Public Health, Public Good

There is rarely genuine public debate about almost any important issue in American society. Listening to healthcare reform on the corporate media, I was reminded of this. It didn’t slip past my notice that the entire frame of discussion is seeking corporatist solutions to corporatist problems in a corporatist political and economic system. The fact of the matter is that there is no way to provide better and cheaper healthcare to more citizens, as other countries do, through the capitalist system. In particular, the last thing in the world we need is further aligning big business with big government.

Here is what is rarely brought up. Consider the simple fact that 40% of the deaths worldwide are caused by pollution. And that is one small part of externalized costs, externalized often by corporations that make immense profits from that externalization that goes hand in hand with internalizing benefits. Most of the people harmed by these externalized costs are the lower classes who are the least able to seek healthcare to treat health conditions caused by wealthy and powerful interests. First of all, we should stop these corporations from externalizing costs. But to the extent that isn’t always possible, we should tax these corporations to pay for those externalized costs, which is to say those who benefit the most from the system should pay the most to offset the costs of the system.

This is common sense. Only a sociopath could argue against it, but sadly we have a system that promotes the sociopathic mindset and gives a platform to the sociopathic rhetoric that justifies it. The plutocrats who are harming others for their own self-interest have the morally depraved sense of privilege to complain that taxes are theft. These are the same plutocrats who have spent their lives stealing from the commons, stealing from the public good. They internalize  and privatize the benefit from resources taken from public lands, from their dominant use of the public infrastructure, from highly profitable government contracts (often crony no bid contracts), from control of the government (through lobbying, revolving door, regulatory capture, legalized bribery, etc), from free trade agreements written in their favor to help them dominate global markets, from a military that serves to protect their interests (maintaining international relations, keeping open trade routes, ensuring access to natural resources on foreign public lands, etc), and on and on. All paid for with public wealth and resources. This gives the appearance of legitimacy to the illegitimate.

There is an important point that gets lost here. The plutocrats are half right about one thing. We shouldn’t rely on taxes of plutocrats to fund the public good. Rather, we simply shouldn’t allow plutocrats to steal from the public good in the first place, such that taxation becomes necessary. Once that theft has happened, the plutocrats will treat this theft as their right and privilege. As they see it, everything that is public is theirs to take, even the government itself. It’s all theirs and so if we don’t let them rape and pillage freely across the world, we are stealing from them just as the starving peasant was stealing from the lord when he gathered some food for his family from what once was feudal commons. They accuse others of theft out of bad conscience, knowing that their entire way of life is theft.

The reality is that the US is the wealthiest country in the world. In global capitalism, the public wealth and resources regularly given away and wasted for private interests is easily in the trillions of dollars on a yearly basis. It might be trillions in just considering the direct benefits corporations have on US land and waters. The precise amount has never been calculated because the corporatist don’t want to know or rather don’t want the rest of us to know, although I’m sure they have a good sense of the approximate amount of what is being sucked out of the system. Whatever the exact amount, it’s guaranteed that it could pay for healthcare for every US citizen, along with so much else.

There is the basic problem that healthcare can’t operate as a free market for many reasons, the most basic of which is that sick and injured people aren’t in the mindset to be able to make rational choices, even if we had a system that offered real choices. The problem goes so much deeper than that, though. It’s the entire system that has failed and so no solution can be found within the system. In fact, this system is designed to fail according to the standard of public good for the simple reason that the interests it is designed to serve are not we the people.

This is what is never stated in a straightforward manner. There is no lack of public wealth and resources. The question is where is it going, when it is redirected away from the public good and siphoned off into the private sector. This question is not allowed to be fairly and fully discussed in the corporate media and corporatist politics that the plutocracy controls. The final proof that we live in a banana republic is that we the public are effectively silenced in public debate about our own public good, such that the majority has yet to realize it is a majority. The public majority demanding public healthcare reform that benefits most Americans should be heeded by the political system claiming to represent we the people.

“A nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death.”
~ Rev. Dr. Martin Luther King, Jr.

“Every gun that is made, every warship launched, every rocket fired signifies, in the final sense, a theft from those who hunger and are not fed, those who are cold and not clothed. This world in arms is not spending money alone. It is spending the sweat of its laborers, the genius of its scientists, the hopes of its children. This is not a way of life at all in any true sense. Under the cloud of threatening war, it is humanity hanging from a cross of iron.”
~ President Dwight D. Eisenhower

“Every time they raise your tuition you are paying for the cost of empire. Every time they cut funds to the state of Wisconsin you have to make up the difference. Everywhere I go… and, when I pick up the local newspapers, it often seems like the same paper and every paper has the same story for a while, factoring when the fiscal year was ending, it would say: ‘State facing huge deficits’, ‘City council voting cuts in budget’…
“That is the cost of empire. What happens then is our economic democracy is under attack.
“Not everyone, as they say, pays the costs. Some people profit immensely.”
~ Michael Parenti, Ph.D.

* * *

An Invisible Debt Made Visible
True Costs are ‘Punitive
Losses Outweighing Gains
Costs Must Be Paid: Social Darwinism As Public Good
Socialized Medicine & Externalized Costs
On Welfare: Poverty, Unemployment, Health, Etc
Athens is starved so that Sparta can be fed.
On Infrastructure and Injustice
Investing in Violence and Death
Government Efficiency: Public’s Lack of Knowledge
Public Opinion on Tax Cuts for the Rich
Most Oppose Cutting Social Security (data)
Public Opinion On Government & Tea Party
Democracy and Propaganda
Public Intellectuals As Thought Leaders
The Establishement: NPR, Obama, Corporatism, Parties
Corporate Bias of ‘Mainstream’ Media
What Does Liberal Bias Mean?
The Golden Rule and Reality
Homelessness and Mental Illness
A Sense of Urgency
A System of Unhappiness
Capitalism as Social Control
It’s All Your Fault, You Fat Loser!
Social Disorder, Mental Disorder
Social Conditions of an Individual’s Condition
Rationalizing the Rat Race, Imagining the Rat Park
Not Funny At All
Protecting Elections From Democracy
Of Dreamers and Sleepwalkers
“We have met the enemy and he is us.”
By What Right?
But Then It Was Too Late
Then What?

An Invisible Debt Made Visible

Externalized costs have been on my mind for a very long time. Ours is a self-enclosed biosphere. All costs are ultimately internal, no matter how much we pretend otherwise.

My sense of the political has been rooted in environmentalism, from early on in my life. This worldview has been informed by a larger environmental sense of the world, including the social and economic environment. It’s always been how I experience reality, as something far beyond the false divisions we create and reify—between individual and collective, self and world, society and nature.

My young political sensibility was expressed in school papers I wrote about externalized costs, a gut level intuition about what was being lost. These papers were about overpopulation and pollution. Now here I am as an adult and everything has gotten far worse, some might say beyond the point of no return.

Pollution and environmental destruction knows no boundary. The natural world cares not about our ideological beliefs. It doesn’t matter who is fault when the costs come due. The free market is and always was bullshit. Nothing is free, even if we don’t see the price tag. In fact, capitalism is rather costly. The ultimate cost might be greater than we can afford.

These costs are highly personal. I’ve talked many times about lead toxicity, the costs of which are numerous and yet still measurable. For every IQ point lost to lead toxicity, it is a specific amount of money lost in lifetime earnings. Multiply that by many IQ points lost for untold millions of people. The costs are devastating and that is considering just one of many costs.

Considering all pollution and environmental degradation, that is the cause of 40% of the deaths worldwide. Those deaths include working men and women who were helping care for family members. Those deaths represent human potential thrown away. Those deaths didn’t just happen instantly but followed years or even decades of illnesses, suffering, and healthcare costs.

Other costs are also economic on the larger scale, which also can be measured. For a long time, I’ve suspected that many corporations would go bankrupt if they were ever forced to pay for their externalized costs. This was shown to be the case with a recent UN report:

“The report found that when you took the externalized costs into effect, essentially NONE of the industries was actually making a profit. The huge profit margins being made by the world’s most profitable industries (oil, meat, tobacco, mining, electronics) is being paid for against the future: we are trading long term sustainability for the benefit of shareholders. Sometimes the environmental costs vastly outweighed revenue, meaning that these industries would be constantly losing money had they actually been paying for the ecological damage and strain they were causing.”

This means these industries are environmentally a net loss to the global society. They aren’t contributing more to society than they are taking away. All the rhetoric of capitalism, meritocracy, and progress is lies built upon lies.

We obsess about individual problems when that isn’t the real danger we face. We make people feel guilty about recycling at home while corporations throw out so much potential recyclables as to make all the rest look minuscule. Similarly, almost all the pollution comes from big biz, not from people driving their cars too much or whatever. If we wanted to make a dent in these problems, we’d tackle it at the largest level of the most major contributors to these problems, instead of tinkering around the edges.

Meanwhile, these companies that profit from human misery, from the forced sacrifice of present and future generations lobby the world’s governments so that they’ll make even greater profit. They get tax breaks and subsidies. They hide their profits in fake businesses and secret overseas accounts. We debate about whether taxes are too high when any rational and moral person is forced to admit that taxes don’t come close to offsetting all the costs these filthy rich corporations force onto the rest of society.

Why do we tolerate this? Are we mentally deranged? Are we suicidal?

If the unsustainable costs of industrial externalities doesn’t incite mass outrage and force systemic global reform, then there is no hope left for humanity. We are doomed. Saving capitalism from communism will be the least of anyone’s worries.

Is anyone paying attention? It’s only the survival of civilization as we know it. No biggie. Have we grown so cynical and fearful that we can’t even face reality barreling down on us like a freight train? We are looking at a nightmare scenario.

Costs can be externalized and deferred. But costs can’t be denied.
Even if we are lucky enough to die before costs become due, do we really want to be such sociopathic assholes in the legacy we leave for the coming generations, for our children and grandchildren? They will curse us for what we did and failed to do.

We will be among the most hated generations ever born. There will be no forgiveness for us. Memorials will be built in memory of the evil we committed and the destruction we caused.

Of course, we could in this moment begin to lessen some of this harm. We could prepare for the consequences we’ve unleashed. We could give these next generations a fighting chance. Will we?

Socialized Medicine & Externalized Costs

This is what complicates the whole issue of “socialized medicine”.

A large number of diseases and deaths are caused by collective problems. Why should the individual have to pay the externalized costs of others? This is particularly problematic as the poor live in the most polluted areas while it is the rich living in the least polluted areas who benefit most from the externalization of costs.

I’ve never come across a conservative or libertarian who can offer a useful response to this kind of data:

Pollution Causes 40 Percent Of Deaths Worldwide, Study Finds

“About 40 percent of deaths worldwide are caused by water, air and soil pollution, concludes a Cornell researcher. Such environmental degradation, coupled with the growth in world population, are major causes behind the rapid increase in human diseases, which the World Health Organization has recently reported. Both factors contribute to the malnourishment and disease susceptibility of 3.7 billion people, he says.”