A Healthcare System Only The Mafia Could Love.

Actually, I should offer my apologies to the Mafia.  Because not even the Mafia could create such a blatantly expensive and inefficient system as the one we have in the US. In fact, when Singapore recently decided to create a national healthcare system, they first looked to the US…in order to learn what NOT to do.

We spend $2.7 trillion a year on healthcare with astoundingly poor results. Per capita, we spend more than double that of other any other advanced nation. We also spend $300 billion on pharmaceuticals…nearly double the amount spent by the the rest of the world combined!

The ugly truth is that Americans are addicted to pharmaceuticals. But we’re certainly not addicted to health. We overeat. We eat all of the wrong foods. We refuse to exercise. And we lead overly stressful lives. As a result, we die sooner…our lifespan ranks just 50th in the world!

Not surprisingly, most medical schools don’t teach nutrition, and most don’t offer courses on pharmaceuticals. (They rely on the pharmaceutical manufacturers to teach doctors after they begin practice.)

Our doctors and clinics are paid for the number of patients they see and the number of procedures they perform. Because of the cost, many Americans, especially those who lack insurance, delay going to the doctor until they can put it off no longer. They then go to hospital Emergency Rooms…the most expensive providers of healthcare. That causes healthcare costs to rise for those who do have insurance.

Many doctors hate our healthcare system. Many nurses and other medical workers hate our system. Many medical clinics hate our system. And many hospitals hate our system. If that’s true, then why doesn’t the system change? The answer is simple: Health insurers, medical equipment providers and pharmaceutical manufacturers are making billions at our expense.

Their greed is bankrupting Medicare and Medicaid, not to mention the thousands of Americans who have been forced into bankruptcy as the result of medical emergencies. The Patient Protection and Affordable Care Act will have some effect on our staggering healthcare costs. It will also add 30 million uninsured patients into the system, so it will improve the overall health of our nation.  But these new patients will help to further line the pockets of insurers and pharmaceutical companies.

Not satisfied with their spectacular profits, the health insurance and pharmaceutical industries are spending millions on congressional lobbyists to squeeze even more money out of the system.

The only way to stop the corporate profiteering, to cut costs and to improve healthcare is by creating some form of a single payer system similar to those in Canada, England, France, and most of the civilized world.

The Dismal State Of Our Union.

Upon listening to the last day of Neal Conan’s Talk of the Nation on NPR, I was surprised by Ted Koppel’s response when asked about the future. Turns out, Koppel shares many of the same concerns as I do. For what it’s worth, here is a compilation of my own views of the current state of our union and its future.

Civil Rights – How depressing that people are still struggling for civil rights nearly 150 years after the end of slavery! The Supreme Court ruling on the Voting Rights Act was a huge setback, unleashing red states to suppress minority votes.

Abortion – Although abortion was made legal in 1973, women are still fighting to wrest control of their own bodies from the old men who control our political system. Amazingly, women are now forced to fight for access to contraception!

Environment – Most Americans say they’re concerned about our environment. They just don’t act like it. Most refuse to sacrifice anything on behalf of our planet’s future.

Hunger – In the richest nation on Earth, 50 million people are unsure of where they’ll get their next meal. That includes 17 million American children!

Energy – Nearly 40 years after President Carter had solar panels installed on the White House, we’re still addicted to fossil fuels. We spill more oil than most other countries use.

Healthcare  – The dirty secret is that we have no healthcare system. We spend more than twice as much as other advanced nations, yet achieve worse outcomes. And we spend more on pharmaceuticals than the rest of the world combined.

Wall Street – Greed has turned large banks into high stakes casinos. Their gambling habit not only cost individuals and pension plans trillions…many families lost their homes. Yet any attempt to regulate these banks has been undermined by millions in lobbying efforts.

Income Disparity – The US ranks among the world’s worst nations for income inequality. 400 Americans control more wealth than half of our population, and the gap is growing. Yet Republicans believe that 47 percent are sponging off the rest!

Jobs – Simply put, we don’t have enough of them. And far too few of them pay enough to support a family. Corporate leaders and politicians, on the other hand, each make enough to support dozens of families.

Privatization – We’ve privatized prisons, prison healthcare, schools, our military, even our intelligence efforts. Although all of these efforts have proven to cost more than publicly run institutions, Republicans are pushing for even more privatization.

Pensions – We lost tens of thousands of employee pensions over the past 40 years, replaced by IRAs and 401Ks which were originally intended to supplement defined benefit pension plans. The money once used for employee benefits now lines the pockets of CEOs, executives and investors.

Politics – Our politics have continued to move to the right, even though our population hasn’t. When Republicans are in control, they unabashedly cram through partisan legislation. When Democrats are in control, they tentatively nibble around the margins instead of doing what they were elected to do. Both parties rely on large corporations to finance their political campaigns.

Tea Party – This is a relatively small group that has had a large impact. Based on lies and meanness, it seems its goal is to take us back to the 16th Century.

Surveillance – Following 9/11, we traded privacy for increased security. The NSA tracks records of our phone calls, search engine terms and emails. Banks and credit card companies track our purchases. And surveillance cameras are everywhere.

Guns – While the NRA works to increase the availability of guns, even for criminals and the mentally ill, manufacturers make guns ever more lethal.

Education – Thanks to conservatives, public education is underfunded and teachers are woefully underpaid. Enough said.

Science – Many now claim that evolution is merely a theory. But so is gravity! Of course, these people also deny man’s affect on climate change. (See education.)

Religious Intolerance – Islam is not the only religion with extremists. The intolerance of all religions seems to be growing.

Anger and Pettiness – Within 20 years of the end of the Fairness Doctrine, 91 percent of talk radio was conservative…mean, angry, venomous Rush Limbaugh-style conservative… and it’s getting worse. (See Tea Party)

War – There’s no denying it. The US absolutely LOVES war. We glorify soldiers and their war machines with military-style ceremonies and flyovers at nearly every large event. And we spend hundreds of billions on “defense” to build bigger, badder war toys.

Iraq – Iraq cost us trillions of dollars and thousands of lives. The result of our sacrifices is that we have turned Iraq into a vassal state of radical Iran.

Afghanistan – Despite setting a deadline for withdrawal, there is no clear outcome for this war. We may leave the country no better off than it was when we arrived.

Syria – Yet another opportunity to dive into a war with no real reason or plan. But it is a war and some of our politicians don’t want to be left out.

War on Drugs – This “war” may have ruined more lives than the drugs themselves. It disproportionately affects minorities, filling our prisons to overflowing. Indeed, we have a larger prison population than any other nation.

Militarization of Police – As our soldiers return from war, they’re increasingly hired by police departments. As a result, police become ever more militarized…with assault weapons and assault vehicles…and further removed from ordinary citizens.

Journalism – In the 1980’s, TV networks began measuring the success of their news organizations by ratings which instantly sensationalized the news and created the “sound bite.”  Worse, most news groups have lost their independence as they were gobbled up by conglomerates.

With all this, it’s difficult to be optimistic about the future, but the pendulum may soon swing the other way. I hope so.

The States’ Rights Court.

Now that the Supreme Court of the United States has ruled on three highly controversial cases, it seems that the decisions all have one thing in common – a desire to protect states’ rights. Even though the justices behind the majority opinions changed from one case to another, the Court showed a willingness to defer, when possible, to the states.

In the case of the VRA (Voting Rights Act), it seems that the majority believes that the VRA is an intrusion on the affected states. In voiding the criteria for pre-clearance of changes in voting laws in states that have a history of discriminating against minorities, the Court challenged Congress to create new criteria that reflect today’s political environment.

Disregarding the fact that the VRA has been a target of John Roberts since 1980, the majority opinion seems to be a win for those who believe in states’ rights. Unfortunately, on the issue of voting rights, many of our states have demonstrated that they can’t be trusted to protect the voting rights of minorities. In states like Alabama and Texas, the ink on the Court’s opinion wasn’t dry before Republican legislators introduced new efforts to suppress minority votes. Indeed, the Republican Party has been trying to suppress minority votes across the country.

If the Court was serious about protecting voting rights, it would have subjected all states to pre-clearance of changes in voting laws. It most certainly wouldn’t have passed responsibility along to our dysfunctional Congress.

In the cases of Prop 8 and DOMA, a different majority of the Court ruled. But the outcome was much the same.

On Prop 8, the Court ruled that, since the State of California chose not to defend the constitutionality of its own law in court, surrogates could not. On DOMA, the majority ruled that the legality of gay marriage is up to individual states, and it ruled that the federal government cannot deny benefits to gay couples who have been legally married.

As you can see, both of these rulings also seem to support states’ rights.

If the Roberts Court is so committed to protecting states’ rights over the federal government, a position most famously attributed to Thomas Jefferson, the justices would be wise to remember what Jefferson wrote in defense of separation of Church and State: “The legitimate powers of government extend to such acts only as are injurious to others. But it does me no injury for my neighbour to say there are twenty gods, or no god. It neither picks my pocket nor breaks my leg.”

The same reasoning would be well applied to all civil rights. To paraphrase: The right of other citizens to vote, or to marry whom they choose, does me no injury. It neither picks my pocket nor breaks my leg.

Pope v. Vatican.

After being named Pope, it seems that the Holy See is seeing some things the Vatican doesn’t like. During his homily at Mass in Rome, Pope Francis emphasized the importance of doing good as a principle that unites all of humanity

The Pope said, “The Lord created us in His image and likeness, and we are the image of the Lord, and He does good and all of us have this commandment at heart: do good and do not do evil. All of us. ‘But, Father, this is not Catholic! He cannot do good.’ Yes, he can… “The Lord has redeemed all of us, all of us, with the Blood of Christ: all of us, not just Catholics. Everyone! ‘Father, the atheists?’ Even the atheists. Everyone!”.. We must meet one another doing good. ‘But I don’t believe, Father, I am an atheist!’ But do good: we will meet one another there.”

In other words, you don’t have to be Catholic, or even Christian, to go to heaven. Wow! I bet that left a mark on the Vatican!

And that’s not the only controversy created by Pope Francis. A few weeks later, he acknowledged the existence of a gay lobby within the Vatican. Oh my! He even ordered the Vatican to act on sex abuse and take action against pedophile priests. That’s a refreshing change from the seeming indifference of Pope Benedict and his predecessors.

Pope Francis has even ruffled the feathers of conservative followers by speaking out against the “tyranny of money,” urging more state control of free markets in order to cut global poverty. He (gasp) spoke of the need to protect the environment. And he encouraged followers to bring hope to others, “especially the poorest, the weakest, the least important, those whom Matthew lists in the final judgment on love: the hungry, the thirsty, the stranger, the naked, the sick and those in prison.”

Given the conservative direction the Church has taken during the past decades, these admonitions are going to be tough for many Catholics to accept.

Arizona’s War On The Environment.

Arizona has a long love affair with the gun. Its legislature even named the Colt .45 as the state’s official gun. Gun shops are everywhere. And there’s at least one gun show in the state every weekend. On the other hand, there are few gun clubs or official firing wages.

So where do Arizonans go to fire all of these weapons?

They simply go into the wilderness. They shoot virtually anything in sight, whether it’s legal or not. They blast away at targets and bottles, leaving spent cartridges, broken bottles, targets and other trash in their wake. Increasingly, they leave the forest smoldering.

Over the last few years, dozens of wildfires throughout the West have been caused by hot lead. It’s difficult enough to keep Arizonans from camping when there’s fire danger; from starting campfires; from off-roading; even from flicking cigarette butts out their car windows. But no one’s going to keep Arizonans from exercising their “God-given”, Constitutional right to set the wilderness on fire.

A case in point is the Doce wildfire near Prescott. It has already been determined that the fire was human caused, but it’s not yet certain that it is the result of gunfire. What is known is that the fire has consumed thousands of acres, threatening homes. And that it began in the Doce Pit, an area popular for target shooting.

Jesus Lives!

In an example of what passes for journalism these days, today’s website of the Arizona Republic featured a smudge someone had found on the floor of the Phoenix Sky Harbor airport. The “reporter” submitted a photo because he/she thought it resembled Jesus.

What was the editor thinking? “Hold the presses! I’ve got Jesus on the floor?”

The photo and accompanying story even displaced news that the Republican-dominated Arizona Legislature voted to expand Medicaid as part of Obamacare.

On the very same day, someone posted a photo of the backside of his dog on Facebook because he thought his dog’s ass looked like Jesus.

Hallelujah and pass the Milkbones!

Although uniquely distasteful, these examples of Rorschach-like displays of faith are nothing new. They’re just the latest in the “I see Jesus” phenomenon. Like Jesus on a grilled cheese sandwich, Jesus on toast, Jesus in the clouds, Jesus in a freckle, etc. they’re merely the products of runaway imaginations and wishful thinking.

Yet I worry less about the sanity of the imagineers than of those who choose to report these visions as news or as evidence of true salvation. What’s next? Are the media going to start covering the dreams and hallucinations of drug users as news? Are the true believers going to begin pilgrimages to the dog’s home in order to view its ass? Will they dare to kiss it?

New Poll Finds 33 Percent Of Americans Are Batcrap Crazy!

A recent HuffPost/YouGov poll found that 44 percent of Americans view Rep. Michele Bachmann unfavorably while 33 percent had a favorable view of one America’s most ignorant and batcrap crazy politicians!

That tells us less about Bachmann than American voters.

Keep in mind, this is the woman who confused John Wayne with John Wayne Gacy; who believed “the shot heard ’round the world” for American independence took place in Concord, New Hampshire; that the slave-owning Founders “worked tirelessly to end slavery;” that an overabundance of CO2 in our atmosphere is harmless; that the Census is a government plot to round up dissenters; that Congress is full of communists; that evolution is just a theory.

During her six years in office, Bachmann has had only one bill passed by the House – the repeal of “Obamacare” – and none signed into law. Indeed, even fellow Minnesota politician, Tim Pawlenty described Bachmann as having “a legislative record of offering failed amendments.”

That’s being kind.

As leader of the Tea Party delegation in Congress, Bachmann presided over the most destructive element in US history. She is the leader of the misguided, the uneducated, the uninformed, the misinformed and the heavily armed. She and her colleagues measure success by how much legislation they can block; how completely they can destroy safety nets for the poor and the vulnerable; how completely they can undermine education; how thoroughly they can destroy our own government.

She and her Tea Party parasites even held hostage the faith and credit of the US Treasury, causing the US to lose its AAA bond rating for the first time in history. And, even though she has announced that she won’t seek re-election, she’s not done. She still has more than a year to cause further obstruction and destruction.

And she has the support of 33 percent of Americans??? God help us.

Do You Believe In Magic?

Chris Hedges is a Pulitzer Prize-winning journalist who has reported from war zones and written a number of powerful books about our culture. I was fascinated by his recent interview on NPR’s Talk of the Nation, during which he addressed some of the cultural idiocy that exists in the US.

Hedges decried the media’s tendency to cover sensational stories over substance. He also discussed unfettered capitalism, domination of US media by a half dozen corporations, and the Christian right’s use of the despair created by the Great Recession and lasting unemployment in order to drive Americans into a non-reality-based belief system.

“I think we have powerful proto-fascist movements in this country,” said Hedges, “and I look at the Tea Party, the militia and the Christian right, where they celebrate the language of violence, they celebrate the gun culture, and they channel what I would describe as a very legitimate rage, and a legitimate sense of betrayal towards the vulnerable; towards Muslims; towards undocumented workers; towards homosexuals, intellectuals, feminists, liberals…they have a long list of people they don’t like. And I think that remains a very powerful and frightening undercurrent in American society.”

“What you get when you enter that kind of ideological belief system, you no longer deal with reality. You believe in magic,” Hedges continued. “You believe that Jesus will intervene to protect you and promote you, and then it becomes impossible to have a kind of rational discussion, for instance, with people who believe that the Earth was created 6,000 years ago.”

To make the point, Hedges noted that he visited the Creationist Museum where dinosaurs are displayed alongside Adam and Eve in a representation of the Garden of Eden. In discussing his tour of the park, Hedges recalled a guide saying, “I suppose you wonder why the T-Rex had such big teeth.” She explained that it was because “Adam and Eve needed the T-Rex to open the coconuts.”  When a child asked how Noah had managed to get the dinosaurs onto his Ark, the tour guide responded that “Noah only took the dinosaur babies.”

Hedges stated that this kind of walking away from science is what allows totalitarian systems to thrive. One of the concerns is the Christian right’s lust for apocalyptic violence. He said, “It’s almost a celebration of the destroying of a world that almost destroyed them.”

As for the state of our government, Hedges stated, “We have the facade of the democratic state, and yet we’ve undergone a corporate coup d’etat in slow motion.”

For more insights from Chris Hedges check out his weekly column at www.truthdig.com.

Onward Christian Soldiers?

On a recent holiday, my wife and I visited a historic church. Aside from the architecture, what struck me were two monuments on the church grounds: One was a war memorial placed directly in front of the main entrance honoring those church members who had served in war. The other was a gravestone dedicated to all the unborn who had lost their lives.

The contrast was striking. Obviously, the church supports killing on one hand and loathes it on the other. Is this what it means to be “pro-life?”

When did “Christian” churches begin to formally support our war machine? Based on what Biblical teaching? When did Christ ever sanction violence, let alone killing? How did “turn the other cheek” become “bomb the bastards?” Did God issue orders to invade Iraq as He did Jericho? How about Afghanistan? Vietnam? Korea?

I know this may seem particularly blasphemous to post on Memorial Day. (For the record, I honor all of those who have passed before us – soldiers and civilians alike.) But, if you believe in the 10 commandments, where is the asterisk noting that killing is okay as long as you’re wearing a military uniform?

A lot of Christian Americans have decried the violence of Muslim extremists. How is Christian support of war different? Aren’t churches supposed to be our moral compass? Shouldn’t they all hold steadfast to the teachings of their prophets and saviors? Shouldn’t they at least try to separate their teachings from the military, which is inherently about death and destruction?

But if churches can rationalize support for war, how is it not hypocritical for them to decry a woman’s choice to end a pregnancy? This is exactly the kind of hypocrisy that led the Church to torture and murder those it considered guilty of blasphemy or witchcraft.

Political Wars – From Reasoned Debate To Party Tribalism.

Despite our political differences, almost all Americans would agree on one thing: Our political system is broken. But why? What led us from the relative political unity following World War II to the anger and divisiveness of today?

It didn’t just happen.

A few individuals intentionally created the politics of destruction, most notably the so-called three amigos consisting of Jack Abramoff, Grover Norquist and Ralph Reed. Beginning in the 1980’s, these three not only viewed politics as a quasi-military, win-at-any-cost enterprise. They viewed it as a profit center in which they could squeeze millions from conservative groups and ideological billionaires to control the political dialogue and enrich themselves at the same time.

As leaders of the College Republicans, these first-rate bullies embraced combative politics. The only thing they treasured more than money was confrontation with liberals, progressives, and moderates of either party. As their power and standing in the Republican Party and conservative circles grew, our national politics devolved into a series of culture wars combining right wing militancy with the evangelical fervor of “Christians” unhappy with what they believed to be a nation in moral decline.

Abramoff was eventually arrested in 2006 and sentenced to six years in prison for mail fraud, conspiracy to bribe public officials and tax evasion. As executive director of the Christian Coalition, Reed was also implicated in the scandal but not charged. However, he was previously found to have violated federal campaign finance laws in 1990, 1992 and 1994. Meanwhile, Norquist has continued to gain power, having established Americans for Tax Reform and created the notorious Taxpayer Protection (No New Taxes) Pledge that all Republican candidates are asked to sign.

But the three amigos are not entirely responsible for our poisonous politics.

When Newt Gingrich was selected as Speaker of the House, he transformed Congress by pushing Republicans to vote as a unified block or risk being labeled a RINO (Republican In Name Only) and forced to face a difficult, and expensive, primary fight in the next election. Rather than fight, most Republicans submissively fell into line. As a result, we have an uncompromising, European-style parliamentary party in a two-party system that was based on compromise.

Adding to the dysfunction, the Tea Party movement, feeling displaced by minorities and disenfranchised by large corporations that had shipped jobs overseas, attached themselves to the Republican Party like leeches determined to bleed the party of every remaining moderate.

There you have the perfect political storm. A storm that destroyed the party of Lincoln and has now taken aim at our federal government. But you don’t have to take my word for it.

You can learn much more about the three amigos in Thomas Frank’s book The Wrecking Crew: How Conservatives Rule. Frank summarizes the thesis of his book this way, “Bad government is the natural product of rule by those who believe government is bad.” I also highly recommend It’s Even Worse Than It Looks: How The American Constitutional System Collided With The New Politics of Extremism by Thomas E. Mann and Norman J. Orenstein.

Neither of these books were written by anti-conservative ideologues. To the contrary, they were written by thoughtful and highly-respected moderates who are as dismayed by our take-no-prisoners style of politics as I am.