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After watching some of the Bill Moyer's Journal episode on Money-Driven Medicine,  I am angry, disgusted, and completely unsurprised.  The state of health care in this country closely parallels the state of transportation, and energy policy, and construction, and consumption, and industry in general.  When life consistently shows up on a priority list below money,  then capitalism has morphed into death worship.

The status quo is heinous.  Co-ops are a ragged fig leaf.  A public option is a carrot on a stick, ever receding into the distance (2013, anyone?  2018?).  Single payer, on the other hand, is an excellent beginning toward bringing down the vampire capitalism of the insurance companies.  But only the insurance companies.  What about the hospitals?  What about Big Pharma?  What about physicians who refer patients to their own corporations?  What about the shortage of general practitioners?  What about the medical schools?

In every nook and cranny of health care,  the engine of capitalism has been driven to a death-worshipping extreme.  Single payer might be enough in other countries, where the corporate elite has not so badly mauled every part of the economy.  From insurance company denials and rescissions to $40 aspirins to hospitals competing with multimillion dollar imagers to construction beyond reason to $300 office visits, the mad race to pile up more and more money for those at the top has crippled, bankrupted, and killed a huge number of people.  

It is long past time for implementing that idea most heretical to the dominant Church of Capitalism.  We need more socialism.  The corporatists understand that a public option could be the camel's nose under the tent, and are unrelenting and amoral in their resistance. The Democratic Party has been feeble in its response, probably because so many of them take it as a given that capitalism is a wonderful thing.  Well, it's not.  It's a wild dog that need to be controlled.

I don't want my money going to obscene compensation for those at the very top, for building more and fancier hospitals, for enriching physician corporations, or for maximizing profit for corporations.  I want it to go to preventive care, to payroll for doctors employed by the government, to reining in skyrocketing drug prices.  I want a comprehensive health system financed through taxes.

I want National Health Service.  

Compromise?  OK,  I promise not to push for stringing up the insurance and pharma CEOs.

Originally posted to tle on Thu Sep 03, 2009 at 10:02 AM PDT.

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Comment Preferences

  •  Tip Jar (9+ / 0-)

    I am become Man, the destroyer of worlds

    by tle on Thu Sep 03, 2009 at 10:02:56 AM PDT

    •  Restructuring to non-profit in the face (1+ / 0-)
      Recommended by:

      of a national emergency where 50 people die every day because they cannot afford medical care - that might shoot a cannonball over the bow of for-profit insurance companies - indeed, all corporations that formulate policy exclusively based upon cost-benefit analysis should be warned.

      Non-profit is perhaps the only way that insurance companies can survive the next decade as vital players.

      First they ignore you. Then they laugh at you. Then they fight you. Then you win. -Mohandas K. Gandhi

      by ezdidit on Thu Sep 03, 2009 at 10:22:56 AM PDT

      [ Parent ]

  •  A national healthcare service . . (0+ / 0-)

    I would suggest you look around at how other countries beside England are doing it. Some have come up with far better solutions than the British model.

    Look at The Netherlands, Switzerland and Taiwan. (aka The Republic of China)

    In the choice between changing ones mind and proving there's no need to do so, most people get busy on the proof.

    by jsfox on Thu Sep 03, 2009 at 10:18:27 AM PDT

  •  Actually (2+ / 0-)
    Recommended by:
    leema, yaque

    HR 676, which would establish National Health Insurance, would also legislate a transition from a for-profit to a not-for-profit delivery system. All providers would be required to convert to non-profit status over the next 15-20 years. Also, hospital budgeting would be done in a split manner: clinical expenses and capital expenses (new machines, new wings). Currently "not-for-profit" hospitals can direct their excess clinical dollars to expanding the capital of the hospital. Separate budgeting would eliminate that practice, as they would be prohibited from spending clinical funds on capital expenditures and vice versa. Also, a federal board would determine where capital expenditures are most needed, (like rural areas right now) and direct funds there.

  •  That's a great comprimise! (0+ / 0-)

    Compromise?  OK,  I promise not to push for stringing up the insurance and pharma CEOs.

    Live without dead time-Anoymynous Paris graffiti from 1968

    by greenpunx on Thu Sep 03, 2009 at 10:19:27 AM PDT

  •  Well, it works for me (0+ / 0-)

    But there are plenty of single-payer systems around the world that work just as well, or even better in some respects, perhaps.

    "The First Law of political indiscretion, Bernard - you always have a drink before you leak." - Yes, Minister

    by TruthOfAngels on Thu Sep 03, 2009 at 11:48:00 AM PDT

  •  Good post. (1+ / 0-)
    Recommended by:

    Should be more widely read.

    Thanks for reading mine earlier. I got rid of it because it was bothering me sitting out there with zip for tips or comments. Not that I need those things, but why publish something for nobody?

    Anyhow it's posted now at Docudharma. You should consider posting this there. They'd love it.

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