I do not enter the issues on the Klein aspects to do with Environment: Other than to say that this seems to me no different in general, from any issue touching on the distinctions of reforms vs changes to do with more substantive revolutionary fundamental changes.
However on the issue of private vs profit motives in provision of health care under capitalist societies: Sorry, but I found the comments made by some, somewhat superficial. (1) Universal health care - as a short hand term for systems of health care funded by a state - were disparaged by some. This is short sighted for socialists, in my view, as it ignores: - access being 'free' at point of entry (Well - not "free" - funded by more 'progressive' tax bases) than pertaining in the USA now; provides much lower 'administrative costs' (eg Himmelstein DU et al: 'A comparison of Hospital Admin. costs in 8 nations: US costs exceed all other by Far'; Health Affairs; Sep 2014; 33:); effects on reduction of inequitable distribution of services. (2) As Ragu tries to make - but the connection is unclear - an equation of non-profit with 'universal' health care systems. Systematic reviews have shown clearly the benefits in real health outcomes (eg dialysis services availability). If anyone is interested i have a slide pack that I recently used to present to an academic health care audience. As a further aside, I recall saying either here or on Lou's list, that the *exposure* of an AA president (elected purely for colour) was a good thing because it enabled the underlying class issues (vs race issues) to be seen as primary. Hence a line, I believe, akin to VIL's 'Support them like a rope supports a hanged man" - of the Hendersons' and other Labour opportunists in the British LP. Thus: I have no illusions about Obama Health Care. But - for those working in the health care system, it undoubtedly seems to have broadened health care access, thus a partial reform. Not enuf', but a positive step. Hari Kumar
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