Trade and Health Care Costs

I am not what you might call a "free trader," because what usually goes under the name of free trade is really a way of giving advantages to the parties (whether corporations, oligarchies, nations, or private businesses) who already have the greatest financial power. Breaking down "all" trade barriers gives the wealthy an open door to expand their economic power. Theoretically, it opens doors to small businesses, weaker economies, and entrepreneurs to gain access to larger markets, too, but that remains mostly in the realm of possibility when the big players are capable of exploiting the opportunities with greater speed and organizational prowess.

I put "all" in scare quotes above because so-called free trade and so-called free markets are never really free. Deregulation opens up paths of freedom for capital, that is for the financially powerful, but it often keeps up the barriers that would benefit common people. The unseen hand of Adam Smith's market is not strictly pursuing the common good. It is often the unseen hand that writes the fine print in legal documents, adds unrelated earmarks to legislation which benefit a few, holds the cigar and cocktail in the backroom where portentious decisions get made without considering the good of the average person.

Dean Baker calls the bluff of the "free traders" by bringing up health care. He proposes,

Suppose that people in the United States paid twice as much for our cars as people in Canada, Germany, and every other wealthy country. Economists would no doubt be pointing out the enormous amount of waste in the US auto industry. They would insist that we both take advantage of the lower cost cars available elsewhere and take steps to make our own industry more efficient.

For some reason, economists do not have the same attitude towards health care.

He goes on to discuss how the economics of health care is working against the U.S. Too many people in the U.S. operate under the misconception that "America has the best health care system in the world." Obviously the residents of the US have better health care than many places in the world, but the World Health Organization's most recent rankings of the health care systems of the nations of the world places the US at 37th out of 190, barely in the top 20 %. The right-wing free market advocates will pick at the WHO ranking system, pointing out potential problems with the statistics they consider, but taking pot shots does not make the glaring problems go away, especially the growing problems of lack of access.

So paying twice as much for less is not a good deal. If you want to read the rest of Baker's article, you can find it here.

This blog started as a kind of discussion board on which I could comment on current topics and interact with the students in my classes at Shaw University Divinity School. This summer I am teaching a course called Religion in Contemporary Life. It was listed on the schedule with no professor's name, so I volunteered. I reasoned that with such a broad course title, I could squeeze in a variety of readings and topic that I have not had opportunity to work into my usual theology and ethics classes. I'll be using this site to promote conversation with my summer students on topics from our course, and anyone else who happens along is welcome to add to the discussion.

On May 19 we had opportunity to hear from Scott Bass of Nazareth House in Raleigh. Nazareth House is in some ways like a Catholic Worker House. They are a house of hospitality who are also engaged in efforts to end the death penalty in North Carolina. Scott talked about weekly vigils as a witness against the death penalty and nighttime vigils when executions are scheduled. But beyond these public protests, he and his family have provided housing, meals, and friendship to families of inmates on death row. They offer assistance from afar, host them on visits to Raleigh, provide a sounding board, and in a variety of ways try to be present as God's people for these people with acute needs.

Bass explained that the primary insight he has gained in recent years of working with families of death row inmates is that the punishment goes far beyond the one executed. The long process and the killing of the inmate is a devastating experience for family members. The fact that it is drawn out for so many years and constantly relived by the families of victims causes serious harm to those people as well.

A number of factors have converged to stop the executions in North Carolina for an indefinite period. The first was a court case in which a pro-death penalty judge ruled that the lethal injection procedure in North Carolina was "cruel and unusual punishment." A study presented in an appeal entered for one death row inmate demonstrated that the procedures used to execute human beings did not measure up to the standard of care required of veterinarians who are often required to humanely put animals "to sleep." The research done on humane treatment of animals was more comprehensive than the research done on humane execution of human beings. This ruling has implications for the entire protocol for executions, and extensive research and rewriting of the law is probably necessary.

Besides this ruling, another development came from the NC Medical Board. Discussions of the protocol for lethal injection executions among physicians resulted in a sudden interruption of scheduled executions. The Medical Board released a ruling that any doctor who assisted in an execution would have her or his license revoked. The law about lethal injection executions requires that a doctor be present to oversee the proper carrying out of the procedures. Because of this ruling, no doctor can remain certified to practice if he or she cooperates with this legal requirement. Thus, the law cannot be carried out because one of its requirements cannot be fulfilled.

A third problem arose when the judge also discovered that the law requires the NC Council of State to approve the protocol, method, participants, and other details of an execution. This requirement has apparently not been carried out for many years. This is another reason that the judge has stopped the executions for now. How long will this stoppage go on? No clear way out of the current problems is apparent. Months or years may pass before the legal hurdles are overcome. Bass says he hopes that the barriers will be so great that the legislature will choose to abolish the death penalty rather than try to write a new complicated law that will probably only bring up new problems for carrying out the deadly sentence.