Curb Your Enthusiasm for Obama
|Tuesday, September 2,2008 06:28|
|By Chris Hedges|
"Obama offers a false hope," said Dr. John Geyman, the former chair of family medicine at the
We face a health crisis. The Democratic and Republican parties, awash in campaign contributions from the beasts they should be slaying on our behalf, have no interest in addressing it. A report in the journal Health Affairs estimates that, if the system is left unchanged, one of every five dollars spent by Americans in 2017 will go to health coverage. Half of all bankruptcies in
"There are at least 25 million Americans who are underinsured," said Dr. Geyman. "Whatever coverage they have does not come close to covering the actual cost of a major illness or accident."
Obama, like John McCain, did not support HR 676, the single-payer legislation. The corporations that run our for-profit health care industry, which would be shut down if the bill was enacted, have vigorously fought it through campaign contributions and armies of lobbyists. A study by
"The private health insurance companies and the pharmaceutical industry completely and totally oppose national health insurance," said Dr. Stephanie Woolhandler, one of the founders of Physicians for a National Health Program. "The private health insurance companies would go out of business. The pharmaceutical companies are afraid that a national health program will, as in
Sen. Obama argues that we can improve the system by expanding government oversight. The government, he says, should require doctors and hospitals to prove they provide quality care. His plan links payment with reported quality. This would mean that health care providers would have to hire even larger staffs to collect and report this data to the government. There would be a $10-billion federal investment in health care information technology over five years under the Obama plan, in essence turning record keeping from paper to electronic data.
Obama"s plan, said Dr. Don McCanne, who writes on health care issues, would actually make health plans "more expensive, which compounds the problem."
Obama says he would require insurance companies to use more income from premiums for patient care.
"There isn"t an enforcement mechanism," Geyman said bluntly. "Most states have been unable to control rates or set a cap on rates."
Obama"s plan would also not cover all Americans. Unlike in
"The only way everyone will get insurance is with national health insurance," she said from
Obama has borrowed John Kerry"s idea to have the government absorb certain severe costs, although again the details are not spelled out. Insurers, he says, would no longer be able to discriminate based on preexisting conditions. All children would have health coverage. He would, he says, expand Medicare and Medicare-like coverage to protect the very young and the elderly. This is laudable, if he can make it happen. But the fundamental problem is a health industry run for profit. Our health system costs nearly twice as much as national programs in countries such as
We on the left, those who should be out there fighting for universal health care and total and immediate withdrawal from Iraq and Afghanistan, sit like lap dogs on the short leashes of our Democratic (read corporate) masters. We yap now and then, but we have forgotten how to snarl and bite. We have been domesticated. And until we punish the two main parties the way big corporations do, by withdrawing support and funding when our issues are ignored, we will remain irrelevant and impotent. I detest Bill O"Reilly, but he is right on one thing-we liberals are a spineless lot.
Labor unions don"t negotiate with corporations on the basis of good will. They negotiate carrying the threat of a strike. What power do we have as long as we cave on every issue we stand for, from opposition to the death penalty to battling back against the military-industrial complex?
It is not about liking or not liking Obama. It is not about race or class or gender. It is not about growing up poor or a member of the working class. There is no shortage of greasy politicians who, once in power, sold out their own. Look at Bill Clinton. It is about fighting back. It is about confronting a system that belittles us, what we stand for and what is best for the majority of Americans. We need to throw our support behind alternative candidates who champion what we care about, whether Cynthia McKinney or Ralph Nader. Bob Barr"s health care plan, like John McCain"s, is even worse than Obama"s tepid proposal. We need to begin to actively and militantly defy the corporate state, and this means stepping outside of the two-party system. Universal health insurance is one issue. There are others. Nothing we care about will change until we do.
The Democrats, who promise to end the war in