Author Topic: the S-word  (Read 735 times)

0 Members and 1 Guest are viewing this topic.

Lanya

  • Hero Member
  • *****
  • Posts: 3300
    • View Profile
  • Liked:
  • Likes Given: 0
the S-word
« on: October 01, 2007, 02:20:46 PM »
September 28, 2007
Editorial Observer
The Socialists Are Coming! The Socialists Are Coming!
By PHILIP M. BOFFEY

The epithet of choice these days for Republicans who oppose any expansion of government?s role in health care programs is ?socialized? medicine.

Rudy Giuliani has used the ?s-word? to denounce legislation that would enlarge a children?s health insurance program and to besmirch Hillary Clinton?s health plan. Mitt Romney has added a xenophobic twist, calling the Clinton plan ?European-style socialized medicine,? while ignoring its similarities to a much-touted health care reform he championed as governor of Massachusetts. Other conservative critics have wielded the ?s-word? to deplore efforts to expand government health care programs or regulation over the private health care markets.

Our political discourse is so debased that the term is typically applied where it is least appropriate and never applied where it most fits the case.

No one has the nerve to brand this country?s purest systems of ?socialized medicine? ? the military and veterans hospitals ? for what they are. In both systems, care is not only paid for by the government but delivered in government facilities by doctors who are government employees. Even so, a parade of Washington?s political dignitaries, including President Bush, has turned to the National Naval Medical Center in Bethesda, Md., for checkups and treatment, without ideological complaint. Politicians who deplore government-run health care for average Americans are only too happy to use it themselves.

Nor are they eager to tar the vast array of government hospitals and clinics that serve our nation?s veterans. For one thing, the veterans? hospitals, once considered a second-rate backwater, now lead their private sector competitors in adopting electronic medical records and score well for delivering high quality care at relatively low cost. Even when the veterans? hospitals were rightly criticized this year for their part in the disgraceful failure to care adequately for soldiers injured in Iraq and Afghanistan, there was no clamor to junk or privatize the system, only demands to make it better.

Mayor Michael Bloomberg startled most New Yorkers two years ago when he asserted that the city?s public hospitals are ?better than the great teaching hospitals? all around them. Although some deemed his praise hyperbolic, the city?s billionaire, entrepreneurial, free-market-enriched mayor thought he knew quality when he saw it, even if it was socialist at its core.

The country?s vast Medicare program is one step less socialized ? a ?single-payer? program in which the government pays for the care and sets reimbursement rates, but the actual care is delivered by private doctors and hospitals. When Medicare was launched in 1965 it was routinely denounced as socialized medicine, but it has become so popular that politicians deem it the third rail of American politics, sure to electrocute anyone who tries to cut it or privatize it. No politician is eager to brand 43 million beneficiaries as socialists at heart.

Meanwhile, the two current butts of the ?s-word? are such hybrids of public and private elements that it is hard to know how to characterize them. The State Children?s Health Insurance Program, or S-chip, was denigrated by one Republican congressman this week as ?a government-run socialized wolf masquerading in the sheep skin of children?s health.? It might better be thought of as a ?double-payer system? in which the states and the federal government put up the money, the states take the lead in defining the program and the actual care is typically delivered through private health plans by private doctors and hospitals.

The ?s-word? seems even less appropriate for Senator Clinton?s proposed universal health care plan, which seeks to bolster employer-provided health benefits and create new purchasing pools to help individuals buy private policies at low group rates.

True, her plan would expand government regulation, and she wants to make a Medicare-like option available to compete with private policies. But that would only lead to a socialized, single-payer system if everybody were to choose the Medicare-like option.

There is no special magic in government-run or government-financed health care. Medicare has serious cost-control and financing problems, and the veterans? hospitals could take a turn for the worse, as they have in the past, should federal funding shrivel. Private health care systems have strengths of their own, are favored by many patients and often provide care as good as any.

The take-home message for voters is this: Look behind the labels to judge health care proposals on their merits. Whenever you hear a candidate denounce something as a step toward socialized medicine, it probably isn?t. More likely the politician is demagoguing the issue or is abysmally ignorant of the inner workings ? and real, not ideological, failings ? of the country?s multifaceted health care system.

http://www.nytimes.com/2007/09/28/opinion/28fri4.html?_r=1&oref=slogin&ref=opinion&pagewanted=print
Planned Parenthood is America’s most trusted provider of reproductive health care.

Richpo64

  • Guest
Re: the S-word
« Reply #1 on: October 01, 2007, 02:41:00 PM »
This article can be found on the web at
http://www.thenation.com/doc/20060417/aronson


The Left Needs More Socialism
by RONALD ARONSON

[from the April 17, 2006 issue]

It's time to break a taboo and place the word "socialism" across the top of the page in a major American progressive magazine. Time for the left to stop repressing the side of ourselves that the right finds most objectionable. Until we thumb our noses at the Democratic pols who have been calling the shots and reassert the very ideas they say are unthinkable, we will keep stumbling around in the dark corners of American politics, wondering how we lost our souls--and how to find them again.

I can hear tongues clucking the conventional wisdom that the "S" word is the kiss of death for any American political initiative. Since the collapse of Communism, hasn't "socialism"--even the democratic kind--reeked of everything obsolete and discredited? Isn't it sheer absurdity to ask today's mainstream to pay attention to this nineteenth-century idea? Didn't Tony Blair reshape "New Labour" into a force capable of winning an unprecedented string of victories in Britain only by first defeating socialism and socialists in his party? And for a generation haven't we on the American left declared socialist ideology irrelevant time and again in the process of shaping our feminist, antiwar, progay, antiracist, multicultural, ecological and community-oriented identities?

People who espouse these and a dozen other arguments against the relevance of socialism today may regard it as quaint that Bolivia's new president, Evo Morales, leads the Movement Toward Socialism Party, or that Venezuela's Hugo Chavez intends to create a "new socialism of the twenty-first century." After all, socialist parties elsewhere, such as in France, Spain and Germany, or indeed Brazil's Workers Party and Chile's Socialist Party, have no intention of introducing anything like socialism in their countries. Still, the newest significant formation, indeed, today's equivalent of the nineteenth-century International Workingmen's Association, calls itself the World Social Forum. The name reminds those who believe "another world is possible" that it can come about only if it is global, only if it is guided by a loosely organized "forum" rather than a top-down party--and only if its character is social.

Among Americans it has long since become obvious that the left is doomed without a vision, a sense of direction and an effective call to arms. One of the reasons we are having such tough sledding nowadays is that we have been unable to develop our own compelling alternative to those created by the right and the center over the past generation and embodied in the politics of George W. Bush and Bill Clinton. We need to point to a clearly different direction from the one in which the United States and the world are heading. We need to spell out a historical diagnosis and project, a strategy and tactics, and root these in widely shared ultimate values.

We would be further along on all of these fronts today had it not been for the immense success of the Anglo-American right in insisting, for nearly a generation now, that in Margaret Thatcher's words, "there is no alternative," that the conservative project of free markets, privatization and deregulation is simple obedience to necessity. When Francis Fukuyama proclaimed the "end of history" fourteen years ago, he ruled out picturing "to ourselves a world that is essentially different from the present one, and at the same time better." Capitalism's victory over Communism in the cold war silenced any and all alternatives, present and future, he said. And today, among apologists for global capitalism like Thomas Friedman, the ideological assault on alternatives has become even more insistent, the faith in the market almost total.

Successful ideological and political campaigns close up the space in which imagination might conceive of a world different from the status quo. Alternatives become "unthinkable." In contrast, for two generations, between 1917 and 1989, the prospect of social change and political action worldwide were nurtured by the competition between two different world-embracing economic systems. Ugly as it was in so many ways, the Soviet Union not only spurred imitators but stimulated and sometimes supported resistance movements and, more relevant to us, along with the presence of vigorous socialist movements and ideas it encouraged thinking and acting toward alternatives that would be neither capitalist nor Communist. The 1930s through the '70s saw important and still relevant efforts at social change led by anarchists (Spain), social democrats (Scandinavia), non-Stalinist Communists (Yugoslavia, Italy), coalitions of socialists and Communists (Chile), and coalitions of leftists and less ideological forces of national liberation (Nicaragua, South Africa). Until the end of the cold war, alternatives to capitalism and Communism seemed both thinkable and possible.

Today, when the bottom line is touted as the answer to every question, Americans are imprisoned in a mental world shaped by economic trends. Ironically, its ideologists have become pitchmen for a capitalist caricature of Marxism--promulgating a crude economic determinism in which the market rules every social, mental and geographic space. Since the fall of Communism, market-oriented ways of thinking, feeling and seeing have permeated our lives and our culture to a degree that Marx never dreamed of.

Yet the real Marxism, although no longer embodied in movements or governments, has never been truer or more relevant: Most of the world's main problems today are inseparable from the dynamics of the capitalist system itself. With corporate capitalism everywhere in command, the outlook is for increased poverty, more environmental degradation, ever more uneven distribution of resources and the undermining of traditional societies and ways of life, for a culture dominated by marketing, advertising and uneven global development.

But Americans need only glance around the world to see that there are alternatives. The vibrant World Social Forums are an example, under way since 2001 and now envisioning several annual meetings of an immense variety of groups, organizations and networks. Another is the continuing leftward movement of South American governments, now adding Bolivia to Argentina, Uruguay, Venezuela, Chile and Brazil. A third is the continuing European efforts to defend social welfare programs, as evidenced in the German Social Democrats' remarkable reversal of a slide into oblivion to tie the Christian Democratic Party in last September's election, and the unflagging popular support for Britain's National Health Service.

The reigning economic system will continue to generate opposition as long as it speaks of equality (which it must) yet continues to be unequal and undemocratic (which it must); as long as it incites dreams of a better life (which it must) but deforms social, cultural and political life according to its bottom line (which it must); as long as its rampant abuse of the environment and pillage of natural resources continue (also inevitable).

Living in a capitalist world, we can't get far thinking and talking about alternatives and new directions without acknowledging that many of our key values and starting points are drawn from a common historical source: the socialist tradition. We have not reached the end of history as long as the spirit of solidarity animates antisweatshop movements, as long as a root sense of fairness motivates our efforts for a living wage, as long as the belief in equality nourishes our demand for a national healthcare system, as long as we embrace the democratic social provisioning embodied in Social Security. The next left will have to acknowledge, and even celebrate, the socialist spirit. Socialism's values continue to nourish community life. Much of our world continues to be organized collectively, democratically and socially, operating according to need and not according to profitability--in schools and cooperatives; libraries and nonprofits; local, state and federal government programs. September 11 and Hurricane Katrina showed the undying need for extensive and intensive structures of community. The socialist standards of fairness, democracy, equality and justice are as much a part of daily life as are capitalism's values of privilege, unequal rewards and power.

In this post-Communist era when even "liberal" has become a dirty word, the effort to create a more humane society will not be revived without explicit demands long associated with socialism. Social movements for environmental protection, women's rights and racial equality sooner or later run up against the institutional constraints imposed by capitalism. Then they discover that they can't achieve their goals without becoming anticapitalist. What will individuals and groups demanding equality, democracy, respect for the environment and freedom from the market call themselves as they try to coalesce around increasingly global demands and on behalf of increasingly global alternatives? We need not be timid about naming this "socialism." What else is it? What a new progressive movement needs can be simply stated: more socialism.

There can be no future social movements without key socialist themes: the importance of economic class, the centrality of labor and workers in shaping the world, the idea that people must act to create their own destiny. Not to mention themes already suggested: the decisive role of the economy in determining the rest of our life, the fact that today it is above all driven by the pursuit of profit, the insistence on freeing people from its domination and the need to think and act politically in terms of the socioeconomic system rather than in terms of individual policies. Whatever language people use, socialist ideas, experience, models, aspirations and analyses will help form the heart and soul of the alternative-in-the-making, or there will be no alternative.

Equality is the most important among these. Socialists have conceived a society that provides for the needs of every individual, including adequate means to live a decent life and develop each person's capacities. Our society, in contrast, is ambivalent and ultimately incoherent about equality. We are all said to be equal politically and before the law, but socially and economically our individual worth varies enormously. This is built into the American system: Social and economic inequality, a hallmark of life under free enterprise, make a mockery of a proud hallmark of American democracy, civic equality. In its own terms our society should be taking steps at least to insure that we are equal to become unequal. In other words, fair competition requires an equal starting point. Yet today this is not a liberal but a radical demand. Unequal schools, the rising costs of higher education, the growing gap in living conditions between well-off and poor, the abolition of the estate tax encouraging a plutocracy--all heighten the system's unfairness. In fighting against our increasingly unequal society, liberals and progressives will need to draw upon socialist thought in developing clear and consistent ideas, critiques, programs and watchwords about equality.

Doing battle against the prevailing inequality means invoking the idea that we all belong to a community, as opposed to the illusion, voiced famously by Thatcher, that "there is no society, only individuals." The paradox of our time is that individualism is riding high even while our universal interconnectedness is intensifying in this increasingly interdependent global society. The more interdependent each person in the world becomes, and the more large corporations rule not only economic but social life, the less social awareness there seems to be. We are supposed to live our lives as if there were no community, while more and more, vital social functions become performed for private gain, as if each of us had become a Robinson Crusoe.

The fantasy universe of purely private individuals, for all its lip service to religious belief, is no longer able to inculcate the basic social morality and sense of responsibility any society needs to function. Twenty-five years of attacking government has drained much of the basic civic spirit and social responsibility we must have to transact our collective business with integrity. If nothing is higher than the individual, the only thing that matters is whether I alone succeed. In the Enron and other corporate fraud scandals, in the debacle of Hurricane Katrina, the chickens have been coming home to roost.

On the road to shaping an alternative, the left might respond with a time-honored socialist insight, namely that "I" only exists within a "we," and that unless we look out for everyone, no one is secure. To say this confidently means accepting that we stand for a clear alternative and embody decisively different values and traditions than those on the right. This means getting friendly again with socialism.

Xavier_Onassis

  • Hero Member
  • *****
  • Posts: 27916
    • View Profile
  • Liked:
  • Likes Given: 0
Re: the S-word
« Reply #2 on: October 01, 2007, 05:24:04 PM »
One can only wonder why the Republicans have never thought about hiring an efficient for-profit HMO to handle their medical plan, or some Wall Street firm to manage their pensions.

One might suggest that secretly, in their heart of black, sticky hearts, even the most conservative among them are really Socialists.
"Time flies like an arrow; fruit flies like a banana."