Click amount to donate direct to CounterPunch
  • $25
  • $50
  • $100
  • $500
  • $other
  • use PayPal
Support Our Annual Fund Drive! We only ask one time of year, but when we do, we mean it. Without your support we can’t continue to bring you the very best material, day-in and day-out. CounterPunch is one of the last common spaces on the Internet. Help make sure it stays that way.
FacebookTwitterGoogle+RedditEmail

Spinning Health Care

by NORMAN SOLOMON

“I want to cover everybody,” President Obama said at his news conference Wednesday night. “Now, the truth is that unless you have a — what’s called a single-payer system, in which everybody’s automatically covered, then you’re probably not going to reach every single individual. . .”

The same conventional wisdom keeping single payer off Washington’s table has been spinning for various “reform” plans with such accelerated RPMs that at this point the nation’s “healthcare debate” is suffering from a severe case of vertigo.

“The overwhelming majority of Americans want healthcare, but millions of them can’t afford it,” Obama told the assembled journalists. “So the plan that has been — that I’ve put forward and that — what we’re seeing in Congress would cover, the estimates are, at least 97 to 98 percent of Americans. There might still be people left out there who, even though there’s an individual mandate, even though they are required to purchase health insurance, might still not get it, or despite a lot of subsidies, are still in such dire straits that it’s still hard for them to afford it. And we may end up giving them some sort of hardship exemption.”

That may sound good. But it’s in the service of an agenda for “healthcare reform” that’s seriously flawed.

* * *

Days ago, buried in a chart under the headline “How the Health Care Bills Compare,” the New York Times provided some cogent yet cryptic information in the category of “Public Plan.”

A key Senate committee had just approved a bill with a public plan that would “compete with private insurers,” the Times chart explained on July 18. The public plan “would provide ‘only the essential health benefits,’ as defined by the bill, ‘except in states that offer additional benefits.’”

Meanwhile, the newspaper noted, “Democrats from three House committees are working on a single plan.” Under that plan, “Different levels of coverage — ‘basic, enhanced and premium’ — can be offered through the public option.”

Those few grainy sentences, quickly swept beneath the waves from oceans of media, referred to a disturbing aspect of “public plan” scenarios. If the ostensible goal is healthcare for all, then — at best — some of the “all” would end up being much more equal than others.

The Republican Party is coming from such a right-wing place that any government action to improve healthcare access is ideologically unacceptable. In contrast, the broad outlines of a Democratic “public plan” at least embrace the precept that the not-so-tender-mercies of the market are insufficient to fully provide for the population’s medical needs.

But as a practical matter, a “public plan” coexisting with the private health insurance system — generally touted by U.S. media as the pole of real options farthest from the Republican “free market” fixation — is inherently reconciled to major inequality in access to healthcare.

Even while straining to put forward a “public option” as some sort of stunning government intervention to level the healthcare playing field, media coverage rarely comes to terms with the situation that would actually remain under such a scenario.

How does “healthcare apartheid” strike you?

For the government to offer the public a multi-tier set of options for health insurance — in the words of the New York Times, “different levels of coverage” such as “basic, enhanced and premium” — is to imitate the approach of the corporate healthcare establishment.

After all, isn’t it implicit that the government plan’s “different levels of coverage,” offered to the public, would be based on ability to pay?

Missing from the dominant healthcare debate — not only along Pennsylvania Avenue but also along media row — is a principle that could be debated and should be debated.

In a few words: Healthcare is a human right.

And a human right should not be contingent on ability to pay. Nor should it be divided into “basic, enhanced and premium.”

* * *

Media accounts keep telling us that the current political debate on healthcare is unprecedented and groundbreaking. But an article in the latest edition of the Columbia Journalism Review, by seasoned healthcare reporter Trudy Lieberman, makes a convincing case that little has changed within the frames of media parameters.

The press “has mostly passed along the pronouncements of politicians and the major stakeholders who have the most to lose from wholesale reform,” Lieberman writes. “By not challenging the status quo, the press has so far foreclosed a vibrant discussion of the full range of options, and also has not dug deeply into the few that are being discussed, thereby leaving citizens largely uninformed about an issue that will affect us all.”

What we’re seeing now is a slightly freshened version of a timeworn tap dance that ranges across a constricted media stage. As Lieberman notes: “Absent from the debate are not only single-payer systems like the ones in England and Canada, but other systems with multiple payers, like ones in Germany and Japan — or, for that matter, any discussion of why a system that relies on competition among private insurers in The Netherlands hasn’t resulted in lower prices for consumers, as advocates claimed.”

The variety of healthcare delivery systems abroad, in industrialized countries, spans a common assumption — healthcare as a human right — an assumption that doesn’t cut the mass-media mustard in the United States. “What’s common to all these systems,” Lieberman points out, “is that everyone is entitled to healthcare and pays taxes to support the system, and medical costs are controlled by limits on spending. The specter of a system that takes a significant bite out of stakeholder profits in the U.S. is the real reason the debate is so restricted.”

As Trudy Lieberman puts it, “Reform efforts have danced around this impasse for decades.”

That helps to explain why so much media coverage of healthcare reform proposals is apt to be so baffling to most readers, listeners and viewers. When the big elephant (or, if you will, donkey) in the national newsroom is dependent on the insurance, pharmaceutical and hospital industries for financing, there’s a distinct shortage of candor about the consequences of such ongoing intrusions. Newsgathering, media debate — and, of course, healthcare — suffer the consequences.

In the mid-1960s, Medicare became law with the stroke of a presidential pen. Lyndon Johnson was able to sign the measure despite a huge onslaught of opposition from right-wing politicians, their corporate backers and professional groups like the American Medical Association.

These days, the AMA may be somewhat more circumspect in its continuing opposition to progressive measures, but the overall balance of political power remains heavily tilted against healthcare for all.

“In the Senate,” columnist Gail Collins noted in the July 23 New York Times, “everyone is waiting on Max Baucus of Montana. Nothing is going to happen on health care without the approval of Baucus,” the chair of the Senate Finance Committee. As the Washington Post reported days ago, he “has emerged as a leading recipient of Senate campaign contributions from the hospitals, insurers and other medical interest groups hoping to shape the legislation to their advantage. Health-related companies and their employees gave Baucus’s political committees nearly $1.5 million in 2007 and 2008.”

Today, the kind of arguments heard during the early ’60s against guaranteed healthcare for the elderly can now be heard against establishing a comprehensive single-payer system — also known as Medicare for all. But now, the healthcare debate is trapped between a political establishment that doesn’t want a single-payer system and news media that insist on ignoring its real potential.

NORMAN SOLOMON is the author of Made Love, Got War.

 

Norman Solomon is executive director of the Institute for Public Accuracy, where he coordinates ExposeFacts. Solomon is a co-founder of RootsAction.org.

More articles by:

2016 Fund Drive
Smart. Fierce. Uncompromised. Support CounterPunch Now!

  • cp-store
  • donate paypal

CounterPunch Magazine

minimag-edit

September 26, 2016
Diana Johnstone
The Hillary Clinton Presidency has Already Begun as Lame Ducks Promote Her War
Gary Leupp
Hillary Clinton’s Campaign Against Russia
Dave Lindorff
Parking While Black: When Police Shoot as First Resort
Doug Johnson Hatlem
Debate Night: Undecided is Everything, Advantage Trump
Robert Crawford
The Political Rhetoric of Perpetual War
Howard Lisnoff
The Case of One Homeless Person
Michael Howard
The New York Times Endorses Hillary, Scorns the World
Russell Mokhiber
Wells Fargo and the Library of Congress’ National Book Festival
Chad Nelson
The Crime of Going Vegan: the Latest Attack on Angela Davis
Colin Todhunter
A System of Food Production for Human Need, Not Corporate Greed
Brian Cloughley
The United States Wants to Put Russia in a Corner
Guillermo R. Gil
The Clevenger Effect: Exposing Racism in Pro Sports
David Swanson
Turn the Pentagon into a Hospital
Ralph Nader
Are You Ready for Democracy?
Chris Martenson
Hell to Pay
Frank X Murphy
Power & Struggle: the Detroit Literacy Case
Chris Knight
The Tom and Noam Show: a Review of Tom Wolfe’s “The Kingdom of Speech”
Weekend Edition
September 23, 2016
Friday - Sunday
Andrew Levine
The Meaning of the Trump Surge
Jeffrey St. Clair
Roaming Charges: More Pricks Than Kicks
Mike Whitney
Oh, Say Can You See the Carnage? Why Stand for a Country That Can Gun You Down in Cold Blood?
Chris Welzenbach
The Diminution of Chris Hayes
Vincent Emanuele
The Riots Will Continue
Rob Urie
A Scam Too Far
Pepe Escobar
Les Deplorables
Patrick Cockburn
Airstrikes, Obfuscation and Propaganda in Syria
Timothy Braatz
The Quarterback and the Propaganda
Sheldon Richman
Obama Rewards Israel’s Bad Behavior
Libby Lunstrum - Patrick Bond
Militarizing Game Parks and Marketing Wildlife are Unsustainable Strategies
Andy Thayer
More Cops Will Worsen, Not Help, Chicago’s Violence Problem
Louis Yako
Can Westerners Help Refugees from War-torn Countries?
David Rosen
Rudy Giuliani & Trump’s Possible Cabinet
Joyce Nelson
TISA and the Privatization of Public Services
Pete Dolack
Global Warming Will Accelerate as Oceans Reach Limits of Remediation
Franklin Lamb
34 Years After the Sabra-Shatila Massacre
Cesar Chelala
How One Man Held off Nuclear War
Norman Pollack
Sovereign Immunity, War Crimes, and Compensation to 9/11 Families
Lamont Lilly
Standing Rock Stakes Claim for Sovereignty: Eyewitness Report From North Dakota
Barbara G. Ellis
A Sandernista Priority: Push Bernie’s Planks!
Hiroyuki Hamada
How Do We Dream the Dream of Peace Together?
Russell Mokhiber
From Rags and Robes to Speedos and Thongs: Why Trump is Crushing Clinton in WV
Julian Vigo
Living La Vida Loca
Aidan O'Brien
Where is Europe’s Duterte? 
Abel Cohen
Russia’s Improbable Role in Everything
Ron Jacobs
A Change Has Gotta’ Come
Uri Avnery
Shimon Peres and the Saga of Sisyphus
FacebookTwitterGoogle+RedditEmail