Why Lobbyists Love Health Care Reform

 
The more we learn about the Democrats’ plan for health care, the more it seems that, though it might help to cover more people—which would be good—it really won’t address the underlying problem. That problem is simply put: as long as health care is a multi-billion dollar industry run not to care for people but to make huge profits, the profit makers will find ways to continue to drive themselves into profit Valhalla, and the public into sickness and ruin.
            As confirmation, we have a recent report, by the Associated Press no less, informing us why there will indeed be a health care bill this year, even though the industry, and their Republican  (and Democratic) stooges would prefer to keep things as they are. The report—“Lobbyists the silver lining in health care storm?” by Ricardo Alonso-Zaldivar—tells us why “the drug industry, the American Medical Association, hospital groups and the insurance lobby are all saying Congress must make major changes this year.” What? THEY want health care reform? How could this be?
            The answer is elementary. First, they see the writing on the wall: Joe Sixpack can’t afford health care any more. Second, government programs have “gotten increasingly friendly to private insurance companies,” giving them “major roles as middlemen” in Medicare and Medicaid. You know, like Bush’s great prescription-drug boondoggle for Medicare, called, cynically, Medicare Advantage.
            But the real bonanza for these guys is the central requirement, in both House and Senate plans, to require health care for all. That is, the new plan will require everybody to buy coverage. And what will this do? Why it will “guarantee a steady stream of customers subsidized by taxpayers not only for insurers, but for all medical providers.” In other words, 47 million more customers will now have to procure health insurance. And if they can’t afford it—otherwise, why wouldn’t they have it in the first place—good old Uncle Sam, which is the taxpayer, will help them to pay for it. No matter how high the costs go.
            Dr. Marcia Angell, who was a guest on Bill Moyers’ show last Friday, said essentially the same thing. Unless, she said, there’s a change in the system—the economic system of unfettered capitalism willing to sacrifice anyone and everything for profit—all President Obama’s health care reform will do is increase the profits for private health care companies, doctors, and hospitals by presenting them with a CAPTIVE MARKET—i.e., of Americans now FORCED to buy health care.
            The thing is, we already know how this turns out. Massachusetts and a half dozen other states have already enacted this kind of reform, giving subsidies to the poor in order for them to buy insurance from the private health industry. And it has turned out to be more expensive, not less. So it appears that the only way our obscene medical costs will ever be reduced is by means of a government-run plan (the so-called “public option” the Republicans have tried to characterize as, ugh, socialism!), or, even better, a single-payer plan like Medicare. It would be a real plan that, by virtue of the numbers enrolled and the government’s power of mass purchasing, for instance from drug companies, but also from doctors and hospitals, would be able to reverse the trend of ever more expensive treatments for the ever more numerous conditions the industry can soak us for. Without that—and it is not clear at this moment if a “public option” will survive the congressional bartering and lobbying process—the sharks will remain in business, with the predators growing ever fatter, and thus ever more able to bludgeon our so-called representatives in our so-called representative democracy (and I include the President himself) into doing their multibillion-dollar bidding.
            Lawrence DiStasi

Winter Soldier

I don’t know how many of you had the opportunity to listen to the Winter Soldier conference put on by Iraq Veterans Against the War this weekend, but it was a riveting, emotionally devastating primer on the cost of the Iraq War in lives, treasure, and the mental and physical health of the soldiers who have been induced to fight it.  Panel after panel, presenter after presenter revealed personal stories about the damage that has been done. Nearly every panelist referred to the “war” as what it really is: an OCCUPATION, an illegal occupation of a people who were already prostrate from a dozen years of our sanctions and bombing, and who, with the arrival of American soldiers, were treated like criminals in their own country, arrested without cause, curfewed in houses that, in Iraq’s summer heat, were literally ovens.
            And then there were the horror stories of what each soldier had done, the atrocities each was led to commit as part of that occupation. The brutalizing of women and children. The random arrests of every Iraqi male caught in the frequent sweeps of neighborhoods. The killing, without thought, of anyone who made or appeared to make a false move. All of it made possible by the training each had received, to wit, that Iraqis are subhuman, that they are “ragheads” or “haggis” responsible for 9/11 (it has been proven Iraq had nothing to do with 9/11 or Al Quaeda) and thus undeserving of any human compassion whatever. One soldier described how the term “haggi” actually derives from the Islamic tradition of the Hagg, the pilgrimage to Mecca every Muslim is supposed to make at least once. Hence, he said sadly, the holiest tradition of an entire religious faith is trampled and reduced to a term of utter contempt.
Some of these soldiers and marines were interrogators at Abu Ghraib, and described the brutal tactics they used, and, when they were unwilling to perform as expected, those used by others. A soldier named Michael told of one detainee who was writhing strangely and acting crazily. Sensing insulin deprivation, Michael took a sugar reading and found it at 450, many times the normal range. Michael called the hospital, asking permission from the doctor to transfer the detainee, clearly in shock, to her facility. The captain refused, refused several times. The detainee was then taken to another area, and when his strange behavior continued, classified as a resister and put outside, manacled, in the hot sun as punishment. He died roasting and writhing in agony.
Another soldier related his experience with stop loss—the ploy by which the military, unable to attract new recruits, has been forcing troops who have finished their duty tours to be corralled into repeated deployments. This, and the brutality he was forced to employ in Iraq (at one point, he had his sights trained on a 6-year-old boy on a roof), eventually turned a gung-ho teenager eager, after 9/11, to kill all Middle Easterners, into a broken alcoholic who tried to commit suicide. But instead of giving him help, the United States Army discharged him with a general discharge for insubordinate behavior, leaving him with no benefits whatever, able to hold only a job as a pizza delivery boy. Among the military duties that led to his breakdown, he said, was his task of photographing dead Iraqis and sending the photos to superiors for use  in “building the morale” of American troops.
A Marine, Jason Wayne Lemue, served three duty tours in Iraq. On his first, he learned the rules of engagement. “My commander told me, ‘Kill those who need to be killed, and save those who need to be saved,’ that was our mission on our first tour,” he said of his first deployment during the invasion nearly five years ago. Lemue went on to relate that, “After that the ROE changed, and carrying a shovel, or standing on a rooftop talking on a cell phone, or being out after curfew” meant that people were to be killed. “I can’t tell you how many people died because of this. By my third tour, we were told to just shoot people, and the officers would take care of us.” (Quoted in “Rules of Engagement Thrown out the Window” by Dahr Jamail, Common Dreams, 3/15/08.)
Of course, Marine corporal Jason Washburn also explained the corollary—that American troops were instructed to carry shovels and “drop weapons” on their missions in case of an accidental shooting. A shovel or weapon found near a dead Iraqi was sufficient evidence to justify his death as a terrorist.
Such testimony, along with apologies by many of the panelists for the destruction they inflicted on innocent people, is enough to make anyone weep. Many in the audience did. And so, to the cost of this illegal and criminal war—now estimated at $300 billion a year by Linda Bilmes and Joseph Stiglitz in The Three Trillion Dollar War (that is nearly a billion dollars every day just for keeping the war machine going, nevermind the cost of replacing a broken military when it’s over and the broken human beings who will be needing veterans’ benefits for years to come)—there is the human cost. The cost of devastated lives and devastated psyches and devastated families, and, let us never forget, a country and an entire people that lies in ruins.
As one contemplates the horror of what the United States has done, and keeps doing, and the fact that we cannot, after Winter Soldier, claim ignorance, the words of T.S. Eliot come, almost unbidden, to mind:
            “After such knowledge, what forgiveness?”
Lawrence DiStasi