Tag Archives: Illness

Coronavirus reminds us we are organisms in an environment

Posted on by
3

By Kurt Cobb

Source: Resilience

A close friend of mine, a professor of English literature, has been researching American philosopher John Dewey, whose book Quest for Certainty captivated me so much many years ago that I read it again right after I had finished it the first time. My friend has been reminding me why I found Dewey so profound while shedding new light on the philosopher’s thinking.

Dewey, it turns out, is one of the few thinkers in American life who absorbed the true import of the work of Charles Darwin. Dewey reminds us that, quite simply, Darwin posited that we humans are organisms in an environment just like every other organism. Dewey’s star faded after World War II.  American and world society have since lapsed into a narrative that puts humans above and outside nature, protected by technological advancements that supposedly shield us from nature’s demands and vicissitudes. The general narrative is that we are heading into a push-button, voice-activated technocratic paradise. (I think of the various Star Trek television series as popular cultural reflections of this view.)

But, the first pandemic in a century is forcefully and sadly reminding all of us that Darwin was right about our place in the natural world, more specifically, that we will never be outside of it.

That the world is “wildly unprepared” for this pandemic is in part a result of our belief the we are on a separate journey from the rest of the natural world, headed toward a perfected existence in which nature obeys all of our commands and bothers us not at all. Why prepare for something that is merely a product of nature? We have the technology to overcome it, don’t we? There must be a pill, right? Actually, wrong.

Those who understand human vulnerabilities have been sounding the alarm for years. But the idea that our entire way of life could be dramatically disrupted worldwide simultaneously simply was not on the radar of most governments—at least not enough to get them to stockpile even the most basic medical supplies; face masks come to mind.

There is much talk of creating a vaccine and doing it quickly. But such an endeavor can take more than a year and even more time to manufacture and distribute. There is less talk about the unhealthy lifestyles and chronic disease such as heart disease and diabetes that result from that lifestyle which might need to be addressed if we are going to cope better with the world of microorganisms we inhabit. There is even less talk that those at the bottom of the economic ladder are the most vulnerable and that the wealth gap and the gap in access to health care it implies are actually a huge public health problem for all of us.

The very way in which we live—constantly pressing on the edge of wilderness to develop it and exploit it—puts humans potentially in contact with millions of viruses from which will come the next pandemic. And, the next one will likely come much sooner than 100 years from now.

If we continue to think of health as the absence of illness, of illness as something that is prevented by a pill or a shot—and if not ultimately prevented, treated by a pill or a shot—we humans won’t make the necessary changes as a global society to better withstand more frequent pandemics.

Robust health, not techofixes, is the best way to confront the biological perils of the natural world in which we participate. Such a focus would, however, take a complete rethinking of who we humans are, namely, organisms in an environment. Will the coronavirus awaken any more of us to this fact?

Suicide? American Society is Murdering Us

Posted on by
Reply

By Ted Rall

Source: CounterPunch

They say that 10 million Americans seriously consider committing suicide every year. In 1984, when I was 20, I was one of them.

Most people who kill themselves feel hopeless. They are miserable and distraught and can’t imagine how or if their lives will ever improve. That’s how I felt. Within a few months I got expelled from college, dumped by a girlfriend I foolishly believed I would marry, fired from my job and evicted from my apartment. I was homeless, bereft, broke. I didn’t have enough money for more than a day of cheap food. And I had no prospects.

I tried in vain to summon up the guts to jump off the roof of my dorm. I went down to the subway but couldn’t make myself jump in front of a train. I wanted to. But I couldn’t.

Obviously things got better. I’m writing this.

Things got better because my luck changed. But — why did it have to? Isn’t there something wrong with a society in which life or death turns on luck?

I wish I could tell my 20-year-old self that suicide isn’t necessary, that there is another way, that there will be plenty of time to be dead in the end. I’ve seen those other ways when I’ve traveled overseas.

In Thailand and Central Asia and the Caribbean and all over the world you will find Americans whose American lives ran hard against the shoals of bankruptcy, lost love, addiction or social shame. Rather than off themselves, they gathered their last dollars and headed to the airport and went somewhere else to start over. They showed up at some dusty ex-pat bar in the middle of nowhere with few skills other than speaking English and asked if they could crash in the back room in between washing dishes. Eventually they scraped together enough money to conduct tours for Western tourists, maybe working as a divemaster or taking rich vacationers deep-sea fishing. They weren’t rich themselves; they were OK and that was more than enough.

You really can start over. But maybe not in this uptight, stuck-up, class-stratified country.

I remembered that in 2015 when I suffered another setback. Unbeknownst to me, the Los Angeles Times — where I had worked as a cartoonist since 2009 – had gotten itself into a corrupt business deal with the LAPD, which I routinely criticized in my cartoons. A piece-of-work police chief leveraged his department’s financial influence on the newspaper by demanding that the idiot ingénue publisher, his political ally, fire me as a favor. But mere firing wasn’t enough for these two goons. They published not one, but two articles, lying about me in an outrageous attempt to destroy my journalistic credibility. I’m suing but the court system is slower than molasses in the pre-climate change Arctic.

Suicide crossed my mind many times during those dark weeks and months. Although I had done nothing wrong the Times’ smears made me feel ashamed. I was angry: at the Times editors who should have quit rather than carry out such shameful orders, at the media outlets who refused to cover my story, at the friends and colleagues who didn’t support me. Though many people stood by me, I felt alone. I couldn’t imagine salvaging my reputation — as a journalist, your reputation for truthtelling and integrity are your most valuable asset and essential to do your job and to get new ones.

As my LA Times nightmare unfolded, however, I remembered the Texas-born bartender who had reinvented himself in Belize after his wife left him and a family court judge ordered him to pay 90% of his salary in alimony. I thought about the divemaster in Cozumel running away from legal trouble back in the States that he refused to describe. If my career were to crumble away, I could split.

You can opt out of BS without having to opt out of life.

Up 30% since 1999, suicide has become an accelerating national epidemic — 1.4 million Americans tried to kill themselves in a single year, 2015 — but the only times the media focuses on suicide is when it claims the lives of celebrities like Kate Spade and Anthony Bourdain. While the media has made inroads by trying to cover high-profile suicides discreetly so as to minimize suicidal ideation and inspiring others to follow their example, it’s frustrating that no one seems to want to identify societal and political factors so that this trend might be reversed.

Experts believe that roughly half of men who commit suicide suffer from undiagnosed mental illness such as a severe personality disorder or clinical depression. Men commit suicide in substantially higher numbers than women. The healthcare insurance business isn’t much help. One in five Americans is mentally ill but 60% get no treatment at all.

Then there’s stress. Journalistic outlets and politicians don’t target the issue of stress in any meaningful way other than to foolishly, insipidly advise people to avoid it. If you subject millions of people to inordinate stress, some of them, the fragile ones, will take their own lives. We should be working to create a society that minimizes rather than increases stress.

It doesn’t require a lot of heavy lifting to come up with major sources of stress in American society. People are working longer hours but earning lower pay. Even people with jobs are terrified of getting laid off without a second’s notice. The American healthcare system, designed to fatten for-profit healthcare corporations, is a sick joke. When you lose your job or get sick, that shouldn’t be your problem alone. We’re social creatures. We must help each other personally, locally and through strong safety-net social programs.

Loneliness and isolation are likely leading causes of suicide; technology is alienating us from one another even from those who live in our own homes. This is a national emergency. We have to discuss it, then act.

Life in the United States has become vicious and brutal, too much to take even for this nation founded upon the individualistic principles of rugged libertarian pioneers. Children are pressured to exhibit fake joy and success on social media. Young adults are burdened with gigantic student loans they strongly suspect they will never be able to repay. The middle-aged are divorced, outsourced, downsized and repeatedly told they are no longer relevant. And the elderly are thrown away or warehoused, discarded and forgotten by the children they raised.

We don’t have to live this way. It’s a choice. Like the American ex-pats I run into overseas, American society can opt out of crazy-making capitalism without having to opt out.

Are Profit and Healthcare Incompatible?

Posted on by
Reply

By Charles Hugh Smith

Source: Of Two Minds

The only way to systemically lower costs is to make prevention and transparency the top priorities.

As I have been noting for a decade, the broken U.S. healthcare system will bankrupt the nation all by itself. We all know the basic facts: the system delivers uneven results in terms of improving health and life expectancy while costing two or three times more per person compared to our advanced-economy global competitors.

U.S. Lifestyle + “Healthcare” = Bankruptcy (June 19, 2008)

Sickcare Will Bankrupt the Nation–And Soon (March 21, 2011)

How Healthcare Is Dooming the U.S. Economy (Three Charts) (May 2015)

You Want to Fix the Economy? Then First Fix Healthcare (September 29, 2016)

This chart says it all: the global outlier in low life expectancy and exorbitant cost is the U.S.

The profit motive is supposed to lower costs, not increase them. In the idealized model of a completely free market, the profit motive is supposed to lower costs as customers are free to choose the best product/service for the lowest price.

In U.S. healthcare, the profits are stupendous, yet the costs are even more stupendous. Rather than lower costs, the U.S. system of for-profit healthcare has sent costs spiraling into the stratosphere, to the point that the system’s costs are threatening to bankrupt the government and the nation.

Why is this so? Karl Marx provided the answer in the 19th century. In the idealized model of free-market capitalism, those who provide superior services for the lowest price reap more profit than their less agile/productive competitors.

But as Marx observed, in real-world capitalism, open competition drives profits to zero. Every attempt to gain a competitive advantage in price increases supply and further commoditizes the product/service. This dynamic pushes prices down to the point that nobody can make a profit until competitors are driven out of business and a cartel or monopoly secures the market and controls supply, price and profit.

The most profitable structures in real-world capitalism are monopolies or cartels– which is precisely what characterizes U.S. healthcare. The only way to maximize profits is to ruthlessly eliminate competition in the marketplace–which is exactly how the U.S. healthcare system operates: the pharmaceutical industry is a cartel, hospital chains are a cartel, insurance companies are a cartel, and so on.

In the real world of state-cartel-capitalism, competition is eliminated so cartels can maximize profits.

Do-gooders are always claiming that the system could be fixed by re-introducing competition– this was the core idea behind Obamacare’s insurance exchanges–but the do-gooders are blind to the core dynamic of state-cartel-capitalism, which is cartels own the machinery of governance via lobbying and campaign contributions. The state creates and protects the cartels, period.

In state-cartel-capitalism, there is no way to maintain real competition, as the cartels instruct the state to protect their monopolies/cartels. State reformers can try all sorts of complex reform schemes (ObamaCare) but they fail to lower costs because they all leave the cartel structure and cartel ownership of governance intact.

In the good old days of the 1950s and 1960s, U.S. healthcare was more localized, and the central state (federal government) wasn’t the Sugar Daddy for the cartels. Hospitals were community hospitals (what a quaint idea in today’s hyper-cartelized system) managed by physicians and administrators who saw their role as serving the community rather than arranging for $20 million annual salaries and millions of dollars in stock options.

This is why the cartels love Medicare For All proposals: the federal government–protector and funder of the cartels–will give the cartels a blank check not just for the 120 million people currently drawing benefits from Medicare/Medicaid but for all 325 million Americans.

Fast facts on Medicare and Medicaid (Center for Medicare and Medicaid Services)

Medicare Beneficiaries: 57.7 million
Medicaid Beneficiaries: 72.3 million
estimated dual Beneficiaries (drawing benefits from both programs): 10 million

Total Beneficiaries: 120 million

Medicare/Medicaid budget, 2015: $1.2 trillion

Total U.S. healthcare costs: $3.2 trillion, 18% of GDP

Department of Defense budget, 2015: $575 billion
source

Are profit and healthcare incompatible? In the real world of state-cartel-capitalism, the answer is yes: a profit-maximizing system fails to deliver prevention while pushing costs higher, eventually bankrupting the Sugar Daddy government and the nation.

Prevention, like a bag of carrots, is intrinsically low-profit. Illness, especially chronic illness, is highly profitable because the profits flow continuously from treatments, medications, procedures, tests, visits, hospitalization, home care, a constant churn of billing, etc.

The only way to systemically lower costs is to make prevention and transparency the top priorities. Prevention, community ownership of healthcare services, transparency and unfettered competition kill profits, period. Yet these are the only way to lower costs to be in line with our competitors.

You can reconfigure the system any way you want, but you have to eliminate cartels, cartel ownership of governance, opaque pricing, government blank checks and incentives for profiteering from chronic illness. If you don’t eliminate all these, you’ve fixed nothing.