Health care in the United States
44 quotes
Biography
"Physicians’ and pharmacists’ first and foremost ethical obligation in situations of epidemic , disaster or terrorism is to provide urgent medical care and ensure availability and appropriate use of necessary medications. This requires close coordination with the entire health care team to help ensure patients receive the testing, treatments, follow-up care and medications they need. We applaud the innumerable selfless acts by health care professionals across the nation who are putting themselves in harm’s way to provide care to America’s patients."
"It doesn’t say rest on your laurels, but to keep on pushing. In this work, sometimes you get heavy criticism. People do say ugly things, ‘You just want money.’ I just want other people to have health care. You know, Jesus healed everybody and never charged a co-pay."
"With its broad sweep, the COVID-19 pandemic has forced us into an unprecedented national emergency. This emergency, however, results from a deeper and much longer term crisis — that of poverty and inequality, and of a society that ignores the needs of 140 million people who are poor or a $400 emergency away from being poor. [...] We cannot return to normal. Addressing the depth of the crises that have been revealed in this pandemic means enacting universal health care. [...] Before COVID-19, nearly 700 people died everyday because of poverty and inequality in this country. The frontlines of this pandemic will be the poor and dispossessed - those who do not have access to healthcare [...] - and those who are continuing to work in this crisis, meeting our health care and other needs. It should not have taken a pandemic to raise these resources."
"In June 2019, we presented a Poor People’s Moral Budget to the House Budget Committee, showing that we can meet these needs for this entire country. If you had taken up this Moral Budget, we would have already moved towards infusing more than $1.2 trillion into the economy to invest in health care, good jobs, living wages, housing, water and sanitation services and more. This is not the time for trickle-down solutions. We know that when you lift from the bottom, everybody rises. There are concrete solutions to this immediate crisis and the longer term illnesses we have been battling for months, years and decades before. We will continue to organize and build power until you meet these demands. Many millions of us have been hurting for far too long. We will not be silent anymore."
"While the virus itself does not discriminate, it is the poor and disenfranchised who will experience the most suffering and death. They’re the ones who are least likely to have health care. [...] We need health care to be understood as a human right for all of us."
"Now I know what you're saying. You're saying, "Dave, you have painted a distorted and inaccurate picture of the American health-care system. Not all patients wind up being as wretched as Mary! Many of them wind up being dead." True, but let's not get nitpicky. The point is, our health-care system is a terrible mess. It's expensive, wasteful, inefficient, unresponsive, and infested with lawyers. Which is why there has been a big push, in some quarters, to place it under the management of... The federal government. This is like saying if your local police department has a corruption problem, the solution is to turn law enforcement over to the Sopranos. Nevertheless, there are people- intelligent, educated, well-meaning people- who seriously believe that we should let Washington redesign our health-care system. It goes without saying that these people live and work in Washington; that's the only place where you're going to find intelligent, educated, well-meaning people who are that stupid."
"It has been a rotting corpse for decades, with heinous medical experiments carried out throughout our modern history. The administration of LSD to prepubescent children by the intelligence services in the 1950s; the widespread use of psychiatric drugs, lobotomies, electric shock, and involuntary commitments in the decades after; and the deliberate butchery of over 60 million infants in America since 1971. We are only now paying a bill that was racked up over several generations. We tolerated medical injustice because most of us did not know any better. More of us know more now, but the truth is withheld from the masses under the COVID-19 censorship regime."
"We believe that the healthcare system is a uniquely American calamity that is undermining American lives."
"When Susan Finley developed flu-like symptoms, she didn’t go to the doctor because she was frightened about the cost. Finley’s grandparents later found her dead in her apartment. She was 53. Finley did not die as a result of Covid-19. She died in 2016 as a result of America’s healthcare system – a system that led her to avoid treatment for the common flu in order to avoid debt. It is that same system that is currently creaking under the pressure of a pandemic that experts warned was coming but governments failed to prepare for."
"It [America’s healthcare system] is a system that does not qualify for the term “developed”. [...] There are 2.9 hospital beds for every 1,000 people in the United States. That’s fewer than Turkmenistan (7.4 beds per 1,000), Mongolia (7.0), Argentina (5.0) and Libya (3.7). In fact, the US ranks 69th out of 182 countries analyzed by the World Health Organization. This lack of hospital beds is forcing doctors across the country to ration care under Covid-19, pushing up the number of preventable deaths. America’s numbers are similarly unimpressive when it comes to medical doctors. The United States has 2.6 doctors per 1,000 people, placing it behind Trinidad & Tobago (2.7), and Russia (4.0 doctors per 1,000, for a country that is described as being “in transition”). Life expectancies at birth are lower in the US than they are in Chile or China. The US has a higher maternal mortality rate than Iran or Saudi Arabia."
"I don't think I know enough to say, well, here's the plan. It's not my specialty.... But I don't think there's any way not to have that debate about how much we're going to spend on health care.... In finding our way forward, we've got to be able to find ways to deliver the quality care that everyone expects and that we're capable of providing to the maximum number of people."
"The U.S.'s privatized for-profit health care system had long been an international scandal, with twice the per capita expenses of other developed societies and some of the worst outcomes. Neoliberal doctrine struck another blow, introducing business measures of efficiency: just-on-time service with no fat in the system. Any disruption and the system collapses. This is the world that Trump inherited, the target of his battering ram."
"If Americans are to have the courage to change in a difficult time, we must first be secure in our most basic needs. Tonight I want to talk to you about the most critical thing we can do to build that security. This health care system of ours is badly broken, and it is time to fix it. Despite the dedication of literally millions of talented health care professionals, our health care is too uncertain and too expensive, too bureaucratic and too wasteful. It has too much fraud and too much greed."
"The attacks on gender freedom from the right are not only united in their ideology, but increasingly in their rhetoric. Abortion and trans rights activists have long insisted that both abortion and transition are healthcare. It’s an apt and worthy argument, considering that both involve the interventions of medical professionals, both facilitate the wellbeing and happiness of those who receive them, and both result in horrific health complications when denied, from the high rates of mental distress and horrific, needless pregnancy complications that have been ushered in by Dobbs, to the dramatic rates of suicidal ideation and mental health problems in trans people who are denied the ability to transition. But increasingly, the right has begun to attack the notion of abortion and trans rights as healthcare, arguing that neither pregnancy nor non-transition constitute “illness.”"
"But while these practices of abortion and transition care constitute medicine and while their outcomes encourage health, it would be a mistake to fight the political battle for these services only on the ground of what counts as “healthcare.” Because the truth is that conservatives do not care about health – they don’t care about the integrity of the medical profession, or about patient outcomes, or about bodies, not really. They care about people, and about making sure that those people stay in line. In the grand tradition of feminists and queers alike, we should refuse to."
"In the wake of slavery’s end, skilled Black midwives represented both real competition for white men who sought to enter the practice of child delivery, and a threat to how obstetricians viewed themselves. Male gynecologists claimed midwifery was a degrading means of obstetrical care. They viewed themselves as elite members of a trained profession with tools such as forceps and other technologies, and the modern convenience of hospitals, which excluded Black and Indigenous women from practice within their institutions."
"To better understand racial injustice in the anti-abortion movement, remember that American hospitals barred the admission of African Americans both in terms of practice and as patients."
"Communities marginalized by racial discrimination and oppression also face barriers in accessing healthcare, which severely and negatively impacts these communities. Indigenous Americans experience statistically worse healthcare outcomes than other populations in the US and already had difficulty accessing abortion long before Dobbs. The same is true for Black Americans, who have always faced high barriers to accessing healthcare. Hence, individuals who belong to more than one marginalized group, such as rural Black Americans, face especially high barriers. Access to abortion — and indeed to quality healthcare — has never been equitable for persons from marginalized communities in the US. Dobbs exacerbates many of these inequities by, for example, requiring individuals to travel farther for care and often out of state. Women of color are more likely to fall below the poverty line than white women and therefore feel the costs of interstate travel for healthcare particularly acutely. They are also less likely to have paid time off or paid sick leave to allow for travel, and face additional discrimination to obtain necessary healthcare."
"In general, the states enacting bans have some of the worst healthcare systems in the country and have historically dedicated few resources for low-income residents. Lawmakers passing abortion bans have for years refused to address these problems."
"We therefore urge the Democratic Party to adopt the principle that America has a responsibility to offer every American family the best in health care, whenever they need it, regardless of income or any other factor. We must devise a system which will assure that every American receives comprehensive health services from the day he is born until the day he dies, with an emphasis on preventive care to keep him healthy."
"Congress has the authority under the Constitution to exempt individuals from any requirement that they perform medical procedures that are objectionable to their religious convictions. Indeed, in many cases, the Constitution itself is sufficient to grant an exemption to protect persons from official acts that infringe on their free exercise of religion."
"Sarah Kliff spent the last year looking at over 1000 ER bills and has found outrageous facility fees, high costs for OTC drugs, and charges for simply sitting in the waiting room. Medicare for All would take these excess costs out of the equation..."
"Our demand for Medicare for All must be stronger than Big Pharma lobbyists."
"The head of Indianapolis-based insurance company OneAmerica said the death rate is up a stunning 40% from pre-pandemic levels among working-age people. “We are seeing, right now, the highest death rates we have seen in the history of this business – not just at OneAmerica,” the company’s CEO Scott Davison said during an online news conference this week. “The data is consistent across every player in that business.”"
"Sanders is still fighting the battle for single payer, Medicare-like coverage for all, even as fellow Democrats capitulated to the siren songs of the health and insurance industries. President Obama, himself a one-time advocate of single payer coverage, buckled to the insurance companies and its lobbyists and minions in Congress and agreed to health care legislation (the Affordable Care Act) that would continue to treat healing the sick as a profit center instead of a basic human right."