What’s Really Going On With Health Care?
by: Dave Belden on September 8th, 2009 | 5 Comments »
I’m attracted to any article with that kind of title because — probably like you if you are reading this — I am so distressed that so many Americans who would benefit from universal health care are against it. This article, by political prof John Kenneth White in this Sunday’s SF Chronicle, seemed plausible to my liberal self at first sight.
The title online is “Whose America?” but in print it was “What the debate is really about: changing America,” and that referred to an America that is already rapidly changing, like it or not. His take is that white middle class people felt in the 1970s that America was theirs, but — this was the part that was interesting to me — that the New Deal had been theirs too. Social Security and Medicare were benefiting them. They were not against government programs that helped them and theirs.
But any major extension of those programs would benefit all the people who are “not us” and those people now appear to be taking over America: other races, yes, but also other cultures (especially Hispanic) and of course all those supposedly infected by feckless liberal amorality who have children out of wedlock and get high and so are poor and needy, whatever their color or ethnicity. The nonwhite or undeserving poor will benefit. So large numbers of white people, secure in their Social Security and Medicare, have turned against government programs in the last forty years.
Of course, many middle class people in the 1930s and 1960s thought something similar about those the New Deal and then Medicare were designed to help. They thought many of them — the parents, grandparents or great-grandparents of today’s white middle class — were undeserving. But memories are short.
So what’s not satisfying about this analysis? It blames at least half the population who don’t seem to be capable of seeing “the other” as part of “us.” These people must be narrow minded and ungenerous. White doesn’t exactly say that. He doesn’t talk about the ways that people do come to feel solidarity with those who they imagine are not like themselves. He seems to assume that they don’t, and that it’s a natural fact that interest and identity politics as we know them will determine outcomes.
But does he really believe that? I doubt it. It’s one of the more striking facts of history that people who were once opposed, come together in solidarity, typically when both are threatened by a common enemy. Almost every white American today has some non-British ancestor who was once “not us” to the American middle class mainstream. The Irish, Italians, Jews and so on were despised by most (not all) Anglo-Scots. Those former enemies make up today’s “white” middle class population: admittedly in many cases because they banded together in opposition to the supposedly “nonwhite” and/or “undeserving.”
But that history means that all of us in America today presumably could come together if we have a greater enemy that threatens us all. And that enemy is surely here in the form of rising healthcare costs, rising obesity and diabetes rates, America’s falling behind all other industrialized nations in health outcomes while having the highest health costs, which affects the cost of our manufactures … all these things that we know. And that’s not even whispering about our bigger enemies still, which are world poverty (and the humiliation and hopelessness that drive terrorism that are not necessary results of inequality but are deeply connected to it) and climate change, which the world economy may not be able to survive. We simply have to come together to tackle these huge enemies as one people: and that surely means as a people who look after each other as family in order to draw on all our talents and energy. If the U.S. military provides its people and veterans with health care so they can do their job, we should be providing the entire U.S. population with health care so they can do their job, which is contributing U.S. wealth and knowhow to solving these civilization-threatening problems.
But that’s not what liberal politics is about, is it? Liberal politics is about serving the interests of a sufficient number of interest groups to put together electoral majorities.
So is our failure to rise to a “we-are-all-in-this-together” challenge a result of lack of vision and leadership by the conservative white middle clas, or by liberals and the left who claim to know better? Do we liberals prefer to read op-eds about how it’s those other people’s fault, than to work out how to connect to those “narrow-minded” people with a visionary call? That call would make us feel uncomfortable as well, it would demand a great deal of generous and strategic thinking on our part. We would have to develop not just the big visionary ideas, which can seem safely idealistic and worthy, but also the nitty-gritty skills of talking with and finding ways to make common cause with people whose political assumptions oppose ours.
In doing that, we might lose our own sense of superior identity! You can’t have real, respectful dialogue with the other without your own ideas changing, if only about how good or bad the other is. Maybe we liberals and conservatives actually are more alike already than we think: both us clinging to ideas of our own moral superiority that just don’t help us to tackle the challenges of our time together.
If that’s so, then the left/liberal cutting edge is in developing
- visionary ideas that require solidarity between all of us,
- the skills to do it one-on-one, and
- ways to turn the connections and friendships that we create at the face-to-face level into action groups and movements to draw in more and more people.
That’s the dream of the Network of Spiritual Progressives, though it has been better so far at 1) than at 2) and 3). So the real challenge to the NSP in my humble opinion, lies in pushing forward on 2) and 3). If we at NSP central are incapable of doing that very well, as it so far appears we are, then it is entirely up to the local chapters and leaders to do it. Lots of people are doing this kind of work, some of them connected to the NSP but most not, but it does need the energy of a big vision to help these coalesce in a movement for major systemic change. The universal health care effort is so precarious because of the insufficiency so far of grassroots work at the base community level that is connected by these kinds of shared major goals. We are struggling towards it. There are many heroes. Much further to go.



Why reinvent the wheel on numbers 2 and 3? Tools have already been developed and are widely used to great effect primarily by people who are turned off by discussions of spirituality because they think it is unrelated to action. I suspect that the reason NSP is not as effective as it could be, is that most of its members are uncomfortable with electronic media as their primary form of communication. This blog could provide a huge service by drawing them into the new media.
Discussions about meaning can be subtle and require space. They are difficult to condense into 140 characters for retweets. It may take some ingenuity to figure out HOW to use various media for our purposes.
Somehow, we have to get readers of the magazine to begin following this blog, which is in some ways more like a fast-paced magazine than like a blog. This means we have to convince them that they a) CAN learn to use electronic media; b) will be much more effective once they do; and c) will get all the help they need from the contributors to the blog.
We have to reach them where they are: in print.
Recently, I have been working on my own genealogy and have started on my father’s side. I live in North Carolina, but my father was a native of South Carolina. Now, my father’s father was a farmer who would buy a farm which was run-down, build it up, sell it, and move on and do the same. Whether he knew it or not, he was an ecologist.
I have now learned that there were two brothers who came over from England in the 1600s to Maryland. They came because the Queen was about to throw them in prison because they were involved in slave trade. However, they themselves were unable to pay for passage to the new world, so they agreed to be indentured slaves, which meant they would work from seven to ten years for only room and board.
There is more to my history, but I want to skip to just before the War between the States. It seems that I had an ancestor who was in the US House of Representaatives. I have a speech he made there pleading with the other representatives, that they respect the use of slavery in the South. In one part he said if they freed the slaves, it could cause us to lose our country. If we were led by former slaves who not smart enough to rule, it would be disastrous
I had always suspected that my ancestors owned slaves, but never confirmed it until now. Even as a child I knew things were wrong between the races. I was a child during the Great Depression and my mother could not afford a maid except on special occasions. Mother would interview someone at the back porch and I was right there asking if the woman had a child my age and if she would bring her along before Mother had a chance to stop it. I had a new friend for the day! I also wondered where the Negro children went to school.
It was brazen of me to think I could make a change, but I knew as a child I was going to make a difference. At seven, I planned to go to Africa. Later, that idea changed, but I did spend my life in social work. I am now retired and after retiring became active in politics, but decided that isn’t always the best way to be effective. .
As I have been delving into genealogy, I have been pondering what to do with the knowledge I have acquired.
One thing is that I am doing is working with another person who is of African descent in planning workshops on racism in churches. Both of us have experience in creating and conducting workshops. We have agreed to have everything equal, such as, the same number of people of the two races included in each session. We want this to be first class so that, hopefully, it will be effective, so we are taking our time to plan this. I know that I cannot change what my ancestors did, but I do believe there should be some kind of public apology, but what? I plan to share the information about my own family during the workshops.
In my humble opinion, your article is right on target. We need to wrestle with what you wrote, and I plan to keep your article..I have probably, as many, if not more friends who are of African Descent. When we do not reach out to others, we miss so much. This includes all races. After all, we are created by the same God, Allah, or whatever name is used.
Thank you for your article.
Lauren it would be good to hear more from you about 2) and 3) and how to pursue them online, because I am skeptical about being able to create the depth of relationships online that will nourish people and carry them through big changes in lifestyle and big challenges to the status quo. The relationship that Ann describes in her comment with her African American colleague is something that I understand better. If one of the critical tasks is to really listen to and engage with “the other” a certain amount can be done by reading what others write, but it’s in person that the skills are built and the connection happens most deeply, isn’t it?
There’s an argument that I think about often that no deep social reforms of a progressive kind have been made without base communities in which people gain inspiration, training, relationships of trust, and in which they can develop a worldview that cuts across major assumptions of the wider society. I expect there are exceptions, and I understand how a blog like this one can help build up and encourage people in an alternative worldview, which is why I doing it, but I still think it is in the face-to-face communities that we will grow the roots that enable the trees of radical change to grow. But different times and tasks seem to require different kinds of community, so if online ones really are viable for this kind of task, then I want to experience it and get it, but I haven’t yet.
Ann, thank you for sharing this family history of yours and please do let us know what you learn from doing the workshop you are planning.
I really like your existential approach–many people find differences in “the other”–they cannot forsee that they might have the same feelings, circumstences, etc. Hopefully tonight when Obama speaks he will be forceful and include facts–I know he has set the record straight many times. I think people are very fearful of such as different approach.
With all due respect, that is just getting carried away by one’s own vocabulary. What this is all about is money not visions. As the president said, health care consumes 1/6 of the gross domestic product. That comes to 2 TRILLION dollars every year, year after year. Some substantial fraction of that money goes to insurance companies. Are those companies going to let the Obama administration take away that ocean of gravy without a fight?
What we are seeing is a public relations campaign conducted by a group of companies with unlimited amounts to spend to defend their equally unlimited profits.
This isn’t about visions, not about left versus right. It is about money.