If the rich could hire other people to die for them, the poor could make a wonderful living.— Yiddish Proverb
Just like Jesus said, “The poor will always be with us.” There is a group of people [the poor] that just don’t want health care and aren’t going to take care of themselves Morally, spiritually, socially, [the poor, including the homeless,] just don’t wan’t healthcare.— Rep. Roger Marshall, Republican of Kansas, NPR caption above.
In The Great Escape, published in 2013, one of us told a positive story about human progress over the last two hundred and fifty years. The story there was one of previously unimaginable material progress, a decline in poverty and deprivation, and extensions in the length of human life. The generation and application of useful knowledge made this progress possible. A star of the show was capitalism, which freed millions from dire poverty, supported by the positive forces of globalization. Democracy spread around the planet, allowing more and more people to participate in shaping their communities and societies. (Case and Deaton 2020, Preface)
This book is much less upbeat. It documents despair and death, it critiques aspects of capitalism, and it questions how globalization and technical change are working in America today. Yet we remain optimistic. We believe in capitalism, and we continue to believe that globalization and technical change can be managed to the general benefit. Capitalism does not have to work as it does in America today. It does not need to be abolished, but it should be redirected to work in the public interest. Free market competition can do many things, but there are also many areas where it cannot work well, including in the provision of healthcare, the exorbitant cost of which is doing immense harm to the health and wellbeing of America. If governments are unwilling to exercise compulsion over health insurance and to take the power to control costs—as other rich countries have done—tragedies are inevitable. Deaths of despair have much to do with the failure—the unique failure—of America to learn this lesson. (Case and Deaton 2020, Preface)
There have been previous periods when capitalism failed most people, as the Industrial Revolution got under way at the beginning of the nineteenth century, and again after the Great Depression. But the beast was tamed, not slain, and it brought the great benefits laid out in The Great Escape. If we can get the policies right, we can ensure that what is happening today is not a prelude to another great disaster but rather a temporary setback from which we can return to rising prosperity and better health. We hope this book, while not as heartening as The Great Escape, will help put us back on track to make the progress in this century that we have generally made in the past. The future of capitalism should be a future of hope and not of despair. (Case and Deaton 2020, Preface)
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Rep. Roger Marshall (R-Kan.), a member of the GOP Doctors Caucus (comments made in interview with Stat News). He further said, “The Medicaid population, which is a free credit card as a group, do probably the least preventative medicine and taking care of themselves and eating healthy and exercising. And I’m not judging; I’m just saying socially that’s where they are,” he told Stat News, a website focused on healthcare coverage. “So, there’s a group of people that even with unlimited access to healthcare are only going to use the emergency room when their arm is chopped off or when their pneumonia is so bad they get brought to the ER.”
The poor; when will they every learn! Going to the ER when you chop-off your arm! Sheesh, put a band-aid on it and take an aspirin — such little faith! It will get better soon like a miracle. Of course, the real solution is education and early and easy and affordable access to preventative healthcare. What the GOP and ilk like Roger Marshall are doing is scapegoating the poor while ignoring the bigger issues in American healthcare, such as insurance companies seeking to deny coverage based upon pre-existing conditions or drug companies charging predatory prices for life saving drugs.
In reality, this is the twisted anti-gospel of the GOP’s evangelical fundamentalist idolatry — libertarian unprincipled conservatism and its worship of wealth qua the prosperity gospel qua the gospel of greed — the monstrous abomination of a hybrid twisted gospel of fundamentalist evangelicalism and market fundamentalism, to wit:
Of course, anyone who knows THE ONE TRUE Biblicist gospel, Jesus instructed the poor to feed the rich, for the poor shall fill their empty bellies with good tidings preached to them by the rich — they don’t need (or want) good healthcare — for their treasures are in heaven. Have you not heard, “Happy are the poor and sick, for their treasures are in heaven waiting for them, and the sooner they get there the better for the rich.” Jesus had a firm sense of justice for the poor, but it was always Trumped by fiscal conservatism and his love for his favorite apostle Ayan Rand. The elderly, widowed, and disabled poor who would receive Medicaid must work or die quickly! What do they expect, mercy? Where do they think they are, heaven on earth? Have they not read, “Whoso stops his ear to the cry of the rich, he also will someday cry for help and no one will hear him.” Jesus also said to the rich man who invited him to dinner, “When you give a dinner or banquet serve caviar and champagne; invite your friends, your GOP fellows and political allies, all your rich republican neighbors, for they also will invite you in return and you’ll be repaid. But when you give a feast, leave some for the poor birds, and you’ll be blessed, for they cannot repay you — they are, after all, just sparrows. But not one of these little birdies falls to the ground without the Father knowing. Just don’t leave anything outside the gated community for the poor, the crippled, the lame, the blind and sick human beings — or they’ll start dumpster diving — and then their goes the neighborhood!