Thursday, April 11, 2019

Your Money or Your Life

Capitalism puts a price on everything, including human life. Capitalism is also very bad for your health.

The Democratic Party nominees for the 2020 presidential race are falling over themselves to promise free healthcare as a “human right”. 

" Let's take buying and selling out of the treatment of the sick and the elderly.” the World Socialist Party of the United States says, but also asks, “Why just healthcare?”

If we agree that healthcare should be free, why not the many other necessities for a decent life and the well-being of ourselves. 

Housing. Fit homes for all to live in for free and no rent or mortgages.

Food. Supermarkets shelves full of free nutritious food.

Travel. Public transport across the city and across the nation without tickets and fares.

Education. Learning and sharing knowledge without any tuition fees.

Although many socialists recognise the benefits brought by what's termed socialized medicine such as the British National Health Service, we are far from ardent uncritical supporters. Although the many various forms of free healthcare around the world suggests possibilities for how a service free at the point of use and based on needs could be organized, fundamentally, it is not free from the market system. 

The NHS has to simulate markets internally as it actually exists within a market economy. It competes to buy drugs, hospital supplies and to hire staff. Likewise, it must buy buildings and land. It has to pay a form of rent to the pharmaceutical corporations that possess the intellectual ownership titles, the patents of vital medicines which take priority over patients.

Consequently, on its payroll are not just doctors and nurses but accountants, procurement clerks, lawyers and the whole array of staff specifically to manage all of this market activity, greatly adding to running costs. The bureaucracy of the NHS can’t be solved just by “cutting red tape” as the NHS and support services all have to operate in the same economic market as any other institution, so they have to be run like any other. This involves bureaucracy to ration and restrict who qualifies to use them. There will never be a fully decent health service as long as there is the market.

Lets create a general non-market economy in which people co-operate to produce goods and provide services directly for needs without the economic constraints of ownership or buying and selling. Non-market economics is a money-free, non-exchange economy which operates with people co-operating to produce useful goods directly for consumption. The wealth of this world is produced by labor – there is no other way it comes into existence – but it is substantially owned and used by a rich social minority who have never been part of wealth production.

Capitalism has never been able to conquer human beings’ basic sense of decency despite every effort and incentive. People don’t realize how much work volunteers do, in a society that laughs at the idea of working for free. One way to think of socialism is as a global volunteering effort, systematized as the norm rather than the exception. In a socialist society we shall work because it is useful to do so. Women and men who work in hospitals or on ambulance crews will do so simply because they are needed. The recruitment, training and deployment of committed volunteers will take much organising and administration. The emphasis will be on duties and tasks rather than on professional labels: nursing, brain surgery, portering, medical research, and so on, rather than nurses, brain surgeons, porters, medical researchers. Everywhere we shall treat each other as friendly collaborators, not as the competition. What will happen when it is unleashed in all its force can only be guessed at, and with socialism we’ll get a chance to see it in action. 

What’s the point of developing all that new technology of computers, robotics and automation if it is not applied for the benefit of people and used merely to accumulate capital and produce profits? 


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