Newspaper logo  
 
 
Local News & Opinion

Ref. : Civic Events

Ref. : Arts & Education Events

Ref. : Public Service Notices

Travel
Books, Films, Arts & Education

12.20 How School Segregation Divides Ferguson — and the United States

Letters
Open Letters:

Ref. : Letters to the editor

Health Care & Environment

12.21 GOP Denialism to Sink Capital: 150 Tidal Floods a Year for Washington DC by 2045 [6:32 video, Encroaching Tides' PDF]

12.20 5 Countries where Solar Power is making a Revolution

12.20 British wave power hit by uncertainty over funding, says report

12.20 EPA issues new regulations for handling coal ash

12.20 Green light for world’s largest planned tidal energy project in Scotland

12.19 The World's Biggest Car Company Wants to Get Rid of Gasoline

12.19 Cheaper oil could damage renewable energies, says Richard Branson

12.18 Gov. Cuomo Makes Sense on Fracking

12.18 2014 will be the hottest year on record

12.18 Obama Bars Oil And Gas Development In Alaska's Bristol Bay

12.18 Chemical company executives indicted in West Virginia spill

News Media

12.19 'Nobody stood up': George Clooney attacks press and Hollywood over Sony hack fallout

12.15 The media treats Dick Cheney like the royals on vacation. He should be in jail

Daily FAIR Blog
The Daily Howler

US Politics, Policy & Culture

12.21 Full Show: The New Robber Barons [25:22 video & transcript]

12.20 A Vermont Senator Asks, Why Not a Socialist President?

12.18 Jeb Bush may be 'the smart brother' – but he's as much of a climate denier as any conservative

12.17 If Elizabeth Warren Says No, What Is Progressives' Backup Plan?

12.16 Michael Brown, Eric Garner, and the 'Other America'

12.16 Something snapped for defeated Democrats in bruising budget battle

12.15 'What Are You Willing to Fight For?': Democrats' Depressing New Reality

12.15 Cromnibus Pension Provisions Gut Forty Years of Policy, Allow Existing Pensions to Be Slashed

Justice Matters

12.18 S.C. boy executed for 1944 murder is exonerated

12.17 Los Angeles lawyers stage die-in protest against police – video

High Crimes?

12.19 The lack of any official condemnation for CIA torture ensures it will happen again

12.18 The Depravity Of Dick Cheney

Economics, Crony Capitalism

12.20 Russian Roulette: Taxpayers Could Be on the Hook for Trillions in Oil Derivatives

12.19 Bleeding the IRS Will Make the Tax System Worse

12.18 Joseph Stiglitz: Economics Must Address Wealth and Income Inequality

12.18 Wealth Gap between America’s Rich and Middle-Class Families Widest on Record [charts]

12.18 Coal, an Outlaw Enterprise

International

12.20 Turkey’s Descent Into Paranoia

12.20 Sean Penn on Sony Pulling "The Interview": This Sends ISIS an "Invitation"

12.20 North Korea proposes joint inquiry with US into Sony Pictures hack

12.20 The Pope Francis stardust worked over Cuba. Could it work with Isis and the Taliban?

12.20 Sony pulling The Interview was 'a mistake' says Obama

12.19 MATERIAL QUESTION

12.19 2014 science breakthroughs: no more ageing, cave art and landing on a comet

12.19 Hyperloop Reality Check: Elon Musk's High-Speed Scheme Is Alive And Kicking

12.18 On Cuba, Republicans Trapped By Old Think

12.18 Welcome Back, Cuba!

12.18 As Havana Celebrates Historic Shift, Economic and Political Hopes Rise

12.18 U.S. to Restore Full Relations With Cuba, Erasing a Last Trace of Cold War Hostility

12.18 Student raises thousands of pounds for homeless man who offered her money

12.18 Good Riddance to a Ridiculous Cuba Policy

12.18 Breakthrough on Cuba Highlights Pope’s Role as Diplomatic Broker

We are a non-profit Internet-only newspaper publication founded in 1973. Your donation is essential to our survival.

You can also mail a check to:
Baltimore News Network, Inc.
P.O. Box 42581
Baltimore, MD 21284-2581
Google
This site Web
  Bush Administration Health Care Policy in Three Rules
Newspaper logo

Health Care:

Bush Administration Health Care Policy in Three Rules

by John Hickman

Unfortunately, knowing these three rules is merely palliative care. A cure would require rebuilding our health care system to make meeting the needs of all Americans its central purpose.
Do you ever experience dizziness or nausea when thinking about the current administration’s health care policy? You are not alone. Millions of your fellow Americans are similarly afflicted. The reason you and they have that sea-sick feeling is that the ground really does shift depending on which part of the health care policy domain one observes. Although it won’t make the administration’s various decisions and pronouncements about health care any more reasonable or consistent, the following treatment may help to reduce the symptoms. All you have to do is remember the following three rules.

Rule 1: If sexual reproduction or pleasure is implicated or if the individuals most affected are relatively few or relatively powerless, then the decision-making mode is moralistic and the value to be maximized is ‘dignity.’ For example, when President Bush proclaimed January 21, 2007 to be National Sanctity of Human Life Day, he stated that the “dignity and humanity of every person should be respected” and that we should “value human life in all forms, not just those considered healthy, wanted, or convenient.” He wasn’t talking about reducing the infant mortality rate in the United States to that of the other OECD countries but was instead rewarding the anti-abortion movement with yet another largely symbolic gesture in return for their tireless mobilization of voters for Republican candidates. Protecting ‘dignity’ was also the rationale offered for Bush’s April 11, 2007 threat to veto the Stem Cell Research Enhancement Act of 2007, which he did on June 20, 2007.

The obvious problem with using ‘dignity’ to justify a health policy decision, or any public policy decision for that matter, is that it is a religious-philosophical abstraction.
The obvious problem with using ‘dignity’ to justify a health policy decision, or any public policy decision for that matter, is that it is a religious-philosophical abstraction. The empirical evidence for ‘dignity’ is no better than that for the ‘soul’ or the ‘sacred.’ Conservatives deploy ‘dignity’ when they want to avoid difficult discussions about the assumptions and interests underlying their policy preferences. The less obvious problem with ‘dignity’ is that whatever it means, everyone must deserve it in equal measure. That’s a problem because society values individual human lives unequally. The priorities assigned to waiting transplant recipients or the quality of medical care given the insured and uninsured leave no doubt that some human lives are valued more than others.

Rule 2: If most of the population is involved and the profitability of the medical industry is at stake, then the decision-making mode is economic and the value to be maximized is ‘capitalism.’ Of course that word isn’t used to identify the favored value. Nor is the word ‘socialism’ used much to describe its opposite. Both words carry too much ideological mana* to be used. Instead the administration prefers the safer words ‘private’ and ‘government.’ For example, in his struggle to under-fund the State Children's Health Insurance Program or SCHIP, Bush complained on September 21, 2007 that legislation passed by Democrats would transfer “millions of American children who now have private health insurance into government-run health care; and is an incremental step toward a government-run health care system.”

That is the sort of language the medical insurance companies and private hospital chains, entities that have grown enormously rich parasitizing American health care consumers, love to hear. And it ought to be the sort of language loathed by those same consumers. Although medical care comprises a larger part of the economy of the United States than that of the other advanced industrial societies, our national medical statistics are actually often poorer. According to the OECD, health care provision was 15.3% of total gross domestic product in the United States in 2005, while the average among 26 OECD countries was only 9%. If that extravagance actually bought Americans better health care outcomes then it might be understandable. Unfortunately it does not. Life expectancy is lower and the infant mortality rate higher in the United States than the OECD averages. What explains this economic inefficiency? The ironic answer is that much more of the health care provision in the United States is provided by profit-making firms than in the other OECD countries. Our more capitalist health care system delivers typically mediocre health care less efficiently than the more socialist health care systems of the other OECD countries.

The Department of Health and Human Services issued a document on Oct. 17 that presents the formulae for bureaucratic allocation of vaccine in the event of a serious pandemic. The bottom line is that, in the event of a deadly outbreak, some of us will be valued more than others.
Rule 3: If the state itself is threatened then the decision-making mode is bureaucratic and values to be maximized are the continuity of government and the safety of its elites. Rarely invoked, at least so publicly, this rule is evident in the "Draft Guidance on Allocating and Targeting Pandemic Influenza Vaccine" issued on October 17, 2007 by the Department of Health and Human Services. Dispensing with ‘dignity’ or the ‘private’ sector health care, this document presents the formulae for bureaucratic allocation in the event of a serious pandemic. The bottom line is that, in the event of a deadly outbreak, some of us will be valued more than others and their chances of survival enhanced by being treated from available vaccine stocks and the rest will have to take their chances. The document discusses influenza, but it is easy to see this as the basic blueprint for a pathogen much nastier.

In the five-tier "severe pandemic" scenario, government leaders, those serving in deployed units of the military and security services (including its private sector components), police, fire and rescue services, and critical healthcare personnel would be given the highest priority. So too would pregnant women, infants and toddlers. In the second tier would be the rest of the military, the National Guard, intelligence services, and people working to maintain communications and utilities. In the third tier would be people working in critical infrastructure such as the post office and the food, drug, and banking industries. The elderly and those with high-risk health conditions would comprise the fourth tier and the remaining population of healthy people 19 to 64 years of age would be last in line.

Although it makes sense that priority would be given to military, police, fire, rescue and medical personnel who might serve on the front lines of a pandemic that would threaten the social order, the categories appear generously broad when it comes to the personnel of the state and its best friends. Would White House speechwriters, FEMA officials, and Blackwater USA executives have tickets in the first tier? Would Comcast and Eli Lilly executives find themselves in the second tier and Fannie Mae accountants in the third? Picture what would happen if political appointees of the Bush administration were given discretionary authority to interpret membership in the tiers.

Note that these three rules are not like rock, paper and scissors. Should they ever come into conflict, capitalism would trump dignity and the continuity of government and the safety of elites would trump capitalism. But dignity trumps nothing. Unfortunately, knowing these three rules is merely palliative care. A cure would require rebuilding our health care system to make meeting the needs of all Americans its central purpose.


John Hickman is associate professor of comparative politics at Berry College in Rome, Georgia. His published work on electoral politics, media, and international affairs has appeared in Asian Perspective, American Politics Research, Comparative State Politics, Contemporary South Asia, Contemporary Strategy, Current Politics and Economics of Asia, East European Quarterly, Journal of Southern Europe and the Balkans, Jouvert, Legislative Studies Quarterly, Political Science, Review of Religious Research, Women & Politics, and Yamanashigakuin Law Review. He may be reached at jhickman@berry.edu.


Copyright © 2007 The Baltimore Chronicle. All rights reserved.

Republication or redistribution of Baltimore Chronicle content is expressly prohibited without their prior written consent.

This story was published on November 5, 2007.
 


Public Service Ads: