Health inequality & poverty US-style
Tony Gosling
tony at cultureshop.org.uk
Sat Dec 8 18:10:47 GMT 2012
Inequality and poverty US-style
http://www.redressonline.com/2012/12/inequality-and-poverty-us-style/
By Graham Peebles - December 07, 2012
Irrespective of ones circumstances or stage of
life, illness is never welcome. But in the United
States if you are poor it can prove to be a total
catastrophe, ending often in personal bankruptcy.
Inadequate healthcare
According to a report published in The American
Journal of Medicine, medical bills are a major
factor in more than 60 per cent of the personal
bankruptcies in the United States. Healthcare
insurance is an unaffordable luxury for the 15
per cent of the population about 50 million
people now officially regarded as living in
poverty in the USA, anxiously relying on good
luck and a poor diet to keep sickness at bay.
Average individual healthcare insurance costs
around 200 dollars per month, but this does not
automatically cover prescription charges. Having
paid around 12,000 dollars into insurance company
coffers and made no claim in five years, a friend
recently needed hospital care: no charge for
admission and stay but antibiotics had to be paid
for with an extra 50 dollars. My daughter, who is
living in New York and has family health
insurance, was charged 100 dollars for an
ameliorative cream earlier in the year, as if it
were infused with miracle oil and laced with melted gold.
The American healthcare system is a money-making
machine for the insurance giants and their
pharmaceutical bedfellows, and a major cause of
poverty and hardship in the country.
According to the Bureau of Investigative
Journalism, the US healthcare industry is the
largest in the world with 300 billion dollars a
year spent on prescription drugs alone, a figure
that is rising in tandem with the pharmaceutical
companies colossal profits. Surprisingly or
perhaps not, given US politicians relationship
with corporate leaders the prices set by these
companies are protected in law, even though 80
per cent of the population would support lower rates.
The American healthcare system is a money-making
machine for the insurance giants and their
pharmaceutical bedfellows, and a major cause of
poverty and hardship in the country. It is
inefficient and, at about double the cost per
capita of comparable countries, extremely expensive.
The fact that the worlds only so-called
superpower does not offer a healthcare system
to all its citizens reflects the driving
ideological doctrine that underpins all areas of
life in the USA: capitalism with its single
motive, profit. It is a system that is fuelling
economic and social inequalities and trapping
increasing numbers of people into a life of poverty and despair.
Disadvantaged and living in poverty
In August 2012 43 million Americans were classed
as living in poverty, higher than at any time
since 1959 when data was first collected and
amounting to a 70 per cent increase in five
years. These are people who rely on the
Supplemental Nutrition Assistance Program food
stamps for their meals. However, if inflation
was still calculated in the way it was 30 or 40
years ago, the poverty line would be much higher
and millions more Americans would be considered
as living in poverty. Predictably, wealth and
poverty fall along lines demarcated by race and
social background: 27 per cent of Hispanic and
black people and 31 per cent of single mothers,
compared with 13 per cent of adults generally.
Since the late 1970s poverty rates and levels of
economic equality have been increasing
dramatically. Under the presidency of Ronald
Reagan and the days of unbridled competition and
market forces that his administration championed,
poverty numbers leapt to a little below the
present figure. Reagan famously admitted to
having fought a war on poverty and poverty won.
Those under fire were poorly armed and
inadequately prepared; the battle rages today and
more furiously, with inequities and social disadvantages acute.
Lack of opportunities and a plethora of social
problems, including overcrowding in housing and
at school, poor nutrition and poor healthcare,
contravene the spirit, at least, of the Universal
Declaration of Human Rights, Article 25/1 of
which states: Everyone has the right to a
standard of living adequate for the health and
well-being of himself and of his family,
including food, clothing, housing and medical
care and necessary social services. Living in
unsafe communities destroys hope and makes people
more susceptible to emotional and psychological
problems, including low self-esteem, depression,
anxiety, and substance and alcohol abuse.
Beyond the ideological constraints of the various
political isms of old, sharing as a rational
economic principle is an idea whose time has
perhaps arrived. But, of course, this is alien to
capitalist principles that believe in the wisdom of the market.
Unemployment and/or poorly paid work are regarded
as the primary causes of poverty in the US.
However, Frances Stewart, Professor of
Development Economics and Director of the Centre
for Research on Inequality, Human Security and
Ethnicity, University of Oxford, takes a
different view. She believes that the equitable
distribution of resources from the privileged to
the deprived would be enough to eliminate poverty
in high- and middle-income countries. That is.
not simply the redistribution of wealth, but that
of resources more broadly, in order to improve
the health, the education, the assets and the
productivity of the poor so that the improving of
their lives can become self sustaining.
The fair and equitable sharing of resources to
meet the needs of everyone in society is an
economic model rooted in compassion and justice.
Beyond the ideological constraints of the various
political isms of old, sharing as a rational
economic principle is an idea whose time has
perhaps arrived. But, of course, this is alien to
capitalist principles that believe in the wisdom of the market.
World Hunger believes that among the factors
impoverishing US citizens are the operation of
the political and economic system in the United
States which has tended to keep people from poor
families poor and physical, mental and
behavioural issues among some people who are
poor. All too often physical and mental illness
is a consequence and not the cause of poverty.
People are trapped into poverty by a system in
which power rests with the wealthy. Those born
into poor circumstances face a mountain of
disadvantages which they can hardly ever escape.
In a society that champions material success and
individual achievement above all else, when all
time and energy is given over to addressing the
basic requirements of living, life becomes arduous and demoralizing.
Unjust, unrestrained inequality
If you are born into poverty in the United
States, the likelihood is that you will remain
there, especially as the US has lower mobility
than other wealthy countries a fact that flies
in the face of the notion that America is a
meritocracy and a land of opportunity.
According to Why Poverty, the 400 richest people
in US control more wealth than the 150 million
people who make up the bottom households
combined. This is a staggering and shameful
statistic in a country overflowing with resources
and espousing democratic principles of freedom,
equality and justice to all and sundry. It is
even more shocking when you consider that
Washington spends 1,000 billion dollars on its
armed forces more than the military
expenditures of the rest of the world put together.
In a world where the market is believed to be
infallible and all knowing, and profit is the
motive and raison dêtre of everything, every
aspect of existence is seen as a commodity, fit
to be traded, to be bought at the lowest price
and sold for the highest amount, irrespective of
the human or environmental cost. Such as world
will inevitably create a significant amount of poverty and unemployment.
In a world where the market is believed to be
infallible and all knowing, and profit is the
motive and raison dêtre of everything, every
aspect of existence is seen as a commodity, fit
to be traded, to be bought at the lowest price and sold for the highest amount
But poverty and inequality are of little concern
to those with power in the United States the
corporate leaders, financial magnates and
business tycoons, sitting pretty in the top 1 per
cent club and enjoying all the benefits of
preferential tax arrangements and access to
congressmen, presidents and other politicians.
Jeffrey Sachs, Director of the Earth Institute at
Columbia University, claims that there are many
bought politicians in Washington bought by the
rich, the hedge fund managers, the brokers and
the chief executives of major corporations, such
as David and Charles Koch. Estimated to be worth
62 billion dollars, they have donated funds to
over half the members of the Senate and the House
of Representatives, and ploughed millions of
dollars into 230 university colleges to promote
courses which support their free market ideology.
And what do the wealthy expect in exchange for
the millions and billions of dollars donated to
politicians these are not, after all
philanthropic acts from men of social conscience?
Access to decision makers is the primary aim, in
order to exert influence and fashion policy,
ensuring that the economic system is managed in a
manner that would benefit them in the fullest possible way.
More than enough, it would seem, is not enough to
satiate the insatiable and so the madness continues unrestrained.
--
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