The United States of America has the worst health care system in the developed world. Though we develop some of the most advanced medical technologies, pharmaceuticals, procedures and research and despite the fact that we can claim some of the finest physicians in the world, our health system is expensive and mostly unavailable to the people most likely to become ill.
As a country, we have the worst health profile in the developed world falling behind all of our peers including Sweden, Germany, Japan, Italy, Turkey and even our totalitarian brothers in the north, Canada. We can even claim the embarrassing distinction of having an infant mortality rate higher than that of impoverished Cuba, despite being the wealthiest country that human history has ever seen.
It’s an absolute embarrassment. The inexplicable inability of a country as wealthy and powerful as the US to guarantee even basic protections of health to its citizens makes me incredibly ashamed to be an American.
Clearly, as Mr. Obama put it, a fraction of a single political party in a single house in a single branch of government doesn’t agree with me. In fact, their crass shutdown of the Federal Government in the name of nothing more than ideological insanity is an affront not only to Americans, but all of humanity. If we are a country that now values politics and control as more important than human health and life, then we have truly lost our way.
The irony is that the Affordable Care Act is only a modest improvement to a truly inhumane and awful health care system. It does not provide us with a Cuban or even a Canadian style system. It does not fully eliminate the possibility of household devastation given a calamitous health event. It does not erase the specter of medical debt that many low and middle class households face every day.
It sadly shies away from implementing rigid price controls as those in mighty Japan; prices controls which keep health care affordable, while still preserving a competitive and profitable health care technologies market.
It does not fully release us from a state of health care bondage that keeps Americans from starting new businesses or changing jobs; unlike powerful and economically vibrant Sweden, where even the most risky of start-ups are possible, due to a basic guarantee of health care.
It only barely offers a guarantee to the poor, who, while ensuring ample profits for the Wal Marts and the McDonalds by working for pennies, face the severest of health problems. The disproportionately poor health profiles of the poor are not free. By not providing sufficient care and wages, the Wal Marts and McDonalds of the world shift those expenses onto taxpayers, so that we effectively subsidize their enterprises. Worse yet, since we refuse to acknowledge it, we manage it inefficiently, raising costs for everyone.
Failure to provide health care to poor people (or anyone else) in an efficient and transparent manner wreaks havoc on our economy, robs governments of dollars that could be better assigned to upgrading our aging infrastructure and degrades the ability of our workforce to be productive. Yet, Republicans oppose it.
I can’t think of any rational reason outside that they might have secretly started smoking weed in their own quarters.
The Affordable Care Act falls far short of my vision of a truly inclusive and effective health care insurance scheme for America. Despite this, it is a milestone improvement to an embarrassingly poor “system.”
The government shutdown to protest the Affordable Care Act has simply left me more emotionally numb than even the attacks in Kenya. Sometimes, I try to convince myself that, under all the insane rhetoric, the American right wing is a rational beast and that they have legitimate concerns and offer reasonable solutions. If this ideological shutdown over providing negligible improvements to a failing system of health care in America is any indication, insanity has truly prevailed.
This time, I picked up a book of works by Korean photography Kim Ki Chan. Kim passed away in 2005, but spent the brunt of his adult life documenting Seoul, and its (and Korea’s) transformation into one of the richest areas in the world.
His pictures, rather than focusing on rampant consumerism and youth culture, center on the back alleys of the urban poor. Mostly black and white, his portraits of local Korean families struggling to get by are stunningly beautiful. I’m positive that the pictures appeared vastly different at the times they were taken, but looking at them now and thinking about how Korea has grown, one can’t help but thinking that the subjects are filled with anything but optimism.
Kim’s subjects are overwhelmingly poor. This presents a challenge to a photographer, who can often run onto dangerous ground of portraying the poor as sad and helpless, or romanticizing poverty as cute and adorable. Kim does neither. It’s clear that many of the subjects know Kim already, probably as a friend. He probably saw some of the kids he photographed grow up and have their own over his long career.
My experience in Korea is really quite limited. I went there a couple of times in the late 90’s but my lack of Korean kept me from venturing out to the areas in which Kim operated. I’m sad that I never had the chance to see them, but suspect that some of it still remains.