Sunday, March 07, 2010

Health Scare #4: Profits Matter More Than People


Nothing could be more truthful than the fact that I don't want "government run health care." But I don't want for-profit health care either. So, as usual, I'm left with nothing. No options, no outlets. Trapped out in a world where Onion stories come true with remarkable ease and depressing regularity. Like this gem from last year:

WASHINGTON—After months of committee meetings and hundreds of hours of heated debate, the United States Congress remained deadlocked this week over the best possible way to deny Americans health care.

"Both parties understand that the current system is broken," House Speaker Nancy Pelosi told reporters Monday. "But what we can't seem to agree upon is how to best keep it broken, while still ensuring that no elected official takes any political risk whatsoever. It’s a very complicated issue."

"Ultimately, though, it's our responsibility as lawmakers to put these differences aside and focus on refusing Americans the health care they deserve," Pelosi added.

The legislative stalemate largely stems from competing ideologies deeply rooted along party lines. Democrats want to create a government-run system for not providing health care, while Republicans say coverage is best denied by allowing private insurers to make it unaffordable for as many citizens as possible.

"We have over 40 million people without insurance in this country today, and that is unacceptable," Sen. Orrin Hatch (R-UT) said. "If we would just quit squabbling so much, we could get that number up to 50 or even 100 million. Why, there's no reason we can't work together to deny health care to everyone but the richest 1 percent of the population."


The bald-face, plain-as-day fact remains: people are dying, right now, from lack of health care. While Our Glorious Leader and his Randian hack "opponents" sit around a table and spar over bullshit talking points, people are dying. Yesterday, today, every day. It's gotten so bad even the New York Times finally noticed:

As members of the Obama administration and Congress met on Thursday to try to find common ground on health care, a new report warned that without comprehensive legislation, more than 275,000 adults nationwide will die over the next decade because of a lack of health insurance. Nearly 14,000 of those deaths would occur in New York State. [Emphasis mine.]

An earlier study by the Institute of Medicine estimated that 18,000 people died prematurely in 2000 because they lacked insurance; the Urban Institute updated that figure to 22,000 in 2006. The new study, by liberal advocacy group Families USA, applied the same methodology used in the previous reports to drill down and calculate, on both a national and state-by-state basis, the latest figures.

“This is only the tip of the iceberg, and the most severe consequence, which is death,” said Kathleen Stoll, director of health policy at Families USA. In addition, thousands of other citizens, perhaps millions, are experiencing a reduction in the quality of their lives and their health because they lack insurance, she said.
Unfortunately, the Time's reveals its real concerns by burying all of those horrible numbers in its websites Health section, safe from the prying eyes of everyone who isn't already and old fart, or an old-fuck-at-heart (like your humble narrator).

On the more-prominent U.S. page we find a more typical example of the media's Health Care "Reform" coverage under the headline Pelosi Struggles to Corral Votes for Health Care Bill:
The future of President Obama’s health care overhaul now rests largely with two blocs of swing Democrats in the House of Representatives — abortion opponents and fiscal conservatives — whose indecision signals the difficulties Speaker Nancy Pelosi faces in securing the votes necessary to pass the bill.
The article is a prime example of Horse Race Journalism, a genre that now dominates American political writing thanks to years of pressure from the mouth-breathing media whores on the Right and the more-intelligent but (apart from Michael Moore) ideologically hamstrung media whores of the "Left." That is, the politically empowered "Left," symbolized by Pelosi, Reid, and Our Glorious Leader, the president, who are little more than rich, privileged shills for the very power structure left-wing politics are supposed to oppose.

This creates the twin phenomenons of political "centrism" and policy "triangulation," rhetorical red herrings meant to mask what the economist John Williamson identified (way back in 1989) as the "Washington consensus."

Being an economist, Williamson saw nothing particularly seedy or evil in this term (at least, not at the time...he has since recanted his choice of words for all the usual, wrongheaded reasons). At the time he originally coined the phrase he was attempting to outline a complex of economic ideas that everyone in Washington could agree upon, regardless of their politics. These included deregulation, unfettered access to credit, trade liberalization, the privatization of state assets, the deification of private (which, in most cases, means "corporate") property, and the destruction of even the the shadow of a functioning "welfare state." All of this motivated by a free market fundamentalist belief that economics can do more for people than politics.

If you happen to be rich, then, yes, it can. If you're poor, well...fuck you running. It's your own fault for not playing the proper Horatio Alger game. You must be out of favor with the Invisible Hand of the Market, what Jello Biafra called "God Incorporated." Did you eat meat on Friday? Sacrifice the wrong goat? Whatever it was, it certainly can't be the fault of a system that threw you overboard before you were even born. In any case, the System couldn't care less. It's far too busy bribing Congress with one hand and slapping their pitiful excuses for "reform" back with the other:

Anthem Blue Cross, a unit of WellPoint, recently informed subscribers in California that premiums for individual insurance policies would rise an average of 25 percent, with some rates going up as much as 39 percent.

“Raising our premiums was not something we wanted to do,” [WellPoint CEO] Ms. [Angela] Braly said [in her testimony before the House Energy and Commerce Committee Wednesday]. “But we believe this was the most prudent choice, given the rising cost of care and the problems caused by many younger and healthier policyholders dropping or reducing their coverage during tough economic times. By law, premiums must be reasonable in relationship to benefits provided, which means they need to reflect the known and anticipated costs they will cover.”

Translation? It's not our fault we're so rich, or that we're legally bound to do everything we can to get richer. It's those damn doctors and their damn hospitals. It's the damn old people and their stupid needs for care. It's the damn young people jumping ship because they can't afford our base rates in the first place, only to slink back like beat dogs when something goes wrong.

According to Reuters, Ms. Braly pulled down over $9 million last year. Now that she's Chairman of the Board as well as President and CEO she can expect a raise this year, at the very least. The other witness quoted by the Times, Lauren Meister of West Hollywood, can expect to supply Braly with that raise now that WellPoint has pushed her premiums up by two hundred dollars:
“We saw what deregulation did to the cost of utilities in California,” Ms. Meister said. “We saw what the lack of regulation has done on a national level to our financial and banking system. Well, it’s doing the same thing to our health care system.”

Ms. Meister added: “The City of West Hollywood, where I live, regulates how much landlords can raise the rent each year to keep rents stabilized. Why can’t the federal government regulate how much health insurance companies can raise their rates per year, in order to stabilize premiums?”

Well, Lauren, it's got a lot to do with the insane amounts of money the health care industry has used to grease our government's wheels. Since 2005, that's been a $46.6 million investment, counting publicly-disclosed campaign contributions…who knows how much more cash changes hands away from the cameras? It's all a matter of profits over people, power of progress, and money over matters of life and death. So rejoice and be exceeding glad: they'll be no "government run" health care in this country. Not until the greedheads and glandhanders figure out how to run it straight into the pockets of their true constituents.

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