Human history becomes more and more a race between education and catastrophe.

Posts tagged “Socialism

What is Fascism?

Fascism is a hard ideology to define because nearly every modern government or political movement has been called ‘fascist’ by somebody. I contend that fascism was a political movement unique to the early 20th century, especially in Europe, because its worldview was shaped by events and philosophical ideas from the late 19th century until the interwar period. Some people have called states like Saddam Hussein’s Iraq ‘fascist’, but I believe that there is a big difference between authoritarian dictatorship and genuine fascism.

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So how did fascism originally develop? It grew out of a European intellectual movement which criticized the alienating effect that industrial society had on modern man, as well as late 19th century critiques of Liberalism and Positivism. They believed that industrial society robbed men of their individuality; however they wanted to assert it at the same time. These ideas were adopted by many young people, especially young, middle-class socialists, because they wanted to rebel against what they perceived as pointless and archaic bourgeois morality and conformity. This is why in the 1930s, fascism looked like it might actually take over Europe: it successfully harnessed people’s dissatisfaction with modern society and directed it into political channels.

1069px-Gustave_Le_Bon_about_1900Fascists were influenced by philosophers like Gustav Le Bon who wrote about the need for a strong leading figure to lead the masses against social ills. He believed that people were fundamentally irrational, and should embrace their irrationality. This was taken up by fascist ideologues who thought that their members’ irrationality should be harnessed by the leader and directed into political action, which was mostly comprised of beating up socialists, communists and trade unionists (or Jews in the case of Nazism). Fascism was a fundamentally violent ideology which praised war and conflict. Both Hitler and Mussolini believed that war was the highest expression of human ability and society, and sincerely thought that life was a continual conflict between people for limited resources (hence the title of Hitler’s autobiography, Mein Kampf). To fascists war was a good thing because it let nations or races decide who was the strongest and who deserved the planet’s resources.

hitler-mussolini-florence-italy-second-world-war-ww2--rare-amazing-incredible-pics-pictures-images-photos-nazi-germanyFascism’s insistence on embracing irrationality is one thing that makes it hard to comprehend; although Hitler and Mussolini wrote their respective handbooks about fascist beliefs, they ultimately rejected concrete doctrines and always acted in response to current events. This is why a lot of fascist rhetoric and actions seem to be contradictionary.

The First World War gave fascism its mass base. Veterans across Europe felt alienated in civilian society after the war, which could not understand their experiences on the frontline. A lot of them wanted to return to an idealized comradeship and hierarchy of the front line, which fascist organizations like the SA and the Blackshirts offered. A lot of them didn’t actually care about the nuances of fascist ideology, they just felt like they didn’t belong in civilian society and needed order and comrades. Instead of a real enemy opposing army, fascism offered them a frontline against post-war society which was especially attractive in revisionist countries like Germany and Italy, where many wanted to destroy the existing Liberal order which they blamed for their countries’ humiliations.

dhs9_zps4bc26c6bUnlike socialists and communists, fascists wanted to cure modern society’s alienation through the creation of a hierarchal state made up of different social classes working together for the benefit of the nation. This is called ‘corporatism’ and is fascism’s only real contribution to economic thought. The competing segments of industrial society would be united by the leader act entirely through the state, which incidentally would preserve existing capitalist hierarchies and strengthen them. Fascists were for a sort of inverted social-democracy which would give social services to its members but not to anyone else. If you were not a member of the nation or the Volksgemeinschaft – tough luck. This is why many people participated in Fascist and Nazi organizations like the DAP or Hitler Youth; if you did not actively participate in the national or racial community, you were not a part of it and would be socially ostracized (or worse) and denied state benefits. They didn’t necessarily believe in fascist ideology, and many opposed it, but the fascist state required them to participate in it.

mussolini-01The major difference between fascism and socialism is that the former was all about preserving hierarchy and bourgeois society, while getting rid of industrial alienation through the creation of a totalitarian society. Mussolini thought that by giving up your individuality to the totalitarian state, you could have your energies and efforts multiplied by its services. Paradoxically, by surrendering individuality, alienation would somehow disappear. In industrial societies, fascism was popular with the middle class because it offered a cultural and social revolution which would keep hierarchies and fortify them through corporatism. Unlike conservatism, fascism wanted a cultural revolution that would create a “New Fascist Man” who had no individuality separate from the state. This is why it was appealing to the middle class; it let them vent their frustrations about modern society and be little revolutionaries while simultaneously protecting their property and position in the social hierarchy.

The emphasis on maintaining private property and hierarchy was what made fascists hate socialists and communists. Fascism marketed itself as the “Third Way” between Liberalism, which was responsible for alienation and the post-war Wilsonian order, and Socialism, which threatened to take bourgeois property in an economic revolution. Conservatives and fascists usually got along because they both hated the same things, but most conservatives failed to understand the revolutionary aspect of fascism and believed they could be controlled to curtail workers’ rights and revise the Paris Treaties, which didn’t really work out.


Is there a Morality of Profit? Hrm. I dont think so!

“A society is moral if it both allows man to fulfill his potential and, in utilitarian terms, creates the most good. Fortunately, a society based on the profit motive can achieve both of these factors. By acknowledging the fundamentals of human nature — that man is intrinsically self-interested — and channeling it towards productivity through a system based on such an understanding, both individuals and societies will develop and grow.”

I beg to differ. Under this logic, the unbridled application of the profit motive would create the most moral society — and history shows us instead the Gilded Age. Unrestrained capitalism may produce the most wealth, but the wildly unequal distribution of that wealth guarantees that some will have more opportunity to fulfill their potential than others. The reality is that the more the profit motive rules, the less moral the resulting society.

I would have to be a blithering idiot to ascribe no good to the profit motive, nor acknowledge the multitude of positive human endeavors in which it plays an indispensable part. The transcontinental railroad, for example, allowed for the wholesale destruction of the buffalo, sealing the fate of the Plains Indians. But it also linked two sides of the continent — the epitome of an inevitable development. I would not be writing this without the internet and 10,000 inventions that preceded it — many motivated by the desire to make money. Societies in which there is no profit motive mostly do not work — witness North Korea. (I say “mostly” because many small communitarian societies in which there is no profit motive have worked very well. Native American tribes are a prime example.)

Without the profit motive we wouldn’t have much in the way of mining, oil and gas, skyscrapers, bridges, food production, housing, biotech, retail, fashion, banking and air travel — in short, all the elements of modern industrial society. It is also an indispensable part of any realistic solution to third world poverty — though ironically so, as this poverty is almost always inextricably linked to the legacy of rapacious colonialism.

But the fact is that the best things we do as human beings are never motivated by the desire for profit. Not one poem is written, symphony composed, or masterpiece painted. Miep Gies did not hide the Frank family for money, nor was it the reason Mother Teresa tended the sick of Calcutta. It’s not why 99.9 percent of all athletes pick up a football, swim a mile, or run a marathon. It’s not why you read to your kids at night, tend to an aging parent, or stage an intervention for a drug-addicted friend.

Here are two lists. One denotes 10 things done solely with profit as an overriding motive; the other, 10 things in which the desire for profit plays little or no part. (If there is a related consequence, I put it in parentheses.)

Profit-Motivated

1. The Slave Trade (Civil War)
2. The Triangle Shirtwaist Fire
3. The Iraq War
4. Sex trafficking
5. Blood diamonds
6. The arms trade
7. The drug trade
8. The genocide of Native Americans
9. The destruction of rain forests
10. Off-shore drilling (The BP Disaster)

Little or No Profit Motive

1. Motherhood
2. Affection
3. Volunteering
4. The Arts
5. Play
6. Twelve-step Programs
7. National parks
8. Exploration
9. The Olympics
10. Education

The profit motive may be necessary, but “moral” hardly seems like the right adjective for it. Loan-sharking is not moral. Strip mining is not moral. Sweatshops are not moral. A world in which making money reigns as a supreme expression of morality would be a sorry utopia indeed. Greed may be inevitable, but the urge to accumulate as much as possible should be far down on the list of traits a society should ever want to anoint as one of its highest values.


Why don’t people realize that we rise and fall as a unified society?

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I think the main problem at large is that people have forgotten (or simply don’t realize) that by living as part of a society you inherently sign a social contract. Everyone born into any given social community is opted in automatically without choice or consent. What this means is that you are, by right, part of the community, you benefit from the community’s gains, and you are protected by that community. Now, you can opt out; only if you remove yourself from the social structure and stop taking the benefits provided (i.e. stop paying taxes, move to a different country with a different social structure, become a cave hermit in the remote wilderness) But if you don’t, then you have taken on a set of rules and a responsibility that coincide with the right to all due benefits (the chief responsibility of our society being the stupidly cliché and simplistic “golden rule.”) If every member of the community is eligible, then every member must be responsible to ensure the benefits’ continuous availability. (Although it partly is, this is not solely about money; also respect, security, safety, happiness, and human-rights etc…) This is where the misunderstanding comes in. You aren’t being an ‘evil-commie-socialist’ by giving back to society. It is required of you by the contract, but it’s also in your best interest.

The principle is not based on actual or perceived need, but on potential need. Obviously, there are people that need a lot, as well as people who need for nothing. The important point, though, is that everyone has roughly the same potential to end up in need. Anyone could get sick, anyone could get robbed or cheated, everyone needs access to get an education, everyone will die, anyone could be oppressed. That is the point of the contract; it’s why we have formed our society like this and not a cannibalistic anarchy. By ensuring none of these things could happen to the whole community you are ensuring they can’t ever happen to yourself. No matter how safe and sound you feel, no matter how impermeable or untouchable you think you are, no matter what your station in life may currently be; things change, and tragedy can strike anyone anywhere at anytime.

I’m not talking about a utopia, seriously, just a completely attainable place where people finally understand what it means to live in a community. Just play your part and pay in your share for the society that got you to where you are (You didn’t get there alone, be honest. Everything from your school, down to the road worker and garbage man are deserving of your respect and a return for their labor.) Just imagine, for a minute, a millionaire (whether his money comes from a company he built, his parents, the lottery, or back-breaking work,) he could only have accomplished it on the shoulders of the investors, engineers, teachers, gamblers, doctors or neighbors. That person would not be a millionaire if other people hadn’t held him up; If a doctor hadn’t delivered him or immunized him, if his neighbor didn’t respect or trust him, if a stranger hadn’t lost everything thereby making an opening or an opportunity, if there were no roads or trash collectors or farmers. With out the support of a society in people’s lives, it would be impossible for them to be “successful” in the way most people imagine it to be. There is too much work to be done and too much at stake to try and survive on your own. You can’t have an empire without resources, you can’t run a bank without customers, you can’t be a star without fans. When treating everyone else as less important than yourself, you convince them they aren’t needed and they will start to treat you the same.

Another thought, part of the problem with some of these people is that they haven’t really thought through their priorities. Some of them tie up their happiness in the pursuit of money. If you achieve gaining more money than you need, but you still need to gain more because that’s what makes you happy, isn’t the never ending cycle obvious? It will never be enough, so you will never be happy. Once you’ve gotten to the point that you’ve made so much money that you and each of your children could never spend all of in your lifetimes (and it’s still not “enough”) you should probably try and find something that would actually bring you meaning and happiness (how about instead of living for the profit, you live for the happiness your product brings, or the adventure of scientific discovery?) Wanting money and being rich aren’t inherently bad things, at all. But it is bad doing so for no other reason than selfishness. Not saying you should give all your money away (unless you want to…?) But don’t continue to make a sport of making money at the expense of your community without ensuring other people the same protection and support you had. To those who aren’t millionaires but still have plenty to be comfortable; I’m not saying you didn’t earn your comfort, but as I said before, it wasn’t only you that paid for it. Make sure you aren’t denying others the chance to have your level of health, happiness, comfort, or respect. Tomorrow your house could burn down, your bank could collapse, you could be diagnosed with a brain tumor, an earthquake could destroy your city, a silent majority could try and put you beneath them, or you could be ripped-off, raped or beaten. Where would you be then if society at large wasn’t a force to enable you to stand back up and fix the broken pieces.

A lot of these feelings of overestimated strength, egotistical independence, selfishness, and indifference, are products of an earlier era where these were needed. It was a time where only the strongest or most cunning genes would survive. But it is no longer beneficial to behave this way, we have vastly evolved from the small social groups requiring militant selfishness and ruthlessness. To behave like this now sets you apart from the “new” shift in social structure, which is based on strength in numbers. It damages your relationship with the community, leaving you vulnerable if you alienate yourself. Just because it was/is justifiable on the basis of animal instinct, doesn’t mean that we have to accept it. We have evolved a consciousness that is able to decide to not behave like animals. We can do the right thing for the sake of it being right, not just because it benefits us (which it ends up doing in this case anyway) In all honesty one person wont make or break it. Whether you decide to play along or not, you will still be enjoying all of the rights and privileges that the community tries to make sure everyone has. Until you’re not. If enough people decided to play the game on their own then society will fail. Not for some distant stranger, but for you. In that case, good luck. You’ll need it.

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I think Elizabeth Warren expressed my opinion on the social contract very well:


Capitalism: Never Enough?

“How much is enough?” If we as a society are really committed to the notion that “more is always better” and if we believe we can sustain economic growth indefinitely.

“Our enormously productive economy demands that we make consumption our way of life … that we convert the buying and use of goods into rituals, that we seek our spiritual satisfaction, our ego satisfaction in consumption… .We need things consumed, burned up, replaced and discarded at an ever accelerating rate.”

But as an engine for humanity, it is not sufficient to simply buy and sell. Many economists today are suggesting we must not rely on growth as our sole criteria for judging a ‘healthy’ economy — that we must find ways to measure the quality of people’s lives and the impacts we are having that are not based on just dollars and cents. We have all heard that money can’t buy happiness. Now we’re having to acknowledge that happiness is not a commodity to be bought and sold, and we can no longer afford to be addicted to consumption.

I am not against the theory of Capitalism as a means for distributing goods and services, just as I am not against alcohol. I am, however, against Capitalism or any economic theory when it becomes an ideology, just as I am against a pervasive culture of drinking and drugs in which individuals lose their capacity to choose (or even question their choices).

When our practices become so pervasive that they ‘take over’ people’s thinking to the extent they self-destruct (for example, through excessive drinking or excessive debt), then we need to stop and ask what is really going on. We need to challenge our most basic beliefs and assumptions about what we want, how we are living and the choices we are making.

Creating any new habit is difficult. And getting beyond an addiction can be extremely challenging. But having the courage to take stock and get clear about what we want is the essence of what makes us who we are. This is exactly what we need to do to create the foundations for whatever possible future we want.


Is It Hypocritical To Be Against “Socialism” But Accept Social Security And Medicare Benefits?

I certainly don’t care that people who are eligible receive Social Security and Medicare, but I think it is highly hypocritical to protest social programs while receiving benefits from social programs.

The Republicans and Tea Baggers favorite chant is how much they are against socialism and big government. And they love to be against any federal Program regardless to who the program helps or how much good the particular program does.

Many of the states with the worst unemployment situations and where peoples unemployment benefits are low or have run out are in the rural south, states like Florida, Mississippi, Alabama, Georgia, Virginia, Tennessee, South Carolina and Arkansas, and those are the very states that are most in need of the cash assistance, food stamps, medical and housing assistance provided by the Federal government yet they tend to vote Republican year after year.

I have always wondered why that is? I think maybe it is the shame from having been on welfare or maybe it’s a reverse psychological thing, where those people know they will get it anyway despite having voted against it.

But for what ever reason they do vote Republican and they do take all of the handouts that the Federal Government provides.

To me they are nothing but hypocrites, who talk down the government as well as the programs that provide a little cash assistance to help provide food for many of their families, housing assistance to keep a roof over their families heads, as well as medical assistance which enables them to be cared for when they are sick or their child gets injured.

I don’t begrudge any Republican or their family that is down on their luck, and who in these tough times may have lost their jobs or had their family income severely reduced, the help that only the Federal Government is able to provide. Especially those Republicans who even in the best of times live in our poorest states , and to whom life on the public dole has become a way of life leading to a form of dependence on the Federal Government that last from generation to generation.

But what I do resent is that they act like all the help that they get from the government is something sinful, and what I don’t understand is if they hate it so much why do they take it at all?

I think I must be different than Republicans, because if I hated something as bad as they want us to believe they hate welfare and government ran social programs why are so many of the recipients of the benefits of those programs located in the so called Republican Red States?

…We should seriously look at where and why the resentment for the Federal Government social programs is really coming from. It is evident t hat the same people who complain about the cost to the American Tax payers are also some of the biggest users and recipients of food stamps and federal housing assistance. I think that instead of them carrying around racist posters and complaining about the government that a lot of so called Tea Baggers and Republicans simply need to get on the phone and call their case workers and get off welfare…It would be just that simple, and there really is no need for them to argue, march, or protest the government. Just give up those farm subsidies, tobacco subsidies, milk subsidies, get off welfare, Medicaid, Medicare and Social Security and work till you are dead or unable.


It’s simple. Fear trumps Reason.

There are solid scientific reasons for why fear is such a motivator in politics. The parts of our brain that control fear and reason evolved in different ways and are connected in different ways that give fear the upper hand.

The human brain’s fear center is the amygdala, an almond-shaped bundle of neurons near the brain’s center. In the course of evolution, the amygdala’s fear circuitry got a head start on the neocortex, the seat of conscious awareness. The amygdala is simply more evolved.

It’s tough to overcome our fears because of the way the two sites are connected to the rest of the brain. The amygdala has a one-way pipeline to the neocortex, but there’s no return feed, meaning that the logical, thoughtful cortex can be overrun by the brain’s fear machine. It takes a lot of persistence and concentration to make things work the other way around, but it’s doable.

What makes fearing socialism a potent political tactic is the possibility that for some people the amygdala and the neocortex might actually be in sync on this topic.

If you truly believe that Democrats are moving toward socialism — and if you genuinely fear whatever you think socialism is — your logical neocortex has no reason to control the fear impulse. The amygdala goes wild, especially at Tea Parties.

The trouble for Democrats is that appealing to reason to assuage the fearful just won’t work in this case. Unless they want to try acknowledging that they are drifting toward socialism, and that it’s not really so scary.


Aside

Obamacare vs. The World

Obamacare vs. The World

Imagine the president of the United States saying they have a military target in their sights. If the US destroys this target it would save the country hundreds of billion dollars and tens of thousands of lives every single year. The target also appears to be vulnerable, there is little chance it could not be defeated. In fact, in recent decades other countries have defeated the same target with ease and great success. This mission would surely have the backing of the American people and be an immediate go. So what is the target? Is it North Korea? Iran? No, it is the private health insurance industry.

The US is the only rich country in the world without universal healthcare. This privatization of medicine causes the US to have the highest per capita medical costs and inferior outcomes. John Boehner stated in 2012 that America has “the best healthcare in the world.” Many Americans would agree with this statement but reality paints a much darker picture. The United States healthcare system was ranked 38th in 2000 by the World Health Organization. A 2012 report by the National Research Council and the Institute of Medicine ranked US dead last among 17 developed nations. Among these 1st world countries the US had the highest infant mortality rates, the shortest life expectancy, most injuries, most homicides and most disabilities. (So at least we’re #1 at something.) A Harvard study attributed 45,000 annual US deaths to a lack of health insurance. Families USA came to a more conservative estimate of 26,000 deaths from no insurance between the ages of 21-64. At the very least this is equivalent to suffering eight September 11th attacks, except these atrocities are self-inflicted and repeated every year. (3,000 Americans died from the 9/11 attacks so : 26,000/3,000= 8.67)

Let’s look at the economics of the issue. The US spent $8,233 per capita in 2010 according to OECD (Organization of Economic Cooperative Development) and $8,680 per capita on health annually in 2011. (Probably over $9,000 as of today – August 2013) For comparison Canada spent just under $4,500 per person in 2010. Our northern neighbors spend about half as much on healthcare and achieve superior results. The US spends 17.6% of it’s GDP on healthcare and the OECD average is 9.5%. This 8.1% differential in a 15 trillion dollar US economy amounts to over 1.2 trillion dollars. Routine operations frequently cost thousands of dollars more in the US than in other industrialized countries and we have the highest prices for pharmaceuticals. For example a coronary angioplasty average costs is $14,378 in the US and $5,547 is the average in Finland. Hip replacements are $5,000 cheaper on average in Canada and C-sections cost half as much in Germany. ($3,732 vs $7,449)

The health and lifestyle of Americans is similarly in terrible disrepair. The US has 5% of the world’s population and consumes two-thirds (67%) of the world’s anti-depressants. (Zolaft, Prozac) One in ten Americans are on these anti-depressant medications and the number of prescriptions is steadily climbing. The US also ranks at the top of the lists for anxiety disorders with over 40 million Americans being affected. Not surprisingly the lion’s share of the anxiety medication also get’s sold here. Our collective mental health is atrocious and our physical health isn’t much better. The US is always in the running for the world’s fattest country. Almost 70% of the US population is overweight and 30% of the population is obese. Heart disease, diabetes and high-blood pressure are frequent medical ailments costing hundreds of billions of dollars per year. The US has low rates of tobacco usage and yet still manages to have high cancer rates. As mentioned earlier, the US has the highest infant mortality rates, the shortest life expectancy, most injuries, most homicides and most disabilities among developed countries.

Implementing universal healthcare like every other industrialized nation is the obvious solution. It’s a political non-starter however. Bill Clinton chose to prioritize NAFTA over healthcare in 1993. He used up too much political capital getting the free trade bill passed and was unable to pass his healthcare bill. Fifteen years later Barack Obama was elected president and one of his first comments from the white house was that, “the public (healthcare) option is off the table.” Obama was able to get a health bill passed, The Affordable Care Act. The bill, dubbed Obamacare, does have some definite improvements. It will ensure greater coverage for Americans, end some of the insurance companies most exploitative practices and stem the tide of rampant medical inflation. Just as important though, the bill provides hundreds of billions of dollars in subsidies to health industries and leaves the root of the problem, privatized health insurance, intact.

Several studies have been conducted on implementing universal healthcare in America. Virtually all the studies have predicted colossal savings if the US were to adopt such a plan. Physicians for National Health Program have estimated annual savings at $400 billion dollars per year. In another estimate economist Gerald Freidman concluded single-payer healthcare would save $570 billion dollars annually. Among other nations Norway was the second biggest per capita spender in 2010 at $5,388, if the US could match this it would save almost 900 billion dollars per year. ($8,233-5,388= $2,845 per capita savings x 315,000,000 Americans = $896,175,000,000) This would be about 6% of US GDP. In actuality the US spends 17.6% of it’s GDP on healthcare which also the highest in the world. In second place is the Netherlands at 12.0%. If the US could just match this it would save 840 billion dollars per year. (17.6% – 12.0% = 5.6%) (5.6% x 15 trillion dollar US GDP = 840 billion dollars) The potential savings are enormous and are approaching a trillion dollars annually.

In addition to direct medical savings a single-payer system would eliminate the practice of medical bankruptcy. Medical bankruptcy is the number one cause of bankruptcy in the US despite the fact such a concept doesn’t even exist in other advanced countries. 60% of all US bankruptcies are from medical bills, affecting over 2 million Americans each year. Medical bills are attributed to 60% of all bankruptcies in the US and 25% of senior citizens will declare bankruptcy due to medical costs. Other benefits from universal care would be harder to quantify but just as real. Higher life expectancy, lower obesity rates, improved psychological health and improved infant mortality rates would all come along with lower costs. We’d also prevent tens of thousands of people from dying each year because they can’t afford treatment.

Let’s flip the script. Instead of trying to convince America to adopt universal healthcare imagine trying to convince a country with socialized medicine to Americanize their system. Really think about going to Japan and saying, “I understand that your country has a high life expectancy, low obesity rates and spends a little over $3,000 dollars per capita on healthcare. But as an American I see huge room for improvement. For starters you just can’t insure everybody, it makes people lazy and dependent. The poorest and unhealthiest 20,000 or so of your citizens should just be left out to die every year. There’s no profit to be made in treating them and hey we all gotta go sometime right? Even with them gone you’re still insuring too many people, it’d be best if you let about the bottom 1/6th of your population have little or no insurance at all – it’d be efficient and teach them personal responsibility. Also, your medical system has too little bureaucracy and is too easy to understand. Having everything under a single government payer is too streamlined with almost no overhead. You really want to break that up into several private insurance companies that deny as much coverage and claims as possible.” The Japanese would believe you are either joking or a complete psychopath, the system you are preaching for would seem like a sick joke.

For decades now a majority of Americans have wanted a single-payer system. Yet if a politician embraces single payer healthcare they are denounced as a left wing extremists. Obama was lambasted as a socialist for his modest reforms. In other countries this situation is reversed, only the extremists are opposed to single-payer healthcare. The health systems of western Europe are very popular with their citizens and rightfully so, they provide superior service at a lower cost. The US not only lags behind in cost and outcomes but also lags chronologically. South Korea had universal care in 1988. Denmark had it in 1973, Canada 1966 and Norway in 1912.

I can see a path from the Affordable Care Act to a universal single-payer health care system. Its psychological. As a nation, we are committed to making sure that every person receives health care affordably. If that’s the frame, then single payer starts making the most sense. The previous frame was that health care is an individual responsibility and if you didn’t have it then that was your problem. That’s a big difference. And I think that in politics, framing is key. How the population views an issue affects how they vote on it.

The Affordable Care Act is bad, but it’s so much better than what the previous system was. Children were dying because they hit their lifetime caps on insurance coverage before they were six. The Affordable Care Act fixed a lot of stuff but it didn’t go far enough. It’s not what the American people deserve but it’s what we could get.

Health Insurance

***{( Their is a difference between the types of systems; here is some of them, along with the advantages/disadvantages and the challenges of adopting those types of systems in the US:

Single-payer insurance (Canada)
In this model healthcare remains provisioned by private parties but the government takes over the role of the insurer. This is the currently proposed alternative system in the US but the proposed version is very different to the Canadian model; In Canada doctors typically do not work for hospitals (they operate on a fee-for-service or time-fee basis as contractors to the Canadian government) and while hospitals are privately operated most of the buildings are provincially owned, neither of these are present in the proposed US model. This system can be free at point of use.
The health outcomes of this type of system are relatively good, although with some capacity issues which cause wait time issues. Short term such a switch would produce a saving of between 4% and 11% over the current system but the savings achieved would likely be reversed by an increase in consumption. This type of system also does nothing to address the wider problem of healthcare delivery.
While the contract based doctor provision is entirely achievable currently the way hospitals operate would not currently be possible, we don’t have the capital or borrowing capacity to purchase a sufficient number of hospitals off their owners and the constitution does not permit us to simply confiscate them without fair compensation.

Centralized Single-payer healthcare (UK)
In this model the central government controls facilities (although not always owns them, the UK has been experimenting with financing new facilities via PPP), personnel and financing with a central tax for healthcare provisioning. All doctors other then PCP’s typically work for the government (PCP’s are fee-for-service or time-fee). The UK is currently the only example of this in the developed world. This system is free at point of use.
Health outcomes of this type of system are average with significant capacity issues. There is no accurate prediction regarding the operating costs of this type of system in the US but it will certainly be smaller then current combined public & private spending and likely significantly so.
The problems with this type of system in the US would be numerous. Firstly centralized systems respond very poorly to regional changes in healthcare needs, this is one of the trade-offs for lower costs, and we would have to accept a lower standard of care (for those who do not currently have accessibility problems) then the current system overall in exchange for universal coverage and the lower costs (this is primarily why the UK system has not been repeated elsewhere). The problem with purchasing facilities is the same as with single-payer insurance.

Regional Single-payer healthcare (All the Nordic countries)
In this model the central government mandates the level of care regional authorities are required to offer and those regional authorities are responsible for raising the revenue and providing the services. As with centralized single-payer the facilities are generally owned by the government and doctors generally work for the government. This system is free at point of use.
Health outcomes of this type of system are good with few capacity issues. As with centralized single-payer it is not possible to accurately predict the operating costs of this type of system but they would also be lower then our current system while higher then centralized single-payer.
The only special problem with this type of system in the US is that its success lays in the relatively small size of its regional health authorities. The equivalent in the US would be the federal government mandating the service and a county taxing for the service and providing it, this would not currently be constitutional. Same facilities issue as the previous systems here.

Basic Single-payer healthcare (Australia)
Functions much the same as the Canadian example with the exceptions it is not always free at point of use (government pays between 75% and 100% of costs), the government does not cover most electives and there are a number of privately owned hospitals that treat public patients on a fee-for-service schedule.

Multi-payer (France, Germany etc)
Multi-payer systems differ from single-payer systems in numerous ways. Firstly healthcare is not supported from general tax revenues, the majority of healthcare is paid for via insurance or withholding specifically targeted at healthcare. Secondly the government generally neither owns nor operates the facilities, the overwhelming majority are privately owned and often operated for a profit (in the case of Germany nearly half the hospitals are operate for-profit compared to 12% in the US). Thirdly its not possible for the government to set a fixed healthcare spending level, single-payer systems establish how much they want to pay for healthcare and then distribute resources accordingly while multi-payer systems establish which services people are permitted to consume & the level of subsidy they will receive and spending is simply however much is consumed at those levels. This type of system is not generally free at point of use.
Health outcomes of this system vary but are generally very good and there are no capacity problems. It would be cheaper (how much depends on the exact form) then our current system while more expensive then the single-payer systems. There would be no particular problem replicating this type of system in the US but the tax and regulatory changes required could be challenging. This type of system would also be far more “free market” then the mess we currently have.

Third-party-payer (USA)
Absolute shit.

Account-payer (Singapore)
In account-payer systems patients pay for the majority of the healthcare out of pocket with a government subsidy applied (in effect if you are poor your heart transplant costs $50 while if you are wealthy it costs $50k), payments are made from savings accounts individuals are required to contribute to. This is not a free at point of use system.
Health outcomes of this type of system are very good and there are no capacity problems. Cost wise this would be the “best”, we would be able to fund a universal healthcare system while reducing current public healthcare spending. This type of system would also be far more “free market” then the mess we currently have.

(Universal and Single-payer are not interchangeable.)}***

healthcare

So the USA pays approx DOUBLE the OECD average and yet manages not to have Universal Health Care. It’s a hell of an achievement. How can Americans pay for a Rolls Royce and yet take delivery of a Chevy with a puncture?

The USA needs to find the solution every other Western nation has found. Universal Health Care free at the point of delivery.

Why hasn’t it?

This is why. The Medical-Industrial Complex has donated $833,259,267 directly to members of Congress. Not counting the huge amounts of money given to presidential candidates like Obama, McCain and Kerry, the biggest donations have gone to the 3 worst industry shills who have been well-paid to make sure there will never be effective, robust health care reform:

Arlen Specter (R-D- PA- $4,026,933)
Max Baucus (DLC- MT- $2,833,731)
Mitch McConnell (R-KY- $2,758,468)

And when you just go right to Big Insurance, the non-presidential candidates who got the biggest legalized bribes were the 7 senators who have been tasked with the job of killing effective health care reform and keeping Healthcare Insurance alive in the USA

Ben Nelson (DLC-NE- $1,196,799)
Max Baucus (DLC- MT- $1,184,113)
Joe Lieberman (DLC- CT- $1,036,302)
Arlen Specter (R-D- PA- $1,035,530)
Mitch McConnell (R-KY- $929,207)
Chuck Grassley (R-IA- $884,724)

( This is a great resource for checking who’s funding your politician)

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Citied Web Sources:

  1. Health Care In America
  2. The USA pays as much out of the public purse from taxes as the average OECD nation, more than nations like France, Germany, the UK, Sweden, yet unlike the average OECD nation does not have any form of universal coverage
  3. World health care Organization rankings by per capita spending
  4. World Health care Organization rankings by performance

Karl Marx Can Help Us Understand Health Insurance Industry!

In order to rethink fundamentally the debate surrounding health care reform, we need to first understand what exactly health insurance is and what it insures. With external objects, such as a home, a car, or a boat, we know exactly what a policy insures: a home, a car, a boat, respectively. We insure for the recovery, whether by repair or replacement, of the products that we buy in case of damage or loss.

How About Your Health Insurance?

With health insurance, if we are lucky to have it, we are able to secure funding for the necessary cost of recovering our health from a catastrophic disease. In this sense, there seems to be no difference between a car policy, for example, and a health policy. However, this does seem quite right.

In the case of a car, we understand without a doubt that it is an external object that is physically separate from us. The same with homes, boats, and other things. Unlike these objects, however, our health is not external. It is what makes us function, what enables us to lead productive, meaningful lives. It allows us to be who we are. It is inconceivable to even imagine that our health is somehow external to us. So then can we talk about the health insurance industry in the same ways as we talk about the property insurance industry?

How Then Is Health Insurance Even Possible? Enter Marx.

In order to understand this problem, I propose that we use the Marxian concept of “alienation.” Karl Marx uses this concept to understand the relationship of labor to its product in his manuscripts from 1844, This concept is useful in helping us understand how our health undergoes the same process of “alienation” from ourselves in a dialectic process that makes health both ours, but at the same time not ours. Let me explain.

Let us agree first that to work is human nature. As humans we are defined by the work we do. In fact, we are our work, and our names often reveal that. We are Smiths, Masons, Coopers, Shoemakers, Millers, etc.

However, as soon as these products enter the cycle of being bought and sold for profit, the relationship we have with these products undergoes a fundamental change. They become something alien to us and take on a life of their own, complete separate from us. So as they accrue value, the workers who produced them see their ownership in them diminish while at the same time seeing their own value in proportion to the value of their products diminish. According to Marx, “[t]he greater his [worker’s] activity, therefore, the less he possesses. What is embodied in the product of his labour is no longer his own. The greater this product is, therefore, the more he is diminished.”

This is precisely how the process of “alienation” starts. The worker starts to be “related to the product of his labour as to an alien object.” The “alienation” of the worker in his product means not only that “his labour becomes an object, assumes an external existence, but that it exists independently, outside himself, and alien to him, and that it stands opposed to him as an autonomous power.”

So as the worker works, the more he produces through his work, the more alienated his activity becomes from himself. It becomes a “commodity as it enters a fundamentally different relationship, “a commercial relationship, a relationship of exchange, of buying and selling.” Thus, our work, that which defines us, that which is our nature, becomes the source of profit, not for us, but for those who control it.

Our Health Has Become a Commodity For an Entire Industry.

This process of “alienation of labor” helps us understand just how the health insurance industry works today. Our health, that which enables us to work, becomes alienated from us. We insure our health as if it were an external object just like a car, a home, or a boat.

The way the health insurance industry is set up in today’s America, the “industry” insures our health only as long as it is productive. Our health is wrested from us, made into an external object, with which to draw enormous profit, not for us, but for those who control the “industry.” It is literally “alienated” from us having undergone the transformation from something intrinsic to us to an external product. The health that is insured , however, is not the whole of our health, from good to bad, but only that part that is productive. Only that part that makes profit. Only that part that generates profit.

The word “industry” itself is apt in describing our current insurance system. Under “industry” we assume that there is a concrete, external object produced through human labor that is insurable. The word itself propagates the idea that our health is capital, curiously not our own, but rather the capital with which the industry itself becomes wealthier and wealthier. The recent revelation of the outlandish salaries of the insurance companies’ executives reflects that. Somehow, we feel deep down that this is not right. That our health is not a commodity. That is why there is a great outrage at these exorbitant salaries.

Hence, the problem with this model is that, as Marxian model of “alienation” points out, our health maybe insured, but we are not. As soon as we are not able to produce that desirable external object, our health, we are no longer insurable. And why not? Because we are no longer the owner of our health. The insurance companies are. Those that profit from owning our health are. Hence, the healthier we are, the less ownership we have of our health. This is the Marxian dialectic is at work.

Can You Really Be Alienated From Your Health?

In my opinion, it is absurd to think that our health is something that can be alienated from us, commodified by a whole industry for its profit. Commodities exist solely for the profit of the owners. However, insuring our health is not like insuring a car, a home, or a boat. There is no pretense about these objects being external. If we lose them, we do not die. On the other hand, if we lose our health and our insurance because we are no longer healthy, we die for the simple fact that we cannot afford the care necessary.

It is time to fundamentally rethink the structure of health care. First of all, we need to move away from the notion that our health is something to be insured by an “industry.” The notion that it is any part of an industry is a fundamentally wrong. “Health insurance industry” itself is a misnomer. Health is not a commodity. It cannot and ought not to be commodified. Our health should not be used for profit.

We need to take back the ownership of our health. Let’s bring the care into “health care” instead of giving it to an “industry.” Our lives depend on it.