Democratic Socialism and the American Dream by Christina Knowles

Bernie-Sanders-Defines-Democratic-Socialism-not-a-dirty-word-2016-presidential-campaign-election--e1441232881750-620x442NOTE: This blog was originally posted December 5, 2014, but I decided to repost it after seeing various attacks on Democratic Socialism after the Democratic debate with Bernie Sanders. In the days following the debate, I’ve seen Democratic Socialism ignorantly compared to Nazi Fascism over and over. Also, please note that the abolition of Capitalism is not the goal of Bernie Sanders or of many supporters in America, but just to decrease the power of the corporate elite while empowering and creating a safety net for the poor and middle class, which will strengthen our nation as a whole, as well as being the moral thing to do.

Lately I have been so discouraged by the sentiments expressed by people around me regarding those in need. I consider myself a liberal, but I find myself feeling more like a moderate in some ways when I hear the views of those around me. It seems most people I am around are either much more liberal in their views of the causes and plight of the poor or much more conservative and cynical in their views than I am. It occurs to me that that is the fundamental difference between conservatives and liberals—conservatives are too cynical and liberals are too idealistic. I think I’d rather be idealistic.

Often at work, surrounded by conservatives, I hear the poor discussed with such contempt. They say those who utilize social programs, who depend on government programs, are lazy and expect others to take care of them without lifting a finger to help themselves. This infuriates me. Do they realize how easy it is to lose everything and become homeless? How some people don’t have a support system in place if trouble arises through no fault of their own?

But then I went to a community discussion group comprised mostly of liberals and heard the opposite extreme, that it is never their fault, that no one chooses to live off of welfare, that everyone would rather work and take care of themselves. They have no responsibility for the hand life has dealt them. And I find myself annoyed with this thinking as well.

I think that it is often through no fault of their own that people fall on hard times and cannot pull themselves up and out without help, but I also think there are people who take no ownership of their problems and who would rather not work, but collect a check instead of working hard for inadequate wages they cannot live on anyway.

It seems to me that to really put a dent in the problem of poverty and homelessness in America, we have to decide what kind of people we want to be, reevaluate our values. This was once a country that promoted the idea that regardless of the circumstances of one’s birth, everyone had the same opportunities to succeed and raise his station in life. It has always been a myth that we have the “same” opportunity, but at least there was an opportunity. The truth is that every year, it becomes harder and harder to move up to a higher income class if not impossible. But forget moving up. We are struggling to stay in the one we are in. Every year we lose citizens from the middle class to the poor. We aren’t raising our stations; we are lowering them. Most of us are one catastrophe or illness away from poverty.

Look, I work hard to earn a living when I would rather stay at home and write poetry, so I know what it feels like to resent seeing someone standing on the corner collecting money for nothing. I know what it feels like to not be able to afford to go the doctor because I didn’t have enough in my account for the co-pay, but I made too much money to qualify for any assistance. For years I gave an extra few dollars on my utility bill to contribute to their Low-income Energy Assistance Program (LEAP), but one month, when I was a single mom and couldn’t afford to pay my utility bill, they refused to help because I made too much money. I don’t begrudge help to those who are truly in need at all, but we need to do more to stop the middle class from sliding into that position. Sometimes it is easier to give up and be indigent and qualify for aid, rather than struggle as the working poor with no help.

When we get past the idea that poverty could never happen to us, then we may be more willing to support social programs to help others. When did we become so selfish? We won’t even help others unless we believe that we may need help someday. Of course, that is a gross generalization, but why such disdain for the poor among conservatives? I think it is a mixture of cynicism and a love for rugged individualism.

I also get really tired of hearing that liberals just want someone to take care of them. Well, I’m a liberal who hasn’t been out of work in thirty years. I am the hardest working person I know, putting in hours and hours of overtime every week with no compensation. That’s right, I’m a teacher, and I have never in my entire life expected something for nothing. In fact, I can’t stand the idea of someone else supporting me. I want my independence, and I like knowing I can pay my own way. But I also realize that life happens. I am not immune to the misfortunes of this world. I could get sick, unable to work. I could get laid off and be unable to find another job. I could lose my house and be out on the streets. I could get in a position where I couldn’t take a shower or get a clean set of clothes to even look for a job. When you’re homeless, what do you even put down for an address or a phone number on your application?

If you don’t have a support system in place, like family and friends who could give you a place to stay until you get on your feet, what would you do? I can hear the conservatives now. “There are shelters, resources, places to help them out.” Every time I hear this, Ebenezer Scrooge’s voice comes to me, “Are there no prisons? Are there no workhouses?” Sure there is help, but do you know what it would take for a homeless person to take advantage of them? We have no decent transit system, and all these services are separate and far apart. How would you even find out about them? Pull out your iPad and Wi-Fi? I hear the response, “They could do it if they wanted to. They have to help themselves.” I kind of agree with this, but on the other hand, if you’ve been beat down by the system and life in general, will you even have the wherewithal to take on such a task? It would seem overwhelming.

Sure, I think, if it was me, I would pull myself out of it, but no one really knows how bad it is, and how we would react until put into that position.

So it seems to me that conservatives are overly harsh and cynical about the poor, and liberals are overly magnanimous and idealistic about them. What if there is an in-between? What if we expect them to help themselves, but we provide the jumpstart for them to do it? What if we made it more profitable to work even an unskilled, dead-end job than to collect welfare? But conservatives don’t even want to raise the minimum wage. They’re asking for people to go on welfare.

I am a Democratic Socialist, so most people think that means that I want everyone to have a free handout, take what you earned and give it to someone else. That couldn’t be further from the truth. In Socialism there are no free rides, no sitting back, doing nothing and collecting a check. Everyone works or they don’t get to participate in the system.

Here’s a scenario: I lose my job as a bookkeeper because I am no good at math. I don’t want to get kicked out of my house, and I like to eat, so I look for a job. The only experience I have is as a bookkeeper, but all my references say I’m not suited to this kind of work. No matter where I apply, no one will give me a job. I apply for government assistance. I qualify and am given a work assignment in a clothing factory that provides clothing to prisoners and orphans. I discover that I am good at sewing. I do a good job and my boss is happy, but I only make the government assistance minimum wage. I can live on it, but I’d rather make my old income and in a nicer environment, but at this kind of job that I like and am good at. My boss gives me an excellent reference, and I am hired by a trendy art-nouveau-type clothing manufacturer at the same pay I made as a bookkeeper. Why the same exact money? Because the hours of one human being’s life is equal to another’s. We want to believe that our pay is based on how hard we work, but do you really believe that? No, it is the profitable value we place on the service you provide. It has nothing to do with how hard you work. If it did, teachers would be the best paid people on the planet and corporate executives would make much less than cooks.

I hear the conservative voices in my head once again saying, “But what would be their incentive to work if not to make more money?” The incentive would be 1) to keep a roof over your head because you could still get fired if you don’t do your job well, and if you like your job, you want to keep it rather than exchanging it for something you may not, and 2) you would choose your job according to your natural talents or passions rather than how much it paid—this is the best reason to do it. If people get to work all day at what they love, they tend to put their heart and soul into it. Would you rather have a surgeon who had a passion for science and medicine and wanted to help people, or one who just wanted money and social position?

Oh, and you wanted to know who was just lazy and who really needed help? Well, here’s your solution. If they refuse to take the work assignment, they don’t get any assistance. In true Socialism, the community matters, not just the individual. The individual does well if the community does well, so there are no freeloaders. Now if someone is developmentally or physically disabled, they are given a job that they are able to do. The only people who would be exempt from a work assignment but could still get assistance would be the severely physically or mentally ill.

Socialists don’t want to take what’s yours. They want everyone to do their part, and care for each other when they need it. We want people to be valued as human beings instead of a bank account or earning potential. We think a street sweeper should have just as much respect as the executive of a bank or a doctor, and his life and his time are just as valuable and shouldn’t have a monetary value placed on them. If a person works 40 hours per week, then he should be able to live as comfortably as anyone else who works 40 hours a week. But I think Americans work too much anyway. Thirty to thirty-five hours would be healthier and more productive.

And education should be free, so those who are apt to achieve academic success can do so without being drowned in debt for the rest of their lives. They can give back to the community by serving as doctors, scientists, and teachers because they love it, not for money but for passion. Socialism isn’t about everyone being the same and not standing out, just equally valued. Free education would truly level the playing field so that regardless of the circumstances of your birth, you would have the same chance to follow your dreams as anyone else. Only your motivations and natural abilities, or lack thereof, would affect your achievement.

Sure, no one would be rich and no one would be poor. Money never made anyone happy. In excess, it is only used to control and oppress others anyway. But this would never happen in America anyway. Democratic Socialists don’t advocate for forced, all-or-nothing change. We can balance things without completely ridding the world of Capitalism. We can support workers, small businesses, and create a safety net that is good for everyone and still be the land of the free, still celebrate entrepreneurship and personal innovation.

The conservative voice in my head asks, “But isn’t that Totalitarianism? Weren’t the Nazis Socialists?” No, actually they were Fascists and just called themselves Socialists. At most they were a distorted dictatorial socialism. It’s true that in Socialism, the government plays a large role and has to regulate many things, taxes would be higher, and the money collected would pay for many of things we need but cannot now afford like complete and continuous health care coverage, education, and public recreation and transit. But in Democratic Socialism, the people are the government. We would need a true democracy to pull it off—none of this republic rubbish, where those we elect do not represent us at all. We would decide how to spend our money. The popular vote would suffice for most things, but before the conservative voice tells me that the 49% can be enslaved by the 51%, understand that constitutional protections of civil liberties would make that impossible. Civil liberties should never be up for popular vote. Side note: Democratic Socialism is more in line with the teachings of Christ than Capitalism, but Christ is not accused of being a Nazi.

But even if Democratic Socialism isn’t your thing, let’s at least admit that Capitalism breeds greed and encourages contempt for the poor. I believe Capitalism causes poverty, at least our crony capitalistic plutocracy does. It doesn’t create jobs; it creates indentured servants and gradually worsens their conditions, hoping they won’t notice, and finally sends their jobs overseas to those who cannot afford to refuse them. We are undoing everything that the labor movement fought to improve for some fantasy ideal popularized by Ronald Reagan and his “trickle down theory.” I think after waiting thirty-plus years for it to work, we can try something else now. In fact, Reaganomics pretty much caused the banking crisis and the bailout of the banking system by deregulating them in the eighties as well as increasing the deficit by practically eliminating the corporate tax burden. Yet, he is lauded by conservatives as a great president because he could deliver a patriotic speech with sincerity. And I do believe he was sincere, but that doesn’t mean we have to continue his failed policies forever.

In 1931 James Truslow Adams coined the term The American Dream when he wrote “The American Dream is that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement. It is a difficult dream for the European upper classes to interpret adequately, and too many of us ourselves have grown weary and mistrustful of it. It is not a dream of motor cars and high wages merely, but a dream of social order in which each man and each woman shall be able to attain to the fullest stature of which they are innately capable, and be recognized by others for what they are, regardless of the fortuitous circumstances of birth or position.” This original version wasn’t bad, but it has evolved into much worse. When I ask my students to tell me what the American Dream is, they usually respond with “To get rich,” or the more realistic ones say, “To have a house, a good job, and provide comfortably for a family.”

But we have moved past the image of a middle class home with a white picket fence, two cars in the garage, two children, a pet, and a retirement account. Today in the light of a struggling economy and tough job market, the dream may look more like affording a decent apartment. having health insurance, and worrying about the future later.

Although Adams coined the phrase, the ideals behind the expectation of life for Americans have been around since the Declaration of Independence was signed, or maybe even since the Mayflower landed in Plymouth Rock. All those who come to America have certain expectations and dreams. Those born in America seem to have expectations, but they are more unconscious, and therefore, even harder to attain.

It’s time we redefined the dream and our values along with it. We need a definition of the American Dream that we can be proud of, one that embodies valuing people instead of profit margins and defines happiness and contentment as success rather than fat bank accounts. How would you define the American Dream for modern times? I have an idea for how I’d like to define it:

1) A land where every person, regardless of race, country of origin, gender, religious belief or lack of it, regardless of sexual orientation, and regardless of political or philosophical view 2) would have the same opportunities available to them should they choose to grasp them. 3) They would only be inhibited by their own natural skills and abilities and by their own inclinations and motivations, 4) and their social class at birth would have no bearing on their chances of success 5) to pursue happiness in any way they saw fit that 6) did not infringe upon the rights of others to do the same and did not endanger society or the people therein. 7) A land wherein such people would have guaranteed civil liberties under a constitution of their own design, 8) and all other issues arising, not considered civil liberties, would be subject to a popular vote.

This is how I see the American Experiment. This seems like what America should care about, and it’s very similar to the ideals of our founding fathers whom my conservative friends are so apt to quote. Isn’t this the heart of their intentions? Certainly not the worship of money and the subjugation of the poor. If they were here to see their precious experiment in self-governing torn asunder by corporate lobbyists and super PACS, they would probably redefine it too.

And to my conservative friends, stop acting like you are against big government involving themselves in our lives when you support controlling a woman’s body, forcing religious views on the non-religious, supporting corporate greed over workers, denying science in favor of enabling the fossil fuel industry, and entering every conflict around the world. Your definition of government seems to be of the corporation, for the corporation, by the corporation while Democratic Socialism encompasses the true intentions of our forefathers by embodying the ideals of the people, not corporations, as the government.—Christina Knowles

Originally published in 2015

Student Loan Nightmares by Christina Knowles

college-loan-debt-roommateAs the next presidential election nears, everyone is talking about college, taxes, the price of tuition, and how those struggling to enter or maintain their positions in the middle class are going to pay for an education. Some are rather harsh in their criticism of those who may not have the gumption to pull themselves up by their bootstraps, something one might note that is quite impossible. Others note that one must hang on to something to leverage his pull up, but that it does require effort. Still others suggest an elevator be made available to everyone hoping to rise.

Traditionally, federal student loans, I think, have been put in that middle category—an aide to the motivated and responsible individual, a way to invest in one’s future with a concrete reward at the end, which enables the individual to pay back that debt after becoming a productive and valuable member of our economic system. Everyone wins, right?

Well, my student loan nightmare really began in grad school. I scraped my way through undergrad courses with no help from my family and through no fault of their own. My father was a WWII disabled veteran, who was denied benefits, and I knew I couldn’t even ask for help paying for college. I finished two associate’s degrees by working my way through and paying as I went, in addition to a couple of very small loans. I paid those back immediately and took another small one to transfer to a university. After twenty-four credit hours, and with a 3.9 GPA, I finished my bachelor’s on an academic scholarship. Like many who do not fully understand that student loans are not really meant to help, but are a means of profit for the lender, I deferred them and took another to start my master’s because everyone knows to make a living as a teacher, you must have at least some grad school.

When I finished my Master of Arts in Creative Writing, I was already teaching, but I took another loan to get my teaching certificate to work in the public school system, taking all my education classes for graduate credit, while simultaneously beginning course work on a Ph.D. in order to teach on the college level. By the time I got my teaching program finished, I was a single mother on a teacher’s income. When I took my loans, I was married and fully expected I would have no trouble paying them back. But as life routinely shows us, things don’t always turn out as we expect. It was time to face my student loan nightmare.

I get it. I took the loans; it’s my responsibility to pay them back. I am not a deadbeat, a freeloader. I am someone the system was meant to help. I am an intelligent and motivated person who came from the wrong side of the tracks, grew up in bad neighborhoods, had no hope of going to college. Now I am a highly educated and productive member of the middle class who has not been unemployed in the past thirty years. Still, I do admit, however, that I think that college should be free for all academically inclined citizens because it levels the playing field, provides opportunity for all, helps to eliminate the caste system we say we abhor, educates our citizens so that they can participate in the political process, allows us to compete with the world in science and innovation, and increases the ideals of freedom and democracy. An educated people raises the overall health of the economy as well. We need our citizens to be educated—not just for their sakes, but for our country’s health. Nevertheless, I took my student loans with the intention of paying them back, which I am now doing. I just had no idea that it would have been better to put my college education on a credit card than going through our federal programs. Of course, I wouldn’t have been able to get any other type of loan because we save all the good deals (low interest rates) for the people who don’t need them. But mainly, our generation was fibbed to, if not exactly lied to. We were told that student loans were great. They existed to help. They were low interest, were easily deferred if you ever had a financial hardship, you did not have to worry about paying them back until you could afford it. To the naïve poor girl with big academic dreams, it sounded too good to be true. It was.

Dealing with the government loan system has become quite similar to owing the mob money. Here is one brief example that is typical of my experience with them.

A couple of years ago, the company who owns my direct government loans (yes, they sold them to a for-profit company), suddenly, inexplicably changed my name, address, phone number—everything— back to my previous information from twelve years ago, and sent all correspondence to my ex-husband, including some important information regarding paperwork that had to be completed by a certain date. I never got it. As a result, they deducted $1500 from my checking account instead of $300. When I called to complain, they realized their error, and put it back after about a week of having an empty account. I had asked them to refund the $1200 and keep my regular payment that was deducted each month. They put it all back instead, and then sent me a notice that I missed a payment, so they capitalized my interest, added $20,000 to my loan, raised my payment and my interest rate, and said, “Suck it.” I’m paraphrasing, of course, but that was their attitude.

This was not an isolated incident either. Due to paperwork errors that had nothing to do with me, my interest and payment has been raised periodically. Then, about two weeks ago, I went on my loan site to check it (because now I check it all the time with great fear and dread in the pit of my stomach), and I noticed that all my information was once again back to my ex-husband’s information, even though I am remarried and have lived at my current address for eight years. In a state of panic, I began the process of phone calls, emails, and faxing information, wondering how many thousands of dollars would be added to my loan this time.

Long story, short (too late, right?), I borrowed about $55,000 for one degree $40,000 for another, and after paying over $15,000 back, I magically now owe $152,000. At least as of yesterday. Last week I owed $151,000, and I have no idea how it went up a thousand dollars in a week. I’ve never missed a payment or submitted one late. In fact, it’s on automatic deduction. When pressed for explanations, the loan personnel go into impossible-to-understand details about capitalization (Did I mention I was an English major?) and the fine print on my thirty-two-page loan documents. My payments are now about $800 a month, but I never even touch the principle. I hope to utilize the ten-year forgiveness plan for public servants, but hope is really too strong a word for this cluster—k. In truth, I have little hope of this “loan forgiveness” ever being realized because the loan company will, no doubt, continue to sabotage my efforts. They have even lied to me about special teacher programs when I asked to apply for them.

For some naïve reason, I thought that government loan programs were there to provide opportunities to those who would not be able to go to college any other way. I idealistically thought that, as Americans, we wanted an educated society, if not for the altruistic reasons we claim, then at least to raise the general level of the economy in order to compete with other countries in the world, and finally, because having the majority of its citizens educated is the best way to ensure freedom and democracy for a country. Clearly, I was wrong. We want to offer education to our citizens as a carrot to wave before them, teasing them with a better life than that with which they were born, only to yoke them in an indentured servitude from which they may never be free.

As politicians speak of free college and more and more high schools are offering free classes for college credit, what will we do about the scores of us who have already gone to college, and will never be able to retire because long after our homes are paid for, if we can even afford a home, our student loans will still linger on? My mortgage is much less scary than my student loans because I don’t have to renegotiate it every year, they don’t constantly raise the payment, and I can sell my house if I can’t handle it. I can’t give back my education. Look, I’m not a deadbeat. I want to pay back my $95,000, but I am a public servant. I teach other people’s children, I work long hours, I work after work—unpaid, I go years without a raise, and I make much less than those with the same education in other careers. In the midst of all this reform, may I simply suggest that the exorbitant interest be removed from the loans of those of us who did not have these opportunities available to us? At least remove that $20,000 added for a mistake that was not even mine. Or do something about that unexplained $1000 increase in just one week.

I have a full-time job as a public high school teacher, I also teach part-time at a college, and I get paid a little for my writing, but my student loan is always there, hovering as some dark force over me, and it’s the single most stressful thing in my life. The harder I work, the more my payment goes up. If I had a home loan for $95,000, I would have a fixed rate I could afford. It would have an end date. I would be paying part of the principle every month. I am not a deadbeat just because I want—no, I need— retroactive student loan reform, and these payment plans of 10% of income don’t work for two reasons: they continue to snowball interest out of control, and they discourage people from getting ahead and making more money. Someday I can hope to pay $1000 a month to my student loans, all the while the principle goes up with no end in sight.

If our government can bail out corporations and corrupt banks, they can forgive the interest on previous student loans, which in my opinion, is nothing more than illegal usury with the government as kingpin and the private loan companies as mob captains and leg-breakers. At the very least, it is government sanctioned indentured servitude. This is the 21st century; let’s catch up with this rest of the free world, and stop pretending our failed systems are part of a healthy free market society, or if we truly care about the financial health of our citizens, show it.—Christina Knowles

Healthcare Hell by Christina Knowles

Snagged from watchdogwire.com
Snagged from watchdogwire.com

It seems that everyone in America continues to be in an uproar about The Affordable Care Act or as it is derogatorily known, ObamaCare. Especially, now that the Republicans control Congress, there will surely be an attempt to overturn it once again, and if not repeal it, at least modify it as drastically as possible. I, personally, do not care for much of the healthcare law myself—as far as being affordable, it is a disaster. The free preventative care visits and the mandate against exclusion for pre-existing conditions has undeniably been the most beneficial aspect of this healthcare act, but overall, it does very little in addressing the problems of medical care today. We are in dire need of healthcare reform, and I believe that means instituting a single-payer national system and regulating healthcare costs.

Socialism, you cry? No more than free K-12 public education, which we are all, parents of school-age children or not, required to pay for through our tax dollars.

Yes, yes, I know, the government has made a shambles of the education system. Won’t they do the same to the healthcare industry? Yes, probably, if they are allowed to make the rules. Just like teachers should govern education, doctors, nurses, and other healthcare professionals should govern healthcare.

But first, let’s discuss the absolute necessity of having affordable healthcare. Of course, there are the homeless, jobless, and the working poor who frequent emergency rooms. Let’s get real for a moment. If a homeless man gets hit by a car and taken to the emergency room, he’s probably going to get treatment. The costs are then absorbed by the system, which passes it on to us in higher cost healthcare as well as draining an already in-debt Medicaid/Medicare system. We pay for it anyway. The whole idea behind everyone having coverage is that at least most people will be paying something of their share, and if they have access to preventative care, there will be less high-priced emergency room visits, saving money and lives in the long run.

The problem is that we can’t force people who cannot even pay their rent to buy expensive medical insurance, and the tax credit is a joke. How does that do them any good now?

But it’s not just the poor who have to worry. I know a woman who has worked her entire life in a professional but middle-income job. She has never been irresponsible with her money. She has a small savings and her house is more than half paid off. She drives an old car. She planned on retiring soon, and has put in more than enough years to do that, but after attending a retirement benefits meeting and looking into buying her own private health insurance, she now has to work years longer, just to get to the age to go on Medicare because she can’t afford to quit or be without insurance. The astronomical costs of healthcare are causing middle-income Americans to work until they die of old age. Is that what we really want?

The notion that a single-payer nationalized healthcare system means lower quality care is a myth if it is managed correctly. The idea that American healthcare is superior to any other first world country is also a myth. According to The Commonwealth Fund, America’s healthcare is nothing to brag about. They report that “given the absence of universal coverage—people in the U.S. go without needed health care because of cost more often than people do in the other countries. Americans were the most likely to say they had access problems related to cost” (Davis, et al).

They go on to say that the “U.S. ranks last overall with poor scores on all three indicators of healthy lives—mortality amenable to medical care, infant mortality, and healthy life expectancy at age 60. The U.S. and U.K. had much higher death rates in 2007 from conditions amenable to medical care than some of the other countries, e.g., rates 25 percent to 50 percent higher than Australia and Sweden. Overall, France, Sweden, and Switzerland rank highest on healthy lives” (Davis, et al).

Their final conclusion was that the “U.S. ranks last of 11 nations overall. Findings in this report confirm many of those in the earlier four editions of Mirror, Mirror, with the U.S. still ranking last on indicators of efficiency, equity, and outcomes” (Davis, et al).

One major problem with our “premiere” healthcare system is the superfluous promotion of expensive preventative testing suggested at specific ages as if we were automobiles ready for our 75,000 mile flush. An example of this is the colonoscopy. How many times have we heard that we must have this test as soon as we turn fifty and every ten years thereafter? According to John McDougall, MD of the McDougall Newsletter, a medical research publication, colonoscopies are an extremely dangerous procedure that is not even very accurate in detecting cancer and does not warrant the risks. The most common result of a colonoscopy is that it detects polyps, the polyps are then removed, and this is also a dangerous and useless procedure because removing precancerous polyps can spread the very cancer they are trying to prevent. He goes on to say that cancerous polyps make their appearance most commonly in people over fifty-five, and then usually take twenty years to metastasize. Do the math. You will probably die of something else before that anyway. But the real problem with our preventative testing is that there is a much cheaper test done on stool samples that is much more effective in detecting cancer and poses no risk to the patient. But that wouldn’t be as profitable, would it? And don’t even get me started on the greedy and irresponsible pharmaceutical companies peddling drugs with side effects much more dangerous than the maladies they seek to treat.

Then we have the opposite extreme–greedy insurance companies who put saving money above patients’ needs by denying necessary, life-saving preventative testing because it costs too much–and the costs are exorbitant. I have a family member with a rare form of aggressive cancer who absolutely requires a PET scan. The insurance company denied it as unnecessary because it costs upwards of $7000, so a CT scan would have to suffice. Well, this form of cancer spreads through the body quickly, and the microscopic cells cannot be detected on a CT scan. The scan could come back normal, and the doctor would have no idea where it spread until it grew into another tumor that the CT scan could see. Scientific progress is available, but even with insurance, we are denied it. But here, have a colonoscopy.

The other major problem with our healthcare system is blatant and obvious corruption in the industry in the form of Medicare fraud, millions of dollars each year paid for bogus claims and criminally inflated bills. This is another are where we need to focus our attention to lower healthcare costs.

An unintended consequence of this upheaval of the insurance industry has also been the shameful actions of employers, choosing to reduce full-time employees to part-time, choosing to stop covering employees altogether, or refusing coverage of family members, attempting to pass the costs on to their already underpaid and struggling-to-stay-in-the-middle-class workers while unethical insurance companies and medical and pharmaceutical companies continue to roll in the profits. And for some unfathomable reason, people blame the honest attempts of healthcare reform for the greed and lack of compassion of the medical industry, insurance companies, and employers. Obviously, these companies don’t care, and this is why we must go to a single-payer, coverage for all model. And if you think this will lower our already terrible quality of care, you need to do some more research on countries that have this model that score much higher than the United States in quality and effectiveness of care.

Regardless of how we choose to deal with it, health care must be reformed if we are to have any kind of quality of life or security in our old age. Instead of coming up with half-measures like The Affordable Care Act or dumping healthcare reform altogether, we need to apply ourselves to finding a realistic solution that does not cower before the dictates of the greedy for-profit corporate healthcare raiders. Our very way of life is threatened in a way that is more tangible than any terrorist threat to which we are so willing to forever indebt ourselves. Let’s drop the partisan B.S. and embrace the necessity of the situation. A professionally run single-payer healthcare system won’t make us any more Socialist than the public school system did.—Christina Knowles

Sources:

Davis, K. Stremikis, C. Schoen, and D. Squires, Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally, The Commonwealth Fund, June 2014.

McDougall, John, MD. “Colonoscopy: A Gold Standard to Refuse.” McDougall Newsletter: August 2010. Web. 7 Nov. 2014 https://www.drmcdougall.com/misc/2010nl/aug/colon.htm

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