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Voice of the Environment's mission is to educate the public regarding the transfer of public trust assets into private, mostly corporate, hands.
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1330 Boonville Rd
Ukiah, CA 95482
707-467-0329
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St. Helena, CA 94574
707-963-8264
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For two decades, Voice of the Environment has stood up for the people and our communities against the avarice
of corporations and the misguided policies of the corporate-dominated state.
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Monday, January 23rd, 2006
Wal-Mart's Health Keeps People Sick
Robert Steinback/Miami Herald
Why can't a company that had a quarter-trillion
dollars in sales and earned $10.3 billion in
fiscal 2005 provide affordable health coverage
for its lowest-paid workers?
If Wal-Mart were a state, it would rank 39th in
population, right behind Nebraska -- and that
doesn't include the dependents of the company's
1.7 million employees.
This company doesn't negotiate discounted prices
from suppliers of everything from panties to
popcorn; it mandates them. Wal-Mart makes unions
tremble and politicians swoon. It could grab a
health-insurance provider by the throat, shake it
a few times for effect, then swing the sweetest
healthcare coverage deal in the universe.
But why should it, when it can pass its health-insurance costs to taxpayers?
Maryland made a first bold attempt to put a stop
to this cold, corporate calculus last week when
it passed a law (over the governor's veto)
requiring any company with more than 10,000
employees in the state to spend 8 percent of its
payroll on employee health insurance or to pay
the difference to the state Medicaid fund to help
cover low-income state residents. Only Wal-Mart
meets those parameters.
I'm not a lawyer, but I've been in enough casinos
to know where I'd place my money in a contest
between Maryland's state attorneys and the legal
titans Wal-Mart will throw at them. But at least
Maryland's legislators tried. What a concept --
public policy on behalf of the public!
For all of its myriad other real and imagined
evils, Wal-Mart isn't the cause of the nation's
health-insurance crisis, only the most salient
evidence of it. Wal-Mart is doing exactly what
profit-driven private corporations will do when
we leave what should be public policy in their
hands: Maximize return and minimize costs,
regardless of who suffers. Corporations aren't
about compassion, they're about market
efficiency. We shouldn't condemn a snake for
being a snake.
It's a sad accounting for the world's richest
nation: 45 million Americans, including 8.4
million children, lacked health-insurance
coverage in 2003, according to the National
Coalition on Health Care (whose honorary chairmen
are former presidents Bush, Carter and Ford). The
Coalition projects that the number of uninsured
could reach 53.7 million in 2006 -- an increase
of 10 million since President Bush took office in
2001.
Coverage is costly. Those lucky enough to have
health insurance are paying dearly for it: If
2006 projections are correct, the average cost of
employee-sponsored family health insurance will
have doubled to $14,565 since 2001 -- so much for
your middle-class tax cuts. And the employee's
share of those costs has shot up 126 percent
since 2000.
The result is that the best medical technology
reaches too few people. ''The American healthcare
system provides excellent care to many of its
patients much of the time, but . . . not to
enough of its patients enough of the time,'' the
Coalition observed in its 2004 report, Building a
Better Health Care System.
We're in this crisis because the American public
has been snake-charmed into believing that
legislation in the public interest is an
insidious, reprehensible enterprise, and that
nothing is good for America unless the Fortune
500 has extracted every last penny of profit from
it. That's how we ended up with a Medicare bill
that confuses consumers but rewards
pharmaceutical companies, and an energy policy
enabling Exxon-Mobil to earn $10 billion in a
quarter while heating oil and gasoline prices
soar.
In the early 1990s, the Clintons were mercilessly
skewered by conservatives for attempting to
open up a public policy dialogue on healthcare
coverage. The resulting chill continues; the
topic has replaced Social Security as the
''third-rail'' issue politicians dare not touch.
We can cover every American, contain costs and
spread them more equitably, improve access and
simplify administration, but we'll have to
overcome our collective aversion to debate.
Everything -- from privatization to
socialization, and all in between -- should be on
the table.
But I have a bad feeling that campaign 2006 will
be preoccupied with some other issue -- I'm
guessing immigration -- that will succeed in
distracting voters and pushing this issue into
the background again. And we'll go on hoping that
nagging pain, or that persistent cough, will go
away on its own.
SOURCE
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Voice of the Environment is a 501 (c-3) not-for-profit Montana-based corporation formed in 1991.
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