Add this Page to Facebook!   Submit to Twitter   Submit to Reddit   Submit to Stumble Upon   Pin It!   Fark It!   Tell A Friend  
Printer Friendly Page Save As Favorite Save As Favorite View Article Stats
14 comments

OpEdNews Op Eds

On the Eve of Obamacare: Too Smart to Really Fix Our Health Care System, So We Count the Dead

By (about the author)     Permalink       (Page 1 of 1 pages)
Related Topic(s): ; , Add Tags Add to My Group(s)

Valuable 6   Well Said 5   Must Read 4  
View Ratings | Rate It

Headlined to H2 9/30/13
Become a Fan
  (11 fans)

opednews.com

Way too many times I've landed myself in rooms with lots of intellectuals who know everything there is to know about single-payer, improved and expanded Medicare for all for life and who are determined to share every bit of that knowledge over and over again. The audiences are often pretty much the same single-payer activists and advocates sprinkled with a new person or two. Often these audiences are predominantly white, older, and not hurting for money. Again, there are sprinklings of others, but rarely do single-payer community forums, educational presentations or public events attract many of the people for whom single-payer reforms would do the most good. 

 

After a rally with more than 1,000 people at the Capitol, Vermont in 2011 became the first state in the country to pass single payer health care legislation. (Photo: Vermont Workers' Center)

For many people, learning more about health care reform sounds like just about as much fun as getting teeth pulled. For others, they've stopped trusting that anyone is really telling the truth about health care reform. And for an even larger number of people, life's daily pressures -- including working to hang on to health benefits and pay household bills -- is the absolute priority. Dabbling in any political advocacy is something left to students and other young people, the wealthy who don't have to worry about earning a living at a regular job, and retired people with time to spend volunteering and life-longexperience with the dysfunctional health care system. Then there are also the substantial number of progressive intellectuals who populate the movement for single-payer and other movements where they can wield their mighty minds for all to see.

Ever listen to the late William F. Buckley, Jr., speak for long periods of time? The drone of his uber-intellectualism was certainly filled with facts we might all have needed to know, but I often feel a similar pallor wash over my brain when the uber-smart of single-payerdom begin their soliloquies.

I am often no match for their brain power or even for the fierce passion intellectuals can show for promoting their positions. But sadly what I also see is way too many of these very intelligent people showing that they are more determined to be the smartest person arguing for single-payer than they are to win the issue. It looks like many people need the personal win more than they need the real policy progress. Have you ever seen someone sell a product or service and then be unable to shut up and close the deal? I think we've all seen that happen in various settings in life. And many progressives want to over-prove their positions. Intellectualizing those issues has its time and place but can also turn off large numbers of people who might otherwise be allies.

So, how do we turn the movement for single-payer into one that truly reflects and promotes the needs of the widest number of people? We might start by really engaging as leaders of our movement the people most injured by the market-based, profit-driven, dysfunctional system. That was happening a bit as patients and caregivers were used as props during the debates about the Affordable Care Act/Obamacare. But being used as a prop for a politician's or group's policy agenda isn't the optimal way to engage the health care system refugees. Far better to allow us to tell our stories, recover our dignity and begin to lead the movement forward with the kind of wisdom that comes from authenticity and clarity of purpose. Many of us are plenty smart, by the way.

In Colorado alone, after Obamacare's exchange is up and running, as estimated 400,000 people will remain uninsured and hundreds of thousands more will be under-insured. These people will not be from among the poorest of the poor or the wealthy classes. It will be more working class people who continue to suffer for appropriate health care. Access to health insurance is not the same as access to health care. Large deductible, co-pays and out of pocket expenses will make many people unable to use the health coverage they must purchase to be compliant with the law. I know that's the case for me right now. $875/month for my Aetna coverage, and I cannot go get the care I need as a cancer patient. Talk about a broken system.

We need the facts and all the data. We need the people who have built this movement and kept it alive for decades. But what we really must find is the courage to bust out of the "way-we-have-always-done-things" mentality to include those people whose presentations may not be as polished or professional but who can teach us all with their honest accounting of the realities for working class people as spoken, recorded and documented by working class people. The intellectual class needs to stop looking down its nose at the working class and stop speaking for us. Our voices are as valuable as anyone's. But our voices won't be heard if silenced by those in the single-payer movement who want to see themselves as the more capable saviors just because they have the societal, financial, and intellectual standing to do so. Many working class people might rather suffer the cruelties of the greedy system we already understand than be crushed by hypocrites who pretend they give a damn.

Reprinted from commondreams.org

 

Donna Smith appeared in Michael Moore's 2007 film, "SiCKO," and spent five years working for National Nurses United/California Nurses Association in Chicago and Washington, D.C., as their single-payer political organizer/educator.  She is now the executive director of Health Care for All Colorado and lives in Denver with her husband of 38 years, Larry


Add this Page to Facebook!   Submit to Twitter   Submit to Reddit   Submit to Stumble Upon   Pin It!   Fark It!   Tell A Friend
The views expressed in this article are the sole responsibility of the author and do not necessarily reflect those of this website or its editors.

Writers Guidelines

Contact Author Contact Editor View Authors' Articles

Most Popular Articles by this Author:     (View All Most Popular Articles by this Author)

Sick Inside Our Broken Health System with that Old Familiar Terror in My Gut

Weaponized Profits: The US Health Care System

Who Knew There Was So Much Poverty? The Poor, That's Who

'Let 'Em Eat Peas': An Elitist Mantra for Our Age

Super Bowl Commercial for the Dead Patients

On the Eve of Obamacare: Too Smart to Really Fix Our Health Care System, So We Count the Dead

Comments

The time limit for entering new comments on this article has expired.

This limit can be removed. Our paid membership program is designed to give you many benefits, such as removing this time limit. To learn more, please click here.

Comments: Expand   Shrink   Hide  
11 people are discussing this page, with 14 comments
To view all comments:
Expand Comments
(Or you can set your preferences to show all comments, always)

".. Health care is one of the very few things for... by Lance Brofman on Monday, Sep 30, 2013 at 12:02:37 PM
Unfortunately, the masses are purposely uninformed... by Mark Adams JD/MBA on Tuesday, Oct 1, 2013 at 10:22:00 AM
So, do you advocate the Japanese system?... by BFalcon on Tuesday, Oct 1, 2013 at 12:22:22 PM
...can you put this article on opednews so that we... by Jill Herendeen on Tuesday, Oct 1, 2013 at 2:16:19 PM
An expanded Medicare system that would encompass o... by Howard Schneider on Monday, Sep 30, 2013 at 2:24:14 PM
Do you understand that Medicare is a not for profi... by BFalcon on Tuesday, Oct 1, 2013 at 12:23:24 PM
When Obama was elected in 2008, a majority of Amer... by Jerry Engelbach on Monday, Sep 30, 2013 at 3:26:58 PM
I'm really not sure who this is directed at, but i... by PCM on Monday, Sep 30, 2013 at 4:56:04 PM
IF it was widely reported that "Obamacare" is as R... by John Jonik on Monday, Sep 30, 2013 at 7:25:36 PM
 "Obamacare" is hugely about Insurance Indust... by John Jonik on Monday, Sep 30, 2013 at 9:25:36 PM
... by 911TRUTH on Tuesday, Oct 1, 2013 at 1:04:53 AM
While we're at it, pass another law making members... by Maxwell on Tuesday, Oct 1, 2013 at 10:28:47 AM
I don't think over-intellectualizing is the bigges... by Maxwell on Tuesday, Oct 1, 2013 at 10:24:54 AM
When people are dying, at least some other people ... by Richard Pietrasz on Tuesday, Oct 1, 2013 at 2:44:15 PM