Tag Archives: Obamacare

Memo to Rand Paul: Free Health Care is a Moral Imperative

No picture included today because I’m not having that dead weasel on his head clutter my pretty blog space.

A statement made a few years ago by Kentucky Senator Rand Paul, now running for the Republican nomination for President, has begun circulating again, presumably so anyone who might be inclined in supporting his 2016 candidacy might be reminded that the interests he is looking out for do not align in any way with what would actually be best for the overwhelming majority of the country.  Here it is.  Try not to vomit.

“With regard to the idea of whether or not you have a right to healthcare, you have to realize what that implies… I’m a physician, that means you have a right to come to my house and conscript me, it means you believe in slavery.  It means you’re going to enslave not only me, but the janitor at my hospital, the assistants, the nurses… There’s an implied threat of force, do you have a right to beat down my door with the police, escort me away, and force me to take care of you?  That’s ultimately what the right to free healthcare would be.” – Sen. Rand Paul (R-Ky.)

How does one even begin to deconstruct a statement of such careless, asinine, take-my-ball-and-go-home nincompoopery?  The slavery allegory, deserving a Godwin’s Law of its own, is especially offensive coming from a son of privilege with a Southern accent.  Dwelling on the image, one imagines a ludicrous scene of an army of sick people coughing and hacking as they (weakly) kick in poor gosh-darn put-upon Dr. Paul’s door and demand at the point of a crutch that he hand over the antibiotics.  If there weren’t so many people suffering because they can’t afford to even get into the same room with the elusive golden chalice that is American health care, it would be worthy of a laugh.  If I didn’t know someone personally who was going through a rough time because her access to care is limited by her financial means, I might cluck my tongue as I look down on high from my enviable Canadian system.  But no, Rand Paul, you’ve pissed me right off, and your apparent unfamiliarity with the Hippocratic Oath alone should be cause for you to lose your medical license (the status of which I understand is dubious at best).

Rand Paul’s problem is that fundamentally, he does not give a rat’s furry arse about anyone but himself (the opposite of the concept of “public servant.”)  He seems to genuinely believe that having to share space with other people unlike himself is an irritant.  I have always found libertarianism as a philosophy to be a giant crock of donkey doo-doo, given that aside from those guys who proclaim their own kingdoms on ranches in the middle of nowhere and usually find their utopias promptly ended by the FBI, no libertarian truly wants to live free of all government.  I mean, surely Rand Paul isn’t in favor of having to pave his own streets, treat his own drinking water and dispose of his own sewage when he has to take a dump, right?  And when Kim Jong-Un finally sends his crack troops to invade Lexington, does Rand want to be out on the front lines at the head of a hastily cobbled militia?  No.  Libertarians like Rand Paul are for all the conveniences of government, they just don’t want to have to deign to pay for them, or obey the laws that they personally do not like.  When it comes to the idea of socialized medicine, for Rand Paul (who is rich, of course), the idea that he might have to sacrifice a few of his pennies so that a single mom working three jobs doesn’t have to sell her furniture when her child develops pneumonia, is toxic anathema to be fought to his dying breath.  Obviously, to him, she just hasn’t worked hard enough to be able to have her child breathe properly, and doesn’t deserve the sparsest notion of help from the rest of her fellow citizens.

“Are there no prisons?  Are there no workhouses?”  Even Dickens would have found Rand Paul’s point of view hyperbolically cruel.

Choosing to live in civilization instead of out on the fringes is by its nature accepting a social compact with our immediate neighbours and our countrymen as a whole.  We come to accept that there are certain things we are not permitted to do in exchange for other privileges.  I’m okay with the fact that I’m not allowed to lounge bare-ass naked in the middle of the street in front of my house if it means that my weird neighbour across the way can’t do it either.  We also accept that there are certain public goods and services to which we must each contribute a modest share.  I’m also totally okay with the tiny percentage of my total property tax bill that ensures that my garbage and recycling is collected each week without me having to set up an individual account with and survive three credit reference checks by the ABC Trash Removal Company, and my same neighbour’s potential inability to afford it won’t mean I have to fight off the gulls picking away at the stench wafting from the mountain of used diapers and doggie waste bags piling up on his lawn every time I step outside.  The Supreme Court Justice Oliver Wendell Holmes, a Republican, famously said that “taxes are the price we pay for a civilized society.”  The notion that free health care is not included as one of the core tenets of that civilized society is morally reprehensible.  That a significant segment of the American population fights as hard as it does to ensure the system remains in its crushing, inequitable state is a testament to the brainwashing power of significantly monied interests controlling the message – look no further than dirt poor red staters screaming “socialism!” when the Affordable Care Act (i.e. Obamacare) is mentioned in casual conversation.

Since there are copious misconceptions about what socialized medicine entails (furthered naturally by those same monied interests noted above), it is probably incumbent on me as a Canadian to dispel them to my American audience by providing a few examples from personal experience.  Here’s how it works when you get sick in the province of Ontario, where I reside:  you call your doctor and make an appointment.  If the doctor can’t see you soon enough for your liking, you can go to a walk-in clinic or, if it’s much more serious, the emergency room.  When you arrive you hand the receptionist a government-issued Health Card, which has your provincial insurance number on it.  That’s it.  You never get a bill, no bureaucratic middleman (or Sarah Palin boogeyman “death panel”) evaluates your claim, nothing.  Your medical records are a confidential matter for you and your doctor.  Nobody else.  If you’re required to be admitted to hospital overnight or longer, you might pay extra (on a willing basis, it’s not mandatory) if you want an upgrade to a semi-private or private room, or if you want additional services like a TV or a phone at your bedside.  But you will never be charged for your health care.  The government pays for it.  And Canadian doctors are not exactly working for slave wages, either.  A 2012 survey found the average family physician making $328,000 a year in Canada.  Even in our system which Rand Paul likens to slavery, no one expects doctors to work for free, and they are most certainly not.

About fifteen years ago I was hospitalized for a collapsed lung.  I was not working at the time so I had no health benefits or insurance.  The cost for my week-long stay was $12, for said phone.  I wasn’t charged for the painkillers or the sedatives or the tube they had to drill into my side or the electric pump draining the blood and pus from my pleural cavity.  In the likes of Rand Paul’s mind, I should have just died of it and/or gone bankrupt to pay for getting better, instead of burdening millionaires with an extra few dollars on their taxes.  Would that have improved life for everyone else?  Would it be better that my wife never would have met me, or that my adopted son would never have known his father?

Screw you, Rand Paul.  Screw your privileged pelvis to a rusty cake stand.

The Canadian health care system is not perfect, and unfortunately important things like eye and chiropractic care that were covered when my parents were alive have been stripped away as the years have gone on and voters have demanded lower and lower taxes.  Dental care has never been covered, which is just stupid as the last time I checked, teeth were part of the body and rotten teeth can impact your entire system.  But no Canadian worries that if they ever have a heart attack, the paramedics will demand to see a bank statement before they apply the defibrillators.  Getting cancer doesn’t mean having to hock the house to afford the chemo.  In fact, our socialized health care system is so deeply ingrained into our cultural identity that our governing Conservative Party, while full of Republican sympathizers who would love to see us embrace a fully privatized health care system – including our prime minister – dares not even approach that third rail lest they face a complete electoral wipeout.  It seems to be understood for the most part among Canadians that we are in this together and we owe it to each other to ensure that illness does not lead to complete ruin.  Part of the problem is that while it has not been as bad here as in the States, we too have felt the effects of the systematic attack against the government social safety net through the insane machete-slashing of corporate and higher-income tax rates that has been going on since the election of Ronald Reagan.  Just make it better for the rich guys, we’re told over and over again, and they will shower the rest of us with prosperity.  I’ve already gone on at length about how fanatically and fatally stupid that argument is.  It makes even less sense to claim that getting the government out of the health care system will lead to its improvement.

Government is the means by which we pool our resources to provide for the needs that we cannot fulfill on our own.  Individually we can’t afford police or water treatment plants, but we all need to drink water and we need someone to stop the bad guys from stealing our stuff.  And because we collectively pay other people to do this for us through our taxes, we can stretch and contribute to the maximum of our potential in other areas.  The same thinking should apply to health care, and I’m always stymied as to how ostensible economists can’t see the benefits of taking health care out of the personal expense stream.  I don’t know what the going monthly rate for an American health insurance policy is, but I’m guessing if it’s several hundred dollars on the cheap end, that’s several hundred that isn’t going into discretionary spending, you know, the kind that actually boosts the economy.  Cutting a rich guy’s taxes might mean that he can afford a few more flatscreen TV’s for his beach house, but he’s still only one man with a limited ability to make use of multiple televisions, so he’s only going to buy so many.  But if three hundred million people have the cost of health care taken off their monthly balance sheet so that they can now afford a new TV, well, that’s a positive boon for the manufacturers of flatscreens, and that’s a lot of new jobs and economic growth in the flatscreen television industry alone.

“But a socialized health care system will be too expensive!  We can’t afford it!” cry the Grover Norquists of the world.  Nope, I don’t buy that, pun intended.  The United States is spending $700 billion a year on its defense budget and most of the right wing wants that budget increased.  America has the money.  Gobs of it.  A great deal of it being pissed away on weapons systems that the military doesn’t even want, and in tax breaks and loopholes for dirty energy companies and the like who are quite literally laughing at how easy they’ve got it.  America is awesome at coming up with ways to kill people and pollute the planet (making us all sicker in fact) – not so much at taking care of the inhabitants of the “greatest country in the world.”  Again, that’s by design, and until its people cease swallowing the lies being spoon-fed to them and voting against their own interests, nothing will change.  The American Dream should by its definition include the idea that freedom should also be freedom from the financial burden of illness – the understanding that sometimes, people fall through no fault of their own, and that helping them stand up isn’t coddling them, it’s letting them walk again under their own power.  I do not see how anyone could argue with that, unless they were the sort to derive a perverse joy in watching others be hurt.  (Is that you, Rand Paul?)  Finance shouldn’t even be part of the equation when it comes to this.  Some things are more important in this life than the bottom line.  Any government implementing extreme austerity at the expense of the welfare of its people needs to take a hard look at what exactly it is they’re trying to govern – a great-looking spreadsheet for a realm of ruined faces?

I could not look that hypothetical single mother in the eye and tell her that she should suck it up and get used to the street with her sick kid because it’s more important that we balance the budget.  If it is, then you know what?  Address the revenue side of the equation.  Raise the taxes.  Make the rich pay more; they’ll survive without that extra flatscreen.  Punish the companies who are offshoring their profits and hoarding their cash, or whining about needing to lay people off because of health care costs (or worse, Hobby Lobbying about what health care they will or won’t cover).  They’re lying.  So long as lives are being destroyed by the unavailability of proper health care, no one who thinks of themselves as moral should rest easy.

Why isn’t that what’s keeping the Rand Pauls of the world up at night?

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The American politics of Canadian health care

Scary! Screen cap from the ad featuring Shona Holmes blasting Canadian health care.

She’s back.  Shona Holmes, the Hamilton, Ontario native who became a poster child for the American right wing in 2009 as the debate over health care reform roared to life, is starring in a new Koch Brothers-funded Super PAC ad warning voters about the pitfalls of socialized medicine – and not only that, she’s hanging around the Democratic National Convention in Charlotte all week and available for interviews.  Given all the talk about the tidal influx of corporate money into the American electoral process since the Citizens United decision, if the best spokesperson the Kochs can come up with to star in their $27-million fear-mongering campaign against the ACA is an outsider whose complaints about her native land’s health care system have been thoroughly debunked, that’s some pretty weak-ass sauce – or, dare I say it as I put on sunglasses, unhealthy?  YEAAAAAAAAAAHHHHHH!!!!  Can you imagine the reaction on the right if an Obama-supporting Super PAC ran an ad featuring Canadians demanding higher taxes on the rich?  Cries from the Fox News cabal about filthy foreigners tampering with the sacred trust of American elections would be positively deafening.

The message of the ad is essentially that because the Canadian health care system allegedly failed Ms. Holmes, Americans should run as fast as they can in the opposite direction.  This one Canadian (out of 34 million) claims she had a bad experience, so let’s stick with the disastrous version we have now rather than pursuing a model that is so treasured by the Canadian people because of its success that no party dares broach the subject of changing it lest they suffer massive electoral blowback.  I find the right wing’s approach to attacking programs they don’t like (read:  they haven’t figured out a way to make money off) amusing in that it’s always the all-or-nothing gambit.  They’re always looking for the insignificant opening into which they can bludgeon the moneyed weight of their angry wedge.  A single slip-up, to them, warrants the dismantling of an entire organization – just as the appearance of a couple of bad apples in a malicious, heavily edited, out-of-context amateur video was grounds for taking apart ACORN (the real reason being that ACORN was instrumental in getting a lot of Democratic voters to the polls).  It’s as facetious and flimsy a position on which to build an argument as suggesting that if a single brick in the Great Pyramid of Giza cracks, the entire thing might as well be dynamited.  But it’s all you have when the only reason you can offer for being against something is that you don’t happen to like it very much.

It’s telling indeed that Shona Holmes is the only Canadian the Kochs could find to speak against Obamacare, and that she would be dragged out again three years after her initial appearance on the scene.  They probably couldn’t find anyone else.  For Canadians, what is almost as universal as our health coverage is our pride in our system – and our gratitude that getting sick in Canada doesn’t mean a financial death sentence.  Several years ago I was hospitalized for a serious lung condition, requiring X-rays, painkillers, and finally an intercostal tube drainage treatment.  My total bill for my week-long stay:  $12, for the optional phone at my bedside.  Everything else was covered by the program I pay into with my taxes, and nothing required was withheld because it wasn’t on my plan or whatever other spurious reasons the private companies invent to deny care in the U.S.  And my experience is not unique.  As to the myth of Canadians dying as they wait for needed surgery, it’s just that.  The Canadian system is based on triage – urgent cases go to the front of the line and everyone else is placed in priority sequence.  Decisions about who goes first are made by medical personnel (with apologies to the ex-Governor of Alaska, not once has any Canadian been forced to file a request with their local Member of Parliament before calling their doctor).  In the case of Shona Holmes, she was diagnosed with a benign cyst and panicked, and rather than waiting as recommended by a doctor she chose to cross the border and pay over $100,000 to the Mayo Clinic to have it removed immediately.  And with respect to her complaints about being attacked for expressing her opinion, if you are going to become a shill for U.S. corporate and political interests by spreading specious half-truths to every camera in sight because you didn’t get your lollipop right when you wanted it, you can’t be that shocked if more than a handful of folks decide to disagree with you.  Free speech goes both ways – that’s how the concept works.  (People shouldn’t have been calling her home to yell at her of course, but that’s just more proof of how passionately Canadians support and believe in their system of health care.)

It took an incredible effort on the part of President Obama, the Democratic Party and its supporters to overcome the blockades thrown up by Republican obstructionists, corporate lobbyists, lawsuit-happy state attorneys general and Tea Party zealots to get the ACA passed, half-baked half-measure as it may seem to many liberals and progressives who were longing for something more transformative.  Building on this act to craft a truly fair health care system where no one ever needs to fear getting sick in America ever again is going to take even more, and unfortunately the political damage borne by the Democrats for taking it on has made the issue something of a third rail.  But it should provide some comfort to those Americans dreaming of a single-payer program like Canada’s to know that the side fighting to keep the status quo has no real argument to make.  They may have more financial resources, more members of Congress in their pocket, but at the end of the day, it’s all smoke and mirrors – their hand is empty.  They just don’t like health care, and if you’re looking to win the conversation with the people, truth and facts are a much better starting point.

Dear Pasty Republican Billionaires: Haven’t You Got Anything Better To Do?

Founder of the new Super PAC, “Americans for a Prosperous Tatooine.”

You can’t read U.S.political news lately without seeing a story about a septuagenarian Republican one-percenter with a hate-on for the President pouring millions of his fortune into a new Super PAC.  Thanks to Citizens United, right-wing sugar daddies are emptying their coffers to Karl Rove and ilk to flood the airwaves with ads blaming President Obama for everything from sunspots to the common cold.  Figures like the Koch brothers, Sheldon Adelson, Foster Friess and most recently, Joe Ricketts, are positioning themselves as the new architects of what is left of American democracy.  You’d think that achieving staggering levels of wealth would be enough, but apparently, multiple mansions and car elevators are not where it’s at anymore.  These oligarchs-in-waiting are determined that the government is destined to be a rich guys-only club, and who gives a damn how many poor people get steamrolled out of existence in the process.  In fact, the more poor are simply obliterated, the better.

Stories about Republican Super PAC funders seem to have one thing in common – the men in question are uniformly old, bloated and incredibly sour-faced, as if their soul has been eaten away by a lifetime of stress, drinking, smoking and rage.  Paul McCartney told us that money can’t buy me love; these characters are the embodiment of that axiom.  These real-life Charles Foster Kanes have conquered the business world, crushed enemies in their wake and accumulated wealth to rival that of the pharaohs.  But love remains elusive for them, no matter how many zeroes in their Cayman Islands offshore holding account.  Nobody loves these guys.  No young boy goes to sleep at night dreaming of being a hedge fund manager and forcing people out of their homes.

Instead, Republican billionaires squirm and twist in a constant state of paranoia, terrified that colleagues, friends, family members and even the postal carrier who slips on the ice in their two-mile long driveway in Aspen are scheming to take everything away.  It’s no surprise, given the path a man has to take to claw his way into mega-millions.  You simply don’t get there by being adored.  How frustrating, then, that others of far more limited means can still manage to find love.  Joe Ricketts’ recently announced plan to dredge up Reverend Wright again centers on trying to make voters hate the President.  Not disagree with his policies; hate him.  So, presumably, the President can then feel as down-trodden and hopeless about life as Joe Ricketts must.  You get the feeling that we could have been spared the phenomenon of the Super PAC had their mothers just hugged these people more.

What Ricketts and the rest of these billionaires despise most about President Obama is that he is everything they are not, and will never become.  Truly self-made; someone who came from nothing and got where he is by working hard and applying himself, instead of being parachuted into accidental greatness by a generous trust fund.  A man with a beautiful wife he clearly adores beyond words and a happy, loving family.  President Obama is a greater embodiment of the American Dream than any of these grumpy old guys.  Moreover, and perhaps more importantly, he has the ability to inspire people across all walks of life, and around the globe.  Hope and change remains a potent campaign slogan because it appeals to our better angels.

For crusty old billionaires, this does not compute.  They believe everyone is as greedy and money-grubbing as they are; that altruism is a fool’s game, that no one ever does anything out of a simple wish to be good.  And it positively bakes their collective noodles that not everyone wants to be rich.  The majority of us just want to earn enough to look after our families, so they don’t have to worry about getting sick or feeding themselves or having a roof over their heads.  Amazingly, you can still do that without millions in a diversified asset portfolio, and working hard at that goal despite difficult odds is far more likely to earn you genuine love than the extra fifty million you’ll earn if Obamacare is tossed by the Supreme Court.

Simply put, a heart that is rotting cannot lift others.  The Koch brothers may have helped the Tea Party become a ground-shifting political force, but no one would ever accuse David and Charles Koch of being inspiring men.  They and those like them don’t inspire with words and ideas; they push with threats and cattle prods, because they don’t know any other way.  And they come to envy and hate the ones who do.  Whenever you see Karl Rove’s picture, this pudgy, balding sinister figure without a kind word to say about anything left of Genghis Khan, you can’t help thinking that he must have been the fat kid who was always picked last for the team, and is continuing to take his revenge on the popular kids forty years on to satisfy some long-simmering Freudian dysfunction.  And it is all so futile.  Mitt Romney could sweep all 50 states and half of Australia and these people will still be stewing in their self-loathing and cursing their inability to feel any better.  No one will love them any more.  They’ll feel even worse if they blow all this cash and President Obama still wins.

So here is my modest suggestion.

Take the money you had intended for your Super PAC and found a charity instead.  Build a school.  Refurbish a hospital.  Fund cancer or AIDS research.  Erect a nature preserve.  Start a new business and hire some people, for god’s sake.  Then go visit one of these places anonymously and look for the genuine joy in the eyes of the people you’ve been able to help.  Just stand there and soak it in – the sense of gratitude, of warm feelings.  Let your heart quicken.  Feel the love.  Then think about how you can do even more.  How good it will feel when a child whose life has been saved because of an initiative you backed mentions you in their prayers before going to sleep at night?  Wouldn’t that be amazing?  Don’t you like the idea of being remembered, like Ebenezer Scrooge at the end of the story, as “as good a friend, as good a master, and as good a man, as the good old city knew, or any other good old city, town, or borough, in the good old world”?  Or would you rather spend your money on TV ads demonizing the President of the United States, ads that will be as forgotten as swiftly as you will be the day your rotten heart finally croaks its last beat?

Ball’s in your court, Super PACs.  I know I’m sleeping fine tonight.