Category Archives: medical-industrial complex

UnitedHealth CEO’s ‘Medicare for All’ bashing sends payer, provider shares tumbling | Healthcare Dive

On the heels of Monday’s post, Whistleblower Reveals Effort of Employer to Crush Medicare for All, comes the following from Healthcare Dive.

It seems that bashing Medicare for All has an economic impact after all; just not on the company doing the bashing.

Aren’t we sick (get it) and tired of Wall Street and their corporate CEO allies determining our health care system, which is just a mechanism for them to profit from other’s misfortunes or luck at not getting sick?

When will we stop letting these vultures pick away at the carcass of the American health care system for the benefit of their stakeholders, investors, and the medical-industrial complex?

The other day, on Fox News, Bernie Sanders attended a town hall in which the host asked the audience if they were willing to switch from an employer-based health care system to one provided by the government, as Senator Sanders and others have advocated. The host was shocked to learn that the answer was yes from the audience.

So let me get this straight. A Fox News audience wants Medicare for All, but a corporate CEO in the medical-industrial complex can veto their wishes. Is this a democracy or a plutocracy?

You decide, after all, that is Fox’s tagline. Here’s the Healthcare Dive article:

The biggest private payer beat Wall Street expectations on Tuesday, but a rebuke of plans to expand Medicare weighed on health companies.

Source: UnitedHealth CEO’s ‘Medicare for All’ bashing sends payer, provider shares tumbling | Healthcare Dive

Whistleblower Reveals Effort of Employer to Crush Medicare for All

An employee at the insurance giant UnitedHealthcare leaked a video of his boss bragging about the company’s campaign to preserve America’s for-profit healthcare system.

“I felt Americans needed to know exactly who it is that’s fighting against the idea that healthcare is a right, not a privilege,” the anonymous whistleblower told the Washington Post‘s Jeff Stein.

UnitedHealthcare CEO Steve Nelson boasted at an employee town hall about how much his company is doing to undermine Medicare for All, which is rapidly gaining support in Congress.

So begins an article from Common Dreams.org by staff writer Jake Johnson.

Naturally, UnitedHealthCare is not the only insurance company that is actively seeking to thwart the move towards Medicare for All, but this is the first time that an insider actually provided the media with proof that their leaders are engaged in such activities.

As I wrote in my post, By What Right?, these individuals believe they can supersede the right of all Americans to have decent, affordable health care that does not force them into bankruptcy, or to go without because they cannot afford treatment for serious illnesses or diseases, or expensive medications.

Like the individuals I cited in that post, Mr. Nelson and his colleagues at other insurance companies are defending a turf that is indefensible. Their only motive is greed and profit at the expense of those who suffer from disease or life-threatening illnesses.

They are protecting their companies bottom-lines and their investors’ money, and don’t care about the people who need medicines and treatments that can extend their lives or save their lives.

How much longer will we let the Steven Nelson’s dictate to the American people what form our health care takes, and who gets to decide who gets covered and who doesn’t. He shouldn’t, and neither should anyone else in the medical-industrial complex.

Another reason Single Payer is inevitable – Managed Care Matters

Once again, Joe Paduda has broken down why single payer is inevitable, and what will happen to millions if repeal of the ACA happens.

I won’t go over the reality of what the landscape would look like, because we have heard about it before, and does not bear repeating. However, what does need to be said is, repeal will lead to single payer, no matter what the medical-industrial complex says or does to stop it, and those who advocate an incremental approach, such as fixing ACA, or some other half Medicare measure, will eventually lose ground politically, especially those running for president.

And those of you who advocate for more competition and a truly free market in health care should pay attention to what Joe say about that.

Finally, check out the infographic at the bottom of the text. It is funny.

Here is Joe’s post:

Earlier this week President Trump called for the GOP to become “the Party of Great Healthcare.” He wants three Senators to come up with a “terrific, beautiful” healthcare plan. What Trump is actually doing is accelerating the day when Single … Continue reading Another reason Single Payer is inevitable

Source: Another reason Single Payer is inevitable – Managed Care Matters

Why Are Republicans So Mean? – An Exploration

Revelations this week that the Orangutan Administration is going ahead with plans to repeal the ACA, as reported by myself and Joe Paduda, as well as the announcement by Education Secretary Betsy (I have ten yachts) DeVos, that her budget calls for cutting $18 million from Special Olympics, raises the question, “why are Republicans so mean?” and why do they hate the poor and those not like them?

This article will explore this question from an economic, ideological, political and sociological perspective, citing several previously published articles asking the same question as the title above. It is certainly not definitive, but does suggest some possible explanations.

To begin with, a little history. The Republican Party was formed due to the inability of the Whig Party to deal with the question of slavery and the disappointment many Northern Democrats had with their Southern brethren over this issue, one that occupied a central focus in the second quarter of the first half of the 19th century.

While that twenty-five year period ended in 1850, it is important to note that the GOP was founded in 1854, which is still in the range of the time frame.

After the Civil War, the Republican Party was made up of two wings: the Radical Republicans who favored Reconstruction and harsh treatment of former Southern Confederates (this will have a bearing on our discussion later) and the conservatives who were aligned with the Eastern bankers and industrialists.

In fact, it was the conservatives who, as pointed out in the Spielberg motion picture, “Lincoln”, that made it possible for the passage of the 13th Amendment when they were assured by the President that there were no Southern negotiators in Washington (They were on a riverboat in Virginia being guarded by African-American Union soldiers).

However, after the election of 1876, when Rutherford Hayes became President by promising the South to end Reconstruction, the Radical Republicans were slowly replaced by more conservative Northern Republicans loyal to the industrialists who would dominate the second quarter of the second half of the 19th century, and thus lead to future calls for reform and addressing of the effects industrialization had on the working class.

So as their wealth increased, so too did the misery and poverty of the working class, and this led to the rise within the GOP of a progressive movement, and a likewise movement among the rural population in the Midwest in the form of populism.

With the ascendancy of Theodore Roosevelt to the Presidency in 1901, progressivism took off, and many Republicans led the way for political, economic, and social reform. A brief return to the past in the 1920s under three successive Republican Presidents was followed by the election of FDR and the Democrats controlling Congress for decades to come, making more reform possible, and creating the largest middle class in history.

By the mid-20th century , the Republican Party had three wings: conservatives, moderates, and liberals. Barry Goldwater’s run in 1964, and Robert Taft’s in 1952 sort to change the dynamics in favor of the conservatives, but only meant they lost the battle, but won the war.

Then came Reagan, the first celebrity President. He brought victory to the conservatives and into government. Remember, he said that government was not the solution, government was the problem, and thus, that is how the GOP would operate when they took over.

Turning to the economic aspect of why Republicans are mean, let us look at something written a hundred years ago, Max Weber’s essay, The Protestant Ethic and the Spirit of Capitalism.

According to Wikipedia,

“capitalism in Northern Europe evolved when the Protestant (particularly Calvinist) ethic influenced large numbers of people to engage in work in the secular world, developing their own enterprises and engaging in trade and the accumulation of wealth for investment. In other words, the Protestant work ethic was an important force behind the unplanned and uncoordinated emergence of modern capitalism.

So in this context, Protestantism, or rather its Calvinist form, which influenced the Puritans of New England, formed the moral and ethical basis for the rise of modern capitalism, and while the descendants of the Puritans today in New England are decidedly more liberal than in the past, due to evangelical missionaries in the late 18th and throughout the 19th centuries, in what historians call the Great Awakenings, these values were transmitted to people in the South and Midwest, or were carried with them during western expansion.

As for the South, as mentioned earlier, the debate over slavery has some bearing on why many of today’s Republican leaders in Congress are Southerners, and what that means for the country’s direction these past thirty years or so.

Sara Robinson’s article in Salon.com, attempts to answer why this is so, and sheds light on the difference between North and South. To begin with, despite the rise of Capitalism from Calvinist Protestantism, seen originally among the Puritan settlers, Robinson states that,

For most of our history, American economics, culture and politics have been dominated by a New England-based Yankee aristocracy that was rooted in Puritan communitarian values, educated at the Ivies and marinated in an ethic of noblesse oblige (the conviction that those who possess wealth and power are morally bound to use it for the betterment of society).”

On the other hand, Robinson relates that the New England-based aristocracy is opposed by,

…the plantation aristocracy of the lowland South, which has been notable throughout its 400-year history for its utter lack of civic interest, its hostility to the very ideas of democracy and human rights, its love of hierarchy, its fear of technology and progress, its reliance on brutality and violence to maintain “order,” and its outright celebration of inequality as an order divinely ordained by God.

Robinson cites David Hackett Fisher who,

described just how deeply undemocratic the Southern aristocracy was, and still is. He documents how these elites have always feared and opposed universal literacy, public schools and libraries, and a free press.

In addition, Robinson cites Colin Woodward, who wrote that,

…From the outset, Deep Southern culture was based on radical disparities in wealth and power, with a tiny elite commanding total obedience and enforcing it with state-sponsored terror. Its expansionist ambitions would put it on a collision course with its Yankee rivals, triggering military, social, and political conflicts that continue to plague the United States to this day.

However, Robinson writes that the most destructive aspect of the Southern’s worldview,

is the extremely anti-democratic way it defined the very idea of liberty. In Yankee Puritan culture, both liberty and authority resided mostly with the community, and not so much with individuals. Communities had both the freedom and the duty to govern themselves as they wished (through town meetings and so on), to invest in their collective good, and to favor or punish individuals whose behavior enhanced or threatened the whole (historically, through community rewards such as elevation to positions of public authority and trust; or community punishments like shaming, shunning or banishing).”

Robinson continues,

Individuals were expected to balance their personal needs and desires against the greater good of the collective — and, occasionally, to make sacrifices for the betterment of everyone. (This is why the Puritan wealthy tended to dutifully pay their taxes, tithe in their churches and donate generously to create hospitals, parks and universities.) In return, the community had a solemn and inescapable moral duty to care for its sick, educate its young and provide for its needy — the kind of support that maximizes each person’s liberty to live in dignity and achieve his or her potential. A Yankee community that failed to provide such support brought shame upon itself. To this day, our progressive politics are deeply informed by this Puritan view of ordered liberty.”

Conversely, Robinson states,

In the old South, on the other hand, the degree of liberty you enjoyed was a direct function of your God-given place in the social hierarchy. The higher your status, the more authority you had, and the more “liberty” you could exercise — which meant, in practical terms, that you had the right to take more “liberties” with the lives, rights and property of other people.”

Anytime a Southern conservative talks about “losing his liberty”, Robinson follows with, the loss of this absolute domination over the people and property under his control — and, worse, the loss of status and the resulting risk of being held accountable for laws that he was once exempt from — is what he’s really talking about. In this view, freedom is a zero-sum game. Anything that gives more freedom and rights to lower-status people can’t help but put serious limits on the freedom of the upper classes to use those people as they please. It cannot be any other way. So they find Yankee-style rights expansions absolutely intolerable, to the point where they’re willing to fight and die to preserve their divine right to rule.”

This would appear to not only apply to the justification for the South’s secession from the Union in the 19th century, but for the way Southern politicians, both Democrats (remember, many were Southerners who were promised committee chairmanships by FDR to get the New Deal passed) and Republicans after passage of the Civil Rights Act in 1964 led to Southerners fleeing the Democratic Party for what LBJ said would be for a generation, have acted towards any legislation that would cause them to lose their liberty. Today, we call that White Privilege.

For an ideological perspective, Marc-William Palen, in Foreign Policy in Focus, provides us with a clear understanding that the Republican Party is not merely a party of classical liberalism, but something different from what it was when it was founded.

According to Palen,

From its mid-nineteenth-century founding, the Republican Party was the party of big government, high tariffs, and government-subsidized internal improvements. The exceptions to this rule were the Gilded Age Liberal Republicans. In their vocal calls for laissez faire principles, these Liberal Republicans quickly became the independent thorns in the side of the Republican elephant throughout the first decades following the Civil War. When the big-government Republican majority continued to prove intractable, these Liberal Republicans became known as the “Mugwumps” when they ultimately switched their support to the Democrats in 1884.

Palen writes that classical liberalism was founded on moral sentiments, and that these moral sentiments, “are almost non-existent within the Republican rank and file, especially since the ultra-nationalist party draped itself in the red, white, and blue following 9-11, and led the jingoistic charge into Afghanistan and Iraq.

Nor is morality to be found amid the incessant Republican demands to cut social spending,” he says, pointing out what Grover Norquist, the driving force behind the GOP’s anti-tax, small government ideology when he said in 2001,  he wanted to

shrink government to the point where he “could drag it into the bathroom and drown it in the bathtub.

Palen suggests that if the Republicans current ideology is not found in classical liberalism, then where does it come from? Palen says, Ayn Rand’s pronounced atheism and intellectual elitism certainly does not align with the ideological outlook of most Republicans. And, he says, there is perhaps an element of a Social Darwinian “survival of the fittest” ethos—although no Republican politician is likely to admit to subscribing to anything associated with the theory of evolution.

So where does it come from?

…a large part of Republican ideological inspiration stems from fear. In particular, it is a reactionary ideological response to the turbulent upheavals inherent in an increasingly globalizing world. Such fears—let’s call it “globaphobia”—are frequently expressed on issues such as immigration, global terrorism, global warming, and American participation in international institutions like the United Nations. The massive federal intervention in the so-called free market following the global financial meltdown invariably exacerbated Republican fears that government intrusion in the market— and Keynesian economics more generally—would eventually undermine American individualism, citing Douglas LaBier.

However, Palen says it is not entirely satisfactory. According to Palen,

their fear-driven ideological inspiration dovetails with the philosophy of Thomas Hobbes, who predated Adam Smith by a century and who expounded on an amoral philosophy of self-interested individualism, counterbalanced by acquiescence to authoritarianism. Hobbes believed that a strong state prevented “war of every man against every man,” a chaotic type of warfare that Republicans believe is contained within al-Qaeda’s radical philosophy.

As we have seen, there is no one answer to why Republicans are mean. It seems to be a combination of factors all valid and relevant to today’s political climate in Washington and in the nation at large.

But nothing ever is just as simple as being mean. since we are dealing with human beings and not machines.

For our purposes, health care is just one more “liberty” conservatives are afraid of losing, so therefore, they will deny it to others, so that they can have more of it. Any discussion of universal coverage in a single payer health care system is a threat to their liberty, and therefore must be opposed. Add to that, the economic loss of profit and gain by those in the medical-industrial complex, and you get a clearer picture of the problem.

But to answer the question raised at the beginning, why are the Republicans so mean? It’s because it is in their DNA passed on from one generation of conservatives to another like our genes are passed down from our parents, grandparents, and so on.

Now the question is, what to do about it?

 

‘Medicare for America’ Will Not Get Us Where We Need to Be

In light of yesterday’s revelation that the Orangutan is seeking to repeal the entire ACA, which would leave millions of Americans without health coverage, here is an incremental measure that some are advocating so that those who like their expensive, profit-driven, corporate health insurance plans can keep them, but as the article below from Common Dreams states, will not get us where we need to be.

This incremental approach, called Medicare for America, claims that it provides universal coverage, and thus insures everyone has healthcare.

However, as Michael Lighty points out, “…is universal coverage guaranteed healthcare?”

His answer is to debate the role of the US based private insurance, it’s business model, relationship to the healthcare industry and finance sector. This is sometimes referred to as the medical-industrial complex.

Here is the rest of the article:

The incremental approach to healthcare reform is an approach the nation can no longer afford. Only Medicare for All will do… With so much written about the politics and some about the policy of

Source: ‘Medicare for America’ Will Not Get Us Where We Need to Be

Trump Regime to Repeal ACA

From the Overnight News Desk:

Both CNN and The Washington Post reported yesterday that the Justice Department will back a full repeal of the Affordable Care Act (ACA), after a federal judge in Texas ruled the law unconstitutional in December.

If this repeal takes effect, millions of Americans will lose their healthcare. Those of you employed in the medical-industrial complex, and related industries, must face the fact, that if the Republicans succeed in their long-held promise to destroy healthcare for Americans who could never afford it before, or had limited coverage, there will be no other alternative left to provide healthcare than to have an Improved Medicare for All/Single Payer system.

There are those who believe that Medicaid for All is a better option, but given that many states that expanded Medicaid elected GOP governors and legislatures, or could in the future, Medicaid in those states could also be taken away from those who receive expanded coverage.

Many of you are employed by the very same insurance companies, pharmaceutical companies, device manufacturers, and other businesses that are allied with the healthcare system, and it is these companies that are gearing up to fight passage of any Medicare for All/Single Payer health care bill.

Do you really want your fellow Americans to die because they cannot generate huge profits for your employers and for Wall Street investors and shareholders?

if the Orangutan gets his way, that is what will happen. Also, our hospital ERs will once again be clogged with patients who need immediate medical attention, and the quality of health care will deteriorate even further.

The only logical solution is Medicare for All/Single Payer, because the only option left will be Medicare for All/Single Payer.

By What Right?

In the annals of Western history, two courageous men stood up and challenged the establishment of their nations to act to change history or to right a grievous wrong done to an innocent man.

The first individual was Patrick Henry when he gave his “Give me liberty, or give me death” speech, and the second was Émile Zola, who wrote “J’Accuse…!,” which he wrote in defense of Alfred Dreyfus, imprisoned falsely on Devil’s Island for treason.

These, of course were not the only instances where men of good intention, rallied people to a just and rightful cause; but it was the two instances that came to mind after reading another health care expert poo-poo Medicare for All on social media.

The individual commented on an article in Healthcare Dive.com that I had discussed some days ago. The article was about how kidney care in the US was being revamped, and the individual claimed that Medicare for All would damage the care dialysis patients are currently receiving.

What this person is doing is trying to scare people with propaganda that is akin to saying Medicare for All is “Socialism.” We know that none of the countries that have such a system are Socialist. They are Capitalist. The scare tactic being used here is rationing of care. It so happens that my clinic company is a European company, and I don’t believe people in their home country are rationed dialysis care. And they have a single payer system.

In the past few days, I have seen several comments made by men and women in occupations related to, or in the health care industry. These comments generally have attacked the very idea of Medicare for All for a variety of reasons. Many of these individuals are either a part of the medical-industrial complex, or they are lawyers, employee benefits consultants, or other types of consultants to specific areas of health care. They are defending a turf.

These individuals believe they can supersede the right of all Americans to have decent, affordable health care that does not force them into bankruptcy, or to go without because they cannot afford treatment for serious illnesses or diseases, or expensive medications.

Those of you who have been reading my blog of late, know that I have been very passionate about enacting Medicare for All, either because a fellow blogger has written so eloquently about it, or for personal reasons.

So, I have decided, like M. Zola did, to declare openly: By What Right?

By what right do you have to deny millions of Americans health care? By what right do you have to even suggest that Medicare for All is too expensive, would do more harm than good, or any of the other remarks made on social media to attack the very notion of health care for all?

By what right do you have to consign others to a broken, complex, complicated, bloated, and out of control health care system, whose true aim is to line the pockets of insurance companies, pharmaceutical companies, device manufacturers, hospitals, Wall Street investors, or the shareholders of these and other companies?

I don’t mind constructive criticism of this plan or that plan put forth by any number of Congressmen or Senators, but to outright state that it won’t work, or should not work, is to deny the rest of the nation the same kind of health care that the members of Congress receive.

By what right do you have to tell the millions of uninsured and under-insured, “sorry, we don’t believe in Medicare for All, so you will just have to suffer, so that we can keep our jobs, and collect our fat paychecks.”

I have yet to hear a logical answer to why the US should be the only Western nation to not provide its citizens with universal health care. Some say it is too expensive. Do you mean, it is more expensive than spending taxpayer money on weapons of war? Or on a wall on our Southern border? Or a space force?

Do you mean that it would raise taxes, first on the wealthy and corporations, and later everyone else? Well, maybe the rich and the corporations should pay more in taxes. Polls seem to indicate that as much lately.

Another line of attack says that providers would be hurt. Do you mean that certain very wealthy physicians, surgeons and specialists, would see their incomes cut in half? Do you mean that hospitals could not buy each other up and become larger conglomerations that raises health care costs, instead of lowering them?

I thought medicine was a calling, not a get-rich quick scheme.

Oh, and what about the pharmaceutical industry that uses Americans as a cash cow while the same drugs, manufactured overseas, by the same companies, cost a fraction of what they do here, and have made men like current Federal pen occupant, Martin Shkreli, a wealthy man. Why not allow Americans to import those very same drugs from Canada, the UK, Israel, Mexico, etc. so that they can have their insulin and other life-saving medications without having to cut the dosages in half or go without altogether.

By what right do you have to defend the status quo? To make huge and obscene profits? As I wrote in Health Care Is Not a Market:

“…they are deciding that they have the right to tell the rest of us that we must continue to experience this broken, complex and complicated system just so that they can make money. And that they have a right to prevent us from getting lower cost health care that provides better outcomes and does not leave millions under-insured or uninsured.”

“…not all these individuals are doing this because of their jobs. Some are doing so because they are wedded to an economic and political ideology based on the free market as the answer to every social issue, including health care. They argue that if we only had a true free market, competitive health care system, the costs would come down.”

“…the free market companies have jacked up the prices simply because they can, and because lobbyists for the pharmaceutical industry have forced Congress to pass a law forbidding the government from negotiating prices, as other nation’s governments do.”

Instead of trying to tear down Medicare for All, why not offer your expertise and knowledge to improving the Medicare for All bills introduced to Congress, as well as other plans, especially the proposal by the Physicians for a National Health Program (PNHP)?

Those of you who are not familiar with the legislative process, something that at times has been compared to the production of sausages, it isn’t pretty. There is a lot of negotiating and horse-trading that occurs before a bill is passed and signed into law. Unfortunately, given a Republican President, and his lapdog, Republican Senate, none of the introduced pieces of legislation will pass the Senate, even if the House passes it.

So, consider this, by what right do you have to step in the way of progress for all Americans to get health care? By what right do you have to put your economic interests ahead of the health needs of others? By what right do you have to be cruel and inhumane, to let people die, get sick, and suffer needlessly, just so that you can sleep at night?

I hope that once you do consider this, you won’t sleep at night, because it would mean that you are not just greedy little cogs in the medical-industrial complex, but rather, kind and compassionate human beings who are motivated more out of love, than out of what’s in it for you if things don’t change.

By what right do you have to tear down something that has not even been passed and implemented? Why don’t we enact Medicare for All, and see if all the criticisms you have will come true or not? Could it be because you know deep in your heart it will, but are afraid to say so for fear of what your colleagues would say?

And finally, by what right do you have to play God with other people’s lives? You have already predicted that Medicare for All will fail, so why even bother? You are basing your opinions on what you have been told by free market ideologues, academics, business leaders, Conservative media, and politicians.

So, who cares if the poor die, if the elderly die, if children born with crippling illnesses and diseases die, if young people stricken down in the prime of life die, etc., as long as someone can make a hefty profit off of adverse selection, and the outrageous cost of desperately needed medications that they cannot afford?

I know what you are going to say to yourselves, and to me. That I don’t know what I am talking about, that I am wrong on so many levels, that I don’t have the experience in health care that you do. Well, I really don’t care what you will say. Do you have compassion and concern for your fellow citizens, or are you minions of a heartless, soulless Capitalist system that grinds people down for profits and wealth?

Patrick Henry stirred a people to revolution against a tyrant, Émile Zola rallied a nation to free a man unjustly accused and sentenced to hard labor in the most horrible prison ever constructed by Western man.

You can do what is right. You can defend Medicare for All, and even improve on what has already been proposed, but don’t attack it. Doing so will only cause more pain and suffering to millions of Americans, and will make investors, stockholders and providers and industry leaders wealthier, and the rest of us, poorer. Both spiritually and materially.

You are better than this.