Friday, February 8, 2019

DOING THE RIGHT THING




In my last post, I included a clip of Alexandria Ocasio-Cortez responding to Chris Cuomo's challenge: "How are you going to pay for all the stuff you want?" in a way that left him almost at a loss for words. 

She said, "We write unlimited blank checks for war. We just  wrote a 2 trillion dollar  check for that tax cut, and nobody asked those folks how are they going to pay for it. So my question is: Why is it that our pockets are only empty when it comes to education and health care for kids? Why are pockets only empty when we talk about 100% renewable energy that is going to save our planet and allow our children to thrive? We only have empty pockets when it comes to the morally right thing to do. But when it comes to tax cuts for billionaires, and when it comes to unlimited war, we seem to be able to invent that money very easily, and it [betrays] a lack of moral priorities right now, especially in the Republican party."

And I say, ABSOLUTELY -- RIGHT ON!  In my opinion, if ever there were an emblem of immorality, it would be our healthcare system, which renders a lot of people too poor to live.

But this moral argument -- which I happen to agree with passionately -- is a dangerous one to make. Why? It's subjective; you can't prove it.  If I say that Single-Payer will save money, that is a claim which I can buttress with careful calculations based upon observable fact. Indeed, three research groups have come to this favorable conclusion, including one -- the Koch-funded Mercatus Institute -- which was trying to prove the opposite!

But if I say, "it's the right thing to do," then will come the rejoinder: "right according to whom? Might is right. The survival of the fittest is right; not only is it right, it's the rule of life. If I have the wherewithal to build for myself and my family a luxurious life, I am right to do so -- regardless of whom it may hurt -- that's just the way it is!  If I have an advantage, it would be WRONG of me not to pursue it. And if people starve and go hungry, who cares? I have got mine, so let them get theirs! Anything else is just the B.S. they teach in Sunday School."

Ah yes ... Sunday School, where you read about the your responsibilities to visit the sick, clothe the naked, comfort the widow, and leave some  of your ripened grain standing in the field so that the poor may take it.  And where did these responsibilities come from? From God, of course.  

I can hear some hedge fund operator crying out: "From God? Give me a break!"

Morality can be a very fluid thing. Following AOC's video clip, there were all sorts of comments, including an irate attack on her: "In your district there was an M13 killing -- you murderer!"

In spite of the above, I hold it as an article of faith that it is wrong to let someone die when you can help her live; it is wrong  to raise drug prices simply because you can; and it is wrong to give profits priority over patients -- indeed it is wrong to have our healthcare system driven in any way by the profit motive. 

Recently I was researching the financial status of the Pharmaceutical giant, Pfizer.  In not one analysis of their profit prospects was there any intimation that there were real people who would be at the receiving end of the drug "pipeline" -- if they had money enough.

The poor -- though they are less likely to receive Pfizer's drugs -- seem to be more generous than rich ones.  It's not that the poor give more -- they obviously cannot -- but that they give a greater percentage of their substance than do the wealthy. I'm guessing that because they themselves know what it is to suffer economic privation, they have more empathy for suffering than do those better off. But those with money -- or their forbears -- have worked precisely to distance themselves from any stress whatever. And the greater the distance, the less real become the sufferings of the poor. Those with money love not to be reminded of them, and of their obligation to do the right thing.

I think in our culture, doing the right thing seems to be something delegated to the woman -- especially care-giving. Our stereotype seems to be that empathy is attractive in women, but a downright hindrance to a man climbing the ladder of success. To be "hard-nosed" is a most positive attribute in a businessman, who, at home, can be very solicitous for his family's well being, but in his office, knows that to be cut-throat can increase profits.  So when he increases the price of insulin, he must calculate whether the increase in profits is worth incurring the public revulsion from the deaths that result. All too often, from my point of view, he decides that doing the right thing is to raise those prices.  And if he does it enough, he is promoted possibly to a corner office, the path to which is strewn with dead bodies. Of course, the corporate execs don't see them there. 

It's our job to make them visible, so that the country can see the full cost of what big business deems is doing the right thing.

Dio

PS: If you'd like to leave a comment -- and I hope you will -- simply click on the number of comments area and share your thoughts in the "comment rectangle" that appears.

PPS: If you or someone you know has been struggling in any way with our healthcare system, please consider sharing it. You can  be as anonymous as you like, but having a file of those stories will help persuade our state legislators to vote for our benefit.  And if you'd like to tell me in person so I can make a video of your testimony -- from the rear, if you like, so that nobody will know who is sharing this experience -- that would be fabulous.  You can email me at indivisible12401@gmail.com. Thanks!











5 comments:

  1. In the well serviced medical community where the price that wealthy Americans are willing to pay for healthcare in favor of themselves, their spouses, and children knows almost no bounds,the advantage of affluence is qualitatively different but the real detriment occurs when the best doctors close themselves off from offering services to all but the select few richest in their community. The gravity of shift of top doctors driven by market profits (as progress) is one of the visceral manifestations of America’s growing inequality. Wealthy individuals and families find it unseemly for the world to know the true extent to which their exclusive healthcare coverage differs but their willingness to pay exorbitant rates has the effect of removing top medical talent from a broader population base. Meanwhile.coverage is heavily subsidized by the federal Government (PUBLIC MONEY) Tax deductions for private medical coverage cost the Treasury $250 billion a year while The drug industry and its related fields owe much to federally funded research often attributed to "private" research as a cost / pricing ratioanle.

    ReplyDelete
  2. https://en.wikipedia.org/wiki/American_Medical_Student_Association
    The American Medical Student Association (AMSA), founded in 1950 and based in Washington, D.C., is the oldest and largest independent association of physicians-in-training in the United States. AMSA is a student-governed, national organization. They have a membership of 68,000 medical students, premedical students, interns, medical residents and practicing physicians from across the country.

    AMSA's action committees and interest groups help expose medical students to information on subjects not generally covered in traditional curricula, and is the only major national medical organization in the US that accepts no sponsorship or funding from any pharmaceutical company.[1]


    Strategic priorities

    In November 2007, AMSA leaders decided upon four strategic priorities:[2]

    Quality, Affordable Health Care for All through advocacy for health care reform and a single-payer universal health care system
    Global Health Equity through education about our responsibility for rational and proportional assistance for all people
    Enriching Medicine Through Diversity by improving recruitment and retention into medicine of under-reperesented minorities, while increasing the diversity of its own leadership
    Professional Integrity, Development and Student Well-Being that creates a humane and cooperative learning environment, one that will develop physicians worthy of the public trust, through work hour reform, revitalization of professionalism in the medical field, and through AMSA's PharmFree campaign

    ReplyDelete
  3. American Medical Student Association
    https://en.wikipedia.org/wiki/American_Medical_Student_Association
    "The PharmFree project, established by the AMSA in 2002, was created from the belief that the medical profession needs more detachment from pharmaceutical firms.[8] Spending on marketing to physicians, which includes gifts to med students, rose from $12.1 billion in 1999 to $22 billion in 2003. Based on the premise that taking gifts from pharmaceutical companies creates a conflict of interest for doctors, AMSA now urges both students and practising physicians to 'just say no' to all personal gifts from Pharmaceutical companies."
    AMSA.org - American Medical Student Association homepage
    AMSA.org - 'Marketing versus Research and Developme
    see:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360625/
    PLoS Med. 2006 Jan; 3(1): e30.
    Published online 2006 Jan 31. doi: 10.1371/journal.pmed.0030030
    The “PharmFree” Campaign: Educating Medical Students about Industry Influence
    By Yavar Moghimi

    ReplyDelete
  4. National Physicians Alliance
    https://en.wikipedia.org/wiki/National_Physicians_Alliance
    Goals

    The NPA was founded by former leaders of the American Medical Student Association as an alternative to traditional trade associations that primarily serve the economic interests of physicians rather than advocating first and foremost on behalf of patients and public health. In order to avoid conflicts of interest, the NPA does not accept funding from pharmaceutical or medical device companies.
    NPA's guiding principles focus on health and wellness, avoiding conflicts of interest that might affect medical decisions,[2] collaborative and team-based care, and addressing social determinants of health.
    Currently, there are four issues that NPA focuses on:
    (1) Integrity and Trust in Medicine
    (2) Equitable, Affordable Health Care for All
    (3) Patient Safety and Systems Improvement
    (4) Civic Engagement
    Several of NPA's campaigns also focus on gun violence prevention.
    (all @ https://en.wikipedia.org/wiki/National_Physicians_Alliance
    A 501c(3) organization based in Washington DC, the NPA has a membership of approximately 20,000 physicians. Members must have graduated with an M.D. or D.O. degree from a professional school accredited by the LCME or the AOA's COCA; or hold a license to practice medicine within the United States.

    ReplyDelete
  5. News...https://www.commondreams.org/author/jessica-corbett-staff-writer
    To Galvanize Local Organizing for Medicare for All, Nurses Union to Kick Off Nationwide 'Barnstorms' This Weekend

    As Castillo wrote in an op-ed for The Hill on Wednesday: "Try as elected officials might to pledge allegiance to both corporations and to people, it won't work that way.
    https://thehill.com/opinion/healthcare/428801-2020-candidates-will-have-to-choose-a-side-the-health-insurance-industry 02/06/19 07:01 PM EST
    "Not anymore. Our patients' lives and life savings will either continue being sacrificed—or there will be guaranteed healthcare as a human right."

    The health insurance industry and health-care corporations can buy politicians and the media,...
    "This is all unprecedented. But this is where we are now. And there’s no going backward.

    To be clear, we’ve arrived at this moment where Medicare for All is a leading presidential campaign issue because a movement of everyday people — nurses, patients, activists, families, community organizations — has spent decades fighting to advance Medicare for All. And that movement is only growing."
    (Bonnie Castillo, RN, is the executive director of National Nurses United, the largest union of registered nurses in the United States.)

    ReplyDelete

WHO ARE YOU TRYING TO FOOL, NANCY? Will the April 30 Hearing on Medicare For All Be Little More Than a Farce? That may well be the case...