So we now have the official word from the reactionary
Supreme Court, in the person of John Roberts, no less: President Obama’s
signature piece of legislation, the Affordable Care Act, passes constitutional
muster not, as expected, because it legally regulates interstate commerce
(Roberts said it did not, because it
tried to punish people for not
buying something—a precedent that would allow ‘do-gooders’ to force everyone to
eat organic foods), but because it legally qualifies under Congress’s authority
to tax. That is, forcing people who don’t buy health insurance to pay a tax (not
a penalty) on their income tax form was somehow ok. I fail to see how this is
any different from enforcing the activity under the Commerce Clause, but then
I’m not a lawyer. Indeed, what I have always wondered is why Democrats have
never made the argument that seems most logical to me: if Americans can be
forced to buy automobile insurance (it is a condition of getting a driver’s
license and is rationalized in the same way as the health insurance idea: if
some drivers do not have insurance, the cost of their accidents has to be borne
by everyone else, an unfair burden), then why can’t they be forced to buy
health insurance for the same reasons? But they never have, until Friday when Steny
Hoyer finally did mention this precedent on the News Hour.
Still,
no matter the rationale, it seems inarguable that this unlikely decision by the
conservative Chief Justice was salvational for Barack Obama’s chances for
re-election. Without it, he would have been a one-term president for sure, and
we would be left with that forged-in-plastic excuse for a human, Mitt Romney,
as president. Given the damage already done by the Supremes nominated by Bush,
the chance for another reactionary to pack the court with still more political
operatives would have been catastrophic. Still might. And even if Obama wins,
we’re still stuck with a health care “reform” that does one thing above all: it
preserves the privatized system of health care—citizens of the richest nation
in the world forced to buy half-assed care from huckster insurance
companies—that is the shame of the modern world. Fully 18% of the American
economy is spent on health care, and the care overall puts us at the level of
the poorest third-world countries—37th overall I think. More precisely,
Canadians, who have a single-payer system, spend half of what we do on health
care that covers everyone, and get superior treatment whose effectiveness and
efficiency is gauged by an average life expectancy far greater than ours. And
the Affordable Care Act will now force millions more to sign on to the
ridiculous system that makes profit-making its top corporate priority, and in
effect transfers more billions from the people to the HMOs and their CEOs.
The
only hope is that once this ‘improved’ health care system is in place, making
it possible for millions more to be covered, the defects in the
system—especially its continuing rise in cost—will become ever more apparent,
and a single-payer system, aka Medicare For All, will become possible. And what
will that take? For one thing, it is going to take a shift in the language used
by advocates. This is what still astonishes anyone paying attention to the
discussion in America, not only over health care, but over the economic
situation in general. That is, the word “poor” has become verboten to politicians on both sides of the aisle. This is
most noticeable among Democrats. Does Obama ever mention that health care is desperately
needed by those who can’t afford it—the poor? Not on your life. He mentions
only the middle class. The middle class needs relief. The middle class needs
health care. The middle class needs jobs. The middle class kids who go to
college need protection from a rise in interest rates on their loans.
Whatever
happened to the poor and working classes? Have they all graduated to the middle
class? Have they been outsourced to some third world country, like everything
else? Are there no longer any humans living below the poverty line or in inner
cities? And if there are, why have they become—especially for this African
American president whose election was seen as so paradigm-shifting, so emotionally
liberating by precisely those people—invisible? Unmentionable, even by the
party that owes its strength and its moral leverage to its historic pact with
and for them?
The
truth, of course, is that the poor and working classes are still with us—their
condition steadily worsening, especially in the climate of economic penury
resulting from the 2007 financial collapse (just for reminders: there are 20
million Americans with incomes below half the poverty level; 6 million living
only on food stamps; unions losing benefits on every front). The truth is that
they are, as many have pointed out, in danger of becoming a permanent underclass
due to the outsourcing of those manufacturing enterprises that once provided
them real jobs and improved living conditions. The bitter truth is that they
are in even more serious danger of being wiped out as a class, their purchase
on the American promise weakening to the point where their providers have no
prospects, their children are abandoned in declining schools, their young men are
slammed into prisons and third-class citizenship for minor offenses. The final
truth is that their vote—when they are not stricken from voter rolls by
Republican sleight of hand and outright fraud—is becoming increasingly as
meaningless as their (in)ability to buy elections.
It
is for this reason that no one—not Obama, not Democrats running for office, not
social architects of reform—mentions them anymore. Mentioning the poor or
working classes has become equivalent to mentioning Marxism or socialism or
atheism or, god forbid, abortion. It just isn’t done by the better sort.
Except, of course, when Republicans refer to them obliquely as an unbearable
burden—as when they lament that the government, with Obamacare, is going to
have to subsidize their health care, to the point where it will cost trillions
of dollars we can’t afford. Or where states insist that they will refuse the
new expansion of Medicaid (again, for the poor), even though the Feds give them
the money to finance it! It’s only for those immoral deadbeats after all.
Thus
an entire class is in the process of being not merely marginalized—we can’t
afford the poor anymore—but wiped out. One wonders, grimly, how long it will
take, and if anyone (of the better sort) will notice or lift a finger to
prevent it, as it does.
Lawrence DiStasi