Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts
Sunday, November 17, 2013
Saving Social Security: Both the program and the larger concept of SOCIAL security.
My friend, Ben Rich, wrote the following comment on a post that I shared about Social Security:
This is a very serious problem, not only for our generation, not only for senior citizens (now). Think about our children, now working, looking toward their own retirement. I certainly think that people should save and invest. But, real incomes are in decline making it harder to save and invest. What will our children face after 30 - 40 years of work?
You are right, Ben. We really need to come at this problem from both ends. Workers used to have pensions; after working for forty years for a company, they had expectation of a modest pension and their Social Security. In other words, part of what might have been their "pay" went into company pensions and another part of their pay went into Social Security. CEO's made ten to fifteen times what an ordinary worker made.
Then, in the late 70's-early 80's, everything changed. People who had worked their way through the company from the stock room to the board room became irrelevant because knowledge of the particular business was supplanted by knowledge of "business," and rather than spending forty years with a company, top level executives could move from running a cardboard box manufacturer to a soda company to a pharmaceutical company without any knowledge of that particular business. More importantly, those changes were made more and more often so that the "boss" had no real familiarity with the company or its personnel. Employee loyalty was no longer valued, and the perks that helped to engender that loyalty, like pensions, health benefits, etc. were rapidly eliminated.
As a result, companies immediately had much more profit and fewer responsibilities to the employee. Rather than sharing this largesse with the workers, that increased wealth went to the management and stockholders. Then, under Reagan, corporate mergers, creative bookkeeping, and contract breaking under Chapter 11 bankruptcies, tax havens, drastically lower tax rates for corporations and the wealthy allowed even further erosion of income for the middle class and the working poor.
The so-called "market" has become a rigged game that has nothing to do with Adam Smith's conception of capitalism. Those at the top agree to give themselves an ever larger share of the pie while reducing everyone else's share, and they pay politicians to grease the wheels for this unjustified transfer of wealth.
The cap on Social Security at barely over $100,000 dollars has the average worker pay a significant percentage of their income into the pool while the truly wealthy pay a pittance in comparison. Furthermore, those who make much of their income from investments pay a much lower tax rate than those who do the work of this country. At present, companies are rewarded for outsourcing jobs or downsizing, when "downsizing" merely means those who are left do much more work for the same or less pay.
We need a real movement to regulate financial markets, make boards and CEO's responsible to both stockholders and employees, get unlimited anonymous money out of politics, make corporations and industries responsible for the actual damage that they do to the environment and prevent that damage from continuing, and drastically strengthen the social safety net for children, workers, retirees, the infirm, and the downtrodden. We need to stabilize the banking and financial industries so that fraud and foul play cannot jeopardize a lifetime of savings in one quick downturn. We need to control medical costs so that one illness cannot destroy a lifetime of savings. We need to have a fair wage so that people can even begin to accrue a lifetime of savings.
The irony and the tragedy of our current state of affairs is that we were on a hundred year run toward realizing these progressive ideals when we were train-wrecked thirty years ago by uncontrolled greed. We can set the train back on the tracks, but first, we have to realize that it has actually jumped the tracks. The current powers that be are doing their utmost to convince those of us on the train that despite all these bumps and crashes we are still on the tracks. A vast majority, of course, realize that the profiteers and exploiters are wrong, but we are not yet convinced that it is within our means to right ourselves. It is within our means to set things back on the correct, progressive path, but the longer we wait, the harder it will be.
Labels:
bankruptcy,
business,
capitalism,
CEO,
corporations,
economics,
employee,
free market,
healthcare,
pensions,
savings,
social security,
taxes,
workers
Thursday, September 13, 2012
Healthcare and the "It's My Money" Argument
A friend on
Facebook posted an article about a chain store, Hobby Lobby, suing the
government over the Affordable Care Act because of their religious opposition
to contraception. Though the thread got a little off topic, the following reasonable
question was raised about another commentator’s suggestion that we should have
universal healthcare like 90% of the developed nations.
“Why should I be
forced to pay for the irresponsibility of another person? Rights are
restrictions on what other people can force upon you. You have the right to
life liberty and the pursuit of happiness. You have the right to believe what
you want, the right to go about doing whatever you want without being forced
into doing anything with anybody else that you do not wish to participate in so
long as you are not effecting there rights. How is it your birthright to take
my money and pay for your healthcare if you choose to live a lifestyle that
will cause medical problems?"
Granted, it missed
the whole religious aspect of the contraception issue, but it asks a question
many ask about taxes. What follows is my answer:
Fred,
I was going to let this thread about a petty and spurious legal squabble slide
since your response to my answer about the religious nature of the lawsuit was
not a rebuttal but a complete reframing of the issue that was, again,
completely irrelevant to the article. But after your answer to Amy’s question
about universal healthcare, I feel compelled to weigh in.
I do
not wish to attribute to you any assumptions or views that you do not hold, yet
in order to respond to the underlying premises, I find it necessary to make
some generalizations. I am not accusing you of or praising you for being a
libertarian; however, your line of reasoning is along “libertarian” lines.
People
like Ron Paul and Penn Gillette make compelling arguments about the intrusive
and/or oppressive nature of government while elevating the rights of the
individual over the demands of society. I am guessing that these arguments, if
unexamined, have resonance with a majority Americans.
Ayn
Rand’s vision of the exceptional, self-made man, the individualistic
hero—Emerson and Thoreau’s “self-reliant” individual turned into a morally
superior and anti-social megalomaniac—as well as Nietzsche’s “Übermensch” or
“Superman,” has also found increasing popularity in an ethical, social,
political, and economic milieu where the wages and rights of the worker have
been significantly eroded while a new class of corporate mega-millionaires has
been created.
Anyone
born during or since Reagan’s reign has lived in a society in which “government
IS the PROBLEM” has been the “common wisdom”; this is a “consensus” that was
carefully designed and executed long before Reagan’s ascendancy, and one that
continues to be bought and paid for by billions of corporate dollars spent to
perpetuate that destructive falsehood. Government is NOT the problem. However,
BAD government is ONE of the problems. Mythical distortions of history and
anti-intellectualism are also problematic for a society as is an unsustainable
economy predicated on personal greed and perpetual growth.
E.E.
Cummings coined the phrase “shrill, collective myth” to describe a “popular”
view of history. Our collective myth perpetuates some very powerful and
laudable assumptions. You said, for example, “Rights are restrictions on what
other people can force upon you.” This point, of course, stems from an
assumption of “Natural Rights,” i.e., those rights that are “inalienable” and
which apply equally to all humans, as opposed to “Legal Rights,” which are
those rights conferred by the laws of a society. Jefferson included the phrase,
“they are endowed by their Creator with certain unalienable Rights.” If, by
Creator (with a capital “C”) he meant God, then this very line of reasoning is
not self-evident, but pure conjecture. The existence of God (as anthropomorphic
being rather than as Tillich’s “Ultimate Concern”) is certainly not
self-evident any more than basic rights are self-evident. This, on the other
hand, does not mean that these enumerated rights are not good goals.
You
also quote the brilliant “Declaration of Independence” directly: “You have the
right to ‘life, liberty, and the pursuit of happiness.’” Of course, it is
important to remember that the men who penned these phrases held and justified
the holding of slaves, in essence, instantly contradicting all three provisions
as far as slaves were concerned.
John
Locke, the philosopher from whom much of the rationale for the “Declaration”
was acquired, suggested in “A Letter Concerning Toleration”: “The commonwealth
seems to me to be a society of men constituted only for the procuring,
preserving, and advancing their own civil interests. ¶Civil interests I call life, liberty, health, and indolency
of body; and the possession of outward things, such as money, lands, houses,
furniture, and the like.” Notice that he actually included health as one of
these “civil interests.” These sentences were preceded by his analysis and
dismissal of the “pretense” of claims by both church and magistrate as an
excuse to dominate others. His rational analysis of and call for religious
tolerance (which echoes Roger William’s essay “On the Bloudy Tenent of
Persecution, 1644) is extremely pertinent and, I think you would agree, comes
down solidly on the side of the Affordable Care Act and against Hobby Lobby.
Finally,
you suggest the following: “You have the right to believe what you want, the
right to go about doing whatever you want without being forced into doing
anything with anybody else that you do not wish to participate in so long as
you are not effecting there (sic) rights.” This is certainly true in a social
vacuum, and as long as one lives completely outside of any human contact (and
some would extend this to inter-species contact), such rights can remain
sacrosanct. However, as soon as another individual enters the picture, such
rights are either lost entirely, in the case of subjugation or domination, or
compromised in ways that accommodate both individuals. This is the nature of
society. I completely agree with your characterization of lofty goals, and I
would tend to agree with Locke and Jefferson (and with you, perhaps?) that
governments came into existence to “secure these rights.”
Unfortunately,
lofty goals aside, the argument nearly always degenerates into an argument
about “MY MONEY!” and returns us to the fiction of the “self-made man” and the
“self-made money.” I would be happy to address this “we made this” fallacy
elsewhere, but here it simply comes down to the simple fact that taxes are not
the government stealing from the individual, it is the individual consenting to
be taxed as a part of being the governed.
As
Locke said in “Sec. 140.” Of the Second Treatise of Civil Government, after spending paragraphs
explaining why no person can be legally deprived of property, he avers: “It is
true, governments cannot be supported without great charge, and it is fit every
one who enjoys his share of the protection, should pay out of his estate his
proportion for the maintenance of it. But still it must be with his own
consent, i.e. the consent of the majority, giving it either by themselves, or
their representatives chosen by them: for if any one shall claim a power to lay
and levy taxes on the people, by his own authority, and without such consent of
the people, he thereby invades the fundamental law of property, and subverts
the end of government: for what property have I in that, which another may by
right take, when he pleases, to himself?”
Therefore,
roads and schools and military and police and business regulations and health
care that the society, through their representative government, deem worthy of
securing, is a fundamental part of a societal construct. That our own society
has abdicated Locke’s “civil interest” in health is a moral disgrace, and the
fact that we have relegated basic health protections to the private profiteers
is something that we actually should be up in arms about.
This
brings us to your view of “health” and “health care.” You argue, “How is it
your birthright to take my money and pay for your healthcare if you choose to
live a lifestyle that will cause medical problems?" Are you arguing that
all health issues can be avoided through lifestyle choices? Mitigated,
certainly, but avoided? Of course not. What of the child born with a disease or
who contracts one early in life? Was that a result of the child’s lifestyle? If
not, would you admit that this child has a birthright to health care? Or is
this individual’s life merely determined by the vagaries of wealth and whether
or not the family can afford it? We have a right, as a society, to agree
otherwise.
If I
knowingly eat spoiled food, I am an idiot. But do we, as a part of our consent
to be governed have a right to demand that the government regulate those who make
and provide food so that it is not spoiled when we eat it? Do we have a right
to demand that corporations not pollute our environment or that when they do,
we, as a society, have a right to extract both compensation and punishment for
that harm (a basic Lockean premise from the same paragraph of his letter quoted
above).
I have
no children. You appear to argue that the government taking my money and paying
for the education of someone else’s children is inherently wrong. Howard
Jarvis, the demagogue who led the “taxpayers’ revolt” with Prop 13 in
California is still hailed as a guiding light by many. He stated unequivocally
that he did not believe in public education. I believe that Howard Jarvis and
Paul Gann were idiots about tax policy (or more likely, knowing con men),
sycophants for the corporatocracy parading as “grass roots” organizers, an
early example of “astro-turfing,” and direct contributors to our current
economic woes.
I,
however, would not begrudge their children a public education nor would I deny
their fundamental social right to health care. Ironically, Paul Gann contracted
AIDS, apparently from a transfusion, and at the end of his life, he was an
advocate for AIDS treatment and patient’s rights. The "Paul Gann Blood
Safety Act" (California Health and Safety Code Section 1645(b)) mandates
that physicians discuss the risks of blood transfusions. Public money well
spent on government intervention to protect the health of individuals. Just
like public money well spent on public education, fire and safety enforcement,
infrastructure, business regulations, and health care—including contraception.
We, as
citizens, have every right to demand that our tax dollars are “well spent,” and
we have a right to argue about how to spend them, but we don’t have a right to
individually withhold it on religious or personal grounds. I, of course, also
think that Churches who participate in political activity either in the pulpit
or through campaign contributions as well as any “non-profit” (501(c)(3)’s, like
Karl Rove’s Crossroads GPS, that engage in political activity should also be
taxed, but that, again, is a different argument for a different time.
Personally,
I sort of like the idea of voters getting to “check off” where their tax
dollars will go. I am enraged and outraged that my taxes support the murdering
of innocent civilians by “video game” (drone); the protection and subsidizing
of irresponsible, criminal, and in some cases, murderous corporations and their
management; and myriad other examples of what I see as misuses of government,
i.e., tax-payer, funds. But until we, the governed, create such a system, then
it is unfair and unreasonable to argue that the government is usurping or
commandeering or “stealing” your money simply because you object to how it is
used. Lobby to change it, or revolt to change it, but to argue coercion on a
particular specific is, at the very least, disingenuous.
Wednesday, February 29, 2012
Contraception Controversy: "Remember why the Pilgrims came here."
In a comment section on Facebook, someone was attempting to justify the attacks on women's access to health care and contraception as a religious right of conscience (my words—he said something like, "people shouldn't have to do what goes against their faith"), and he ended with, "Remember why the Pilgrims came here and why this country was founded!"
What follows is my answer:
History is fun sometimes, though. For example, the "Pilgrims" never actually called themselves "pilgrims." Some came to escape persecution for their so-called (but not self-called) separatist attitudes about the Anglican Church. They did not come here to establish religious liberty for others, but only to practice their brand of religion. They were, however, much more in favor of a clear separation of church and state than the Puritans who followed ten years later. William Bradford, the leader of Plymouth, was not a minister, nor did they have one in their midst, but being puritans, but not Puritans, they followed some of the tenets of John Calvin, including a belief in "the accessibility of Divine truth," and therefore found ministers less necessary than the Anglican Church. They adopted a congregational (and somewhat democratic) approach to governance of the colony and to the separate governance of the church.
Their little 2000 member colony was fairly quickly overtaken by 20,000 Puritans who did not defend one's right to free speech. They excommunicated, banished, and occasionally killed those who disagreed with or spoke against their decrees. It is very instructive to read Roger Williams and his treatise on "The Bloody Tenet of Persecution" in which he condemned the colonies in both Plymouth and Boston (and governments in Europe) for allowing people to be punished for their beliefs. He advocated freedom of religion and an absolute separation of church and state. For these reasons he was banished by the Puritans with the concurrence of the colony at Plymouth.
One of the other things that got him kicked out was his argument that the King's charters establishing Plymouth Plantation and the Massachusetts colony were unlawful and that the natives must be paid for their land if the colonists were to stay. You can bet they ran him out quickly for that one. He did purchase land from the natives with whom he had formed a trusting friendship and established a colony which he named Providence. He also encouraged Ann Hutchison, another critic of the Puritan government in Massachusetts who was also banished for her teachings, to settle in another town close to his (This eventually became Portsmouth). Eventually, this area was formalized into the colony of Rhode Island, a true "land of the free" where Baptists, Quakers, Jews, and people from other persecuted religions could find true religious freedom.
So, I guess the short, snotty retort is, "Don't talk to me about the Pilgrims and the Puritans and why they came here" because it was only the reaction against their policies that helped our nation eventually establish our fundamental rights including freedom of religion and the essential wall of separation between church and state.
Now, let's look at the idea of IMPOSING OUR VALUES (man, I love the "shouting" CAPS) [My response to his use of caps]. Every single law that has been proposed by the religious right—and remember a majority of Christians do NOT believe in the extremist positions that the radical right pursues, let alone those who practice non-Christian religions, not to mention those who find religion to be unfounded or predicated on dangerous superstition—every law proposing a limiting of access to or elimination of abortion or contraception or Planned Parenthood or other health care is a direct imposing of their religious values (or in some cases, cynical economic interests) on the rest of us.
So let's get down to the specific argument at hand. It has nothing to do with abortion. It has to do with providing insurance for employees. The Catholic Bishops say that they should not have to provide insurance that offers access to contraception to their employees, even if their employee is not Catholic. As has been true of every compromise by the President and the Democrats in the last three years, when the Republicans are given what they want, they say, "That's not enough. Now we want more."
The president, very cleverly I might add, came up with a solution that answered the Bishops' complaint. They did not have to pay for contraception (remember, a huge majority of Catholics use contraception—I don't know what the statistics are for contraceptive use by pedophile priests, and yes, I am absolutely incensed that the same Catholic hierarchy that has condoned child molestation for centuries has the nerve to IMPOSE their minority religious view on this so-called "free" country, while using millions of tax-free dollars to impose that will!). His proposal required that access to birth control be provided not by the employer but by the insurance company. It's the same as the ridiculous Hyde amendment by which no federal dollars can be spent on abortion. Nevertheless, the foolish and ill-advised separation of spending sources would be maintained. Well, what of the good, honest, fair-minded Americans who want their federal dollars made available for women's health care, including access to safe and affordable contraception and abortion when necessary. They are held hostage to the machinations and manipulation of a few cynical billionaires and the flagrant hypocrisy of churches.
It is also extremely important to recognize that this health law had already exempted churches and church employees from this requirement. The requirement to have contraceptive coverage applied to all other employers, including other businesses that happen to be owned by a religious organization. In other words, if you had been hired by the church to work in the church, they were exempt from this provision. But if you worked in a hospital, or a store, or a restaurant or a service or manufacturing facility owned or run by a religion, then all employees would be covered. Another important part of this controversy is that many of these employees in these "religiously run" enterprises do not share the faith of their employers, and denying women coverage of contraception (while happily paying for and encouraging men's use of "viagra") is blatantly discriminatory. In a sense, especially when the employee is of a different faith from the employer, it is a form of religious persecution.
Look at it another way. If I am of a religious group that condemns homosexuality, do I have a right, as an employer, to deny medication and treatment for HIV or AIDS to my employees because I think it God's punishment for sin? Before you answer, remember, many straight people are afflicted with the disease (realize, also, that contraceptive medicine has other life-saving purposes in women's health). If I am a Quaker or a Jain, then I don't believe in war. Should my group spend millions of tax-free dollars to demand that not one red cent of any taxpayer's money be allowed to be spent on the military? Can I refuse to serve a soldier if he comes into my Quaker restaurant? Or deny my Jainist insurance coverage to any employee who is also a veteran? Can Christian Science congregations who hire someone inside or outside their faith refuse to provide insurance or health care for that employee? Can a Synogogue forbid their non-Jewish employees from having a lunch hour because one of them might eat pork? Understand, it's not that they would be required to prepare or serve the pork. They just can't prevent the employee from having access to that choice.
Now, fortunately, neither the Quakers nor the Christian Scientists nor the Jews take such extreme positions; in fact, despite their "unusual" (non-mainstream) religious beliefs, each of these groups are remarkably open and liberal in their thinking (of course, all groups have fundamentalist factions that are much less liberal, but they do not represent the vast majority). The religious employer is not being forced to use contraception, nor are they being forced to require their employees to use contraception; and in this new compromise, they are not even being asked to pay for it; they are only being asked to provide health insurance for their employees. That their employees choose to use contraception (and I do not hesitate to argue that abortion should also be available) should be absolutely no business of the employer. It should be a decision left solely to the employee. Your employer should not even know which specific health services you are using.
But the response to the President's compromise? A proposal from a Republican legislator that any employer be allowed to exclude any procedure from their insurance coverage for any reason. Pissed off yet? I am. And I am incensed and disgusted by the attempt of so many to equate the actions and motives of the two sides in this political charade—a controversy which emanates solely from the political and economic interests of the radical right in limiting freedoms while pretending to champion them!
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