by Mary Dejevsky
The US tolerates more inequality, deprivation and
suffering than is acceptable here
When we Europeans – the British included – contemplate the battles President Obama must fight to reform the US health system, our first response tends to be disbelief. How can it be that so obvious a social good as universal health insurance, so humane a solution to common vulnerability, is not sewn deep into the fabric of the United States? How can one of the biggest, richest and most advanced countries in the world tolerate a situation where, at any one time, one in six of the population has to pay for their treatment item by item, or resort to hospital casualty wards?
The second response, as automatic as the first, is to blame heartless and ignorant Republicans. To Europeans, a universal health system is so basic to a civilised society that only the loony right could possibly oppose it: the people who cling to their guns, picket abortion clinics (when they are not trying to shoot the abortionists) and block funding for birth control in the third world. All right, we are saying to ourselves, there are Americans who think like this, but they are out on an ideological limb.
If only this were true. The reason why Obama is finding health reform such a struggle – even though it was central to his election platform – is not because an extreme wing of the Republican Party, mobilised by media shock-jocks, is foaming at the mouth, or because Republicans have more money than Democrats to buy lobbying and advertising power. Nor is it only because so many influential groups, from insurance companies through doctors, have lucrative interests to defend – although this is a big part of it.
It is because very many Americans simply do not agree that it is a good idea. And they include not only mainstream Republicans, but Democrats, too. Indeed, Obama's chief problem in seeking to extend health cover to most Americans is not Republican opposition: he thrashed John McCain to win his presidential mandate; he has majorities in both Houses of Congress. If Democrats were solidly behind reform, victory would already be his.
The unpalatable fact for Europeans who incline to think that Americans are just like us is that Democrats are not solidly behind Obama on this issue. Even many in the party's mainstream must be wooed, cajoled and even – yes – frightened, if they are ever going to agree to change the status quo. Universal healthcare is an article of faith in the US only at what mainstream America would regard as the bleeding- heart liberal end of the spectrum.
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One isn't necessarily born with courage, but one is born with potential.
Without courage, we cannot practice any other virtue with consistency.
We can't be kind, true, merciful, generous, or honest.
~ Maya Angelou
The care of human life and happiness, and not their destruction,
is the first and only object of good government.
~ Thomas Jefferson
Genuine politics -- even politics worthy of the name -- the only politics I am
willing to devote myself to -- is simply a matter of serving those around us:
serving the community and serving those who will come after us. Its
deepest roots are moral because it is a responsibility expressed
through action, to and for the whole.
~ Vaclav Havel
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