Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Saturday, December 8, 2012

Welfare State? Not So Much


Paul Krugman shows a graph of government transfer payments to individuals, other than medicare and medicaid:  It shows that such payments shoot up during recessions, when people are out of work, then drop back down as the economy picks up.  Currently about 8% of GDP.  

This certainly only measures transfers to the poor, elderly, and working class.  Welfare for the rich wouldn’t be included.

Friday, September 23, 2011

Breaking News: War Settles Nothing

In her post "Breaking News: The Civil War Is Over" in Wednesday's New York Times, Linda Greenhouse describes the state of Virginia's challenge to the constitutionality of the Patient Protection and Affordable Care Act, ignominiously known as Obamacare. The day after the PPACA was signed into law, Governor Bob McDonnell signed the Virginia Health Care Freedom Act, which provides that "no resident of this Commonwealth . . . shall be required to obtain or maintain a policy of individual insurance coverage." Greenhouse elaborates: "In other words, a few weeks shy of the 150th anniversary of Virginia's 'ordinance of secession,' the Commonwealth of Virginia seceded from the reach of the federal health care law's individual mandate."

True, Virginia's challenge of the PPACA has a lot to do with asserting states' rights over Federal law. But is that really all there is to it? There are plenty of legitimate reasons to object to the individual mandate. Because of the death of the public option, the mandate requires that each one of us do business with private insurance companies that don't exactly have a good track record in terms of looking out for the welfare of their subscribers and have proven repeatedly that their only interest is their bottom line.

In the Fourth Circuit panel's ruling on Virginia's challenge of the PPACA, Judge Diana Gribbon Motz wrote, "A state possesses no legitimate interest in protecting its citizens from the government of the United States." Greenhouse parenthetically wonders, "Should a federal judge really have to say such a thing in 2011?" as if this comes as a surprise. It shouldn't. The Founders' belief that the American people needed protection from the federal government drove them to put many such protections in the Constitution. Regardless of what you consider tyranny, our laws should indeed protect us from it. Greenhouse concludes: "So as this debate for the soul of the country continues to unfold, I take comfort—perhaps unduly, no doubt prematurely—from the reminder from the appeals court in Richmond that the Civil War is over and that p.s., the Union won."

Does anyone really believe that just because my side beat up your side, you have to agree with me? Does the fact that "the Union won" mean that the Union also wins the "debate for the soul of the country"? Might = right? Do we really believe that anyone can be persuaded by force? That the soul of the country goes to the "winner" of the Civil War? Greenhouse seems to think that the fact that the Union "won" settles everything.

The Union's so-called victory settles no more than a schoolyard brawl would. Hearts and minds are never won on the battlefield. The War Between the States changed points of view on the issues at the heart of the South's secession only insofar as it served to entrench them more deeply. The war didn't convince anyone of the moral indefensibility of slavery. If the intent was to win a moral argument, war was the absolutely least effective means available.

The American Civil War began only 150 years ago. The longer I live, the better I know how short a time that really is. We haven't come nearly as far since then as we like to think. The Pyrrhic victory that Greenhouse finds comforting didn't settle anything. She confesses that she just doesn't "get the attack on the federal law," that she doesn't "understand people who voluntarily, without claiming poverty, let their children go uninsured." Reasserting the Union's "victory" won't be especially enlightening.

Here's a radical thought: it's high time Americans started talking to each other, and—more to the point—listening to each other. Might we not defy the mainstream media's efforts to fan the flames of our ideological polarization? The media has a vested interest in that polarization: conflict makes the most compelling news and conveniently diverts attention away from the corporate owners' and sponsors' plundering of the nation's commonwealth. To be sure, actually talking and listening to each other would be very difficult. But certainly it would be less difficult than, say, Civil War.

Thursday, September 17, 2009

Christina and Me: A Public Option Primer

I had this delightful exchange with a Facebook friend today:
As you may have noticed, I am young, but I have become increasingly interested in the Health Care Crisis. I have a ton of questions, but I will only bother you for a few. Is the public option that you are for, the same thing as the Free Choice-Health Care for Individuals thing that I keep hearing about? I am getting some information from my Rep's web site, as well as Rep. John Shadegg's web site. Are these the same ideas, or are they different? I hate to say this, but I am utterly confused! Your help is much appreciated, Mary.
-Christina
Here is my reply:
Hey Christina. No apologies needed for your age. Your interest and questions are very welcome.

The free choice thingy you've read about is very different from a public health insurance option that many people support (both Democrats and Republicans). Republican politicians want free choice for corporations, not for individuals. I would call what they advocate "Wall-Street-run health care" (that leads to neither health nor care). They want to maintain the status quo (keep things the way they are), which is working only for the health insurance industry and the very wealthy.

Of course, their descriptions of their positions would differ dramatically from mine. They would call what I advocate "government-run" health care, because in spite of the fact that they themselves are part of the government, they think anything the government does is bad. So they are unapologetic when government fails, even when they're responsible for that failure, because it confirms their belief that government is always a problem and never a solution.

I believe that government should do what it can to help people, because I believe we're stronger collectively than we are individually. Of course, we won't always get everything exactly right. But we can always work toward improving things so that more and more people are helped rather than hurt by the system.

I hope this helps. Keep reading as much as you can from all sides, and determine to make up your own mind and not let anyone from any side tell you what to think. Listen to your heart. It will not lead you astray.

Many blessings,

Mary

P.S. I love your question. Would you mind very much if I posted it (and my answer) on my blog? If you don't mind, do you want me to use your name (I'd use only your first name) or would you prefer that it be anonymous? If you'd rather I didn't post it, no worries.
Christina's reply:
All that would be fine. My first name would be ok. One more quick one. One guy I listened to, Whyden, I think, did say that he wanted individual choice. He even emphasized it. What about that?
And my reply:
Do you mean Senator Ron Wyden?

The idea of giving people more choices is a good one. But I also think it's really important that one of the choices available to anyone who wants it be a public insurance option. If all the choices you are given are lousy, it's hardly much of an improvement.

The trouble with the private health insurance industry is that it is profit-driven. Health care shouldn't be about profits. Human beings are not commodities.

Health care should be about health and care. A public insurance option would not have the high overhead costs of private profit-driven health insurance companies. A public insurance option would not be beholden to stockholders. It would be beholden to the public.

Does this help?

Peace,

Mary
Christina's reply:
Ah yes, very helpful. I think I am more of the public insurance gal. Can you feed me more information on this? Thanks for all your help, Mary. I really appreciate it.
I pointed Christina toward Robert Reich's good explanation of the public insurance option:



I also pointed her toward the excellent cartoon guide to health care reform:

Wednesday, September 16, 2009

"The Insurance Industry Profit Protection and Enhancement Act"

Today Senator Max Baucus (D-MT), chair of the Senate Finance Committee, and his "Gang of Six" have released their version of health care "reform," which some say is the version that has the "best chance of passing." Bob Cesca points out that the bill is "bipartisan" only in that "members of both parties hate it."

According to the Associated Press, Baucus has received "some $3.9 million in contributions from the health care industry since 1989" and "all six of the Finance Committee members most intimately involved in drafting the measure have received above-average donations from the health care world."

Wendell Potter, senior fellow on health care at the Center for Media and Democracy and former CIGNA executive turned whistle-blower, who spoke at last weekend's Fighting Bob Fest (which I was privileged to attend) says the Baucus bill may as well be called the "Insurance Industry Profit Protection and Enhancement Act" and would be "an absolute gift to the industry."

Wendell Potter speaking at the Fighting Bob Fest,
Baraboo, Wisconsin, September 12, 2009

Potter says that, rather than representing a "government takeover," as some mistakenly fear, the bill represents a "Wall-Street takeover" of health insurance, requiring that the already severely squeezed middle class sign over its life savings to the health insurance cartel.

Rather than a robust public option, the bill promotes insurance co-ops, which according to Potter, "would be unable to compete in today’s concentrated health insurance markets" and therefore would be completely ineffectual at reducing health care costs.

David Dayen of Brave New Films says the bill attempts to bring costs down by allowing insurance companies to offer lousy coverage. According to the New York Times,
To compare health plans, experts often focus on the percentage of medical expenses paid by insurance, on average, for a given population. This figure ranges from 70 percent to 95 percent under the House bill’s options, but it would be less than 70 percent under Mr. Baucus’s proposal.
Not only would the coverage be lousy, but we would be forced to buy it or pay a stiff penalty. According to the New York Times, the bill "would require nearly all Americans to obtain coverage or face a penalty of up to $3,800 a year for families."

Appearing yesterday in a forum held by the House Democratic Steering and Policy Committee, Potter testified:
The insurance industry is insistent on being able to retain what it calls "benefit design flexibility." Those three words seem innocuous and reasonable, but if legislation that reaches the president grants insurers the flexibility they claim they must have and requires all of us to buy coverage from them, millions more of us will have little alternative but to buy policies that appear to be affordable but which will prove to be anything but affordable if we become seriously ill or injured. . . .

The Baucus plan . . . would create a government-subsidized monopoly for the purchase of bare-bones high-deductible policies that would truly benefit big insurance. In other words, insurers would win, your constituents would lose.

It's hard to imagine how insurance companies could write legislation that would benefit them more.
In other words, rather than being regulated, the health insurance industry would be free to maximize its profits, while it's large pool of captive customers would be the ones being regulated. Charming. This is what I meant when I said that "this legislation . . . could be very good. Or it could be very, very bad." Uh, this would be the "very, very bad" option. Unless, of course, you are a stockholder in the insurance industry cartel, in which case it is a veritable wet dream.

~ ~ ~

So, please call your representative—again—and demand real health care reform with a robust public option. No co-ops, no triggers. Ask if you can count on your representative to vote only for a strong public option and to vote against any bill that doesn't have a strong public option. Here's the number:

(202) 224-3121

Then report your call here. Thank you.

Monday, September 14, 2009

What's at Stake, What We're Up Against, and What to Do

To some of my Facebook friends and relations, I must seem like I've gone 'round the twist. I can almost hear you thinking: "You're completely obsessed. Do you think you're going to single-handedly get a public option passed? We're going to have to find you something to do with your time. Every other post on my newsfeed is from you. And they're all about the public option."

Well, you may be right, but this is the political fight of my life. And it should be the political fight of yours too.

There are two reasons why I'm pushing so hard: First, this is not your average legislative fight. Health care reform has the potential to profoundly affect every single person in the United States—that's right, everybody: your neighbors, your coworkers, your kids, the person who rings up your groceries.

Not only that, but it will have a huge impact on some of the most important decisions of your life: whether to change jobs or start your own business, whether to get married or divorced, whether to retire. This legislation will affect each and every one of us every day of our lives—and it could be very good. Or it could be very, very bad.

Not only will this legislation affect our personal lives. It will also affect our life as a nation. It will affect our moral character—are we a people who take care of each other? Or are we content to let our neighbors fall through the cracks of a greedy, rapacious wealth care system?

This legislation will have an enormous effect—for good or ill—on our economy, on our health and well-being, on our everyday lives, on national security, on our viability as a nation. In other words,

This is a life-and-death issue, people!

This isn't something that should be left up to the politicians. This is our fight. It has to be our fight. The question about the politicians is, Do they work for us, or do they work for the health insurance industry? They can't answer that question. Politicians are like trees blowing in the wind, and whichever way the wind blows hardest, that's the way they'll bend.

Which leads me to the second reason I'm pushing so hard: $1.4 million per day. According to the an article in the July 9, 2009, Washington Post,
A record-breaking influence campaign [is being waged] by the health-care industry, which is spending more than $1.4 million a day on lobbying in the current fight, according to disclosure records. And even in a city where lobbying is a part of life, the scale of the effort has drawn attention. For example, the Pharmaceutical Research and Manufacturers of America (PhRMA) doubled its spending to nearly $7 million in the first quarter of 2009, followed by Pfizer, with more than $6 million. [emphasis added]
You may have heard how the health care industry is behind health care reform. Yes, indeed, they are "behind" it in more ways than one, according to the New York Times:
The top lobbyists for every major sector of the health care industry publicly insist they are squarely behind the Obama administration’s health care reform. But as the debate gets down to the details, the lines dividing friend from foe are getting blurry.

Each industry group is also working quietly to scuttle or reshape some element of the administration’s proposals that might hurt profits — usually some measure aimed at cost control.
The industry is very much involved in both shaping and undermining health care reform. And believe me, it's not your best interests they have in mind.

The only way to create a force that will counter that kind of gale force wind is for every single one of us to get involved. Nobody is off the hook on this one. In spite of what you may have heard about the public option fading from the debate, it's still very much alive. And it's still the very best way to bring down the skyrocketing costs of health care.

On Saturday, President Obama had this to say about this presumably fading possibility:
Now, I've also said that one of the options in the insurance exchange, one of the options—most of the folks who are going to be offering insurance through the exchange are going to be private insurers—Blue Cross Blue Shield, Aetna, all these. Well, I think one of the options should be a public insurance option. (Applause.) Now let me be clear. Let me be clear. Let me be clear: It would only be an option. Nobody would be forced to choose it. No one with insurance would be affected by it. But what it would do is, it would provide more choice and more competition. (Applause.) It would keep pressure on private insurers to keep their policies affordable, to treat their customers better.

I mean, think about it. It's the same way that public colleges and universities provide additional choice and competition to students. That doesn't inhibit private colleges and universities from thriving out there. The same should be true on the health care front. (Applause.)

Now, Minnesota, I have said that I'm open to different ideas on how to set this up. But I'm not going to back down from the basic principle that if Americans can't find affordable coverage, we're going to provide you a choice. (Applause.) And I will make sure that no government bureaucrat or insurance company bureaucrat gets between you and the coverage that you need. That's a promise I will make. (Applause.)
To me it sounds like Obama is for the public option. Or something else. He wants this, but he's open to other ideas. He doesn't know yet which way the wind is blowing. First he gets blown one way and then the other. The health insurance industry lobbyists are trying to blow the public option right off the table.

That's your American dream they're trying to make disappear. The only thing standing in their way is:

You.

It's not too late. They haven't succeeded yet. But the clock is ticking.

Jane Hamsher at Firedoglake.com presents our best hope for health care reform with a robust public option. Instead of trying to push Blue Dogs or Republican obstructionists, push members of the House of Representatives who are known progressives from solidly progressive districts (i.e., their political fortunes are not at stake) to vote only for a health care reform bill that contains a robust public option. That way, they are essentially aggregating progressive power and preventing the passage of a watered-down bill:
We need at least 40 members of the House to pledge to vote for only a strong public option. By our count, we can rely on at least 17 members to say "No" to triggers, co-ops, and other faux public options.

You can help us find the remaining 23 members of Congress by calling your representative now. Can you help us whip the vote for a strong public option?

Call the House switchboard now at (202) 224-3121 and ask to be connected to your representative in the House. Clicking here will let us know you called.

It comes down to this: will progressives stand up against a health care bill written by insurance industry lobbyists? Or will they follow the lead of Rep. Raul Grijalva, who slammed the insurance industry bill as "not legitimate," and
fight for what the President says we need to keep costs down?

Here's what we need you to say when you reach your representative's office:

  1. State your name, city, and state, and that you're calling because you strongly support only a true public option in health care reform.
  2. Say that you expect your Representative to support nothing less than a strong public option - that means no co-ops, no triggers.
  3. Ask if you can count on your Representative to vote only for a strong public option and vote against any bill that doesn't have a strong public option. Again, that means no co-ops, no triggers.

Can you call your member of Congress now? Dial (202) 224-3121 and ask to be connected to your representative in the House.

When you're done, click here to let us know you called. and then report the office's response.

Thanks for your help in whipping the House to pass the public option.

Best,

Jane Hamsher
Firedoglake.com

Wednesday, September 9, 2009

Now Let's Get It Done!

I am guardedly hopeful. Obama's speech was better than I expected. He said he supports the public option, but he's open to triggers and co-ops. The last part of his speech was really great.

I especially liked his reference to the letter he received from Ted Kennedy:
I received one of those letters a few days ago. It was from our beloved friend and colleague, Ted Kennedy. He had written it back in May, shortly after he was told that his illness was terminal. He asked that it be delivered upon his death....

He expressed confidence that this would be the year that health care reform – "that great unfinished business of our society," he called it – would finally pass. He repeated the truth that health care is decisive for our future prosperity, but he also reminded me that "it concerns more than material things." "What we face," he wrote, "is above all a moral issue; at stake are not just the details of policy, but fundamental principles of social justice and the character of our country." [emphasis added]
It was truly a great speech. Given the opportunity to edit it, I would have tweaked it:
But an additional step we can must take to keep insurance companies honest is by making a not-for-profit public option available in the insurance exchange. Let me be clear – it would only be an option only for those who want it. don't have insurance.

Even so, the president demonstrated more support for a public option than I expected. His stated goals are good.

So now the question is, Can he deliver?

Even more importantly, can we?

I believe that the stance Barack Obama took tonight was altered by our activism and our persistence. In spite of his chastisement of Progressives for imbuing the public option with so much importance, I think his support of it was stronger because of indications Americans demand it. I think we did that.

During the election last year, we were just dipping our toes into this online organizing thingy. But clearly our work on health care reform proves that we're getting better at this. We're learning more, we're teaching each other, we're making more and more important connections. We are aggregating our power. How awesome is that?

Tonight I feel guardedly hopeful, not so much because of Obama's speech but because we are mobilizing for real change. I knew when Obama was elected that the really hard work lay ahead of us, and I was worried about whether we'd have the heart and the wherewithal to do it. Tonight, I'm less worried.

Barbara Boxer reported on Rachel Maddow that after the speech, Obama said to her, "Now let's get it done." That was my favorite thing he said all night. Enough talk. Let's have some action.

If you haven't already, tell each of your representatives to support real health care reform. Tell them you insist on a robust public option.

Write letters to local and national newspapers in support of real health care reform with a robust public option.

Particularly if your representative is a member of the Progressive Caucus, ask her or him to publicly commit to voting against any health care that does not contain a robust public option.

If you have other ideas of how to push for meaningful health care reform, please let me know.

Now let's get it done!

Tuesday, September 8, 2009

Whose Side Are You On, Mr. President?

Yesterday in his speech at the AFL-CIO's annual Labor Day picnic, President Obama gave us a little down payment on Wednesday night's speech:
I want a health insurance system that works as well for the American people as it does for the insurance industry. They should be free to make a profit. But they also have to be fair. Security and stability for folks who have health insurance, help for those that don't, the coverage they need at a price they can afford.
Is it just me, or did the last bit sound like an advertisement for health insurance?

Two statements keep running around in my mind: "I want a health insurance system that works as well for the American people as it does for the insurance industry.... They should be free to make a profit."

Now hold on just a cotton-pickin' minute. President Obama is holding up the concerns of the health insurance industry in one hand and the concerns of the American people in the other like there's some kind of parity there, like the two are somehow comparable. Uh, hello?

Could we focus on what will work well for the people of this country, the people who are losing their homes because they can't pay their medical bills, the people stuck in crappy jobs because they're afraid to lose their health insurance, the people being denied care even when they're insured, the people who are dying because their insurance companies won't cover the care they need?

How can these direst of life-and-death circumstances be mentioned in the same breath as the lust of the health insurance industry to make ever-increasing profits? Are we so beholden to the great capitalist machine that profit-making is always our priority?

The pit in my stomach is telling me that I know the answer to that question, but I just can't accept it.

Can you really look us in the eye, Mr. President, and hold the concerns of the health care industry alongside ours? Really? Have you not heard anything we've been saying? Are you not paying attention? What if it was your daughter whose care was denied by one of these modern-day pirates? How would you like her health and well-being held up alongside the concerns of industry stockholders to make a profit?

What I keep hearing is the politicians' deep concern for the health insurance industry. Enough already! Will you quit worrying about them? Quit acting as though their concerns are every bit as legitimate as ours! I don't care how much money they've sunk into your reelection coffers. You can't serve their needs and ours. Are you theirs? Or are you ours? You can't be both.

I don't understand why our health should be treated like it's just another commodity in America's capitalist soup. We keep hearing about how the bogeyman of socialism will rear its ugly head if the American people transform their "wealth care system" into a system that is designed to actually care for the health of the American people. Does every single aspect of our lives have to involve some corporate behemoth making a filthy profit? How many more of us have to die or have our lives ruined because of oblations poured out on the altar of rampant, unchecked capitalism?

Here's my question for you, Mr. President, members of Congress: Whose side are you on? Really? Because you can't be on the side of the health insurance industry and on the side of the American people at the same time. Our interests are diametrically opposed to theirs. You can't be for both. So which is it?

Wednesday, September 2, 2009

Ninth Inning Fail

White House senior advisor David Axelrod told ABC News today that this is the "9th inning" for the health care reform debate and that "President Obama is getting in the game [uh, about time?] and is 'at the point where he can close this' debate."

Oh really? Axelrod continued:
As to the fate of a government option plan to compete with private insurance, Axelrod suggested the controversial concept is gone but not forgotten: "The spirit that led him to support a public option is still very much at play here and so you know he wants competition. He wants choice.'
Russ Feingold has this to say about this "controversial concept":



The public option is the only way to bring down the skyrocketing costs of American health care. As Feingold says, "Real reform needs a strong public option." So if the public option is dead, so is real health care reform.

But how the hell can it be dead when 77 percent of the American people support it and even 65 percent of Republicans support it (according to an AARP poll)? That's as close as this country will ever come to a consensus. And it's dead????

Nevertheless, indications are that the administration is ready to bail (read: fail) on the public option and thus has declared it "dead" so that no one will pay attention to the fact that they are the ones who are murdering it.

This is change we can believe in only in the most profoundly cynical sense.

There's something much, much worse at work here than our rapacious health care system, and that would be our rapacious political system.

If Obama and the Dems undermine real health care reform, like it sounds like they're going to, then I suggest we encourage progressives like Kucinich and Feingold to organize themselves into a new party, one that is beholden to the people and not corporations.

Because I'm not voting for those damned Republicans any more than I'm voting for those damned Democrats. And I'm not not voting either....

So if the Dems screw this up, it's party time. NEW party time.

Oh, and in case you're wondering, I still won't back down.

Monday, August 10, 2009

We Need a New Bottom Line

Andrew Weil is right: Even if health care reform with a public option sails right through Congress without a hiccup, it won't begin to approach an accurate or useful diagnosis when it comes to the United States and health care. According to Weil,
What's missing, tragically, is a diagnosis of the real, far more fundamental problem, which is that what's even worse than its stratospheric cost is the fact that American health care doesn't fulfill its prime directive -- it does not help people become or stay healthy. It's not a health care system at all; it's a disease management system, and making the current system cheaper and more accessible will just spread the dysfunction more broadly.
I would go further. The problem with the current system is that it is driven not by the need to provide care and promote health but by the need to make a profit. That's not to say that the people who participate in the system hold this value, but the system itself is designed to promote profit for its stakeholders. That some people may be helped in the process is incidental to the drive for an attractive bottom line.

Fundamentally, at the very heart of what troubles us as a nation is that we have placed the drive for profits way ahead of the well-being of ordinary people. The people decrying health care reform are defending not the needs of people but the needs of corporations. Our agriculture and food systems value profits to the exclusion of the well-being of people and the planet.

The corporations that continue devouring each other and the people and communities who get in their way are absurdly wealthy. They are like a gaping black hole that must be fed regardless of the consequences to the nation and the planet.

Look at the term "bottom line": its original meaning was "the essential or salient point," but now it has come to mean "financial considerations." When are we going to learn to make the well-being of people, families, and communities our national bottom line?

Weil ends his blog as follows:
Washington needs to take a step back and re-examine the entire task with an eye toward achieving the most effective solution, not the cheapest and most expeditious.
Actually, way before Washington steps back, we the people must step back and take a long, hard look at ourselves and what we value. Are we willing, at long last, to put people before profits?

All the loony right-wing scare tactics about "death panels" don't compare with the nightmare that is the current system. Do you really want a corporate bottom-line driving whether your child is able to get a life-saving surgery? Why would a profit-driven entity be more trustworthy than the United States government, which at the very least has the potential for accountability and reform.

Are we ready to turn the corner, to turn off the spigot that dumps all of our hopes and dreams into the endlessly greedy profit-driven black hole? Are we ready to make the well-being of our families, our neighbors, our communities, our nation, the world, and the planet our new bottom line, regardless of how our efforts affect corporate profit margins?

Friday, August 7, 2009

Tear Down This Wall

Paul Krugman today: "The driving force behind the town hall mobs is probably the same cultural and racial anxiety that’s behind the 'birther' movement.... Voters who can be swayed by appeals to cultural and racial fear are a declining share of the electorate."

The belligerence of the minority that constitutes the birthers and the town hall mobs is an indication of their desperation. They cannot accept that the country is disassembling--however slowly and tentatively--the wall of quiet, under-the-radar racism and white privilege. Many of them may not even be aware of the underlying racism that is driving their fear. That is the nature of fear. It does not want to be brought out into the light.

These fearful people are not only alarmed to have a black man in the oval office, but they are terrified that he will actually succeed. In their minds, it is much worse to have a successful black president than a weak, ineffectual one, because the death knell of white privilege rings louder and louder with each step of progress Obama's administration makes.

Not surprisingly, the flames of desperation and fear are being happily fanned, yet again, by those who stand to benefit from the death of health care reform, a very, very small minority indeed. Those flames are being fanned with no regard for the likelihood of violent consequences. They know exactly what they're doing, and consequences--and the country--be damned.

The fanners don't care, so long as the corporations in which they hold a stake continue to make over-the-top profits for substandard health care. They don't care that those profits come at a crippling expense not only to millions of individuals and families but to the entire nation. They don't care that they are further entrenching those who hide behind the wall of white privilege and inciting them not only to do all they can to undermine health care reform but also to unleash the violence of their fear.


It's time for the supporters of health care reform--not to mention the supporters of civil liberties, free speech, and human dignity--to raise our voices, not in anger and hatred, but in determination and resolve. We need health care reform. It's long past overdue. And we need to move on from the era of white privilege to an era of multi: multicultural multiracial multiorientation multigenerational progress.


We need not only to contact our representatives and let them know how fervently we support health care reform, but to organize and mobilize and use all the resources available to us to counter the cynical manipulators selfishly inciting racial violence in our midst.

Remember the famous line "Mr. Gorbachev, tear down this wall"? In the United States we have been living with worse than the Berlin Wall for as long as we have been a nation. The wall of white privilege causes all of us to suffer, on both sides of the wall. It's time. It's long past time. Tear it down.