Our National Health Care Plan

W.J. Astore

Fifteen years ago, I saw a bumper sticker on a colleague’s car:

Our National Health Care Plan — Don’t Get Sick.

That’s about as succinct an expression of U.S. health care as you can make. We have no national health care plan. Your only hope is not to get sick, or, if you do get a serious (read: expensive) illness, to die quickly before you and yours are bankrupted.

I often joke that health care is really wealth care in America, and an anecdote shared by a friend this morning confirmed it. He recently had a bad case of the flu, but he confirmed it wasn’t Covid-19 through home test kits. Since he travels to Germany, he bought several home test kits there that were on sale for the equivalent of roughly one dollar. Compare that to Covid home test kits at CVS here in America (assuming you can find one), which retail for $30.00. As my friend noted, “Your profit-driven health care industry at work!”

Profiting from sickness is truly an “exceptional” feature of American capitalism. Isn’t it wonderful that you have the “freedom” to purchase private, for-profit, health insurance that costs you hundreds of dollars a month, with deductibles of $5000 or $10,000 or higher, with co-pays and various other costs and restrictions? Truly, freedom isn’t free!

A reminder: Joe Biden ran against Medicare for all and said he’d veto it if it ever reached his desk, which it obviously won’t. But he did promise a public (government-provided) option for health care, a promise he has failed to keep, just as Barack Obama failed to keep his promise for a public option in 2008-09. And the Democrats wonder why so many people either don’t vote or vote for an even more pro-business party.

The latest betrayal is the Democratic Party’s capitulation to Big Pharma. Instead of allowing Medicare to negotiate prices for all prescription drugs, the Democrats have decided to allow negotiation for only 10 drugs, the new prices of which won’t become effective until 2025. One of these drugs is insulin. So if your insulin costs too much and you need to ration it, thereby imperiling your health, never fear: maybe in four years it’ll be affordable again. Or maybe not.

And if you’re sick and you need an expensive drug that’s not one of the magical ten, well, too bad for you. Maybe you shouldn’t have gotten sick. Or maybe you should have gotten a job with better health care benefits. It’s most certainly your fault, not the government’s and certainly not that of the profit-driven health care industry.

Clint Eastwood, in “The Outlaw Josey Wales,” said that “Dying ain’t much of a living.” That may have been true about bounty hunting, but it turns out that many indeed are making a living, indeed a killing, off of health care in America. Hooray capitalism!

School Cops with Assault Rifles: Make My Day — Not

swat
Keeping American TV “safe” since 1975

W.J. Astore

At Northeastern University in Massachusetts, members of campus security are now routinely carrying military assault rifles in their vehicles. The rationale is that you never know when and where terrorists will strike, so you have to be prepared to outgun them at all times.

Many Americans equate guns with safety — and bigness with value. So, the bigger the gun, the safer you are.  Right?

It didn’t used to be this way.

Back in the 1970s, I remember when the police got by with .38 revolvers. Up-arming the police meant going from .38 specials to .357 magnums.  Of course, these were six-shot revolvers.  Then cops started carrying 9mm handguns with clips that could carry 15-18 rounds.  Now some cops carry .40 caliber semi-automatics, which are more powerful than the 9mm but also more difficult to control.

You might call it the “Dirty Harry” syndrome (that bigger guns are better), except that that’s being unfair to Harry (played so memorably by Clint Eastwood).

As a teen, I was a big “Dirty Harry” fan, so I remember the rationale for Harry’s Smith & Wesson .44 magnum.  He carried it because he was a pistol champion (as he said, “I hit what I aim at”), and because he wanted a round with “penetration” (he noted that .38 rounds “careen off of windshields”). Finally, Harry said he used a “light special” load to limit recoil, saying it was like firing a .357 with wadcutters.  (All of this is from memory, which shows you the impression those “Dirty Harry” movies made on a typical teen interested in guns.)

Soon after Harry started boasting about his .44 magnum, a new TV show aired in America: SWAT (standing for “special weapons and tactics”). Police SWAT teams are now common in America, but they were somewhat of a novelty forty years ago.  I recall that the team carried AR-15 assault rifles along with specialized sniper rifles and shotguns.  They drove around in a big police van and arrived each week just in the nick of time to save the day.  My favorite character was the guy who carried the sniper rifle.

My excuse?  Heck, I was a teenager! What’s disturbing to me is how my teen enthusiasm for guns is now considered the height of maturity in the USA.  So much so that we arm campus police with assault rifles and see it as a prudent and sensible measure to safeguard young students.

The ready availability of guns of all types has created our very own “arms race” in America — an arms race that is being played out, in deadly earnest, each and every day on our streets and in our buildings.  We’ve allowed the cold, bold “Dirty Harry” of the early 1970s to be outgunned not only by today’s hardened criminals but by campus cops as well.

Assault rifles and SWAT teams are part of America’s new normal. Rare in the 1970s, they are now as American as baseball and apple pie.

I don’t think even Dirty Harry would be pleased with America’s new reality.  Make my day — not.

“Doin’ Right Ain’t Got No End”

Bill McKinney as Captain Terrill in "The Outlaw Josey Wales"
Bill McKinney as Captain Terrill in “The Outlaw Josey Wales”

W.J. Astore

President Obama’s recent ten-year commitment to Afghanistan (until 2024 and beyond) put me to mind of a line from The Outlaw Josey Wales (1976), the classic Western starring Clint Eastwood.  Eastwood plays the “outlaw” who just wants to be left alone in the aftermath of a brutal civil war.  But another character, the vicious Captain Terrill, wants to pursue and kill all the Confederate irregulars who had fought against the Union.  In hot pursuit of Eastwood and a wounded confederate, Terrill rejects the idea that the killing will stop once the final two “outlaws” are dead.

“Doin’ right ain’t got no end,” Terrill coldly says.

That’s our government’s attitude in a nutshell: “Doin’ right ain’t got no end,” especially when the “right” involves killing outlaws.  No matter how many we kill, there’ll always be more to find. And in the brutally imprecise process of rooting them out and killing them, we’ll make many mistakes and harm many innocents, thereby creating many new enemies — and many more men like Captain Terrill.

Like Terrill, our government’s actions and attitudes have conspired to create a forever war, a score-settling exercise against outlaws that serves to perpetuate terror. We’re trapped in a cycle of violence that’s very much of our own making. We believe we inhabit an implacably hostile realm that supposedly hates us and our freedoms too, and by believing it, we make it so.

This neurotic state recalls a science fiction novel, Deathworld (1960), which I read as a teenager. Its author, Harry Harrison, imagined a world where the flora and fauna are relentlessly hostile to a certain band of can-do colonists, who reply in kind with Spartan-like warrior intensity and murderous brutality.

As impressive as these warriors and their death-dealing technology are, their actions merely beget more violence. Until an outsider visits and sees the situation for what it truly is, the colonists cannot perceive that it’s their own fear and violent natures which are driving their enemies to attack. Unless they change their implacably hostile mindset, their ultimate defeat is inevitable because their actions spawn new enemies and endless violence everywhere.

As the United States exercises its global power in the name of winning a war on terror, we are creating a death world of our own making. As long as we continue to believe we’re “doin’ right” in fighting an open-ended (and seemingly endless) war, Captain Terrill’s words will continue to render a harsh and endless judgment.

“Doin’ right ain’t got no end” – a tragic meme for a death world of our own making.