Tag Archives: health care

Views From the Middle

by Wade Maki

Kearney-NEThis fall I had the privilege of speaking at a multi-day symposium on free market health care at the University of Nebraska Kearney. Kearney is a small college town in the middle of the Great Plains. Being from a small town in the upper Midwest there was a lot of familiarity such as the friendly people and predominance of pickup trucks. However, the experience of the Great Plains with its big sky and near lack of trees was a new experience. As my host joked, if you ever find yourself in a zombie apocalypse head to Kearney where you can see them coming for miles!

One of the most striking things flying into Kearney was just how much of the land is farmland. Corn is the crop, and with prices holding up the region didn’t experience the recession the way most of the country did. Everywhere I went there were brand new trucks reflective of how well things were doing. True to form, the humble Midwest farmers I met would only say “we’re doing O.K.” when they were clearly in good times.

corn-horizon

I met a great many students in my days at Kearney. Some attended the symposium, others were in classes that I visited, and a few I met when we had leftover food to share. For all my difficulty as an instructor keeping students attention I only needed to say “anyone want some free food” and suddenly I was the center of attention.

The symposium consisted of speakers and panels from diverse areas as hospital directors, lawyers, and a philosopher (yours truly). The audience consisted mostly of students many of whom were very concerned with the Affordable Care Act which is also known as “Obamacare” (which is true in that he does care).

One of the most powerful ideas expressed by the students was a sincere concern that they were being forced into paying for the health care of others. This of course isn’t new as it is the basis of social security, welfare, and medicare. However, I found their attitudes very familiar as I was a college student in 1993 when President Clinton was pushing his version of health care often called “Hillarycare” (which was true too since she did care). Hearing students complain about having to pay for others care was a mirror of my own feelings back in 1993.

ObamavilleThen as now students find themselves confronted with a conflict between two very Midwestern ideals: The “live and let live” independence and the “we’re all in it together” belief in community. These ideas are not unique to the Midwest but have particular attraction there because when your neighbor may be a mile or more away everyone gets used to having more freedom and responsibility for themselves which doesn’t lend itself to being forced into anything including a health insurance plan. At the same time there is a recognition of being in it together that we need to work together (be it to survive harsh weather, wild animals, drought, or the lack of anyone else to help when we need it).

While there are other factors in play and perhaps better ways to explain it, there is a real tension between two things most of us value in the health care law. The students do see themselves as part of a community that takes care of its members while also as a free individual that shouldn’t be forced to help anyone. We might boil this down to, “well if something bad happens to a neighbor I will choose to help out but don’t tell me I have to help!”

View of a park in Kearney with the town surrounded by cornfields nearby.

View of a park in Kearney with the town surrounded by cornfields nearby.

Perhaps the best way to see the health care issue is a conflict not of values but of methods. Students want access to affordable quality care but they are skeptical of legal requirements. There was recognition of the problems in the health care market (limited suppliers, no price information until after purchase, no quality comparison information, and no ability to say no when you need care). Each of these factors makes health care a different market than for example a smartphone (where you know the price, features, can compare phones, have different providers to choose from, and can go without a phone). Just as students saw the problems of the market they also saw perils of government (political decisions, dominance of special interests, collusion with big companies, the entrenchment of ineffective programs, and no ability for the individual to opt out).

All in all I learned a lot in my days interacting with students in Kearney. Perhaps most of all how much hasn’t changed. Students don’t like being told what to do, they do want to help others, and  most of all free food is awesome.

Shut Down

by Matt McKinnon

About a month and a half ago, I agreed—as part of my job—to write a contribution for the BLS blog, due by October 6th, and to be published shortly thereafter.  I agreed to this based on my understanding of what my job is, what it entails, the compensation I receive as a BLS instructor, and my belief that a community only works when its members participate in just that: a “communio” or sharing, from the Latin “union with.”  I made this agreement in good faith and free from constraint.  And, though some might argue this point, I made it being in sound mind and body.

But the situation has changed.

broken

(The first image would be here if I were not shut down.)

I am not happy with the present way in which the elected officials of the State for whom I work have conducted business regarding the educational system within which I work.  In short, I disapprove of the massive cuts to higher education that the North Carolina State Legislature has made over the past several years.

Never mind that these folks have been duly elected by a legal process and have conducted this business in a manner consistent with the Constitutions of both the State and the Nation.

Never mind that “legal” does not necessarily mean “fair.”

Never mind that there are regular procedures in place to check the manner in which they do this business—that there is constitutional recourse to persuade, recall, impeach, or merely vote them out of office at the next election.

Never mind that what they have done is now “law”—and has become “law” in a legal and constitutional manner.

Never mind all of this because…well, I just do not agree with them or their “law.”

(The second image would be here if I was not shut down.)

(The second image would be here if I were not shut down.)

And while I adhere to the principle that writing a blog entry is part  of my job, and that I have a duty to myself, to my institution, and to my students to faithfully execute the duties of my job, I have another principle that outweighs all of these:

If I do not get what I want, then I shut down.

(The third image would be here if I was not shut down.)

(The third image would be here if I were not shut down.)

At this point, I am not even sure what would make me not shut down.  Or stop shutting down.  Or start back up.

At this point, I am not even sure what I hope to get out of shutting down.  Other than the shut down itself.

But none of that matters.

Because I have shut down.

So, until further notice—until an agreement can be reached that satisfies the righteousness of my indignation at the manner in which duly-elected officials representing the State by whom I am employed have conducted business in a lawful and constitutional and regular manner—until then, there will be no blog contribution.

I will not fulfill this part of my job.  I have deemed it “non-essential.”

There will be no witticisms or anecdotes about me, my classes, my life, or my family.

There will be no funny or interesting or bizarre pictures to punctuate my points.

There will be no weblinks to follow for more information—at least none supplied by me.

There will be none of this.

Because I am shut down.

(The fourth image would be here if I was not shut down.)

(The fourth image would be here if I were not shut down.)

Of course, by shutting down and writing about how I am shutting down, I am still, technically, fulfilling some of my responsibilities and thus doing my job.  Therefore, I will continue to be paid and will continue to accept and spend my paycheck.

After all, shutting down is hard work.

Pride and Prejudice

by Ann Millett-Gallant

From Wednesday, Sept 26 – Sunday, Sept 30, Durham hosted the 28th semi-annual Pride Weekend.  This festival, which began in 1981 and is the largest LGBT event in North Carolina, included a number of colorful performances, including music, dance, karaoke, DJs, and comedy (especially a headliner by Joan Rivers), parties and get-togethers, lunches and dinners, meetings over coffee, walk and runs, church services, vendors, and a lavish and lively parade.  According to their website, the mission of these events is:

  • to promote unity and visibility among lesbians, gay men, bisexual and transgendered people
  • to promote a positive image through programs and public activities that foster an awareness of our past struggles
  • to be recognized as an important and talented sector of our diverse state.
  • to support and encourage HIV/AIDS education, breast cancer awareness and basic health education

Although I am in complete support of these missions and always love a good party, I have only attended the parade twice with a friend of mine who is a lesbian.  I was thrilled when my new friend, Jay O’Berski, invited me to be a part of the float hosted this year by his Durham-based theater company, The Little Green Pig.  We all wore t-shirts in support of Pussy Riot, a Russian, Feminist Punk collective who stage activist Guerilla performances all over Moscow and who were recently incarnated (for more information, see this interview).

This is a photo of me in my Pussy Riot t-shirt in the café of the Durham Whole Foods before the parade.  Unfortunately, pouring rain prevented me from marching, or “scooting” in the parade, so I modeled my shirt where other marchers were gathered.  Although the parade was inaccessible to me this year, the spirit of the event inspired me.

The Pussy Riot acts relate to Unit 6 of my course BLS 348: Representing Women, “Performance as Resistance,” and most specifically, the activist work of the Guerilla Girls.

The Guerilla Girls are a performance team whose work includes live actions as well as posters and printed projects to critique the masculine biases of art history. The assigned reading for this class, the Introduction and Conclusion to The Guerrilla Girls’ Bedside Companion to the History of Western Art, presents a selection of their written projects, many of which engage irony, satire, and witty sense of humor. The Guerilla Girls call for change and invite others to partake in their protests.

In 1989, the Guerilla Girls challenged the Metropolitan Museum on their lack of representation of female artists. Almost 85% of the Mets’ nudes were female, compared with the only 5% of their collection of work by female artists.  This ad above appeared on New York City buses.

Representing Women also includes an assigned reading on homosexual artists:  Harmony Hammond, “Lesbian Artists,” in Amelia Jones, ed. The Feminism and Visual Culture Reader, 2nd edition (London, New York: Routledge, 2010), p. 128-129.

After the parade and conducting research for this blog, I became aware that one lesson might not be enough.  The Bachelor of Arts in Liberal Studies program emphasizes diversity and the breadth and wealth of differing human experiences.

Jay Parr raised similar points in his blog post of 9/27/11.  In “The Significance of a Simple Ring,” he discussed his discomfort at seeing a non-married, homosexual man wearing a ring.  Parr analyzed his negative reaction, given his full support of and numerous friendships with the LGBT community.   In the specific context of UNCG, Parr stated: “The irony is that the training seminar I was attending was so that I could become a certified Safe Zone ally, so that I could advertise to the university that, hey, if you’re an LGBTQ member of our community and you need someone to talk with about that, I’m here for you.”

Parr then focused on the significance of the ring as a symbol of one’s commitment to their spouse, as well as of the legal and social status of marriage.  He advocated that all couples should have the right to the ring and all the significance and rights surrounding it.

Parr’s post predated passage of the marriage amendment to the state constitution in May 2012, which solidified the ban of same sex marriage in North Carolina “Defense of Marriage.”  I felt disappointed and defeated by this law, but maybe, at least, it will motivate those who are against such legislation to speak out.  Not long after this act, President Obama “came out” with his support of same sex marriage, bringing the discussion to nation attention.

Opponents of same sex marriage say it’s an affront to traditional marriage.  Yet, my husband and I, although we are heterosexual, do not have a traditional marriage: we lived together for 3 years before becoming engaged, I proposed to him, and we have no plans, nor desire to have children.  Further, I was born without fingers, so I literally can’t wear a ring.  Nonetheless, we were allowed to get married, and the minister I found online was, I’m pretty sure, a lesbian.  She was ordained, but would not have legally been able to marry a loving partner herself.  In my opinion, bans on same sex marriage are an affront to Civil Rights.  Interracial marriage was legalized in all states not until 1967, and 45 years later we are debating similar issues.  I hope that events like the Pride Parade and public support of same sex marriage will lead toward positive change.

I feel hopeful this Fall, as new television shows such as The New Normal and Couples have strong and openly homosexual characters, adding to the presence of happy, same sex couples on television, in examples such as Modern Family (winner of the most 2012 Emmy awards), Glee, The Ellen DeGeneres Show, and Grey’s Anatomy, as well as popular shows that ended in the past few years, like Ugly Betty and Brothers and Sisters.  While I hesitate to wish reality would mirror television in general, this is evidence that perhaps American culture is beginning to have more exposure to and familiarity with so-called “Alternative” lifestyles.

__________

Editor’s note: Ann Millett-Gallant will be giving a book talk about her book, The Disabled Body in Contemporary Art, on Tuesday, November 13, at 3:00 PM, in the Multicultural Resource Center, on the ground floor the Elliott University Center.

The Clock is Ticking

By Claude Tate

I’ve been thinking lately about the problem of overpopulation.

WARNING:  I cannot verify the following story from my sociology professor is true. However, I can verify it got my attention.

My first encounter with the population problem came early in my college career. I had a sociology professor who told us of an effort in a rural village in India to help women use the rhythm method of contraception. The health workers gave each woman of childbearing age an abacus.  Each day they were to move another bead to one side. They were told how it was safe to have sex once all the beads of a certain color were on one side. The abacus experiment did work exactly as planned. The women did not move one bead a day as intended. They simply moved all the beads that indicated danger over at once, and went on their merry way.  Of course in America we believe in using more reliable methods of birth control…or do we?

Recently, the Obama Administration got into some political hot water in issuing a requirement that birth control pills be covered in the new health reform legislation.  Schools, hospitals, and other institutions supported by the Catholic Church felt the government had overstepped its authority in requiring them to offer birth control through the health insurance policies they offered.  For many Catholics, this was a matter of faith.  But unfortunately for many politicians, it was just an opportunity. President Obama thus sought an accommodation. The accommodation, that the insurance companies that cover the costs of birth control must assume the full cost, took some of the air out of the opposition, but it still may have a political impact.  Only time will tell.

And at the time of this writing, a bill is moving through the Arizona legislature that would require employers to ask women who take birth control pills if they are using it for birth control or a medical condition. It will allow an employer to refuse to cover a prescription used for contraception. And according to the American Civil Liberties Union, the law would make it easier to fire a woman if the employer found out she took birth control medication for the purpose of preventing pregnancy. In other words, the beliefs of the employer would take priority over the beliefs and needs of female employees. It has already been approved by the House, and as of this writing, is in the Senate Rules Committee. If approved there, it will be considered by the full Senate.  Whether it will pass or not or what the specifics of the final bill will be is still up in the air, but the fact that it is actually being considered by a state legislature is disturbing. I wonder if those opposed to medicine to prevent unwanted pregnancies would allow insurance companies to buy abacuses. Who knows, maybe they will work this time.

They call the time leading up to elections the silly season. But for this election cycle, we may need some new descriptors. I can see the arguments of the opponents of abortion.  But I find it difficult to believe that insurance coverage for medication to prevent pregnancy be denied, especially in a world whose human population has just passed 7 billion people and counting.

Our world is facing many problems.  In fact, their number is so daunting it’s simply hard to wrap one’s mind around them.  I may deal with some of the others in future contributions, but for this blog I thought I would focus on one problem, that of overpopulation. But as I thought about it, I realized it was simply too broad to deal with in such a limited format as overpopulation is a factor in one way or another in so many of the problems we face today. So, I decided to limit my discussion to only one aspect of the problem, the impact of our increasing population on the future of the biosphere. We are going forth and multiplying at an alarming rate.  And for the earth, that means we are running through its resources at exponential rates.  Mineral resources are growing more and more scarce, the problem of what to do with waste products is growing worse on land and on sea (there’s a major floating trash dump in the Pacific that we do not know how to deal with), fresh water is being depleted and is already running low in many areas, the demand for food is leading to deforestation on a massive scale, and plant and animal species are disappearing daily as natural habitats are destroyed or altered. And of course, regardless of what some still say, we are changing our climate.  If something is not done to rein that growth in, and rein it in soon, we will reach the point where the planet’s biosphere simply will not be able to support any more humans.  We will reach its “carrying capacity”.  And the entire biosphere will be impacted.  Life is tenacious. It will continue. Human life will even probably continue. But it will be different.

As you can see, even introducing the impact of overpopulation of the biosphere is simply too complex to adequately deal with within this space. So I searched for some websites that would introduce this issue to anyone who may be interested in the impact of overpopulation and the environment.  So I typed in ‘population growth and the environment’ and received 5,480,000 results. After closely reading 5,479, 999 websites, I settled on an essay from the website, 123helpme, called “The Population Explosion” .  It provides a nice, brief overview of some of the major environmental problems associated with the growing human population.

Note:  I was just kidding about reading ALL of those sites. I really read only a few hundred thousand or so before deciding on including “The Population Explosion”.

Obviously, we need to bring our population growth under control, but how to do that is still very much open to question. Any solution will involve among other things, something we deal with in the last unit of my BLS class, “Visions of Creation”; how we understand what it means to be human.  However, as with any problem, the ‘devil is in the details’.  And the details here will have implications for every human on the planet.  So any discussions of solutions must wait for another time and another place.

But I do know this… the clock is ticking.

Resurgence of the American Right

By Claude Tate

In my BLS class, “Self, Society, and Salvation” we devote a unit to problems of society.  In that unit we look at three different approaches to organizing society.  Each approach is designed to promote what it believes to be the best society.  The focus of aristocratic theory is to create an orderly society. We next look at liberalism, which seeks to create a society as free as possible. Our final lesson is on socialism, which strives to create a society that is fair and just. In each discussion we examine how those three approaches are manifested in America.  In our lessons on liberalism and socialism in particular, I try to emphasize how we have struggled from the start over how to create a society that is not only as free as possible, but also fair and just. I also try to emphasize how we see that struggle played out in the news every day.  This post concerns that struggle; a struggle that will only grow more intense in the coming months as the 2012 elections near.  And that intensity will be due in large part to the resurgence of the American Right.

In 2008 our economy suffered, for want of a better term, a melt-down that impacted every area of the economy. The specifics of what caused the “Great Recession” will be argued over for years to come much like the specifics of what brought on the Great Depression. But it is safe to say that the cause of the 2008 collapse was ideologically driven.  The drive for lower taxes and less regulation of business, which began to gain traction in the ‘70s and steadily gained ground through the ‘80s and ‘90s, dominated policy under the administration of George W. Bush.  Taxes were reduced. Regulations that could be eliminated were, areas where new regulations were needed were ignored, and people were put in charge of our regulatory agencies that had spent much of their careers fighting the very agencies they now lead. Our yearly budget surplus was quickly turned into a yearly deficit as revenues coming into the government failed to keep up with our spending. And businesses from Main Street to Wall Street were allowed to conduct business as they saw fit.  The gap between the rich and the middle class which had begun decades earlier widened at an increasing rate.  And both the government and individual citizens were going deeper into debt. But the stock market was soaring. All was well.  And if we had any doubts, President Bush and the Treasury Secretary Hank Paulson assured us the economy’s fundamentals were strong.  In retrospect their statements sounded much like the statements the leaders of business were making in September and October of 1929, weeks before the crash that signaled the beginning of the Great Depression.

But just as with 1929, statements of reassurance could not stop what happened to the economy in the fall of 2008. Capitalism depends on a sound banking system, and our major banks were failing. Both Democrats and Republicans agreed the government had to help them survive.  The economy as a whole was beginning to go into a tailspin; a tailspin that was feared would end in another Depression if the banks failed.  Thus TARP was passed under President Bush. Taxpayer money flowed to the major banks to save them from a catastrophe of their own making.  And it should be noted that our actions were not unique. Other Western nations took similar actions.  The American public did not rise up in protest. In fact, Democrats dominated the election of 2008 as they not only won the Presidency, but also increased their majority in the House, and clearly took control of the Senate. Prior to the election Democrats had relied upon two independents with whom they caucused to control the Senate by a 51 to 49 margin.  Virtually everyone agreed, the American Right was dead.  But the banking situation had not stabilized when President Obama took office in January of 2009, so he continued TARP.  And within weeks the Right started to show signs of life.  The defibrillator was the policies enacted to help the nation recover.  TARP led the way. We began to hear of banks that were being given taxpayer money to survive handing our large bonuses to many top executives. Their justification was that they needed to hold onto their talent.  This was the same talent that had almost destroyed them. The American public began to grow restless. A movement was born, the Tea Party, which embraced the very ideology that had caused the collapse.  Anger that one would think should have directed at Wall Street and to the business practices that caused the collapse instead was being redirected at the government. A stimulus bill, The American Recovery and Reinvestment Act of 2009 was passed, but due to Republican opposition, the final bill was too small to have a substantial impact on recovery.  It mitigated the impact of the economic downturn and saved many jobs, but it was not enough to pull us out. The Dodd–Frank Wall Street Reform and Consumer Protection Act, designed to tighten regulations on banks and cover loopholes that had allowed for dangerous speculation passed, but with opposition and resentment. And to save the automobile industry, the government loaned money to General Motors and Chrysler.  What in the past would have been hailed as necessary now was condemned as government interference in the private sector. Both are paying their loans back and GM is once again number one in sales. Thousands of jobs were saved and both are hiring back workers. (But still, Mitt Romney maintains we should have let them fail.)  And finally, The Patient Protection and Affordable Care Act, an act very similar to a Republican proposal from the 1990’s, was vehemently opposed by Republicans and derided by the Tea Party and others as a government takeover of healthcare.  Misinformation was rampant. The government was not going to kill granny. (I loved a sign I saw a woman holding up at one of the “town meetings” which said, “Government, keep your hands off of my Medicare”.)

The anger against the government accelerated in the fall of 2010 leading to a Republican victory in the mid-term elections with Republicans not only taking over the House of Representatives, but many governorships and state legislatures. And many of those newly elected Republican officials vowed to reinstitute the policies that led to the collapse.  And that move to the right in the Republican Party has continued. Today we are even hearing of Social Security as we know it being dismantled, Medicare fundamentally altered, funding for our public schools and  universities being cut, and our universities called places where the “liberal elite” indoctrinate our young. (I refer to our indoctrination methods as “guerilla teaching”, but evidently the right has seen through us.) And that is the tip of the iceberg. How did this happen? How did an economic collapse that one would think should have opened a window of opportunity for the left instead lead to a resurgence of the right?

On January 9th my wife and I were coming home from the mountains, and as we normally do we were listening to NPR (otherwise known a propaganda tool for the liberal elite that should not be supported by taxpayers).  The guest on “The Diane Rehm Show” that day was Thomas Frank.  Mr. Frank, writer and former opinion columnist for “The Wall Street Journal”, had just published a new book, “Pity the Billionaire”, in which he explored the birth of the Tea Party phenomenon. I purchased the book at soon as we got home and read it immediately.  His is not the final word on the Tea Party and the rise of the Right, but the book does provide insight and in my view, is well worth reading.

From the bestselling author of What’s the Matter with Kansas?, a wonderfully insightful and sardonic look at why the worst economy since the 1930s has brought about the revival of conservatism

–From book description on Amazon.com

Economic catastrophe usually brings social protest and demands for change—or at least it’s supposed to. But when Thomas Frank set out in 2009 to look for expressions of American discontent, all he could find were loud demands that the economic system be made even harsher on the recession’s victims and that society’s traditional winners receive even grander prizes. The American Right, which had seemed moribund after the election of 2008, was strangely reinvigorated by the arrival of hard times. The Tea Party movement demanded not that we question the failed system but that we reaffirm our commitment to it. Republicans in Congress embarked on a bold strategy of total opposition to the liberal state. And TV phenom Glenn Beck demonstrated the commercial potential of heroic paranoia and the purest libertarian economics.
In Pity the Billionaire, Frank, the great chronicler of American paradox, examines the peculiar mechanism by which dire economic circumstances have delivered wildly unexpected political results. Using firsthand reporting, a deep knowledge of the American Right, and a wicked sense of humor, he gives us the first full diagnosis of the cultural malady that has transformed collapse into profit, reconceived the Founding Fathers as heroes from an Ayn Rand novel, and enlisted the powerless in a fan club for the prosperous. The understanding Frank reaches is at once startling, original, and profound.

Click here to listen to the interview of Mr. Frank my wife and I listened to from The Diane Rehm Show