The Health Care Games

Like the Hunger Games, in which leaders of the 1% connive to rig a contest so that a charismatic representative of the 99% is defeated, there’s lots of intrigue behind the US Supreme Court hearings on the federal health care law that begin today.

The ostensible issue before the high court is whether the universal health care system established by Congress in 2010 is constitutional. Like the systems in most other developed nations, that law requires all Americans to be covered – whether through their employer or by purchasing it directly. Now this is just plain arithmetic: you can’t have a solvent universal care program if participation is voluntary, because the young and healthy won’t bother to pitch in until they get sick, leaving the older and less healthy to cover most of the cost. Universal means everyone has to be part of it – both getting the medical benefits and paying for its cost.  Today, taxpayers end up bailing out people who don’t buy insurance and then get sick or in an accident.

But the corporate funded US Chamber of Commerce and other right wing entities, plus anti-government foes (including most of the Republicans candidates who want to run the government), argue it was unconstitutional for Congress to order everyone to pay for health insurance. My problem with that part of the law – known as the "individual mandate" – is that you have to buy the insurance from private insurance companies, and there is no limit on what they can charge you. That’s gotta be fixed, and a campaign is underway to do that in California. As everyone knows, however, Obama lifted his health care proposal from the law that Mitt Romney, then Governor of Massachusetts, enacted there in 2006. So its obvious that a big part of why the corporate Republican establishment opposes the law is that it was backed by a Democrat – Obama – and they don’t want him or any other elected Democrat to be able to claim any political victories.

There’s much more to the Supreme Court case than crass party politics, in any case. Many on the corporate right are hoping the US Supreme Court will issue a sweeping decision like they did in Citizens United, this time ratcheting back Congress’s regulatory authority across the board and therefore bolstering the power of big corporations – just as Citizens United did, in the guise of granting corporations a new right to corrupt elections under the First Amendment.

A decision limiting Congress’s power to regulate pollution would be a huge win for chemical manufacturers; drug and tobacco companies want to escape the Food and Drug Administration’s safety requirements; Wall Street wants taxpayer bailouts with no strings attached.  As I wrote a few weeks ago, the powerful elites in this nation think that the health care case is the Supreme Court’s best opportunity in decades to roll back constitutional rights to the deregulated era of excess that led to the First Great Depression eighty years ago. This will be done in the name of protecting Americans against the intrusion of government in their lives.

In the Hunger Games, the hundred thousand wealthiest people in “Panem” gather in their Capitol to watch as twenty-four randomly selected citizens fight each other to death. This is a yearly penance, we are told, imposed by the wealthy in response to an earlier, unsuccessful revolt by the 99%. The Games provide an excuse for a non-stop party for the powerful – like Mardi Gras only with unimaginable excess.  The citizens – known as “Tributes” – come two each from all twelve “Districts” in the country. Those Districts looked a lot like many parts of the United States. People trudge to poor-paying jobs and live in flimsy structures one step up from homelessness. They shop at flea markets where barter is common. They catch their own food. They help each other out because the Capitol has long since abandoned them.

There are other eerie similarities and ironies. In the Hunger Games, the entire game area is wired with cameras and the contest is continuously broadcast to the nation on enormous screens. This quickly turns to the disadvantage of the 1% in the Capitol, because the 99% become inspired by watching the heroine’s courage and humanity and start to rebel anew.  This is a lesson our Supreme Court has already learned: you can forget about seeing any of its hearings on the health care law on a screen of any size. Watching the Justices and corporate lawyers rework the Constitution into a weapon of the mighty might anger some Americans. So the Supreme Court has banned any video… but says it will release audio at the end of each day’s hearing.

It’s clear from the movie that the elites have powerful medicines that can instantly eliminate infections and heal wounds, but residents of the Districts have never seen that kind of health care. I guess the Panem Chamber of Commerce would argue that these citizens are fortunate to be “free from government interference in their lives.”

Going to the White House

I've been a politics geek since I was about 10 years old and I went from reading the sports page of the Detroit News to the front page. I've been reading about it, arguing about it, covering it on some level as a journalist, and some times writing about it as an advocate, ever since.
So getting invited to the White House as part of a delegation of California activists, organizers and bloggers, organized by the Courage Campaign, is a big deal. A lot of us have expressed frustration with the Obama administration for it’s unwillingness to focus on jobs and housing in a more effective way, for its embrace of the austerity agenda, and its failure to hold bankers accountable in any meaningful way for the financial collapse that the whole country is still suffering from.
I was ambivalent about going at first, because this administration has sometimes seemed so determined not to get to it, to prize elusive bipartisanship over a strong fight for what’s right, for its cluelessness about the depth of the unemployment and housing crisis that continues to cause so much misery across the country.
That cluelessness was on display again in the past few days, when the president proclaimed no deficit deal would be fair without “shared sacrifice” that would require hedge fund managers to pay higher taxes while the government cut Medicaid. Does the president really believe that the sacrifice is equivalent – millionaires having to get by on a little less while people who are dependent on the government for health care get less care?
Even in planning our visit, the White House doesn’t seem to get it. We’ll have break-out sessions on education reform, the new health care law, lesbian gay transgender bisexual issues, the environment and labor – but no session on the foreclosure crisis and housing. The administration’s efforts in this area, so crucial to California’s economy, have been particularly lame. Whether or not the president’s staff wants to focus on it, I’m sure they will get an earful.
What I will suggest to the president’s people is that he’s vulnerable because he hasn’t done enough to reduce unemployment or to address the foreclosure crisis, and because too often he has accepted the Radical Republicans’ and the deficit hawks’ terms of the debate. When the president debates on those terms, he loses. We all lose.
Still, I don’t want to give up on the administration or the people who continue to put their faith in him. I’ll go in memory of my father, Irving Berg, who would be 90 this year. He saw great promise in Obama and wouldn’t allow frustration to cause me to give up on him, or fail to participate in some effort that might set Obama on a firmer course.
We meet with the president’s top staff on Friday all day. Any messages you want me to deliver?