Posts Tagged ‘Lyndon B. Johnson’

Secular Talk: Room Full of Republicans Cheer Single-Payer Healthcare

February 19, 2017

This is little clip from Secular Talk is going to frighten and annoy many Republicans and Libertarians. It shows very graphically how their attempts to scare Americans away from universal healthcare is increasingly being rejected even by those self-identified Conservatives, who constitute the party’s constituency.

The clip is of a question by a member of the audience, Jesca(?) Bohun, at a Republican town hall meeting in Tennessee. Bohun says she is a Christian, and believes that the rich have a duty to pull the poor up. She then talks about some of the problems of Obamacare, the ‘Affordable Care Act’ introduced by the last president, to make private health insurance affordable to all American citizens. Bohun makes the point that this insurance is still expensive and can be high risk. Also, the insurance companies are free to pull out of the scheme if they don’t like it. She gives as an example the case where Aetna, one of the insurers, pulled out of the scheme claiming it was due to expense. In actual fact, they pulled out because the federal authorities had prevented them from merging with another insurance company, Humana. The result was that Obamacare now did not cover those insured with Aetna. Bohun then went on to say that rather than try to fix what is wrong with Obamacare, ‘why don’t we have medicare for all?’

Medicare is the American healthcare safety net, where the state pays for the medical treatment of the poorest, who cannot afford private health insurance.

What’s the result of this proposal, which would have many Conservatives screaming ‘Communism!’ and shouting about left-wing brainwashing and ‘pinko Commie liberal faggots’? The people in the room cheer.

Kulinski makes the point that this shows how even Conservatives will adopt left-wing policies if they are carefully explained to them, like the minimum wage, regulating the banks, taxing the rich and single-payer healthcare. He makes the point that labels may not mean much to ordinary Americans, who don’t have Ph. D.s in political science. Thus there was the spectacle of some members of the Tea Party waving placards with the slogan ‘Keep Your Government off My Medicare’, without apparently realising that Medicare is a government programme. Kulinski goes on to state that Bernie Sanders found that he could win over Conservatives to his views talking in the Mid-West, if he explained the issues properly. Kulinski then goes on to say that this episode makes him optimistic that liberal attitudes and policies are winning over the majority of people in America. But it does not take away the duty of liberals to explain these issues clearly.

This is really amazing, considering the way the American Right has long demonised single-payer healthcare and, indeed, anything that looked even remotely like socialised medicine. We’ve had the right-wing televangelists like Pat Robertson rant on about it being ‘Communism’. Lyndon B. Johnson introduced Medicaid in the 1960s, the parallel programme to Medicare in which the state pays for the medical treatment of senior citizens, who cannot afford it. This provoked Ronald Reagan to make an utterly bonkers and malignant speech claiming it was a threat to the freedom Americans hoped to pass on to their children.

But it’s increasingly evident to a growing number of Americans that private medicine isn’t working, and that there is no alternative to state-financed medicine.

Actually, you have no idea how good it felt to right those words about a socialist policy. Maggie Thatcher was found of invoking ‘TINA’ for her policies, standing for ‘There Is No Alternative’. Well, if you want people to have decent medicine for all, There Is No Alternative than various forms of state provision.

This clip, and other occasions like it, will make the Tories and their paymasters in the private health industry even more dangerous. One of the reasons they came over here under Major, Blair and Cameron and tried to persuade them to privatise the NHS, is because they realised that the private healthcare market in America was becoming saturated. And so they want to muscle in on the NHS as a way of maximising the profits they might lose in the US.

And so far, out of all the European countries with a state medical system, our politicians seem to be the only ones stupid, mendacious and venal enough to allow these parasites in.

Get rid of the Tories and the Blairites, and support Jeremy Corbyn to renationalise the NHS.

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Roy Porter on Rising Cost of American Medicine

March 19, 2015

Blood and Guts Cover

The historian of medicine, Roy Porter, devotes a couple of pages to the development of medicine in America in his book Blood and Guts: A Short History of medicine. He notes that the development of private medical insurance and the fees-for-service system in America caused medicine to become a highly developed and lucrative industry. Competition was at the heart of this system, with doctors and hospitals competing to offer better medical service, such as better tests, a fuller range of elective surgery, more check-ups and so on. However, the costs of these procedures became correspondingly expensive, so that President Truman in 1948 mooted a national health service for America. This came to nothing, however, as the American Medical Association campaigned against it.

Part of the American system of private health care are the HMOs, the Health Maintenance Organisations, which began with the Kaiser Foundation Health Plan in California. These arose as a cheaper alternative to ordinary medical insurance like Blue Cross. Porter states that health costs have continued to rise, not just in terms of medical personnel and equipment itself, but also in the growth of hospital bureaucracy, administrative and marketing teams – including corporate finance, lawyers, medical insurers, public relations firms and accountants. He states ‘Expenditure has continued to rise, quite disproportionately to measurable improvements in health.’ (p. 167). The result is that by 2000 40 million Americans had no medical insurance. That’s almost one in six people under the age of 65.

This is the system that Cameron, Clegg and Farage wish to import over here. Meanwhile in America, Conservatives are attacking the soaring costs of medicare and Medicaid, introduced by Lyndon B. Johnson to allow the state to pay for the medical care of the poor and elderly, who couldn’t afford it.

There are 92 Tories and Lib Dems, who have links and positions on the private health companies waiting to profit from the Tories’ privatisation of the NHS. Andrew Lansley, the current health minister, is a supporter of the privatisation of the health service.

If they win, and get another term, we will not see the NHS survive. The poor will be deprived medicine, but the Tory, Lib Dems and Kippers will profit immensely.

We mustn’t let them.

Labour NHS Privatisation UKIP

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