by Richard Mellor
Afscme Local 444, retired
The capitalist class likes to boast about the efficiency of the market. How there is no other way of organizing production in society. They have a very pessimistic view of humanity really; they think we’re all like them, that without the profit motive we will not produce, we’ll all just sit on our asses.* They employ a whole sector of non-productive workers whose job it is to watch us and ensure we produce. I remember my boss coming in to the lunch room one day and the first thing he does when he sees a couple of us sitting there is look at his watch. He’s conditioned to do that; he gets rewarded for it like Pavlov’s dog. Human Labor power is measured in time, so time is in money.
The capitalist class likes to boast about the efficiency of the market. How there is no other way of organizing production in society. They have a very pessimistic view of humanity really; they think we’re all like them, that without the profit motive we will not produce, we’ll all just sit on our asses.* They employ a whole sector of non-productive workers whose job it is to watch us and ensure we produce. I remember my boss coming in to the lunch room one day and the first thing he does when he sees a couple of us sitting there is look at his watch. He’s conditioned to do that; he gets rewarded for it like Pavlov’s dog. Human Labor power is measured in time, so time is in money.
It’s not always so black and white. He wasn’t always in that
position and sometimes his loyalties were divided. This is not a good quality
form the point of view of those who control the labor process in society.
All this is in the interest of efficiency. The private sector is efficient, the public
sector wasteful, overpaid and unproductive.
But efficiency for the capitalist class is one thing, for the worker and
our communities it’s something entirely different. The US Post Office for
example is an extremely efficient service. No matter where you live in the US
you will get your mail, you are guaranteed it.
This is crucial in rural communities and communities with large senior
populations.
For the capitalist class it’s inefficient as the money they
allot to it doesn’t cover expenses. This is their excuse anyway although it is
much more than that as I have explained in pervious commentaries. They want to privatize it and eliminate 4000
post offices. How is that efficient for the recipients of the service? They see
it as a business, we see it, or should see it, as a service returned to us from
the collective wealth our labor produces. It is how we allocate society’s
resources, human indlcuded.
I was reading the other day about San Jose State
University. The campus administration is
demanding immediate cuts, up to 20 classes.
The administration is, “Merely
asking its academic programs to live within their budgets”,the Oakland
Tribune reported. But who determines the
budget limitations? Who sets the parameters?
“That is an absolutely ridiculous way of running a business” says one
department head. But there’s the problem right there; it should not be a
business, it is an institution of education. Another department head; “We’ve gone from, I think, outrage and shock
last week, when we first found out about this, to ‘how do we make this work?’
We want to help make this work, but we’re trying to figure out how not to hurt
the students,”
And yet another problem; business is a ruthless venture, it
is a permanent state of war, economic war. The answer to this assault on public
education by the warriors of capital cannot be fought by “trying to make it work”, within the limits they set for us. The
aim of their activity is to hurt the
students; they are aware of this. Our only response to it is to reject it is a
business, get it clear in our own minds what we need to live a decent, healthy
and secure life and then determine the strategy and tactics necessary to obtain
it in the face of fierce resistance from capital and its political
representatives.
All this boasting about how great US society is based on
Donald Trump and Warren Buffet’s view of the world. These people have nothing
in common with the vast majority of Americans.
The US health care system is not only barbaric; it is
inefficient. It’s not inefficient if you’re the CEO of a pharmaceutical company
or a hedge fund manager of a CEO in the hospital industry or any other coupon
clipper, especially the insurance company heads. But if you need to get medical care it’s
mediocre at best.
Just last week, there appears to be a slight success in
requiring insurance companies to cover care for mental health and addiction in
the same way they do for physical illnesses (which is not so hot either.) “According
to administration officials, the rule would ensure that health plans’
co-payments, deductibles and limits on visits to health care providers are not
more restrictive or less generous for mental health benefits than for medical
and surgical benefits.” The
New York Times reported last week.
The rules will apply to most other forms of insurance the
Times says. And that is another absurd
process, having an insurance company, a private for profit corporation
determine society’s access to health care.
Still, the Obama Administration is ecstatic and under the Affordable
Care Act (Obamacare) treatment for mental health and substance abuse in
included among “10 categories of benefits
considered essential and thus mandatory” in the Act’s plans, says the NYT.
Just ponder for a second about this so-called democracy when
an insurance corporation determines “In mental health, uncertainty kills,”
says one sympathetic politician, “If an
individual poses a threat to himself or others, he cannot be told he will get
the care he needs as soon as his insurance company decides what parity means.”,
parity being the same options as physical illness. Yes he can, that’s
freedom free market style.
whether or not you can receive medical
care; this is not a civilized society by any stretch of the imagination.
The insurance companies are not actually in the health care
business other than administrating it.
They are in the profit making business. As Marx described the activity: “a schoolmaster is a productive labourer
when, in addition to belabouring the heads of his scholars, he works like a
horse to enrich the school proprietor. That the latter has laid out his capital
in a teaching factory, instead of in a sausage factory, does not alter the
relation.”
Source |
We live in a dictatorship of capital and capital always puts
profits first. Insurance companies
already provide some mental health coverage but , “…, some have found ways to get around existing rules and to deny
payment for treatment, or to otherwise limit the benefits.” That is standard procedure and should be
unacceptable in any civilized society; it is criminal activity. They will
always put up road-blocks to any procedures that curb profits. People die form
this activity in their hundreds of thousands but it’s part of doing business for
them, its efficiency.
The present rules change intends to eliminate the practice
of restricting doctor’s visits or hospital stays for the mentally ill. Insurers
have actually required patients to get “authorization”
before seeing a psychotherapist. One doctor hopes these rules will end, “’the uniquely discriminatory form of prior
authorization and utilization review’ applied to emergency care for patients
with mental illness.”
The consequences of such a practice meaning:
“A person who has a heart attack or pneumonia and goes to a hospital
will routinely be admitted, with electronic notice sent to the insurer on the
next business day……By contrast, if a person who is profoundly depressed and
tried to commit suicide goes to a hospital, an emergency room doctor must call
a toll-free telephone number, ‘present the case in voluminous detail and get prior
authorization.’”
This situation will not change though until money and the
profit motive is eliminated from such social necessities as health care and
education. The coupon clippers that control these vital services will always
try to “get around” rules and
regulations that curb profits. Insurance regulators are considered to be “too close” to the industry the Times
adds but we know this to be true. The regulators for the deep water drilling
industry handed over the writing of regulations for that industry to the
industry itself; the catastrophic BP spill is one result of that.
These vital industries must be public services as opposed to
private for profit businesses, even in a capitalist economy, where publicly
elected boards are still limited to control by one of the two wall Street
parties that have a monopoly in the political arena.
But we must strive to replace this control with genuine
democratic control and management by the workers, consumers and communities
that use these services. A transit board for example, or water board, or county
health board should be composed of elected members of the workers in that
industry, from specialists to custodians as well as elected members from the
communities they serve something along these lines. I also would include
representatives of the trade unions representing the workers’ in the industry
as well although given the rightward shift of the trade union leaders and their
ideological marriage with the bosses, my tendency is to only include non paid
rank and file members.
The medical industry in total, including big pharma and research and development must be nationalized and run along the same lines.. These are just some thoughts and changes like these can only be developed through public debate and discussion and will only take place when working people have our own political party. The most important thing is big business and the profit motive kept is kept out.
The medical industry in total, including big pharma and research and development must be nationalized and run along the same lines.. These are just some thoughts and changes like these can only be developed through public debate and discussion and will only take place when working people have our own political party. The most important thing is big business and the profit motive kept is kept out.
The idea that an insurance company determines access to
health care in society is something we have to drive from our consciousness, it
is not the way to manage society and allocate society’s resources.
* Profit off of capital and wages paid for work (the price
of labor power) are two very different animals
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