Kamis, 24 Desember 2009

Acting White: Obamacare

I wish that I could say that I am happy with President Obama’s impending health care bill, but in truth I am rather agnostic and a bit against it. Don’t get me wrong, I am all for everyone being covered, but it is the type and philosophy of current coverage that, when combined with universal-ness, will quicken our health care collapse, and maybe the collapse of the country itself. Perhaps this collapse is a good thing, because it will hasten a replacement, but not without calamity of untold proportions on our way of life.

If the old adage is true, the health care headache that whites experience means many more blacks are going to die. Too often, racial disparity in outcomes is miscast when it is the case that our entire health care system is off-track. Very simply, our system is designed to let our health break and then perform a miraculous come-from-behind save. This is a very profitable model for doctors and the health care industry as a whole, as it exploits the human tendency to procrastinate and offload self-responsibility and diligence. What is offered as preventative care most often means early detection, rather than true prevention. Why is this so?

Doctors visits make money. Drugs make money. Diagnostic equipment makes money. DNA therapy will make tons of money. Snatching people from pain and/or death, after a lifetime of neglect and indulgence, is very, very profitable. People taking care of themselves, and a health care system demanding that they do so, is cost effective, but not very profitable. Although we know of ways to cut our health care cost drastically, for example by boosting our deficient immune systems with cheap vitamin D3 supplements, there is no rush to do this, as this would decimate the cancer industry, from researchers to big pharma to mega-fund raising organization like the American Cancer Society.

So our entire approach to wellness and health care is an evolution that encourages people to do, or not do, just what they want, and then go to the doctor when ‘keeping it real goes all wrong”. The president has chosen health care as a show case of ‘yes we can’, but I fear that what it really is going to show, with sedentary lifestyles and obesity creeping down the age ladder, is that ‘no we can’t’.

James C. Collier

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