avoid the sense that Mr. Obama has wasted months trying to appease people who can’t be appeased, and who take every concession as a sign that he can be rolled.

Indeed, no sooner were there reports that the administration might accept co-ops as an alternative to the public option than G.O.P. leaders announced that co-ops, too, were unacceptable.

So progressives are now in revolt. Mr. Obama took their trust for granted, and in the process lost it. And now he needs to win it back.

Paul Krugman | NYTimes.com

Industry Rules

This is how things always work.  The industry interests which own and control our government always get their way.  When is the last time they didnt?  The “public option” was something that was designed to excite and placate progressives who gave up from the start on a single-payer approach — and the vast, vast majority of progressives all but the most loyal Obama supporters who are invested in this issue have been emphatic about how central a public option is to their support for health care reform.

But it seems clear that the White House and key Democrats were always planning on negotiating it away in exchange for industry support.  Isnt that how it always works in Washington?  No matter how many Democrats are elected, no matter which party controls the levers of government, the same set of narrow monied interests and right-wing values dictate outcomes, even if it means running roughshod over the interests of ordinary citizens securing lower costs and expanding coverage and/or what large majorities want.

Glenn Greenwald | Salon.com

Obama, read your Machiavelli!

It must be considered that there is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle, than to initiate a new order of things.

For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order, this lukewarmness arising partly from fear of their adversaries, who have the laws in their favor; and partly from the incredulity of mankind, who do not truly believe in anything new until they have had actual experience of it.

Thus it arises that on every opportunity for attacking the reformer, his opponents do so with the zeal of partisans, the others only defend him half-heartedly, so that between them he runs great danger.

Machiavelli | from “The Prince”, quoted in Salon

The Swiss Menace

If we were starting from scratch we probably wouldn’t have chosen this route. True “socialized medicine” would undoubtedly cost less, and a straightforward extension of Medicare-type coverage to all Americans would probably be cheaper than a Swiss-style system. That’s why I and others believe that a true public option competing with private insurers is extremely important: otherwise, rising costs could all too easily undermine the whole effort.

But a Swiss-style system of universal coverage would be a vast improvement on what we have now. And we already know that such systems work.

So we can do this. At this point, all that stands in the way of universal health care in America are the greed of the medical-industrial complex, the lies of the right-wing propaganda machine, and the gullibility of voters who believe those lies.

Paul Krugman | NYTimes.com

Resuscitating Health Care Reform

Health reform is in danger of failing because the focus has been too much on who is covered and not enough on what is covered. Health care reform is primarily about health insurance reform, with the main battle being over coverage and the payment system.

Of course, we need to provide coverage for the 48 million Americans who do not have health insurance. It is morally indefensible that we have not already done so.

But we also need to transform what is covered. If we want to make affordable health care available to the 48 million Americans who do not have health insurance, then the fundamental causes of many chronic diseases need to be addressed — which are primarily the lifestyle choices we make each day — rather than only literally or figuratively bypassing them.

Dr. Dean Ornish | Common Dreams

The Health Care Reform Debacle

Lets face the harsh reality — Obama has blown health care reform, big time. The opportunity of a lifetime has been squandered. The most recent revelations about backroom deals with Pharma and the other vendors of medical services drops the curtain on any hope of serious change in our costly and inefficient non-system. This is a painful admission to make. Not only does the country remain handicapped by grossly sub-par arrangements for health delivery, we also are burdened with a president who has been discredited as a progressive dedicated to a betterment of how we conduct public business.

Michael Brenner | Huffington Post