There’s a crazy war raging in the USA at the moment. On one side is President Obama, most of the Democratic party and millions of ordinary Americans who desperately need health care cover. On the other side are the medical insurance and drug companies who are making massive profits out of the health business; the Republican party, who see this issue as an opportunity to neutralize Obama; and millions of ordinary Americans who have been swayed by a massive wave of fear and distortion.
TV ads and email campaigns have been propagating false claims – such as the health reforms threatening the lives of old people and paying for abortions. Meetings have been disrupted and speakers shouted down by fear-mongers with “an orchestrated litany of lies.” These campaigns are of course funded by the companies with vested interests, companies who have turned the American health system into an unaffordable mess, companies who employ teams of doctors to invalidate as many insurance claims as possible so that even the people paying dearly for health care find it denied to them when they need it most.
You’d think a country as rich as the USA would have one of the best health systems in the world but I’ve seen it ranked anywhere between 16th and 34th in the world. To gain some idea of just how bad things are, watch Michael Moore’s documentary “Sicko”. You may find Moore abrasive and extreme in his views but much of the material in the film is undeniable.
In the USA today the wealthy can buy the most sophisticated medical treatment in the world. Those on middle incomes struggle to afford health care and the poor are left unprotected. Over 46 million Americans don’t have health insurance and that figure is growing rapidly. As “Sicko” demonstrates, a poor, small country like Cuba offers its citizens better, cheaper medical care than the USA.
Improvement to the heath care system is obviously vital but the opponents of reform have managed to convince far too many credulous folk that health care reform threatens the American way of life with the SPECTRE OF SOCIALISM. It seems that fear of communism is still alive and well in the USA. When Russia threatened Georgia last year, for example, gun sales in the Southern USA rocketed… because those damn Russkies were attacking. The fact that it was the Eastern European country of Georgia not the state in the USA seemed to escape notice in the general paranoia.
Most Americans, in fact most people, don’t have a clear idea of what socialism actually is. That’s not surprising. It’s a messy collection of concepts and theories to do with the processes of production and distribution being owned and controlled by the state or collectively by the people. Karl Marx described socialism as the first step to communism and certainly the two are closely related but many countries incorporate some degree of socialism without being communist.
Our Welfare State system, here in Aotearoa/New Zealand is socialist in nature. We all contribute via our taxes to central government which provides us with state owned hospitals, schools, prisons, roads, houses etc. Most of our social welfare legislation was introduced in the 1930s but some goes back even earlier. Pensions for the elderly were introduced in 1898 and for widows a decade later. So in our country we have enjoyed the benefits of limited socialism for just over a century and we haven’t become a communist nation.
Left wing and right wing governments have tinkered with our social welfare system, expanding, trimming and occasionally attacking it – as when Ruth Richardson was minister of finance in the early 1990s and took to the system – creating the phrase “Ruthanasia.”
Of course our system isn’t perfect. Any welfare system will have faults and will be exploited by some. The tendency for welfare to create dependency and become a disincentive to work must be constantly addressed. But when you visit countries that have no welfare safety net, you realize what a great asset our system is.
Sure some people fall through the cracks in our social welfare system but by and large we don’t have people barely surviving in cardboard boxes, beggars starving to death on our streets or the seriously ill being turned away from our grossly over crowded hospitals.
You may have experienced some frustrations with our health service and certainly it has flaws but overall we are extremely fortunate. One of my oldest friends was recently admitted to Auckland Hospital with a brain tumor. He waited less than a week for the operation which was performed by Australasia’s best neurosurgeon. He received intensive, expert post surgical care and now is recuperating successfully at home. The whole skilled professional procedure didn’t cost him a cent. In the USA this treatment would have been far beyond his financial reach.
I wish I could shout out to our American brothers and sisters… “don’t believe the lies, don’t be browbeaten by the propaganda. Socialism isn’t a grim spectre that threatens your way of life. You can have a much better, fairer health system without becoming commies. Look at Canada, France, Australia and even little old Aotearoa. We all have better health systems and have remained free, democratic capitalists in spite of a little slice of socialism.
To my sisters and brothers in Aotearoa I would say let’s be grateful for what we’ve got and resist any attempts to degrade or privatize our welfare system. And let’s be on our guard against unscrupulous people who would use fear and misinformation to further their own ends and drive us, like a mob of sheep, to be fleeced.
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As an American I wish my fellow Americans would listen to your well-reasoned thoughts, but they won’t…not enough of them at least. Thanks for writing anyway.
“You may have experienced some frustrations with our health service and certainly it has flaws but overall we are extremely fortunate.”
Our health system is a joke mate, have a look at this story of what I experienced last night…
http://lukewebster.wordpress.com/2009/08/21/waitakere-hospital/
Reform is needed in our health system to sort out the rubbish like that I experienced last night. It could have quite easily cost a life.
Hi Luke… I’m sorry you had such a frightening, infuriating experience. I hope your niece has fully recovered (and your foot). The system at Waitakere Hospital certainly needs a good boot in the backside – if not the glass door!
Although your experience was inexcusable and although one hears too many similar stories – we shouldn’t write off our entire health system as a joke. For every spectacular failure, thousands of people are successfully treated, receiving excellent subsidized or free care.
I’ve had numerous encounters with our health system, personally, with my aged parents and my children. On the vast majority of occasions the service has been excellent and the medical personnel, hard working, friendly and helpful.
However my article wasn’t intended to defend our kiwi health system but to draw attention to the fact that millions of people in the USA are being denied medical care by an expensive, unfair system which obviously and urgently needs reform and the fact that the opponents of this reform are using all manner of dirty tricks to protect their vested interests.
They say the first casualty of war is the truth and in this battle the opponents of health care reform have quickly resorted to fear generating lies.
Currently in our country there are similar lies being propagated about the cost of carbon emission control. Rather than being swayed by misleading statements from the likes of Nick Smith or shallow, lazy media reporting, we all need read widely, reason wisely and become well informed.
Brilliant stuff! I wish NZ people who don’t understand how good our system is, would read it as well..
My son is a nurse on the Cardiothoracic ward in Wellington. Despite that they’re understaffed, the unit is one of the best in the world.
Debbie
As an American, I think our medical system needs reform. But the reform needs to include torte reform so it will be harder to sue doctors for trivial things and therefore stop and reverse the premiums for the insurance they must carry. It also needs to include insurance companies not denying to cover people because of pre-existing conditions. More competition will drive down costs as well. What I object to is government taking over the system and rationing health care getting worse. The government already has screwed up Medicaid, social security and welfare. So why would I want them to further ruin healthcare? Government has never to my knowledge improved anything.
I have heard too many horror stories from folks that live under government controlled health care. Why do Canadians and Brits by the thousands come here to the U.S. for their health care needs?