An Opus for Health
On August 9, 2009, Dr. Andrew Weil, the Founder and Director of the Arizona Center for Integrative Medicine, published an article entitled, "The Wrong Diagnosis."Long-time readers of my own articles know that I am not one to write an article that is just another writer's work; while extended quotes from other sources, where allowed, are just fine for spreading good information especially when a useful, integrated compilation is the resulting post making a blog of nothing but aggregated articles strikes me as too parental for my own style. Moreover, given that Dr. Weil published his article at The Huffington Post, I am doubly reticent to use Websites of my publishing company for an extended quote from the author, given my open disdain for Arianna Huffington as a journalist and as a user of other people's talent to asymmetrically enrich herself.
However, what Dr. Weil has to say is far too important to allow myself to pass unrepeated and unpraised. It is a predicate to some of my gravest concerns about health care "reform" as it is now being cast by the Democrats who have crafted the House and Senate versions of responsive legislation.
Suffer me this relatively short, elided passage from Dr. Weil's article, after which I shall close this opening essay about health care reform with harsh words and then an altogether reasonable, if unusable, path to progress.
From Dr. Weil:
I'm worried -- and if I'm worried, you should be, too.
The reason I'm worried is that the wrong diagnosis is being made.
As any doctor can tell you, the most crucial step toward healing is having the right diagnosis. If the disease is precisely identified, a good resolution is far more likely. Conversely, a bad diagnosis usually means a bad outcome, no matter how skilled the physician...
But what's missing [from current reform legislation], 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.
It's impossible to make our drug-intensive, technology-centric, and corrupt system affordable...
[Read the entire article at The Huffington Post]
Most unfortunately, the hysteria-whipped mobs now showing up at town meetings where health care reform legislation is supposed to be discussed have made any reasoned, rational attack on the reform efforts virtually impossible. This same problem faces any critic of Obama's policies and actions in other spheres, too. In my article, "A Paleo-Conservative Message to Republicans," I tore into the current breed of Republican conservatives for what they are doing to constructive debate:
My worst problem now is you Republicans: you swirling gaggle of disgraced, naked clowns still dancing on the stage while adults try to speak; you crowing blast of hot air gusts still trying to fan the flames of hate you once used to scorch the land of tolerance; you craven, culled pack of eviscerated hyenae nipping at heels of people far larger than you can ever again be.
I am maddened to find that opposing certain of President Obama's policies and personnel appointments, opposing the prevailing current in health care reform, opposing the already-established directions that financial services industry reform are taking put me in apparent, superficial league with vicious demagogues and their blind, uninformed masses.
It is like trying to give a lecture on exobiology while surrounded by Star Trek fans in full Federation and Klingon regalia.
It is like trying to explain the catastrophic failure of the Federal Reserve of the past eight to ten years while sharing the stage with Ron Paul's neo-Nazi followers slapping me on the back and saying, "You tell 'em, Boss! The Fed must DIE!"
(And in the interest of full and honest disclosure, that last one is way too close to my actual experience for comfort.)
Nevertheless and may God help me in this trial I shall have my say. I shall expect no increase in my popularity as an analyst: calling the Right-wingers and some conservatives "imbeciles" and calling some Leftists and liberals "air heads" is not the way to make friends and influence people, but if it is of any comfort to those on both sides of the political debate, I will have some kind words for what underlies your rhetoric. Setting aside self-serving, craven politicians and talk-show entertainers who care about nothing other than the power and wealth they garner, the rank-and-file of both the Right and the Left are not really stupid, and they generally, at least in their quieter moments of reflection, speak from their own hearts, even though their own hearts can be used by those who really care about no one but themselves.
I have much to write in opposition to what both sides are doing; and it is not that I am a contrarian that I take such a dim view of what is going on.
In fact, although beside the point right now, I am a contrarian. For example, Nobel Prize-winning economist Paul Krugman says that current Federal Reserve Chairman, Ben Bernanke, should be appointed to a second term. I condemn this: Ben Bernanke is a failure, and Paul Krugman is a self-serving, lousy tool of an economist. Note that I provided a link for each of those harsh statements: read for yourselves that I provide sound reasons for my otherwise seemingly cruel assessments. When I can speak from facts, sound theory, and strong personal experience, I waste little breath speaking of my "feelings"; those come at the end of the day and speak for themselves through the subtext of my expositions and narratives.
At the beginning of this article, I quoted from an article by Dr. Andrew Weil and wrote favorably of what he had to say. Promoting fools, uneducated (and educated) imbeciles, and political opportunists is not my style. When I quote someone, especially at length, I confer an assessment I rarely give even to a President I might to some minimal extent, anyway actually like.
In at least one following article, few will be my opportunities to have good things to say about either side in the current debate about health care reform. An ignorant, hateful opportunist like Sarah Palin is a good place to start in condemning the Right for opposing reform. Any Congressman who thinks forcing uninsured people to buy "public option" health insurance under penalty of law for non-compliance the way Massachusetts does is a good place to start on the Left.
And anyone on either side who thinks shutting down a vigorous conversation with a "my-way-or-the-highway" mentality merits nothing other than scorn, and I will be more than glad to mete it out.
I wish I could offer an olive branch to everyone passionately involved in this acrimonious debate. Those opposed to health care reform are difficult for me to reach at this moment. They have built a fortress of certainty around their sentiments. It will be hard to overcome the sound-deadening ramparts that insulate them from alternatives to the extremes to which they believe they are justified in going; but that is precisely why I shall, instead, offer some words to my more progressive friends, should they be interested in a non-aligned, alternate idea for overcoming not just the barriers stopping reform, but also the despair of trying to talk with people who are not listening.
I need not tell you that this is a difficult and wholly new area of social progress you are seeking in health care reform. The United States of America is not Europe, and it is not Canada; it is not even the United States of the 1930s, when sweeping changes brought the federal government into the lives and business activities of the people more than had occurred since the War between the States.
Yes, our health care system is in desperate need of reform, but its need is part of a much larger, much more complex need for reforms of our antitrust laws, our regulatory structures, our courts, and even our law enforcement model. Underlying and, oddly, beyond all of these, though, is our need for renewal of ourselves and our civil society. As Dr. Weil implied in his article, we cannot cure a disease by addressing symptoms alone. We can, of course, offer comfort while the illness, itself, is being addressed, and that is what health care reform at this time should be about.
The last attempt to reform our system of health care in this country met with complete failure, but this was not, as many progressives believe, because of the conspiracy of business interests and their feckless minions in politics; instead, it failed because it was crafted beyond the view, input, and dialectical process of the people the people who would be its beneficiaries. That early-1990s reform proposal came to the citizenry fully developed, complete and integrated, with virtually no room for deep change based upon the input of real people with honest-to-goodness, real ideas, concerns, fears, and questions.
In a democracy, we the educated the elite, the informed, the knowing simply cannot presume that we know better than those we govern, those we educate, those we pose to lead. As frustrating as it might be, we are no better than they when it comes to either the ballot box or the grocery store. Simply handing the electorate the products of our ideas and saying something to the effect, "Now, ask us how this works," is a prescription for disaster.
The considerable and legitimate fear of a neo-fascist movement in this country is not addressed by labeling it, demanding action against it, and decrying its beliefs. Beneath that extremism is a penetrating, unspoken, sometimes unconscious fear among far too many of our brother and sister citizens that their lives all of our lives are now beyond our control, in the hands of faceless technocrats, academics, shadowy forces, and law enforcement personnel who are without mercy, without control, and beyond redemption.
Ignore the fears of these people as you will, but I can draw straight lines for you across the years and decades from the here and now clear back to 9/11, on back for some of those "Right-wing crazies" to Ruby Ridge and Waco, and on back from there.
Symbolic representations are not just for dreams. We lose control of our children to entertainment media and its unwashed trash, to technological innovations, and to education theoreticians, so why is it surprising that this billows forth as out-sized fear of everything from evolution education to child predators around every corner?
We lose absolute sovereignty in our own homes and in our cars, so why is it surprising that this comes out in skyrocketing sales of personal firearms and cries for more of the very police who will treat us all like we're criminals waiting to get caught?
We lose control of the right to work, to earn a living without being fired for no reason, so why is it surprising that people blame everything from unions to immigrants?
We lose control of our bodies to media-flogged fears of cancer around every corner, diseases of which no one even heard (including doctors) a generation ago, so why is it surprising that a non-existent status quo is far preferable to a situation where bureaucrats take control of the health of people who have no control over it, as it is?
Stop. Think. Most importantly, shut up and listen. Do what President Obama did with Gates and Crowley.
In fact, President Obama, to whom I gave high praise for sitting down with the professor and the policeman, should do the same right now, except that he should let the progressives stay at home. He needs to peel off common citizens protesting against the health care reform effort, bring them to the White House, and talk with them. Get them away from their mean, opportunistic, talking-points cheerleaders, and let them speak for themselves to him; and once an honest dialogue has been fully engaged and exhausted, let Mr. Obama take what he has heard to the Congress with the full intent of making its Senators and Representatives listen, that they may have yet another chance to reform themselves before they seek to reform that which is outside their chambers and their own interests.
I remind you of what Mr. Obama said during his acceptance speech in Chicago, Illinois, on the night of Tuesday, November 4, 2008:
I will listen to you, especially when we disagree.
It is not enough to decry "the mob," the obstinate congressional representatives, the profit-hardened pharmaceutical companies, the intransigent GOP, the hateful grandstanders of the Right, and some ill-defined "capitalist system." Break the back of these destructive forces by taking their very instruments the people who have real, honest, and genuine concerns and bringing them into a truthful, productive, nation-changing dialogue.
If you think that cannot be done, you don't believe in your own President. Worse yet, you don't believe what you have seen and heard in his own words and ways when he is at his very greatest.
"Change you can believe in"?
That begins in your own house.
Comments
Wrote kelley b:
Wrote Dark Wraith:
Good morning, kelley b.
The practice of crafting false dichotomies is quite the ancient art. No less a lion of philosophy than Georg Hegel can shoulder some of the blame in modern times, but so, too, can countless scientists and other thinkers who insisted on black-white distinctions to make argument easier at the theoretical level, which made experimental outcomes — be they scientific, political, or otherwise — interpretable, practical, and usable.
Now, with respect to Krugman, he is of a rare breed in having the ability to turn relatively straight-forward economics principles into strange journeys to the purpose of advancing an economic agenda that has had real and utterly catastrophic consequences. I have read his "open dialogues" with a groveling fellow economist; at first, I thought I was losing my ability to understand the basic relationships among interest rates, foreign trade, currencies, and the like, but I finally realized the man has this complete alternate design that advances his long-standing support of the Chinese systematically — for years, and in the extreme — undervaluing the yuan against the dollar. The consequence has been a wholly artificial, unnecessary loss of countless millions of American jobs and literally trillions of dollars of the U.S. industrial base. Other, equally momentous consequences have also flowed from this unconscionable practice that Krugman not only actively supported, but also went so far as to profit from, in that he has trotted around Asia exhorting other countries to pull the same stunt.
I cannot overstate how destructive his version of globalist policy prescriptions has been for us (and for the rest of the world); but as you note, he is quite like many other Nobel Prize winners in his extraordinary ambitiousness. In Krugman's case, it has been to the perhaps admirable extreme that he has made his own version of macroeconomics as a pedestal from which he can make sure that all the right people look up and admire him (and not notice that his pedestal was built from well-packed bovine by-products).
The Dark Wraith should, of course, have known better than to stand in the crater of well-worn, tried-and-true economics to advance his own position.
Wrote Anna Van Z:
I think the post below speaks to the some of the issues you're describing, and makes a case that the issue should be addressed by separating the issues of universal access and economic costs:
http://www.truthdig.com/report/item/20090811_a_reason_for_all_the_health_care_rage/
And a personal observation: It seems like most of these angry shouters are old white guys who likely already have Medicare anyway - so what do they care if millions of others don't have squat for healthcare?
I absolutely agree that forcing people to buy health insurance is completely unacceptable. As is restrictive coverage guidelines that penalize those with habits others find objectionable. But I'll bet you a paycheck that some variant of both of those will be coming down the pike as part of any "reform" package...
Wrote trog69:
Hahahahahah, I"m dyin' here. Breaded psilocybin! Sure it tastes like shit. hahahahahahaha. Then you forget to eat the burger. hehehe.
Wrote Anna Van Z:
And after an hour or so you forget you have a tongue...
Wrote Moody Blue:
Robert Parry: The Truth Will Not Out, on Its Own
The right-wing fury at town hall meetings over health care and the Republican obstruction of any serious reform in Washington are not just symptoms of a complex debate on an issue packed with powerful special interests; it is a test of whether reality matters in the United States. [snip]
The overriding question has become whether the United States – as a representative democracy – is on the verge of losing its sanity. [snip]
Truth is a battle, much as democracy is. Bringing truth to light requires resources and infrastructure, as well as personal honesty and courage. That is especially true when the other side in the battle has opted for a strategy of falsehoods and exaggerations – and has assembled both powerful artillery and well-trained mercenaries to carry out what it calls “information warfare.” [snip]
The right-wing attack line derived from a well-meaning proposal initially advocated by Sen. Johnny Isakson, a Republican from Georgia who wanted to make sure that doctors would be reimbursed if the elderly or members of their families sought counseling about end-of-life issues. Isakson’s idea ended up in the House version of health-care reform.
This provision then was twisted by medical-industry defenders into some sinister government plot to impose euthanasia and the lie quickly spread via the right-wing media. [snip]
While this insane notion of government “death panels” continues to spread, there is far less attention to the current reality that countless thousands of Americans are facing premature death because the for-profit health insurance industry won’t give sick people coverage, either by citing “pre-existing conditions” or pricing the infirmed out of the insurance market. [snip]
Yet, what is becoming apparent about the health-care debate – just like the run-up to war with Iraq – is that reality has been devalued if not discarded by one side of the battle in favor of propaganda and fear-mongering.
Don't. Want. More.
Wrote trog69:
...is on the verge of losing its sanity.
Tell it, Brother Parry! To see what is happening to a very large part of our citizenry, and call it what it is; insanity. Unhinged indeed, and, to my mind's eye, not a form of temporary insanity; no, the herd is loving their new-found power to really get the socialist, communist, fascist, murdering appeasers to STFU! Since they are relatively functional maniacs, I don't see them changing course, and actually presenting anything at all that could be considered an alternative reform package, or at least I haven't seen any indications that there are plans, other than shouting and making up/twisting facts. Seems they only have the one tool for rebuilding the Republican image.
ONE TOOL TO BIND THEM ALL
AND IN THE DARKNESS bash their heads in.
Wrote Moody Blue:
Insanity, hypocrisy, or bald-faced lies?
GOP officials John Boehner, Thaddeus McCotter, Johnny Isakson, and Chuck Grassley all voted in 2003 for a measure very similar to the one in the current House health care bill they now suggest in various ways could lead to government-encouraged euthanasia.
As Time’s Amy Sullivan reported late last night, Grassley voted for the 2003 Medicare prescription drug billl, which — ready? — provided coverage for “counseling the beneficiary with respect to end-of-life issues and care options, and advising the beneficiary regarding advanced care planning.”
The only difference between the 2003 bill and the House Dem one that’s inspired the “euthanasia” talk, Sullivan reports, is that the earlier one “applied only to terminally ill patients.”
Let’s go back and check the roll call on that 2003 vote to see who else voted for it. Turns out Boehner, McCotter and Isakson all did, too.
...Or all of the above?
Wrote trog69:
Moody Blue, of course they're lying. What I see as insane is the complete willingness of the right to use lies and innuendos as their battle cries.
My assertion of insanity is aimed at the citizens. Boehner, Grassley, etc. are treasonous fucks who should be brought up on charges-specifically incitement to riot. The jury is still out on Sarah Palin; is she dumb enough to believe half of what she's spewing, and too ambitious and ( for her ) calculating to want to investigate the charges?
Wrote Peter of Lone Tree:
Advertisers deserting Fox News' Glenn Beck:
NEW YORK (MarketWatch) -- In what is shaping up to be one of the more effective boycott campaigns in years, advertisers are abandoning the "Glenn Beck" show on Fox News following the host's incendiary comments that President Barack Obama is a "racist" and has a "deep-seated hatred for white people."
Wrote kelley b:
Insanity it truely is, trog.
Despite all the well meaning hand-wringing of the progressive about how poorly informed these people are, the simple facts are they often choose to be this way.
We all have acquaintances and relatives who have quite as much opportunity to learn the facts with exposure to the world as we do. In fact, many people pointedly ignore the world around them. When large numbers of people have radically different world views, and big money can be made from the conflict, it's a recipe for some very nasty weather indeed.
Wrote trog69:
When large numbers of people have radically different world views,and big money can be made from the conflict, it's a recipe for some very nasty weather indeed.
I see it as someone's hair, and how it's parted. In our instance, the part is definitely not down the middle. As you say, not only are the left and right becoming polar opposites, but you have the moneyed interests sitting almost entirely on only one side pushing their own interests and the citizenry on the capitalist side more than willing to believe the crap being spewed, seemingly because they want it to be true; They want to believe that the left is willing to spend every penny on the poor until everyone is poor, that liberals are willing to allow Islamic/Sharia law to be integrated into American society in the name of multiculturalism. Large corporate funded-conservative think tanks have been pushing these lies and half-truths for so long now that they're imbedded in the mindset of the right.
I have to give them some credit though; They're much better at corraling all of the left into one large group, than the left ever could. hehehe. Herding cats, indeed.
Wrote trog69:
As I wrote my comment above, I kept wondering what to say about the left, as I can be objective enough to at least entertain the notion that we are not perfect. One thing I have seen is a lack of honesty when it comes to how we will pay for all 300 million citizens to be covered by health insurance. It's not rampant, by any means, but showing video footage of Sicko where the British/Canadian patients were asked "How much did you pay for your treatment?" and the response, "Nothing." somehow is magically supposed to be the answer is, to me, fodder for the anti-reformers. Of course, were we to examine the average tax bill of a Canadian citizen, I'd bet we'd see how the funding for their health care is situated. I want to see some comparison data between what insurance is costing us now, vs how our tax bills will be altered should we adopt a single-payer system, and the fact that our taxes would have to change in order to fund this seems to me would be a fundamental item of discussion.
Is it because we're having such a hard time just bringing the subject of Universal health coverage up, that we can't bring up funding strategies yet? It would seem so, from what I read yesterday. It seems that when a health care forum by Obama was formed, those pushing for single-payer were not only marginalized, they had to fight tooth and nail just to get 2 representatives to the table...out of 102. The UH supporters were originally rejected. Un-fucking-real.
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It is my experience that any issue with clear sides as presented by the media is misrepresented.
Global warming, health care, the economy, you name it. The actions the movers want their minions to take profit the movers first and foremost. It's called riding the wave.
Re Krugman: I have known a few Nobel Laureates professionally. I have yet to meet one that wasn't extremely aggressively ambitious. Even when they're right their opinions are shaped to advance their own perceptions of their interests.