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Americans’ Self-Contradictory Views of Socialized Healthcare

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On December 3rd, Gallup bannered “Government Favored to Ensure Healthcare, but Not Deliver It” and reported that 57% of Americans say “It is government’s responsibility to see that all have healthcare” but only 40% of Americans want a “government-run” healthcare system to be available to everyone who wants it. In other words: many Americans want other Americans to be forced into corporate and non-profit — privately run — healthcare. Lots of Americans are irrationally rabid against any sort of socialism, even the democratic types of socialism that exist in many European countries such as Sweden, where the quality of healthcare has been proven in international studies to be superior to America’s, and where the per-person cost of healthcare is around half as high as in America. The healthcare industry and its executives and its lobbies and its paid-off politicians have plenty of libertarian fools in America who, by their political participation, make life worse for all other Americans by effectively blocking socialization of the healthcare function. Gallup’s December 3rd poll also found this mental illness, libertarianism, to be especially common among Republicans: Whereas 65% of Democrats endorse universal availability of a government-run healthcare system, just 13% of Republicans do. So, Republican voters are terrific for the drug companies and the rest of the ‘health’care (actually sickness) industries.

Gallup has polled Americans on many questions about healthcare policy. One poll they published 16 May 2016, titled “Majority in U.S. Support Idea of Fed-Funded Healthcare System”, reported that 58% of Americans wanted “Replacing the ACA [Obamacare] with a federally funded healthcare program providing insurance for all Americans.” Only 37% opposed it. A tiny 5% had no opinion. Perhaps that was a high-water mark for the American public’s support of socialization of the healthcare function in America.

On 20 November 2014, Gallup headlined “Majority Say Not Gov’t Duty to Provide Healthcare for All” and reported that, “For the third consecutive year, a majority of Americans (52%) agree with the position that it is not the federal government’s responsibility to ensure that all Americans have healthcare coverage. Prior to the start of Barack Obama’s presidency in 2009, a majority of Americans consistently took the opposite view” (that it’s not government’s responsibility to see that all have healthcare). But if it’s “not the federal government’s responsibility to ensure that all Americans have healthcare coverage” (presumably meaning for all basic healthcare, but not for vanity medical services such as “tucks” and other non-health-related medical services), then even life-saving medical care, and also essential preventive care (which lowers overall medical costs), will be available only to people who can pay for it; other people will just have to die, unless they can find someone (perhaps a relative) who is willing to pay. Of course, this type of system — the “Greed is good” system — will also mean that people die young and that disability-rates, and associated incapacity at work, will be high, and all of this will lower economic productivity. Welcome to the United States! (Of course, it’s lots better than places such as Honduras.)

Is it likely that majorities really do want single-payer, but not from the government? Hardly: a gratuitous addition of stockholders’ profits into the costs for providing essential and economic-productivity-enhancing healthcare services that everyone should have access to if it’s really needed (lawfully prescribed etc.) won’t just distort the incentives to medical-services providers (and so reduce both health and economic productivity), but it will also waste the money of medical consumers (government or otherwise). But what about having ‘non-profit’ firms provide the single-payer services, instead of the democratically accountable government doing that? Non-profits cut out profits, and so eliminate the distortions that stockholders’ wants introduce into the providing of any services (wants such as stockbrokers have, who pump the investments that pay them the highest commissions, which necessarily harms their investors). However, the top executives even of ‘non-profit’ firms can pay themselves whatever their friends who sit on their board of trustees will approve; and so a ‘non-profit’ provider, too, can be, at least to that extent, a scam. (And, of course, in an entirely free market, there is no regulation, and therefore scams will be routine; so, only crooks would want that, anyway. But all the propaganda in the U.S. praises “a free market.”)

These are reasons why the countries that have the highest life-expectancies, and therefore the best health-outcomes, are the same as the countries that have socialized basic healthcare services, paid for normally entirely through taxes and provided to all citizens as a basic human right instead of as a privilege that’s available only to individuals who can afford it. (Of course, “tucks” and such get charged extra to the patient.) The United States has by far the costliest health care in terms of not only what Americans pay for it but in terms of healthcare costs as a percentage of GDP, and yet the U.S. has the lowest life-expectancy of all OECD countries; the U.S. has the most-free-market healthcare, and also the worst healthcare, among all of the economically developed countries — all (except the U.S.) of which provide guaranteed basic healthcare services to all citizens: essential services free as a right, not charged as a privilege. America’s combination of the worst healthcare plus the by-far-costliest healthcare is no coincidence; and healthcare profits in America are the world’s highest; so, the present American system is terrific for those stockholders (whose firms hire the lobbyists and their politicians who write America’s healthcare-laws). Because basic healthcare in the United States is a privilege instead of a right, the U.S. is the only economically developed nation that does not have universal coverage, health insurance for 100% of its citizenry, healthcare as a guaranteed right instead of dependent upon the patient’s ability-to-pay. When Barack Obama entered the White House, the uninsured rate was 14.6%; when he left office it was 10.9%; the insured rate when he started was 85.4%, and it was 89.1% when he left office. His repeated promises of “universal coverage” were blatant lies. His plan was in no way designed for “universal coverage”; that promise was a lie from the very outset.

In the OECD’s “Health at a Glance 2015” (which covers 44 nations), the United States scored at or near the bottom for almost all indicators of healthcare-quality, including: Life expectancy, Access to care, Quality of care, Doctors per capita, and Hospital beds per capita. We were by far the highest on Pharmaceutical expenditure per capita. Oddly, three nations, Czech Republic, Slovakia, and Hungary, were exceptionally high in both their heart-disease death-rates and their cancer death-rates; plus their life-expectancies were even lower than America’s, and their most carefully medically calculated measured “Quality of care” rankings were also generally as bad as the United States. However, in the latest calculated year, which is shown there, which was 2013, “Health expenditure per capita” (p. 165) was U.S. $8,713; Switzerland $6,325; UK $3,235; Czech Republic $2,040, Slovak Republic $2,010; and Hungary $1,719. So, America’s was over four times as high as the healthcare costs of some of the other countries in its class — i.e. in the overall worst class. Generally the top-performing nations were: Japan, Finland, Norway, Sweden, Italy, and Switzerland. Switzerland was the second-highest in cost-of-care ($6,325), right below the United States. Norway was third-costliest, $5,862. Sweden was fifth-costliest, $4,904. Japan was 14th-costliest, $3,713. Finland was 17th-costliest, $3,442. Italy was twentieth-costliest, $3,077. The average OECD cost for all the 44 nations was $3,453, which was less than half of America’s obscene $8,713. Whether Obamacare changes any of those U.S. rankings is too early to tell. However, the U.S. is such an extreme “outlier” so that our healthcare system would need to be replaced root-and-branch in order to be competitive with any other nation’s in terms of delivering value-for-the-money, instead of rip-off (which is its existing outlier status — unparalleled by any other country’s, for delivering lousy value). It is so bottom-of-the-barrel, that it is below the barrel. This is by far the world’s most-free-market healthcare system, but our government spends more per-capita on it than do other nations’ governments that pay almost all of their citizens’ healthcare costs. Wow! In fact, as shown in the chart “9.3. Health expenditure as a share of GDP, 2013 (or nearest year)” on page 167 of that OECD report, the U.S. is the only country where the private sector pays more of the nation’s healthcare costs than does the public sector, the government. America is a libertarian’s paradise. No other nation comes anywhere close to that degree of non-governmental providing of the healthcare function. Every other nation has socialized the healthcare-function to a vastly higher extent than the U.S. has. That’s how corrupt America is.

Lots of other countries are more corrupt in the pettier forms of corruption such as bribery, but perhaps few match America’s higher-level, and far more complex, systemic corruption. It benefits only the super-rich, and their lobbyists and other agents.

Investigative historian Eric Zuesse is the author, most recently, of They’re Not Even Close: The Democratic vs. Republican Economic Records, 1910-2010

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Americas

Biden’s Department of Justice: parents as domestic terrorists

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In recent developments in the United States, US Attorney General, Merrick Garland, and the FBI have put under the FBI radar parents as potential domestic terrorists. You heard it right. This is now a new formal legal policy contained in memos of the Department of Justice trying to reign in parents discussions on Biden’s new school curricula. They are not going after potential outbursts but outright terrorism. 

This is an attack on freedom of speech in the sense that parents have the right to discuss and disagree with the new Biden school curricula. This is where the issue originated: parts of Biden’s new school curricula are not accepted by many parents and if they disagree, the FBI treats them now as potential domestic terrorists as a matter of policy. Apart from a First Amendment case, this is also a case for international human rights law and I reported the development to the UN Special Rapporteur on freedom of speech this week hoping to get a statement.

The Department of Justice is referring to some constitutional provision on “intimidation of views” to override and take down one of the most firmly established rights, the right to freedom of speech, in quite frankly a ridiculous interpretation. Those parents that dare to speak up against controversial parts in the new text books could be investigated for domestic terrorism. This is the most incompetent interpretation on limitations of freedom of speech I have seen in awhile. 

Garland and the FBI have totally lost their marbles. The woke discussion is not funny to me anymore. It increasingly looks like a woke tyranny that has nothing to do with rights and equality anymore but simply serves as a vehicle to empower the FBI to run wild against regular people. This lunacy needs to be stopped.

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Iran poll contains different messages for Biden and Raisi

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“It’s the economy, stupid.” That is the message of a just-published survey of Iranian public opinion.

However, the substance of the message differs for newly elected hardline Iranian President Ebrahim Raisi and the Biden administration as Mr. Raisi toughens his negotiating position and the United States grapples with alternative ways of curbing the Islamic republic’s nuclear programme should the parties fail to agree on terms for the revival of the 2015 international agreement.

Iranians surveyed last month by Iran Poll and the University of Maryland’s Center for International and Security Studies were telling Mr. Raisi that they are looking to him to alleviate Iran’s economic and other problems and have little hope that a revived nuclear agreement will make the difference, given lack of trust in US and European compliance with any agreement reached.

The Iranians polled seemed in majority to endorse some form of Supreme Leader Ayatollah Ali Khamenei’s notion of a “resistance economy” as a way of blunting the impact of the US sanctions imposed by former President Donald J. Trump after he walked away from the nuclear agreement in 2018. Some 65 per cent of the responders said they favoured a self-sufficient economy; 54.2 per cent expected the economy to at least improve somewhat in the next three years.

A large number expressed confidence that Mr. Raisi would significantly lower inflation and unemployment, increase Iran’s trade with other countries, control the pandemic and root out corruption.

Meanwhile, 63 per cent suggested that Iran’s economic situation would be the same, if not better, if there were no return to the agreement and the government continued to pursue a civil nuclear programme. The figure seemed at odds with the 80 per cent who said Iran’s economic situation would improve if Iran and the United States returned to the agreement and both fulfilled their obligations under the deal.

The divergence may be a function of the fact that the poll, unsurprisingly, indicated that Iranians (64.7 per cent) had little trust in the United States living up to its commitments even though they expected the Biden administration to return to the deal (57.9 per cent). As a result, 73.1 per cent of those surveyed said Iran should not make concessions given that world powers would not live up to commitments they make in return.

At the same time, 63 per cent blamed the troubled state of the economy on domestic mismanagement rather than US sanctions. Only 34.4 per cent believed that the sanctions were the main cause of their economic difficulty. Iranians pointing the finger at the government rather than external forces was also reflected in the 60.5 per cent of those polled blaming Iran’s water shortages on mismanagement and bad policies.

The poll suggested that by emphasising domestic mismanagement, Iranians were going to judge Mr. Raisi on his success or failure in countering the debilitating effect of the sanctions even though 77.5 per cent of those surveyed said that the sanctions had a negative or somewhat negative impact on the economy.

Implicitly, Iranians were holding former Iranian President Hassan Rouhani responsible for the mismanagement given that Mr. Raisi only took office in August. Rated very favourable by 61.2 per cent of Iranians surveyed in 2015, Mr. Rouhani’s favorability dropped to 4.6 per cent in the most recent poll. By contrast, the favourable views of Mr. Raisi soared from 38.3 per cent in 2014 to 77 per cent last month. IranPoll and the Center have been conducting annual of surveys since 2014.

Mr. Raisi may have taken pleasure from that but more importantly, the poll implicitly suggested that he does not have much time to produce results before his significant public support starts to wane.

Of those polled, 66.7 per cent expected Mr. Raisi to improve Iran’s international standing, 55.7 per cent said he would be in a better position to negotiate with world powers, and 45.2 per cent predicted that he would enhance Iran’s security. Those expectations may have been to some degree validated in the public’s mind by last month’s acceptance of Iran’s application for membership in the Shanghai Cooperation Organization (SCO) that groups China, Russia, India, Pakistan and several Central Asian states.

The survey results seemed to suggest that ordinary Iranians were framing their message to the United States differently from the assessment of prominent scholars and analysts. The divergence may well be one primarily of timing but nonetheless has implications for policymaking in Washington. The message of the respondents to the poll was one of immediate impact while analysts and scholars appear to be looking at the middle term.

Without referring to the poll, Vienna-based economist and strategic consultant Bijan Khajehpour argued this week, seemingly contrary to the poll, that “mismanagement and the Covid-19 pandemic have both contributed to Iran’s poor economic performance in recent years, but it remains that US sanctions…will be the key factor in determining Iran’s future prospects.”

Mr. Khajehpour went on to say that “high inflation, capital flight and the erosion of household purchasing power alongside mismanagement of resources and the deterioration of the country’s infrastructure have the potential to spark more protests and further undermine the already faltering legitimacy of the Islamic Republic in the eyes of the public.”

No doubt, the jury is out on how Iranians respond if and when Mr. Raisi fails to live up to their expectations. If the past is any indication, Iranians have repeatedly taken to the streets at often substantial risk to liberty and life to make their discontent with government performance evident as they did with the low turnout in this year’s election that brought Mr. Raisi to power.

The risk of renewed protests was reflected in the fact that responses to various questions regarding the electoral system, the limited number of presidential candidates (because many were barred from running), and the public health system showed that it was often a slim majority at best that expressed confidence in the system.

Add to that the fact that 68 per cent of respondents to the poll said that the objectives of past protests had been a demand that officials pay greater attention to people’s problems.

Yet, at the same time, they were telling the United States that its efforts to generate pressure on Iranian leaders to moderate their nuclear and regional policies by imposing harsh sanctions had for now backfired. Iranians were backing a tougher negotiating position by the Raisi government.

Ultimately that could be a double-edged sword for Mr. Raisi. He has to prove that he can be tough on the United States and simultaneously improve the lives of ordinary Iranians. Failure to do so could have in Mr. Khajehpour’s words “unpredictable consequences.”

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Gallup: World’s Approval of U.S. Govt. Restored to Obama’s Record High

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President Joseph R. Biden Jr. of the United States of America addresses the general debate of the UN General Assembly’s 76th session. UN Photo/Cia Pak

On October 19th, Gallup issued their “2021 Rating World Leaders” report and finds that “Six months into the first year of Joe Biden’s presidency, the image of U.S. leadership is largely restored in the world’s eyes. As of early August 2021, across 46 countries and territories, median approval of US leadership stood at 49%, matching the record high rating when former President Barack Obama first took office in 2009.”

Their year-by-year graph is shown of the global approval-ratings of the Governments of Germany, U.S., China, and Russia, by the populations of 44 countries, and of 2 territories (Hong Kong and Taiwan were included in their surveys because the U.S. Government wants to conquer both of those Chinese provinces, so as to weaken China). That chart clearly displays the following fact: thus far (six months into Biden’s Administration), the world viewed Biden as favorably as Obama, and far more favorably than Trump (even though Biden has been continuing almost all of Trump’s foreign policies). Apparently, the global public views Biden as being like Obama because his Party is the same as Obama’s, and his rhetoric also is similar. Though Trump’s international policies have been continued with little (if any) significant change under Biden, the world still has been viewing Biden as being like Obama (whom the world still views as having been the best world-leader during his Presidency), instead of like Trump (whom the world still views as having been the worst world-leader during his Presidency). Obama is still viewed far better than Trump, though (for example) two U.S-and-allied-banned news-sites had published, two days earlier, on the 17th, with full documentation, the major (but banned) news-report titled “First of over 200 bodies being exhumed from Lugansk mass grave. One of Obama’s atrocities.” It had been submitted to 200 news-media, and only those two published it.

Perhaps the world’s population is more swayed by rhetoric, and by Party-labels, than by a national leader’s actual policies (which, perhaps, they’ve not even known about — after all, how many know about those mass-graves?).

The Gallup surveys were done actually in 106 countries and in those two Chinese provinces that the U.S. Government wants to control, but “U.S. Leadership Approval” has, as-of yet, been calculated by Gallup only in these 46. Of the 108 total lands, 23 were in Africa, 38 in Europe (including Europe’s largest and most populous country, Russia), 30 in Asia, and 17 in “The Americas” (not including U.S., whose Government these surveys by Gallup have actually been designed to serve).

Remarkably, “While Germany and the U.S. had previously been vying for the top spot in the Americas, Germany’s leadership safely led the other countries in 2020, with a median approval rating of 50% in 2020. Russia earned higher approval ratings than China or the U.S., with a median approval rating of 41%. The U.S. and China earned similar, and far lower, approval ratings, of 34% and 32% respectively.”

Also: “Germany’s leadership continued to be the most popular in Europe, with a record-high median approval of 62% in 2020. China, Russia and the U.S. have all lost favor in Europe in recent years, and in 2020 they were all on equal footing, with approval ratings of around 20%.”

Furthermore, in Asia: “U.S. Leadership Image Still Mired at Record Lows” and these are lows that previously had been shown during the G.W. Bush and Trump Administrations; so, the U.S. Government’s rhetoric under Biden does not, at least yet, seem to be persuading Asians as much as was the case under Obama. Perhaps the Biden Administration will need to employ less-blatantly-hostile rhetoric against China than it has been using, in order to be able to get much support from Asians against China.

And, regarding Africa, “Ratings are not yet available” that are sufficient to determine whether or not, as has been shown since 2007, “the U.S. remained strongest worldwide in Africa,”or else changed up or down.

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