Tag Archives: politics

Medicare vs. National Health Care: How U.S. Seniors Do in Cross-National Perspective

“We need to get rid of Obamacare,” says Ed Gillispie in a NYT op-ed. The reason: Obamacare’s “gravitational pull toward a single-payer system that would essentially supplant private insurance with a government program.”

Gillespie, who lays out his credentials at the start of the article – he ran for Senate in Virginia and lost – notes that Obamacare is unpopular. But he omits all mention of a government-run single-payer system that happens to be very popular – Medicare. No Republican dare run on a platform of doing away with it. Gillespie himself accused Obamacare of cutting Medicare, a statement that Politifact found “Mostly False.”

So how are seniors doing? Compared to their pre-Medicare counterparts, they are  probably healthier, and they’re probably shelling out less for health care. But compared to seniors in other countries, not so well. A Commonwealth Fund survey of eleven countries finds that seniors (age 65 and older) in the U.S. are the least healthy – the most likely to suffer from chronic illnesses.* 

Over half the U.S. seniors say that they are taking four or more prescription drugs; all the other countries were below 50%:

And despite Medicare, money was a problem. Nearly one in five said that in the past year they “did not visit a doctor, skipped a medical test or treatment that a doctor recommended, or did not fill a prescription or skipped doses because of cost.” A slightly higher percent had been hit with $2,000 or more in out-of-pocket expenses. 

In those other countries, with their more socialistic health care systems, seniors seem to be doing better, physically and financially.  One reason that American seniors are less healthy is that our universal, socialized medical care doesn’t kick in until age 65. People in those other countries have affordable health care starting in the womb. 

Critics of more socialized systems claim that patients must wait longer to see a doctor. The survey found some support for that. Does it take more than four weeks to get to see a specialist? U.S. seniors had the highest percentage of those who waited less than that. But when it came to getting an ordinary doctor’s appointment, the U.S. lagged behind seven of the other ten countries.

There was one bright spot for U.S. seniors. They were the most likely to have developed a treatment plan that they could carry out in daily life. And their doctors  “discussed their main goals and gave instructions on symptoms to watch for” and talked with them about diet and exercise.

Gillespie and many other Republicans want to scrap Obamacare and substitute something else. That’s progress I suppose. Not too long ago, they were quite happy with the pre-Obamacare status quo. Throughout his years in the White House, George Bush insisted that “America has the best health care system in the world.” Their Republican ideology precludes them from learning from other countries. As Marco Rubio put it, we must avoid “ideas that threaten to make America more like the rest of the world, instead of helping the world become more like America.”

But you’d think that they might take a second look at Medicare, a program many of them publicly support.

* Includes hypertension or high blood pressure, heart disease, diabetes, lung problems, mental health problems, cancer, and joint pain/arthritis.

Jay Livingston is the chair of the Sociology Department at Montclair State University. You can follow him at Montclair SocioBlog or on Twitter.

State Persecution of Sexual Minorities in 1950s Florida

It is only 50 years ago that the state of Florida was hounding lesbians and gays from their jobs in schools and universities. Their persecution is distressing on many levels, the most far-reaching of which is the power that the state can hold when it is allowed to harass its citizens for no other reason than their choice of lovers.

In this case, this power could be exerted because an unrepresentative group, The Pork Chop Gang, was able to form a state-within-a-state, known as the Johns Committee in 1956 (after Charley Johns, a state senator). They collaborated with police forces and sympathetic university administrators. University of Florida President J. Wayne Reitz’s dubious career, or example, included “purges of gay and leftist employees, students,” and at least 85 African-American students.

Lisa Mills and Robert Cassanello have produced a documentary on the Johns Committee, a trailer for which can be seen here:

In 1964, the Committee published a hateful screed that became known as The Purple Pamphlet (full text). The section “What to do about homosexuality?” reveals that 64 Florida teachers had had their certificates revoked between 1959 and 1964, and that legislation had been strengthened to ensure more such revocations. Convicted teachers could meanwhile look forward to compulsory psychiatric treatment of the kind that killed Alan Turing in the U.K.

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The lessons of this period remain potent in 2014, at a time when Texas Republicans are advocating “reparative therapy” for gay men. Such therapies could be a Trojan Horse for state power over gay peoples’ lives. They give hope to the politicians of today who would like to emulate the notorious feats of the Johns Committee which haunt our recent past.

Jonathan Harrison, PhD, is an adjunct Professor in Sociology at Florida Gulf Coast University and Hodges University whose PhD was in the field of racism and antisemitism. He writes for the History News Network, where this post originally appeared.

Chart of the Week: Do U.S. Efforts to Reduce Income Inequality Work?

Below are two figures. The first ranks the U.S. and other countries by income inequality before taxes and government interventions to reduce it. The second ranks the same countries after taxes and intervention.

What we see is that, whatever we’re doing to reduce inequality, it’s not working nearly as well as what other countries with high levels of income inequality are doing, with the sole exception of Chile.

1 (3) 1 (4)

Thanks to Christian Science Monitor for the images and Martin Hart-Landsberg for the tip.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

James Baldwin: “I Can’t Afford Despair”

The interviewer asks: “Are you still in despair about the world?” James Baldwin replies:

I never have been in despair about the world. I’ve been enraged by it. I don’t think I’m in despair. I can’t afford despair. I can’t tell my nephew, my niece. You can’t tell the children there’s no hope.

Stokely Carmichael: “The U.S. Taught Us Very Well How to Be Violent”

Stokely Carmichael, later Kwame Ture, was an activist and Civil Rights leader, rising to prominence in the Student Nonviolent Coordinating Committee, the Black Panther Party, and the All-African Peoples Revolutionary Party.

He popularized the phrase “black power,” which he defined simply as “black people coming together to form a political force and either electing representatives or forcing their representatives to speak their needs.” 

Ture believed in the value of nonviolence as a tactic, but did not identify as a pacifist. Violence was a tactic he believed in, too, when it was necessary. And it has, in fact, been a successful tool in the activist toolkit. As Ta-Nehisi Coates writes at The Atlantic:

“Property damage and looting” — perhaps more than nonviolence — has also been a significant tool in black “social progress.” … [It's] a fairly accurate description of the emancipation of black people in 1865, who only five years earlier constituted some $4 billion in property. The Civil Rights Bill of 1964 is inseparable from the threat of riots. The housing bill of 1968 — the most proactive civil-rights legislation on the books — is a direct response to the riots that swept American cities after King was killed. Violence, lingering on the outside, often backed nonviolence during the civil-rights movement.

What cannot be said is that America does not really believe in nonviolence… so much as it believes in order.

Black people may have to disrupt that order and return violence with violence, yet again. As Stokely Carmichael explains in the video below:

Existentialist philosophers talk about the executioner-victim relationship… The victims begin to fight and agitate for their liberation. They use all types of means to get their liberation… fighting for a position of equality.

After [the victim] tries a number of means and they do not work, he then begins to imitate the means by which his executioner has kept him down. That is usually through force and violence… breaking the one taboo that they’ve never been able to break: hitting back against the executioners.

So that you ought not to be upset if we are violent. The Unites States taught us very well how to be violent.

Watch him here:

Malcolm X: “We’re Nonviolent With People Who Are Nonviolent With Us”

In the 5min speech below, Malcolm X makes an argument in favor of violence when violence is called for.

Excerpts:

We are peaceful people, we are loving people. We love everybody who loves us. But we don’t love anybody who doesn’t love us. We’re nonviolent with people who are nonviolent with us. But we are not nonviolent with anyone who is violent with us.

Whatever kind of action program can be devised to get us the thing that are ours by right, then I’m for that action no matter what the action is.

I don’t think when a man is being criminally treated, that some criminal has the right to tell that man what tactics to use to get the criminal off his back. When a criminal starts misusing me, I’m going to use whatever necessary to get that criminal off my back.

And the injustice that has been inflicted on Negros in this country by Uncle Sam is criminal…

Watch:

A SocImages Collection: Police, Black Americans, and U.S. Society

In lieu of a monthly update post, please consider this collection of SocImages posts related to the relationship between police, black Americans, and this country.  See, also, the Ferguson syllabus put together by Sociologists for Justice and this summary of the facts by Nicki Lisa Cole.

Race and policing:

Perceptions of black men and boys as inherently criminal:

Proof that Americans have less empathy for black people:

Evidence of the consistent maltreatment, misrepresentation, and oppression of black people in every part of American society:

The situation now:

W.E.B. DuBois (1934):

The colored people of America are coming to face the fact quite calmly that most white Americans do not like them, and are planning neither for their survival, nor for their definite future if it involves free, self-assertive modern manhood. This does not mean all Americans. A saving few are worried about the Negro problem; a still larger group are not ill-disposed, but they fear prevailing public opinion. The great mass of Americans are, however, merely representatives of average humanity. They muddle along with their own affairs and scarcely can be expected to take seriously the affairs of strangers or people whom they partly fear and partly despise.

For many years it was the theory of most Negro leaders that this attitude was the insensibility of ignorance and inexperience, that white America did not know of or realize the continuing plight of the Negro.  Accordingly, for the last two decades, we have striven by book and periodical, by speech and appeal, by various dramatic methods of agitation, to put the essential facts before the American people.  Today there can be no doubt that Americans know the facts; and yet they remain for the most part indifferent and unmoved.

- From A Negro Nation Within a Nation

Jay Smooth: “How Much Do You Think People Can Take?”

There was violence and unrest following the news that Darren Wilson would not be indicted. Some argued that this was proof that the people involved were bad people. Jay Smooth responds with a question: “How much do you think people can take?”

Here is a partial transcript of his 5min discussion, embedded below:

Riots are things that human beings do because human beings have limits.

We don’t all have the same limits. For some of us, our human limit is when our favorite team loses a game. For some of us, it’s when our favorite team wins a game.

The people of Ferguson had a different limit than that. For the people of Ferguson, a lifetime of neglect and defacto segregation and incompetence and mistreatment by every level of government was not their limit.

When that malign neglect set the stage for one of their children to be shot down and left in the street like a piece of trash… that was not their limit.

For the people of Ferguson, spending one hundred days almost entirely peacefully protesting for some measure of justice for that child  and having their desire for justice treated like a joke by every local authority… was not their limit.

And then after those 100 days, when the so-called prosecutor waited till the dead of night to twist that knife one last time. When he came out and confirmed once and for all that Michael Brown’s life didn’t matter…

Only then did the people of Ferguson reach their limit.

So when you look at what happened Monday night, the question you should be asking is how did these human beings last that long before they reached their human limit? How do black people in America retain such a deep well of humanity that they can be pushed so far again and again without reaching their human limit?

Riots? Violence? Unrest?

That is what happens when you treat human beings that way.

Watch to the whole thing: