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	<title>FIXCapitalism.com &#187; Mark Blessington</title>
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		<title>Progressive Taxes: Needed to Offset Income Inequality?</title>
		<link>https://fixcapitalism.com/progressive-taxes-needed-to-offset-income-inequality/</link>
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		<pubDate>Sat, 29 Apr 2017 02:06:09 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[Corruption]]></category>
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		<category><![CDATA[Money In Politics]]></category>
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		<description><![CDATA[BY MARK BLESSINGTON &#8211; True or false: Are America’s wealthy few growing their wealth at the expense of everyone else? The question is not whether the rich are getting richer. The question is whether they are gaining wealth at the expense of everyone else. The Congressional Budget Office provides a comprehensive report on wealth every three &#8230; <a href="https://fixcapitalism.com/progressive-taxes-needed-to-offset-income-inequality/" class="more-link">Continue reading <span class="screen-reader-text">Progressive Taxes: Needed to Offset Income Inequality?</span></a>]]></description>
				<content:encoded><![CDATA[<p>BY MARK BLESSINGTON &#8211; True or false: Are America’s wealthy few growing their wealth at the expense of everyone else? The question is not whether the rich are getting richer. <strong>The question is whether they are gaining wealth at the expense of everyone else.</strong></p>
<p>The Congressional Budget Office provides a comprehensive <a href="https://www.cbo.gov/publication/51846">report on wealth</a> every three years. The percent of total wealth owned by the top 10 percent of all families is shown below.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.54.38-PM.png"><img class="alignnone size-full wp-image-880" src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.54.38-PM.png" alt="Screen Shot 2017-04-28 at 8.54.38 PM" width="647" height="479" /></a></p>
<p><strong>The unavoidable and indisputable conclusion: The top 10 percent is getting wealthier at the expense of everyone else. </strong></p>
<p>Why did wealth grow faster for the top 10 percent over the last quarter century? Most of the answer involves income. The math is simple:<br />
<strong><br />
more income <a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.58.19-PM.png"><img src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.58.19-PM.png" alt="Screen Shot 2017-04-28 at 8.58.19 PM" width="20" height="15" /></a></strong><strong>more investing <a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.58.19-PM.png"><img src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-8.58.19-PM.png" alt="Screen Shot 2017-04-28 at 8.58.19 PM" width="20" height="15" /></a> more wealth.</strong></p>
<p>In other words, wealth for the top 10 percent grew faster because their income grew faster.</p>
<p>Analyses from the Federal Reserve clearly indicate that the income share for the top 10 percent grew at the expense of everyone else. The Fed goes even further. They show that <strong>the top 3 percent is the only group that took a greater share of income over the last quarter century</strong>. The next 7 percent was level, and the bottom 90 percent declined.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.01.24-PM.png"><img class="alignnone size-full wp-image-882" src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.01.24-PM.png" alt="Screen Shot 2017-04-28 at 9.01.24 PM" width="667" height="485" /></a></p>
<p>Another way to track income inequality is the Gini statistic. Gini rises with the level of inequality. Starting with a baseline of 100 in 1993, income inequality rose in the US despite a series of severe business cycles. It could be argued that the wealthy few played a major role in creating the dotcom craze and the great recession. But rather than suffer defeats, they ultimately came out ahead.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.02.15-PM.png"><img class="alignnone size-full wp-image-883" src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.02.15-PM.png" alt="Screen Shot 2017-04-28 at 9.02.15 PM" width="655" height="484" /></a></p>
<p>It is important to examine Gini levels across various political administrations. The inescapable conclusion is that Gini has grown regardless of who is President or whether we have a Republican or Democratic administration. Both parties have catered to the wealthy few. Their power permeates both political parties.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.02.52-PM.png"><img class="alignnone size-full wp-image-884" src="http://fixcapitalism.com/wp-content/uploads/2017/04/Screen-Shot-2017-04-28-at-9.02.52-PM.png" alt="Screen Shot 2017-04-28 at 9.02.52 PM" width="664" height="474" /></a></p>
<h2>No Level Playing Field</h2>
<p>What does it mean when one group benefits at the expense of others? Classic economic theory would hold that the top 10 percent gained because they added more value relative to everyone else. The wealthy few sometimes rationalize their outsized gains by arguing that they are smarter than the rest of us. During the recent presidential campaign, Donald Trump personified these claims. He made it clear he views himself as smarter than everyone else, that he knows more about taxes, that he knows more than the generals, and so on.</p>
<p>But there is at least one major problem with the assertion that the top 10 percent deserved their outsized gains: there is no level playing field. The rules favor the wealthy few. They have far more advantages in our economy over everyone else, especially in the political and legal realms. They fund PACs, lobbyist and lawyers to push their interests at the expense of everyone else.</p>
<p>Proof that there is a biased playing field is provided in a study by Martin Gilens and Benjamin Page. They conclude that the wealthy few and special interest groups for business have substantial impacts on U.S. government policy, while average citizens and groups supporting them have little to no influence.<a href="#_edn1" name="_ednref1">[i]</a> In short, we have an oligarchy in the USA.</p>
<p>Capitalism has no argument with top producers earning more. <strong>Capitalism becomes something else when the wealthy few benefit at the expense of everyone else, and for no reason other than they have the power and the means to take more than their fair share.</strong> That’s not capitalism; that’s oligarchy.</p>
<p>While American productivity rose, income for American workers <a href="http://www.epi.org/publication/understanding-the-historic-divergence-between-productivity-and-a-typical-workers-pay-why-it-matters-and-why-its-real/">stagnated</a>. For decades, as Americans worked harder and smarter, the fruits of American productivity gains were claimed exclusively by the top 10 percent. Again, this is not capitalism, it is a systematic pattern of “reverse robin hood.”</p>
<h2>Blowing Smoke</h2>
<p>Our government is charged with the responsibility of maintaining a healthy economy. Just as societies do not self-regulate, neither do economies. Civil society requires laws and a system of justice. The same is true of economies: laws provide the foundation for an economy. Then those laws need to be enforced by government and our legal system. This creates trust. Economies flourish with trust, and eventually decline without it.</p>
<p>Political conservatives claim we have too many laws, which hampers economic growth. This is propaganda; a simple-minded bastardization of classic economic theory. In fact, classic economic theory has always called for regulations that maintain a level playing field.<a href="#_edn2" name="_ednref2">[ii]</a></p>
<p>America’s government has failed to provide a level playing field. The interest of the wealthy few have driven political and legal decision making to favor them at the expense of everyone else. The facts prove it, and this has been going on for decades in the USA.</p>
<h2>Progressive Taxes</h2>
<p>The short-term solution is to raise taxes on the wealthy few. The current conservative proposal is to cut income taxes at the top. They claim the benefits will trickle down to everyone else. The absolute fraud of the trickledown claim is laid bare by the facts. We’ve had trickledown economics for decades, and it only benefits the wealthy few.</p>
<p>Tax cuts for middle America are immediately spent in the economy or used to pay off debt. Tax cuts for the wealthy few, on the other hand, mostly go toward investments, which does not feed the economy.<a href="#_edn3" name="_ednref3">[iii]</a> It is far more credible to expect that diverting money from middle America to investments by the wealthy few reduces consumption and depresses rather than fuels the economy.</p>
<h2>How Much Money Are We Talking About?</h2>
<p>The top 10 percent of wealthy Americans owned 76 percent of total US wealth in 2013. That year, aggregate family wealth was $67 trillion.<a href="#_edn4" name="_ednref4">[iv]</a> So, the top 10 percent held about $51 trillion in 2013.</p>
<p><strong>How much is $51 trillion?</strong></p>
<ul>
<li>The number 51 followed by 12 (yes, twelve!) zeros.</li>
<li>More than 3 times the USA’s gross domestic product in 2013.<a href="#_edn5" name="_ednref5">[v]</a></li>
<li>32% of total world wealth.<a href="#_edn6" name="_ednref6">[vi]</a></li>
<li>More than the combined wealth of China, Japan, United Kingdom and Germany.<a href="#_edn7" name="_ednref7">[vii]</a></li>
</ul>
<p>There is no ethical way to justify such an egregious concentration of wealth among so few. It is a gross distortion of capitalism, and it impacts the entire world. Progressive taxes would help fix the imbalance created by an uneven playing field for the last quarter century. For example:</p>
<ul>
<li>A 1% wealth tax on the upper half of the top 10 percent’s wealth would generate $255 billion a year.<a href="#_edn8" name="_ednref8">[viii]</a></li>
<li>A 100% tax on all annual income over $10 million would generate another $255 billion a year. <a href="#_edn9" name="_ednref9">[ix]</a></li>
</ul>
<p><strong>How much is $255 billion?</strong></p>
<ul>
<li>It equals all of <a href="https://www.nytimes.com/interactive/2017/03/15/us/politics/trump-budget-proposal.html?action=click&amp;contentCollection=Politics&amp;region=Footer&amp;module=WhatsNext&amp;version=WhatsNext&amp;contentID=WhatsNext&amp;moduleDetail=undefined&amp;pgtype=Multimedia">Trump’s proposed budget</a> cuts ($58.6 billion) <strong><em>and</em></strong> increases ($60.4 billion), plus and additional $136 million for Affordable Healthcare rate discounts, college tuition relief, and so on.</li>
<li>It equals the taxes paid by everyone in 2016 who earned less than $75,000 plus $66 billion for further tax relief.</li>
</ul>
<h2>Pushback</h2>
<p>The above two tax programs together would generate over half a trillion dollars a year. As we can imagine, the pushback will be immense. The wealthy few have trillions at stake, and they will spend many billions if not trillions to keep what they have. They will wage all-out war. They will deploy their massive power to fight. They have unfair advantages across our economic, political, and legal systems, and they will leverage them aggressively to quash any redistributive taxation.</p>
<p><strong>The simple fact, however, is that the wealthy few only have as much power as we give them. </strong></p>
<p>Americans tend to be easily intimidated by wealth. We have let ourselves be bullied by the wealthy few for centuries. But from time to time we also stand up and say: That’s Enough! You’ve gone too far!</p>
<p>After the Great Depression Americans assumed a bold persona embodied in Franklin Delano Roosevelt. With a supermajority of Americans behind him, he reversed income and wealth inequality. He implemented progressive taxes and stood up to powerful corporate interests. He restored a level playing field, and the bulk of Americans won. They took back what was rightfully theirs. They restored their fair share of the American dream.</p>
<h2>Restore True Capitalism</h2>
<p>There is no way to be polite about egregious misappropriation of income and wealth. On the one hand, it is perpetrated by ugly, rampant greed. On the other, it is enabled by widespread cowardice.</p>
<p>Progressive taxes are the most immediate and effective tool for moving toward economic balance. It does not fix the problem at its core, but it takes a big step forward.</p>
<p>Fair distribution of income and wealth must become an integral part of the American political lexicon. We need to talk about how much money is taken from Americans every year by the wealthy few. We need to quantify the benefits of progressive taxation We need to become more facile with detecting economic propaganda. We need to hold conservative economists accountable for their economic lies and deceit.</p>
<p>The wealthy few are not going to help us rebalance the economy. It is up to us – the remaining 90 percent. We must restore capitalism, put an end to oligarchy, and create a level playing field on which capitalism can flourish for everyone once again.</p>
<p style="text-align: center;">* * *</p>
<p><em><strong>Mark Blessington</strong> has an insider&#8217;s view of Corporate America. After receiving an MBA from Northwestern University in marketing, he pursued a 30-year career as a consultant to some of the world&#8217;s largest corporations. For the last 15 years and with Howard Zinn as his inspiration, he has published numerous articles that reexamine various political economics topics from the perspective of common citizens.</em></p>
<p style="text-align: center;">* * *</p>
<p><a href="#_ednref1" name="_edn1">[i]</a> Martin Gilens and Benjamin I. Page, <em>Testing Theories of American Politics: Elites, Interest Groups, and Average Citizens</em>, American Political Science Association, September, 2014.</p>
<p><a href="#_ednref2" name="_edn2">[ii]</a> For example, Adam Smith called for strict government regulation of the banking industry. <em>Wealth of Nations</em>, 1776, Book 5, Chapter 1, Part 3, Article 1. Later, F. A. Hayek called for better laws to ensure fair competition in <em>The Road to Serfdom</em>, 1944, Chapter 3.</p>
<p><a href="#_ednref3" name="_edn3">[iii]</a> The major source of corporate funding over the last quarter century has been through <a href="http://www.huffingtonpost.com/fixcapitalism/death-of-the-shareholder-_b_9058380.html">debt, not equity</a> financing.</p>
<p><a href="#_ednref4" name="_edn4">[iv]</a> Congressional Budget Office, <em>Trends in Family Wealth, 1989 to 2013</em>, August 2016, page 1.</p>
<p><a href="#_ednref5" name="_edn5">[v]</a> World Bank: http://data.worldbank.org/country/united-states</p>
<p><a href="#_ednref6" name="_edn6">[vi]</a> Alianz, <em>Global Wealth Report, 2016</em>. Top 10% wealth share of 76% x USA share of world wealth of 42% in 2016 = 32%.</p>
<p><a href="#_ednref7" name="_edn7">[vii]</a> Alianz, <em>Global Wealth Report, 2016</em>. After the USA, the next four countries’ share of world wealth (Japan, China, United Kingdom, and Germany) is 31%.</p>
<p><a href="#_ednref8" name="_edn8">[viii]</a> $51 trillion held by the top 10% x 50% of the top half’s wealth x 1% wealth tax = $255 billion</p>
<p><a href="#_ednref9" name="_edn9">[ix]</a> The IRS provides income and tax details in its <a href="https://www.irs.gov/uac/soi-tax-stats-individual-statistical-tables-by-size-of-adjusted-gross-income">annual reports</a>. In 2016, the group with adjusted gross incomes (AGIs) over $10 million had an average income of $30.4 million and an effective tax rate of 25.4% for 16,733 tax returns. The new total tax for this group would be $384 billion versus the old $129 billion, yielding a gain of $255 billion.</p>
<h2></h2>
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		<title>Fixing Obamacare—the Right Way</title>
		<link>https://fixcapitalism.com/fixing-obamacare-the-right-way/</link>
		<comments>https://fixcapitalism.com/fixing-obamacare-the-right-way/#comments</comments>
		<pubDate>Thu, 30 Mar 2017 05:56:42 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[Corruption]]></category>
		<category><![CDATA[Economics]]></category>
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		<guid isPermaLink="false">http://fixcapitalism.com/?p=871</guid>
		<description><![CDATA[By MARK BLESSINGTON &#8211; The Republicans just failed to repeal and replace Obamacare or the Affordable Care Act (ACA). Most explanations miss why the Republican plan failed. The answer comes from answering a key question: Why did ACA insurance rates rise in 2016? The answer is absurdly simple: Because US health insurance companies jacked-up their ACA &#8230; <a href="https://fixcapitalism.com/fixing-obamacare-the-right-way/" class="more-link">Continue reading <span class="screen-reader-text">Fixing Obamacare—the Right Way</span></a>]]></description>
				<content:encoded><![CDATA[<p>By MARK BLESSINGTON &#8211; The Republicans just failed to repeal and replace Obamacare or the Affordable Care Act (ACA). Most explanations miss why the Republican plan failed. The answer comes from answering a key question: Why did ACA insurance rates rise in 2016?</p>
<p>The answer is absurdly simple: Because <strong>US health insurance companies jacked-up their ACA rates!</strong></p>
<p>Let’s be clear. The ACA does <strong><em>not</em></strong> set insurance rates. Companies voluntarily join the ACA “marketplace” and they set their premiums independently.</p>
<p>In 2016, health insurance companies <a href="https://www.zanebenefits.com/blog/bid/97380/faq-how-much-does-individual-health-insurance-cost">raised their insurance rates by 140%</a> for policies purchased by individuals for their families. In contrast, company-sponsored premiums for family coverage only increased by 3% in 2016. This is beyond reasonable.</p>
<p><strong>The biggest problem with the ACA is that it has <em>no teeth in dealing with insurance companies</em>. </strong></p>
<p>While the rest of the industrialized world has single-payer healthcare, the US uses private insurers. Our free market system was failing before the ACA, and it still is. The only viable options are to greatly increase health insurance company regulation, or go to a single-payer system.</p>
<p><strong>The Republican proposal went in the wrong direction.</strong></p>
<p><strong>It <em>reduced</em> restrictions on health insurance companies, which would have pushed us back toward what we had before the ACA.</strong></p>
<p>Trump’s strongest concentration of support was in rural areas. And guess what? Many of these voters do not have company-sponsored or “group” health insurance. Many of them do not work for big corporations which typically pay <a href="https://www.zanebenefits.com/blog/what-percent-of-health-insurance-is-paid-by-employers">70% to 80%</a> of an employee’s health insurance bill. They tend to be self-employed, independent contractors, part-time workers, or retired. They desperately need health insurance relief, and Trump-care was not going to provide it. This is the real reason why Trump-care failed.</p>
<p>An essential restriction that would greatly improve the ACA is:</p>
<p><strong>If an insurance company offers group health insurance in a state, then:</strong></p>
<p>(1) It must also offer ACA coverage in that state, and<br />
(2) ACA and group rates must be the same in that state.</p>
<p>This regulation has very serious consequences. It means that:</p>
<ul>
<li>Major insurance carriers will not be able to opt-out of the ACA unless they choose to exit the health insurance business entirely.</li>
<li>It puts individuals on the same footing as corporations when it comes to buying health insurance. If an insurance company wants to raise their rates, they must do it across-the-board in that state.</li>
<li>Health insurers will be forced to focus on the cost side of healthcare. For example, what can be done about egregious prices for some pharmaceuticals and some medical equipment and devices? What can we do about the small minority of patients who drive healthcare costs through the roof? How can illness prevention help drive down costs?</li>
</ul>
<p>The bottom line here is that if the health insurance industry can’t play a central role in fixing our healthcare cost crisis, then they have no right to be in the business. <strong>They must solve the problem, not profit from it.</strong></p>
<h2>What about a discount?</h2>
<p>Adding one new regulation to the ACA does not fix it. For example, what about workers who receive no health insurance discount from an employer? This problem impacts about <strong><a href="http://kff.org/private-insurance/issue-brief/trends-in-employer-sponsored-insurance-offer-and-coverage-rates-1999-2014/">one-third of working America</a></strong>. The obvious solution is for the federal government to ensure that large discounts (e.g., 70 to 80%) are provided to individuals. Why so obvious? Because two-thirds of US workers receive it, and insurance is not affordable for those who do not receive it.</p>
<p>There are two avenues: increase the number of companies that offer their employees a health insurance discount, or offer it through the ACA. The ACA strives to do both. While it may need strengthening in these areas, the more immediate issue is pulling premiums back down to reality.</p>
<h2>Who wins and who loses?</h2>
<p>Now we have a clear picture of who wins and loses when we fix the ACA. Individuals who buy insurance through the ACA win. Insurance companies lose if they can’t reduce healthcare costs. Small companies lose because of higher expenses from offering health insurance. Taxpayers lose unless money from other areas of the Federal budget is diverted to pay for the ACA discounts.</p>
<p>Some argue that these losses are too high and that we can’t afford to fix the ACA. There are numerous counter arguments, such as we place too high a priority on military spending relative to the value of improving American’s health, and so on.</p>
<p>Rhetoric aside, Americans can see through the smoke and decipher the reality surrounding healthcare. They will hold politicians accountable for fixing this large, pressing problem. Too many people are suffering under our failing health insurance system.</p>
<p><strong>See also:</strong><br />
<em><a href="http://www.huffingtonpost.com/entry/its-time-for-a-single-payer-healthcare-system_us_58d6470de4b0f633072b37f8">It&#8217;s Time for a Single Payer Healthcare System in the US</a> </em>by Philip Kotler.</p>
<p><em><strong><a class="bn-clickable" href="http://www.markblessington.com/" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Mark Blessington&quot;,&quot;mpid&quot;:4,&quot;plid&quot;:&quot;http://www.markblessington.com&quot;}}" data-beacon-parsed="true">Mark Blessington</a></strong> is a sales and marketing consultant and has worked with many of the world’s largest corporations. He has written four books, ranging from Deep Economics to Sales Forecasting.</em></p>
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		<title>It’s Time For A Single-Payer Healthcare System</title>
		<link>https://fixcapitalism.com/its-time-for-a-single-payer-healthcare-system/</link>
		<comments>https://fixcapitalism.com/its-time-for-a-single-payer-healthcare-system/#comments</comments>
		<pubDate>Sat, 25 Mar 2017 12:56:59 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
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		<guid isPermaLink="false">http://fixcapitalism.com/?p=874</guid>
		<description><![CDATA[By PHILIP KOTLER &#8211; We have had “Obamacare” and now the Republicans have fallen short in replacing it with “Ryancare” (a.k.a. “Trumpcare”). Both plans have their unforgiving and deep critics and enemies. I think that it is time to adopt the healthcare system that Canada and most other nations have: a single-payer healthcare system. A single-payer &#8230; <a href="https://fixcapitalism.com/its-time-for-a-single-payer-healthcare-system/" class="more-link">Continue reading <span class="screen-reader-text">It’s Time For A Single-Payer Healthcare System</span></a>]]></description>
				<content:encoded><![CDATA[<p>By PHILIP KOTLER &#8211; We have had “Obamacare” and now the Republicans have fallen short in replacing it with “Ryancare” (a.k.a. “Trumpcare”). Both plans have their unforgiving and deep critics and enemies.</p>
<div class="content-list-component bn-content-list-text text" data-beacon="{&quot;p&quot;:{&quot;mnid&quot;:&quot;citation&quot;}}" data-beacon-parsed="true">
<p>I think that it is time to adopt the healthcare system that Canada and most other nations have: a <strong>single-payer healthcare system</strong>.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/03/Screen-Shot-2018-01-20-at-1.28.23-AM.png"><img class="aligncenter size-full wp-image-1002" src="http://fixcapitalism.com/wp-content/uploads/2017/03/Screen-Shot-2018-01-20-at-1.28.23-AM.png" alt="Screen Shot 2018-01-20 at 1.28.23 AM" width="846" height="876" /></a></p>
<div class="content-list-component bn-content-list-text yr-content-list-text text" data-beacon="{&quot;p&quot;:{&quot;mnid&quot;:&quot;citation&quot;}}" data-beacon-parsed="true" data-rapid-cpos="3" data-rapid-subsec="paragraph" data-rapid-parsed="subsec">
<p><strong>A single-payer healthcare system will be simpler, more efficient, involve less cost, and satisfy more consumers.</strong> Let’s recognize that today’s U.S. healthcare system is a compromise between the Democrats wish to expand healthcare coverage to more citizens and the Republicans wish to work with private insurance companies that compete by offering different plans.</p>
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<p>Let’s first examine the criticisms of Obamacare and then the criticisms of the Republican proposal &#8211; “Ryancare” &#8211; and finally see what a single-payer healthcare system offers.</p>
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<h2><strong>What about Obamacare?</strong></h2>
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<p>“Obamacare” is the political name given by Republicans to the healthcare plan passed by Congress and signed by President Barack Obama in March 23, 2010. The technical name is the <strong>Patient Protection and Affordable Care Act</strong> but for short, it is called the <strong>Affordable Care Act (ACA)</strong>.</p>
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<p>The ACA sought to correct many problems of the previous “free enterprise” health care system. Here are the problems:</p>
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<p>1. About 45 million Americans lacked health insurance coverage. Such persons would have pay their own full medical bill out of their income or rely largely on the emergency room services of local hospitals.</p>
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<p>2. Health insurance companies did not have to accept applicants, especially if they had a health problem.</p>
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<p>3. Health insurance companies could terminate AIDS patients and many insured persons complained about poor service from the insurance companies.</p>
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<p>4. Health care coverage and service varied greatly from area to area. Many rural areas had only one or two health insurance providers.</p>
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<p>5. Many patients experienced high and rising costs of health insurance and resented the limits placed on their choice of physicians and procedures.</p>
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<p>6. Patients complained about the high prices for medications that were cheaper in many countries.</p>
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<p>7. Physicians were unhappy because of falling remuneration, restrictions on their freedom to choose procedures and the high cost of malpractice insurance in an overly litigious society.</p>
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<p>8. Employers were unhappy because their medical premiums kept rising.</p>
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<p>9. Hospitals faced rising costs of new technology that rapidly needed to be replaced by still newer technology.</p>
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<p>Clearly most people and many stakeholders were dissatisfied with the quality, access, and cost of our “free enterprise” healthcare system. Many people argued that health care was a right, not a privilege and that new legislation was needed.</p>
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<p>The Obama plan (ACA) set three aims: (1) to increase <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Health_insurance" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;health insurance&quot;,&quot;mpid&quot;:1,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Health_insurance&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:18" data-rapid-parsed="slk" data-rapid_p="1" data-v9y="0">health insurance</a> quality and affordability, (2) lower the number of uninsured people, and (3) reduce the costs of healthcare. To accomplish this, the ACA set up mandates, subsidies and insurance exchanges. The mandate was the requirement that all persons and families needed to buy insurance coverage. It their income was too low to afford the insurance, they would receive subsidies. Those who could afford to buy insurance coverage but didn’t buy it would pay a fine.</p>
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<p>The ACA required all insurers to <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Guaranteed_issue" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;accept all applicants&quot;,&quot;mpid&quot;:2,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Guaranteed_issue&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:19" data-rapid-parsed="slk" data-rapid_p="2" data-v9y="0">accept all applicants</a>, cover a specific list of conditions and <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Community_rating" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;charge the same rates&quot;,&quot;mpid&quot;:3,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Community_rating&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:19" data-rapid-parsed="slk" data-rapid_p="3" data-v9y="0">charge the same rates</a> regardless of <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Pre-existing_condition" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;pre-existing conditions&quot;,&quot;mpid&quot;:4,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Pre-existing_condition&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:19" data-rapid-parsed="slk" data-rapid_p="4" data-v9y="0">pre-existing conditions</a> or sex.</p>
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<p><em>To the great credit of ACA, another 20 to 24 million additional persons had coverage by 2016.</em></p>
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<p>Conservatives criticized the requirement that all eligible people had to buy health insurance. Freedom lovers thought this was unconstitutional, ignoring that all citizens who want to drive a car must buy auto insurance. The requirement was essential if the government was to collect enough money to cover the cost of everyone having healthcare insurance.</p>
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<p>Republicans used all their power to drumbeat that Obamacare was a failure. They focused on healthy, financially secure 25-year-olds who were forced to buy health insurance when they had so many other needs they wanted to satisfy. Republicans refused to recognize that this was necessary to make it possible to insure older and lower income people, something these people would appreciate later in life if they fell into the same lack of funds. Ryan proclaimed: “The idea of Obamacare is … that the people who are healthy pay for the people who are sick,” He added. “It’s not working, and that’s why it’s in a death spiral.”</p>
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<p>Another criticism was that President Obama promised that no one would have to change his or her present insurance or doctor relationship. Yet about 5 percent of the population found that they had to change their health plan. But 80 percent who got health care through their companies did not have to change their health plan.</p>
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<p>There were other critics. Rich people had to pay higher taxes to fund the subsidies. Many hospitals and doctors faced lower earnings as the law tightened up on unnecessary care.</p>
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<h2><strong>How About ”Ryancare”? (also called “Trumpcare”)</strong></h2>
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<p>When the Republicans came to power with Donald Trump’s election in 2016, GOP House Representative <strong>Paul D. Ryan</strong> had his opportunity to kill Obamacare with an entirely different plan for healthcare delivery. Ryan wanted a healthcare system that would provide full choice and individual responsibility for one’s healthcare. Citizens would establish healthcare savings plans and build up enough savings to meet their ordinary medical needs. Those who lacked income would get a cash subsidy depending on their age. Older persons would receive a higher cash subsidy than younger people, regardless of income.</p>
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<p>Paul Ryan’s aim was to convert Medicare into a “voucher” program for citizens currently under age 55. People who are now age 55 and older would continue to buy traditional Medicare insurance. Those who didn’t meet the age threshold would be given “premium support” from the government when they attain the retirement eligibility age. They would then be free to buy their own insurance coverage from for-profit insurance companies. They would pay any difference between the voucher amount and premiums charged by insurance companies out of their own pocket.</p>
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<p>A lot of federal money would be given as block grants to states to use for healthcare as they saw the need. If block grant money was insufficient, the state would have to come up with the difference. However, most states are in a poor financial condition and are not able to add more money beyond the block grant. So healthcare quality is likely to be very uneven from state to state.</p>
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<p>Ryan’s original proposal called for capping annual increases in the premium support. If medical premium costs continued to rise much faster than the overall economy, seniors would need to kick in more of their own money to pay for medical insurance. This would hurt lower- and middle-income seniors, Ryan modified his proposal to allow for increases in the premium support amount that would track increases in total premium costs.</p>
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<p>Supporters of Ryancare can cut their own costs in a number of ways:</p>
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<p>1. Restrict eligibility by raising the retirement age</p>
<p>2. Make participants pay more by increasing premiums, copayments or deductibles.</p>
<p>3. Reduce demand for medical care by encouraging preventive care (with no deductible or copayment on these services)</p>
<p>4. Pay less to hospitals, physicians and other medical providers by reducing reimbursement rates</p>
<p>5. Provide incentives to medical providers to improve efficiency</p>
<p>6. Reduce or eliminate unnecessary costs by restricting malpractice awards, reducing fraud and encouraging the use of electronic records</p>
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<p>Ryan’s plan is to turn free enterprise loose to pull all the other levers, while limiting government involvement in Medicare. The plan assumes that people would make informed, economically smart choices among a variety of distinct medical plans. The invisible hand of capitalism would then reward innovative medical insurance providers and punish inefficient providers that don’t meet Americans’ needs.</p>
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<p>Ryan assumes that there will be real competition among insurance companies and that consumers will make informed choices about their medical plan. In most geographic areas, there are only handful of insurance companies that offer medical insurance plans. There isn’t the kind of intense market competition that relentlessly drives down costs and rewards innovation.</p>
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<p>And how can we assume that consumers can make really informed decisions about something as complicated as health insurance? Consumers make awful tradeoffs between spending and saving with a bias toward spending. They invest in fly-by-night stock market tips. They acquire poor health by deciding to smoke, abuse alcohol, take hard drugs, eat sugar, fat and salt-loaded foods. They buy more expensive cars than they can pay for if a recession occurs. How can we be sure that they will make smart decisions on their medical plan coverage.</p>
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<p>Ryancare claims that it will make $5.1 trillion in cuts to help bring the government’s cost into the black by 2024. The budget legislation promises to serve more as an election-year political and policy statement by House Republicans than a realistic attempt to engage Obama and Democrats in any serious effort to further cut the deficit.</p>
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<p><strong>Free enterprise works well to efficiently deliver most goods and services. It is </strong><em>not</em> the best system for delivering adequate healthcare. To place Medicare, Medicaid and Social Security in the hands of private enterprise where the aim is to reduce costs and increase investor return, our people are at their mercy. Remember that the first priority of for-profit executives is to their shareholders, not to their customers.</p>
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<h2><strong>Negative Reactions to the Ryan Plan</strong></h2>
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<p>The Ryan Plan, called the American Healthcare Plan (AHP), calls for $880 million in cuts to Medicaid alone, and it raids $117 billion from Medicare—cutting nearly $1 trillion from both programs that will be used for a massive tax break for the wealthy! This is a case where the poor will be subsidizing the rich.</p>
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<p>The Ryan Plan attracted an outpouring of criticism and disparagement. People accused the Republicans as turning their back on the middle and the poorer class. The plan was disparaged by the American Medical Association (AMA), American Hospital Association (AHA), and the American Association of Retired People (AARP), each pointing out the weaknesses that they saw.</p>
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<p>The AARP estimates “that the bill’s changes to current law’s tax credits could increase premium costs for a 55-year old earning $25,000 by more than $2,300 a year. For a 64-year old earning $25,000 that increase rises to more than $4,400 a year, and more than $5,800 for a 64-year old earning $15,000.” “[I]t appears that the effort to restructure the Medicaid program will have the effect of making significant reductions in a program that provides services to our most vulnerable populations, and already pays providers significantly less than the cost of providing care.” The Republican plan would weaken Medicare and <a class="bn-clickable" href="http://fortune.com/2017/03/07/gop-healthcare-plan-opposition/" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;largely benefit the young and rich&quot;,&quot;mpid&quot;:5,&quot;plid&quot;:&quot;http://fortune.com/2017/03/07/gop-healthcare-plan-opposition/&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:40" data-rapid-parsed="slk" data-rapid_p="6" data-v9y="1">largely benefit the young and rich</a> at the expense of the old and poor.</p>
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<p>Several smaller or specialty trade associations have also expressed deep concerns with Ryancare, including the American Academy of Pediatrics, the American Psychiatric Association, and the Federation of American Hospitals. Surprisingly, Powerful conservative groups such as Heritage Action, Freedom Works and Club for Growth have all denounced the Republican legislation.</p>
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<p>The Democrats charged that the Ryancare would cause at least 11 million person to lose health coverage, cause premium co-pay and deductible increases, deplete the Medicare trust fund, and transfer wealth to the richest. It would decrease the number of health insured people and do nothing to get the millions of uninsured to get health insurance.</p>
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<div class="inline-newsletter__image"><strong>Already 13 Republican Senators are on record as having deep reservations about gutting the Affordable Care Act and enacting Ryancare in its place.</strong></div>
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<p>Even former vice presidential nominee Sarah Palin <a class="bn-clickable" href="https://www.facebook.com/sarahpalin/posts/10201761059372239?stream_ref=10" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;wrote on her Facebook page&quot;,&quot;mpid&quot;:6,&quot;plid&quot;:&quot;https://www.facebook.com/sarahpalin/posts/10201761059372239?stream_ref=10&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:44" data-rapid-parsed="slk" data-rapid_p="12" data-v9y="1">wrote on her Facebook page</a> that Ryan’s budget “is a joke.” She said that the block grant program managed by the states, could drive millions of people from the program, including those in nursing homes and children from low-income households.</p>
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<p>Ryancare made two classic mistakes. They cut out the support needed by lower-income older people, the very people who voted for Trump, who now wants to hand rich people a big tax cut. It would repeal <a class="bn-clickable" href="https://www.nytimes.com/2017/03/15/us/politics/obamacare-repeal-tax-cuts.html?hp&amp;action=click&amp;pgtype=Homepage&amp;clickSource=story-heading&amp;module=first-column-region&amp;region=top-news&amp;WT.nav=top-news&amp;_r=1" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;the $158 billion levy on investment income by people in top brackets&quot;,&quot;mpid&quot;:7,&quot;plid&quot;:&quot;https://www.nytimes.com/2017/03/15/us/politics/obamacare-repeal-tax-cuts.html?hp&amp;action=click&amp;pgtype=Homepage&amp;clickSource=story-heading&amp;module=first-column-region&amp;region=top-news&amp;WT.nav=top-news&amp;_r=1&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:45" data-rapid-parsed="slk" data-rapid_p="13" data-v9y="0">the $158 billion levy on investment income by people in top brackets</a>, Second, they dramatically overreached by going after not just Obamacare but Medicaid, setting up a huge clash with the hospital industry, the medical industry, the AARP and various governors.</p>
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<p>All said, Ryan’s plan would:</p>
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<p>&#8211; Force Americans to pay more for less coverage &#8211; Cut 24 MILLION Americans off of their healthcare plan by 2026 &#8211; And defund Planned Parenthood.</p>
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<h2><strong>What about Single-Payer Healthcare?</strong></h2>
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<p>We believe that ALL people should have the right to healthcare, that it is not just a privilege, and that good-quality healthcare is not just for the rich.</p>
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<p>Single-payer healthcare involves the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/State_(polity)" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;state&quot;,&quot;mpid&quot;:8,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/State_(polity)&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:50" data-rapid-parsed="slk" data-rapid_p="14" data-v9y="0">state</a>, rather than private <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Insurer" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;insurers&quot;,&quot;mpid&quot;:9,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Insurer&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:50" data-rapid-parsed="slk" data-rapid_p="15" data-v9y="0">insurers</a>, paying for <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Healthcare" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;healthcare&quot;,&quot;mpid&quot;:10,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Healthcare&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:50" data-rapid-parsed="slk" data-rapid_p="16" data-v9y="0">healthcare</a> costs. The state can contract for healthcare services from private organizations or can own and employ healthcare resources and personnel. In some single-payer systems, consumers may have the option of contracting for private health insurance. Canada and Taiwan have pure single-payer systems while countries such as Australia, France, Spain, and the United Kingdom have hybrid single-payer/private insurance systems.</p>
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<p>In a single-payer system, the government provides all health insurance and collects all medical and insurance fees. The insurance is extended to all citizens and legal residents. The aim is <em>universal healthcare</em>. The system typically bears a name such as the United Kingdom’s <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Healthcare_in_the_United_Kingdom" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;National Health Service&quot;,&quot;mpid&quot;:11,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Healthcare_in_the_United_Kingdom&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:51" data-rapid-parsed="slk" data-rapid_p="17" data-v9y="0">National Health Service</a>, Australia’s <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Medicare_(Australia)" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Medicare&quot;,&quot;mpid&quot;:12,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Medicare_(Australia)&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:51" data-rapid-parsed="slk" data-rapid_p="18" data-v9y="0">Medicare</a>, Canada’s <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Medicare_(Canada)" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Medicare&quot;,&quot;mpid&quot;:13,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Medicare_(Canada)&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:51" data-rapid-parsed="slk" data-rapid_p="19" data-v9y="0">Medicare</a>, and Taiwan’s <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Healthcare_in_Taiwan" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;National Health Insurance&quot;,&quot;mpid&quot;:14,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Healthcare_in_Taiwan&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:51" data-rapid-parsed="slk" data-rapid_p="20" data-v9y="0">National Health Insurance</a>.</p>
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<p>The fund can be managed by the government directly or by a publicly owned and regulated agency. The government may employ doctors and own and run hospitals (United Kingdom). Or the government may purchase healthcare services from outside organizations (Canada).</p>
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<p>We will describe the single payer system in Canada, because Canada is physically close and close in values to those of U.S. citizens. Canada provides free medical services through private entities. The government sets federal standards to assure quality of care. The individual’s health remains confidential between a person and his or her physician. In each Canadian province, each doctor submits the insurance claim against the provincial insurer. The person who gets healthcare does not get involved in billing and reclaim.</p>
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<p>The Canadian government keeps advertising at a minimum. Costs are paid through funding from income taxes. There are no deductibles on basic health care and co-pays are kept extremely low. Provinces issue a health card to each individual who enrolls and everyone receives the same level of care. There is no variety of plans because all essential basic care is covered, including maternity and infertility problems. Dental and vision care may or may not be covered depending on the Province. Some provinces provide private supplemental plans for patients who desire private rooms if hospitalized. Cosmetic surgery and some elective surgery are generally not covered. These can be paid out-of-pocket or through private insurers. One’s health coverage is not affected by loss or change of jobs, as long as premiums are up to date. There are no lifetime limits or exclusions for pre-existing conditions.</p>
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<p>Canadians chose their family physician (called a general practitioner or GP). If the person wants to see a specialist, the GP will make a referral. The median wait time to see a specialist physician is a month. The median wait time for diagnostic services such as MRI and CAT scans is two weeks. The median wait time for surgery is four weeks.</p>
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<p>Pharmaceutical medications are covered by public funds for the elderly or indigent, or through employment-based private insurance. The Candadian government negotiates drug prices with suppliers to control costs.</p>
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<p>Physician incomes in Canada rose initially after the single payer system was implemented. A reduction in physician salaries followed, many fearing this would be a long-term result of government-run healthcare. However, by the beginning of the 21st century, medical professionals were again among Canada’s top earners.</p>
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<p>The main thing to notice is that <strong>Canada’s healthcare cost to its GDP is 11 percent</strong>whereas the <strong>U.S. cost is 17 percent of the GDP</strong>.</p>
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<h2>Past Efforts to Bring a Single-payer Healthcare System into the U.S.</h2>
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<p>Several proposals have been made for introducing a single- payer healthcare system in the U.S. or in several individual States. The most recent is the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/United_States_National_Health_Care_Act" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;United States National Health Care Act&quot;,&quot;mpid&quot;:15,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/United_States_National_Health_Care_Act&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:60" data-rapid-parsed="slk" data-rapid_p="21" data-v9y="0">United States National Health Care Act</a>, (popularly known as”Medicare for All”). Representative <a class="bn-clickable" href="https://en.wikipedia.org/wiki/John_Conyers" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;John Conyers&quot;,&quot;mpid&quot;:16,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/John_Conyers&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:60" data-rapid-parsed="slk" data-rapid_p="22" data-v9y="0">John Conyers</a> (D-MI) every year since 2002 has introduced an act for a single-payer system. All medical care would be paid for by the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Government_of_the_United_States" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Government of the United States&quot;,&quot;mpid&quot;:17,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Government_of_the_United_States&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:60" data-rapid-parsed="slk" data-rapid_p="23" data-v9y="0">Government of the United States</a>, ending the need for private health insurance and premiums, and probably recasting private insurance companies as providing purely supplemental coverage, to be used when non-essential care is sought. But neither his bill or any others succeeded in getting more than 20 percent congressional co-sponsorship.</p>
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<p>Several arguments are presented to favor a single-payer healthcare system. More people will see a physician more frequently who might spot lingering or unrecognized medical problems. For example, catching cancer in Stage 1 is much better than catching it in Stage 3 when it involves so much more hospitalization and pain. <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Preventive_healthcare" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Preventative&quot;,&quot;mpid&quot;:18,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Preventive_healthcare&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:61" data-rapid-parsed="slk" data-rapid_p="24" data-v9y="0">Preventative</a> healthcare will save expensive dollars later. Consumers and employers would both face lower administrative costs. Good healthcare will be more uniformly available throughout the land.</p>
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<p>Experts see much saving realized through preventive care and the elimination of insurance company overhead and marketing costs and hospital billing costs. A 2008 analysis of a single-payer plan estimated immediate savings at $350 billion per year. Another study estimated savings of $570 billion a year.</p>
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<p>The <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Congressional_Budget_Office" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Congressional Budget Office&quot;,&quot;mpid&quot;:19,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Congressional_Budget_Office&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:63" data-rapid-parsed="slk" data-rapid_p="25" data-v9y="0">Congressional Budget Office</a> (CBO) has scored on a few occasions the cost of a single-payer health care system. Each time the estimate concluded that a single-payer system would cost less than any other system through its savings in administrative costs.</p>
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<p>There have been several single-payer state referendums and bills from state legislatures. Bills have been proposed in Vermont, California, Colorado, Hawaii, Illinois, Massachusetts, Minnesota, Montana, New York, and Oregon. All have failed, with the exception of <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Single-payer_health_care#Vermont" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Vermont&quot;,&quot;mpid&quot;:20,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Single-payer_health_care#Vermont&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:64" data-rapid-parsed="slk" data-rapid_p="26" data-v9y="0">Vermont</a> which canceled its plan in December 2014 for single-payer health care, citing costs and tax increases as too high to implement.</p>
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<p>The <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Veterans_Health_Administration" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Veterans Administration healthcare system&quot;,&quot;mpid&quot;:21,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Veterans_Health_Administration&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:65" data-rapid-parsed="slk" data-rapid_p="27" data-v9y="0">Veterans Administration healthcare system</a> is a pure form of single-payer system because it is “owned, operated and financed by government.” Researchers of the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/RAND_Corporation" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;RAND Corporation&quot;,&quot;mpid&quot;:22,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/RAND_Corporation&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:65" data-rapid-parsed="slk" data-rapid_p="28" data-v9y="0">RAND Corporation</a> reported that the quality of care received by Veterans Administration patients scored significantly higher overall than did comparable metrics for patients currently using United States Medicare.</p>
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<p>American citizens have been polled on whether they would favor a single-payer healthcare system like the one in Canada. The polls varied in their findings, much depending on the time of the poll and the wording of the question. The response is different when citizens are asked whether they favor a stronger Medicare system vs. a government-run medical system. There is general support for a “national healthcare plan” but there are also many people who are satisfied with their present healthcare plan.</p>
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<p>Among advocates of a single-payer healthcare system are</p>
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<p><a class="bn-clickable" href="https://en.wikipedia.org/wiki/Physicians_for_a_National_Health_Program" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Physicians for a National Health Program&quot;,&quot;mpid&quot;:23,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Physicians_for_a_National_Health_Program&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:68" data-rapid-parsed="slk" data-rapid_p="29" data-v9y="1">Physicians for a National Health Program</a>, the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/American_Medical_Student_Association" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;American Medical Student Association&quot;,&quot;mpid&quot;:24,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/American_Medical_Student_Association&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:68" data-rapid-parsed="slk" data-rapid_p="30" data-v9y="1">American Medical Student Association</a>, <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Healthcare-NOW!" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Healthcare-NOW!&quot;,&quot;mpid&quot;:25,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Healthcare-NOW!&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:68" data-rapid-parsed="slk" data-rapid_p="31" data-v9y="1">Healthcare-NOW!</a> and the <a class="bn-clickable" href="https://en.wikipedia.org/wiki/California_Nurses_Association" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;California Nurses Association&quot;,&quot;mpid&quot;:26,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/California_Nurses_Association&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:68" data-rapid-parsed="slk" data-rapid_p="32" data-v9y="1">California Nurses Association</a>. The <a class="bn-clickable" href="https://en.wikipedia.org/wiki/Annals_of_Internal_Medicine" target="_blank" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Annals of Internal Medicine&quot;,&quot;mpid&quot;:27,&quot;plid&quot;:&quot;https://en.wikipedia.org/wiki/Annals_of_Internal_Medicine&quot;}}" data-beacon-parsed="true" data-ylk="subsec:paragraph;cpos:68" data-rapid-parsed="slk" data-rapid_p="33" data-v9y="1">Annals of Internal Medicine</a>in 2007 found that 59% of physicians “supported legislation to establish national health insurance” while 9% were neutral on the topic, and 32% opposed it.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2017/03/Screen-Shot-2018-01-20-at-1.29.28-AM.png"><img class="aligncenter size-large wp-image-1003" src="http://fixcapitalism.com/wp-content/uploads/2017/03/Screen-Shot-2018-01-20-at-1.29.28-AM-1024x656.png" alt="Screen Shot 2018-01-20 at 1.29.28 AM" width="1024" height="656" /></a></p>
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<p><strong>What are the major criticisms leveled against a single-payer healthcare system? </strong></p>
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<p>They are:</p>
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<ul>
<li>Many Americans don’t want to expand the size of government and they distrust government.</li>
<li>Many fear that universal coverage will cost too much and raise taxes too much.</li>
<li>Many fear that waiting times for diagnosis, treatment and surgery will increase too much and they prefer the present system.</li>
<li>Many Americans, especially younger citizens, don’t want to pay higher taxes for something that won’t currently benefit them.</li>
<li>Many Americans fear that others will use the system more than necessary and cause longer wait times and additional cost and end up ordering more medications than necessary.</li>
<li>Many Americans worry about dealing with a government monopoly that sets all the standards and that can arbitrarily cut certain medical services to save money.</li>
<li>Physicians fear that single-payer healthcare will limit their discretion when treating patients, decrease physician salaries, and leave less money to cover more services, thereby reducing, the quality of treatment.</li>
</ul>
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<h2>Singapore’s Single-Payer System that Costs Less</h2>
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<p>We must recognize that there are many versions of single payer healthcare systems. We examined the Canada version but it pays to examine how Singapore has designed it single-payer e system. It manages to keep cost down and yet protect Singapore citizens from losing their savings in case they are hit by a major medical problem.</p>
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<p>The Singapore Plan guarantees coverage only for expensive medical events, those events that can eat up the family’s savings and lead them into bankruptcy. It is less necessary to provide coverage for more everyday medical expenses. Let market forces cover the latter. Singaporeans pay for much of their own health care out of their own pockets. The major insurance program covers only long-term illnesses and prolonged hospitalizations. Singaporeans experience excellent healthcare costing just <strong>5 percent of their GNP</strong> whereas European countries spend around 10 percent and the U.S. spends 17 percent.</p>
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<p>The Singapore Plan does not call upon Singapore citizens to set up a health savings account. Their Medisave program requires a <em>mandatory</em> health-savings account called MediShield to which employers contribute as well. The government maintains a safety net called Medifund for patients who can’t cover their bills, specifically older and poorer citizens. Singapore manages to minimize public spending and third-party payments and maximizes public awareness of what different treatments cost. Everyone is insured for catastrophic events. And the government funds health savings accounts for the working class and poor.</p>
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<p><em>Note: This article has been prepared from a variety of public sources. </em></p>
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		<title>No-Compromise: Why We (The People) Can’t Take It Anymore</title>
		<link>https://fixcapitalism.com/no-compromise-why-we-the-people-cant-take-it-anymore/</link>
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		<pubDate>Sat, 23 Apr 2016 18:33:37 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
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		<guid isPermaLink="false">http://fixcapitalism.com/?p=730</guid>
		<description><![CDATA[BY MARK BLESSINGTON I long for a reemergence of an FDR-like era. FDR was a no compromise Democrat. He was even willing to take on the Supreme Court. It happened before, and it can happen again, if we push hard enough. I’m not ready to give up on the USA yet. For me, Hillary Clinton represents giving up &#8230; <a href="https://fixcapitalism.com/no-compromise-why-we-the-people-cant-take-it-anymore/" class="more-link">Continue reading <span class="screen-reader-text">No-Compromise: Why We (The People) Can’t Take It Anymore</span></a>]]></description>
				<content:encoded><![CDATA[<div class="content-list-component mt-paragraph text">
<p>BY MARK BLESSINGTON</p>
<p>I long for a reemergence of an FDR-like era.</p>
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<p>FDR was a <strong>no compromise Democrat</strong>.</p>
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<p>He was even willing to take on the Supreme Court.</p>
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<p>It happened before, and it can happen again, if we push hard enough.</p>
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<p><em>I’m not ready to give up on the USA yet.</em></p>
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<p>For me, <a href="http://www.huffingtonpost.com/tony-brasunas/there-is-a-moderate-republican-in-this-race_b_9704194.html" target="_hplink" data-beacon="{&quot;p&quot;:{&quot;mnid&quot;:&quot;entry_text&quot;,&quot;lnid&quot;:&quot;citation&quot;,&quot;mpid&quot;:0}}">Hillary Clinton</a> represents giving up on ourselves before we’ve even started the “good fight.”</p>
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<p><a href="http://www.huffingtonpost.com/fixcapitalism/the-sad-legacy-of-comprom_b_9136872.html" target="_hplink" data-beacon="{&quot;p&quot;:{&quot;mnid&quot;:&quot;entry_text&quot;,&quot;lnid&quot;:&quot;citation&quot;,&quot;mpid&quot;:1}}">Compromise Democrats</a> have done as much damage since FDR as any Republican.</p>
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<p>Hilary and the “let’s be practical and get things done in Washington” philosophy has been a disaster, time and time again.</p>
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<p>Compromise with Republicans means the interests of common people are compromised.</p>
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<p>This has happened for decades now.</p>
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<p>Only one Democrat since the FDR era—<strong>LBJ</strong>—has managed to hold the line.</p>
<p>All other Democratic Presidents and their administrations let us slip further and further behind. This is not the fault of individuals or even Democratic administrations.</p>
<p><strong>Our economic system is designed to protect wealthy minority interests unless a supermajority has been elected by the masses to represent the masses.</strong></p>
<p>And not a single Democratic president since FDR had supermajorities in both houses.</p>
<p>The numbers are clear: <em>Democratic administrations have consistently experienced increasing income disparity and rule changes that favor the 1%.</em></p>
<p>While their words support common citizens, their results are no better than the Republicans.<br />
In my book, if you deliver Republican results (i.e., the wealthy get wealthier at the expense of everyone else), then you deliver Republican results.</p>
<p>There is no hiding. There are no points for good intentions, only points for success—for results.</p>
<p>Sure, <strong>Obama scored a few points</strong>, such as with <strong>Obamacare</strong>, but a few points are not enough. <em>He still lost the game.</em></p>
<p>Obamacare is a great example of compromise destroying the original, great healthcare approach Obama campaigned for. Before he was elected Obama said we did not need private health insurance companies. But the final Obamacare result is intricately tied to healthcare insurance.</p>
<p>We, <strong>The People</strong>, need to score major victories, not a few little ones.</p>
<p>The end results of the Obama administration:<em> income disparity soared.</em></p>
<p>For explanations, we need look no further than his Republican-ish appointees to the Treasury and the Fed.</p>
<p>For me, Bernie Sanders represents the best possible aspiration the Democratic party could offer America: a return of the Democratic Super Majority with a fervent conviction to <em>“reverse the reversals”</em> since the FDR administration.</p>
<p><strong>We don’t need another Compromise Democrat. Been there, done that.</strong></p>
<p><strong>We need Democrats who won’t compromise with Republicans.</strong></p>
<p>And we need Democrats who can <em>inspire</em> the masses.</p>
<p>But if the leaders and thinkers don’t support candidates with a no compromise passion, then the people suffer and the wealthy stay fat and happy. Bernie is capable and has tremendous conviction to not compromise. But will the Democratic machine let him? I fear not.</p>
<p><em>The Democratic Machine has become too vested in Compromise.</em></p>
<p><strong>They benefit personally and economically from compromise with Republicans.</strong></p>
<p>Compromise puts them in touch with the wealthy few. It puts money in their pockets.<br />
Then they get distracted by the lure of wealth.<br />
I think Hilary is living proof of this phenomenon. Just follow the money.</p>
<p>Some great thinkers—Krugman for example—have lost sight of how to put their convictions into reality. Before Bernie, Krugman talked like a liberal, even a progressive. He waged a righteous war against conservative Republican economic claims and reasoning. Yet as soon as Bernie offered, in effect, to make Krugman’s philosophy real, Krugman reversed himself.</p>
<p>Krugman’s rants about Bernie tell a whole other story: when it comes to politics, even analytical humans often leave the facts at the door. N<strong>ow Krugman sounds a lot more like a conservative than a liberal or a progressive.</strong></p>
<p>His attacks on Bernie have the same intensity as his attacks on conservative economists. <em>How can he possibly think Bernie represents someone as wrong-headed as Milton Friedman?</em> His positions against Bernie and conservative economics sound strangely, even suspiciously, familiar.</p>
<p>FDR, on the other hand, relentlessly focused on facts about the <strong>common good</strong>. Everything else was just smoke and mirrors. He swept the “Krugmans” and “Friedmans” aside. Economists shouting “chicken little” predictions were ignored. Thank goodness.</p>
<p>Bernie is the closest thing we’ve seen to FDR since, well, FDR.</p>
<p>Today’s youth think Bernie represents an FDR-like revolution and a radically better future. Most of today’s youth are not gainfully employed. Many are on a track to nowhere economically. Along with that, many lug into their futures a ball and chain of debt. They don’t like it. They want something better. They see their student loan interest rates near 7% and feel used. They know something is horribly wrong.</p>
<p><strong>How is it that the USA sponsors “government” loans to students at such exorbitant rates?</strong></p>
<p>How does it make sense, especially since these loans are only forgivable by death or by working in a few, obscure government jobs?</p>
<p><strong>The prime rate is 3% for Corporate America, yet students—the future of our country—pay more than double that?!?</strong></p>
<p>It’s offensive and disgusting to them. Me too.</p>
<p>You may think I am unrealistic and overly idealistic about what can be done in today’s world.</p>
<p>For my whole career I was paid lots of money to reform corporations to be more competitive. There were many of us: consultants, new executive hires, and so on. MBAs trained in top business schools. We consistently and relentlessly destroyed old, ineffective ways.</p>
<p><strong>We were not paid to compromise with the competition.</strong></p>
<p>We did not get promoted by pleading with the competition to play fair and be nice on the playground.</p>
<p><strong>We were paid to crush the competition. </strong>And we tried, and often succeeded, in doing exactly that.</p>
<p>Compromise had very little to do with it.</p>
<p>Compromise only played a minor role as part of the transition to the new.</p>
<p><strong><em>Compromise was never, ever a stated objective or managerial practice.</em></strong></p>
<p>Much of that same, NO COMPROMISE energy and dedication is what I now direct toward politics.<br />
I think we need to fight without compromise until we take back what rightfully belonged to the people.</p>
<p>Isn’t that about as “American” as it gets?</p>
<p>I think it is, and I think it will happen again, sooner or later.</p>
<p>To me, compromise is a watered-down, ineffective political concept. It simply does not work.</p>
<p>To me, compromise is what two rich people do. It is not what the rich and poor do.</p>
<p>The only way for the poor to improve their lot is to take back what was lost.</p>
<p>This is not compromise.</p>
<p><strong>The rich won’t just give it back because they all of a sudden choose to play nice.</strong> They will only give it back when forced to do so by law. This is not compromise. It is political <strong>economic war</strong>.</p>
<p>Compromise has proven itself to be one of the most dangerous managerial concepts ever put into practice.</p>
<p>The private sector knows this quite well.</p>
<p>The public sector still lags far, far behind.</p>
<p>And <em>the wealthy few keep winning at the expense of everyone else.</em></p>
<p>Inequality and income disparity is an irrefutable fact. But just as we have climate change deniers, we have income inequality deniers.</p>
<p>I ask: <strong>Why do people keep supporting compromise if it does not reduce income inequality?</strong></p>
<p>I hypothesize: It must serve some <em>personal interest</em> of those with political power, and that personal interest must be stronger than wanting to reduce income inequality. In other words, if compromise maintains the growth of income inequality, then personal interests are somehow aligned with income inequality.</p>
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<p><em><a class="bn-clickable" href="http://www.markblessington.com/" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Mark Blessington&quot;,&quot;mpid&quot;:4,&quot;plid&quot;:&quot;http://www.markblessington.com&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="4" data-v9y="1">Mark Blessington</a> is a sales and marketing consultant and has worked with many of the world’s largest corporations. He has written four books, ranging from Deep Economics to Sales Forecasting. </em></p>
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		<title>The Sad Legacy of Compromise Democrats</title>
		<link>https://fixcapitalism.com/the-sad-legacy-of-compromise-democrats/</link>
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		<pubDate>Fri, 05 Feb 2016 06:32:43 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Business]]></category>
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		<guid isPermaLink="false">http://fixcapitalism.com/?p=703</guid>
		<description><![CDATA[By Mark Blessington I call this the Era of Compromise Democrats. From an economic perspective, the last Democrat to really fight for the people was Franklin D. Roosevelt. He was even brave enough to stand up to the Supreme Court. While President Obama immediately spoke out against Citizens United in 2010, he did nothing to directly oppose it. &#8230; <a href="https://fixcapitalism.com/the-sad-legacy-of-compromise-democrats/" class="more-link">Continue reading <span class="screen-reader-text">The Sad Legacy of Compromise Democrats</span></a>]]></description>
				<content:encoded><![CDATA[<p><strong>By Mark Blessington</strong></p>
<p>I call this <em>the Era of Compromise Democrats</em>. From an economic perspective, the last Democrat to really fight for the people was Franklin D. Roosevelt. He was even brave enough to stand up to the Supreme Court. While President Obama immediately spoke out against <em>Citizens United</em> in 2010, he did nothing to directly oppose it. While many think the Court far exceeded its purview, Obama merely threw a few small stones. That was not what FDR would have done.</p>
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<p>The most common way to follow the money in today’s economy and track winners and losers is with the Gini Index. It measures the degree of income disparity, where higher numbers represent wider gaps from rich to poor. As shown in the chart below, Gini has been on a steady rise since 1967. This rise has largely persisted through Republican and Democratic administrations.</p>
<p>To bring the picture into sharp relief, I take a different tact. Now I calculate change in Gini for each administration, and sort them with the best administration on the far left (Johnson) and the worst administration on the far right (Reagan).</p>
<p>Income disparity increased most during the Reagan administration. Clearly, Reaganomics and its embrace of trickle-down economics did the most to push wealthy interests forward at the expense of everyone else. From an income equality perspective, Reagan was the worst thing to happen in nearly 50 years of politics. This phenomenon is already well studied by numerous writers.</p>
<p>The surprise from this analysis, though, is the fact that the Clinton and Obama administrations together equaled the damage caused by Reagan!</p>
<p>Clinton’s appointments are telling. For Chairman of the Federal Reserve he reappointed Reagan’s man: Alan Greenspan. For the Treasury he appointed Lloyd Bentsen (who pushed for NAFTA), Robert Rubin (of Citigroup infamy), and Larry Summers (who supported Gramm-Leach-Bliley). The capstone of Clinton’s economic harm was to repeal Glass-Steagall by signing the Gramm-Leach-Bliley Act. Many view these pivotal events as essential ingredients for the Great Recession.</p>
<p>Regardless of any rationale one can conjure in support of the Clinton administration’s key economic decisions, the record is clear: income disparity increased significantly during his two terms as president. Indeed, the damage was greater than what was done by Nixon, George W. Bush, Gerald Ford, and George H.W. Bush combined!</p>
<p>The biggest surprise of all is with the Obama administration: it has the second worst record in nearly 50 years. How could this be? At the start of his first term he had 58% of Congress and won nearly 53% of the popular vote.</p>
<p>One of Obama’s first acts, over a month before he was sworn in, was to formalize his intention to nominate Timothy Geithner for the Treasury. Geithner had a long-established track record as a financial conservative. Indeed, it was anticipated that John McCain would have appointed him if elected President. Then later in 2009 Obama nominated George W. Bush’s Fed nominee, Ben Bernanke, for a second term.</p>
<p>These two acts alone spoke volumes: there would be no major economic change initiated by the Obama administration. Worse, the march of income inequality actually accelerated. When Wall Street executives claimed their institutions were too big to fail, Obama implicitly agreed. When they bitterly complained about caps on their pay, Obama relented. When they resisted tough Dodd-Frank legislation, he capitulated.</p>
<p>American <a class="bn-clickable" href="http://www.people-press.org/2014/11/13/public-trust-in-government/" target="_hplink" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;trust in government is near all-time lows&quot;,&quot;mpid&quot;:1,&quot;plid&quot;:&quot;http://www.people-press.org/2014/11/13/public-trust-in-government/&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="1" data-v9y="1">trust in government is near <em class="bn-clickable">all-time lows</em></a>. From where most people sit, they think their votes don’t matter. Even when they sent a Democrat with strong support to the Oval Office, all they got in return were pro-wealth appointees, pro-wealth legislation and pro-wealth results.</p>
<p>I call this <em>the Era of Compromise Democrats</em>. From an economic perspective, the last Democrat to really fight for the people was Franklin D. Roosevelt. He was even brave enough to stand up to the Supreme Court. While President Obama immediately spoke out against <em>Citizens United</em> in 2010, he did nothing to directly oppose it. While many think the Court far exceeded its purview, Obama merely threw a few small stones. That was not what FDR would have done.</p>
<p>There may be a growing realization among US voters that nothing short of revolution can repair the damage from a half-century of greed-dominated government. Hillary Clinton has purposefully positioned herself as another Compromise Democrat. The Republican candidates are stumbling over themselves as they curry favor with the wealthy and pit poor Americans against one another.</p>
<p>Out in left field is Bernie Sanders, shouting and waving his hands, reassuring Americans he’ll catch the ball if it is hit to him. While democratic socialism sounds a bit “Soviet,” Bernie has a growing number of people wondering: Does he have the once-in-a-century chutzpah needed to steer our economic ship from the looming rocks of despair and anarchy?</p>
<p>What do you think? <a class="bn-clickable" href="http://fixcapitalism.com/participate/" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Join the debate&quot;,&quot;mpid&quot;:2,&quot;plid&quot;:&quot;http://fixcapitalism.com/participate/&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="2" data-v9y="1">Join the debate</a>. Tell us what you think in the comments section below.</p>
<p><em><a class="bn-clickable" href="http://www.markblessington.com/" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Mark Blessington&quot;,&quot;mpid&quot;:3,&quot;plid&quot;:&quot;http://www.markblessington.com&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="3" data-v9y="1">Mark Blessington</a> is a sales and marketing consultant and has worked with many of the world’s largest corporations. He has written four books, ranging from Deep Economics to Sales Forecasting. </em></p>
<p><em><span class="skimlinks-unlinked">FIXCapitalism.com</span> is dedicated to “saving capitalism from itself.” Visit us at <a class="bn-clickable" href="http://fixcapitalism.com/" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;www.fixcapitalism.com&quot;,&quot;mpid&quot;:4,&quot;plid&quot;:&quot;http://fixcapitalism.com/&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="4" data-v9y="1">www.fixcapitalism.com</a> to join the debate. Follow us on <a class="bn-clickable" href="https://twitter.com/@capitalismfix" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Twitter&quot;,&quot;mpid&quot;:5,&quot;plid&quot;:&quot;https://twitter.com/@capitalismfix&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="5" data-v9y="1">Twitter</a> and <a class="bn-clickable" href="https://www.facebook.com/fixcapitalism" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;Facebook&quot;,&quot;mpid&quot;:6,&quot;plid&quot;:&quot;https://www.facebook.com/fixcapitalism&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="6" data-v9y="1">Facebook</a>. Sign up for our <a class="bn-clickable" href="http://fixcapitalism.com/participate/" rel="nofollow" data-beacon="{&quot;p&quot;:{&quot;lnid&quot;:&quot;newsletter&quot;,&quot;mpid&quot;:7,&quot;plid&quot;:&quot;http://fixcapitalism.com/participate/&quot;}}" data-beacon-parsed="true" data-ylk="" data-rapid-parsed="slk" data-rapid_p="7" data-v9y="1">newsletter</a> to get more insights.</em></p>
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		<title>Judicial Obstruction of Economic Reform</title>
		<link>https://fixcapitalism.com/judicial-obstruction-of-economic-reform/</link>
		<comments>https://fixcapitalism.com/judicial-obstruction-of-economic-reform/#comments</comments>
		<pubDate>Sat, 01 Aug 2015 17:03:12 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Judicial Bias]]></category>
		<category><![CDATA[Supreme Court]]></category>

		<guid isPermaLink="false">http://fixcapitalism.com/?p=228</guid>
		<description><![CDATA[Philip Kotler calls for economic reform in Confronting Capitalism and envisions a kinder, gentler capitalism (to paraphrase President George H.W. Bush). Economic reform is not something the U.S. judicial branch takes kindly too. While Kotler’s book includes 14 shortcomings of capitalism, there is little mention of the judiciary. In my view a fifteenth shortcoming in needed. &#8230; <a href="https://fixcapitalism.com/judicial-obstruction-of-economic-reform/" class="more-link">Continue reading <span class="screen-reader-text">Judicial Obstruction of Economic Reform</span></a>]]></description>
				<content:encoded><![CDATA[<p>Philip Kotler calls for economic reform in <em>Confronting Capitalism</em> and envisions a kinder, gentler capitalism (to paraphrase President George H.W. Bush). Economic reform is not something the U.S. judicial branch takes kindly too. While Kotler’s book includes <a href="http://fixcapitalism.com/the-14-points/">14 shortcomings of capitalism</a>, there is little mention of the judiciary. In my view a fifteenth shortcoming in needed. In this post I outline my case.</p>
<p>Perhaps the best example of judicial obstruction is provided by a rapid succession of Supreme Court decisions against the New Deal in 1935 and 1936 (<em><a href="http://www.pbs.org/wnet/supremecourt/capitalism/landmark_schechter.html">Schechter Poultry</a>, Butler, Carter Coal, Morehead</em>). They destroyed the very foundation of the New Deal, leaving FDR and the U.S. recovery effort dead in the water. Most of the New Deal involved federal and state intervention in the economy, and the Court declared that tack illegal.</p>
<p>With a landslide victory behind him and supermajorities in both houses, FDR crafted a judicial reorganization bill in early January 1937, popularly referred to as the court-packing plan. Roosevelt’s efforts to win Congressional support were tactically flawed. To recover, he held a Fireside Chat on March 9. Going for the jugular, he critiqued the Court’s interference in legislative matters. He accused the Court of destroying the balance of power intended by the Framers, and referred to a half-century of decisions (later called the <a href="http://www.pbs.org/wnet/supremecourt/capitalism/landmark_lochner.html">Lochner era</a>) that struck down numerous state and federal laws protecting workers and consumers. Public opinion, though cautious about the notion of court packing, staunchly supported FDR and the New Deal.</p>
<p><iframe src="https://www.youtube.com/embed/aUBH1dygxyE" width="640" height="480" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>The Court read the writing on the wall: Roosevelt would alter the very structure of the Court in order to reinstate the New Deal. A mere 20 days after FDR&#8217;s Fireside Chat, the Court reversed itself in <em><a href="http://www.oyez.org/cases/1901-1939/1936/1936_293">West Coast Hotel</a></em>. No only did they strike down <em>Morehead</em> and make minimum wage laws legal. They also nullified the freedom of contract doctrine, thus ending the Lochner era. Roosevelt and the New Deal were back in business thanks to what was dubbed “the switch in time that saved nine.”</p>
<p>To me the FDR<em> v. SCOTUS </em>(Supreme Court of the U.S.) drama is one of the most exciting and revealing junctures in 20th century U.S. history, but it is seldom told in its fullness. Perhaps doing so is too unsettling. When told from a common citizen&#8217;s perspective, the story portrays the Court as a usurper. The Court empowered the wealthy few to subjugate U.S. citizens. And most disturbing of all, nothing short of a dramatic, unprecedented threat was required to restore balance and bring the Court back in line.</p>
<p>Any plan for economic reform must consider the judicial branch. The progression of Occupy Wall Street camp closures across the U.S. can be tied to a single <a href="http://www.cnn.com/2011/11/15/us/new-york-occupy-eviction/">New York Supreme Court decision</a> granting permission to Mayor Michael Bloomberg and the New York Police department to close down the Zuccotti Park occupation. The failure of the Arab Spring in Egypt to elect a popular reform leader can be tied to how their Supreme Court devised election rules to pit reform candidates against each other and position Mohamad Morsi for victory, a conservative Muslim Brotherhood candidate.</p>
<p>Moving backward in time from <em>West Coast Hotel</em>, the first major economic case decided by the Court was <em><a href="http://www.pbs.org/wnet/supremecourt/capitalism/landmark_fletcher.html">Fletcher v. Peck</a></em> in 1810. Thirty-five million acres of Georgia land were sold in the Yazoo Act of 1795. Nearly every state legislator who voted for the act, however, took bribes from Yazoo land corporations. Georgia’s citizens soon discovered the graft and elected new legislators who immediately declared the Act null and void. Yazoo stockholders were also alarmed; they had paid good money for their shares. A few Northern stockholders sued each other, hoping to eventually force Georgia to honor the Yazoo Act of 1795.</p>
<p>Despite the 11<sup>th</sup> Amendment which prohibited citizens from one state suing another state, the Supreme Court took the case. Worse, Chief Justice John Marshall had direct personal ties to an original Yazoo conspirator but did not recused himself. The Court ruled 4-1 that Georgia had no right to repeal the fraudulent land sale. Property rights had to be protected “from those sudden and strong passions to which men are exposed.” Rather than penalize stockholders for their due diligence failures, the Court penalized Georgia’s citizens for rejecting fraud.</p>
<p>Moving forward in time from <em>West Coast Hotel,</em> there was a sustained period of rulings favoring common citizens. But the honeymoon was short-lived. Five Supreme Court appointments by President Eisenhower starting in 1953 and four by President Nixon starting in 1969 revived the Lochner era. The result was a string of decisions culminating in <em>Citizens United </em>in 2010. This decision was opposed by 80 percent of the voting public at the time, remains highly unpopular, and is credited with a <a href="http://www.pbs.org/wgbh/pages/frontline/government-elections-politics/big-sky-big-money/report-after-citizens-united-outside-spending-doubles/">doubling of political spending</a>, mostly by the super-rich.</p>
<p>Today we face a pro-business legal precedent that is every bit as daunting as what FDR confronted in 1937. He was emboldened by a landslide election, supermajorities in Congress, and Fireside Chats. What will it take to swing the pendulum back once again? If we study the history of capitalism with a careful eye to the judicial branch, we can not only craft but also implement a comprehensive economic strategy that is even more successful than what we now enjoy.</p>
<p>As Phil Kotler so wisely says: “I believe capitalism is better than any other system. But I also believe that it has <a href="http://fixcapitalism.com/the-14-points/">fourteen major shortcomings</a>.” I ask him to consider what may be a fifteenth: judicial obstruction.</p>
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		<title>If 90% Market Share Isn&#8217;t a Monopoly &#8230;</title>
		<link>https://fixcapitalism.com/if-90-market-share-isnt-a-monopoly/</link>
		<comments>https://fixcapitalism.com/if-90-market-share-isnt-a-monopoly/#comments</comments>
		<pubDate>Sat, 01 Aug 2015 13:58:41 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Consumer Protection]]></category>
		<category><![CDATA[Corruption]]></category>
		<category><![CDATA[Environmental Harm]]></category>
		<category><![CDATA[Judicial Bias]]></category>
		<category><![CDATA[Money In Politics]]></category>
		<category><![CDATA[Supreme Court]]></category>

		<guid isPermaLink="false">http://fixcapitalism.com/?p=196</guid>
		<description><![CDATA[&#8230; then I don&#8217;t know what is. Monsanto&#8217;s U.S. market share is 90% in soybean and 80% in corn seed sales (Dan Mitchell, Fortune). In the same article, Larry Robbins of the Glenview Capital hedge fund goes further and says Monsanto has &#8220;perpetual local monopolies.&#8221; They tie farmers to contracts for life. The Monsanto case is a perfect illustration of at &#8230; <a href="https://fixcapitalism.com/if-90-market-share-isnt-a-monopoly/" class="more-link">Continue reading <span class="screen-reader-text">If 90% Market Share Isn&#8217;t a Monopoly &#8230;</span></a>]]></description>
				<content:encoded><![CDATA[<p>&#8230; then I don&#8217;t know what is. Monsanto&#8217;s U.S. market share is 90% in soybean and 80% in corn seed sales (<a href="http://fortune.com/2014/06/26/monsanto-gmo-crops/">Dan Mitchell, <em>Fortune</em></a>). In the same article, Larry Robbins of the Glenview Capital hedge fund goes further and says Monsanto has &#8220;perpetual local monopolies.&#8221; They tie farmers to contracts for life.</p>
<p>The Monsanto case is a perfect illustration of at least three shortcomings identified in Philip Kotler&#8217;s book <em>Confronting Capitalism</em>: too much money in politics (Chapter 10), weak consumer protections (Chapter 12), and environmental harm (Chapter 6). Most people think Monsanto&#8217;s monopolies are harmful to the economy, society and the environment. According to Harris Interactive, Monsanto has a <a href="http://www.harrisinteractive.com/vault/2015%20RQ%20Media%20Release%20Report_020415.pdf">horrible reputation</a> with the general public. For a farmer&#8217;s perspective on Monsanto&#8217;s intimidation tactics, watch <em><a href="https://youtu.be/YZGueeao0tE">Seeding Fear</a></em> (a video supported by Neil Young). For research on the harmful effects of GMO seeds, <a href="http://www.scirp.org/journal/PaperInformation.aspx?PaperID=57871#.VbuD-3j9rE7">read this study from Agricultural Sciences</a>.</p>
<p><iframe src="https://www.youtube.com/embed/YZGueeao0tE" width="640" height="360" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>Who is charged with preventing U.S. monopolies or breaking them up? The Federal Trade Commission and the Antitrust Division of the U.S. Department of Justice. Let&#8217;s first look at the FTC. How is it that the FTC can go after Google or Microsoft but not Monsanto? Isn&#8217;t farmer intimidation anticompetitive? Of course it is. The FTC is an independent agency of the U.S. government. Most citizens do not know what this means. In my view, &#8220;independent federal agency&#8221; is an oxymoron: how can a federal agency be independent? The FTC is not directly accountable to any federal branch of government. This is no way to run a ship. Can you name even one business with a quality control department that does not ultimately report to the CEO? Of course not. As every CEO knows, a poorly designed organization doesn&#8217;t perform well. The FTC&#8217;s reporting structure is highly ambiguous. So it is not held accountable for fulfilling one of its most important missions: protect the general welfare from monopolies.</p>
<p>Then there is the Antitrust Division of the USDOJ. Why hasn&#8217;t Monsanto&#8217;s high market share triggered an investigation? Because the Supreme Court has embraced a pro-business orientation for decades. Citizens United is a perfect example, which is the Court&#8217;s 2010 decision allowing unfettered political spending by non-profits. This decision was then extended to corporations despite <a href="http://www.acslaw.org/acsblog/polling-shows-widespread-opposition-to-citizens-united-v-fec-decision">80% of the voting public in opposition</a>. Rarely are voters so unified. For example, only four presidents have won more than 60% of the popular vote. Currently the judicial branch favors corporations over common citizens. We must fix this problem. At its core, the judicial branch has far too much latitude to set its own course, rather than passionately and consistently serve the public interest.</p>
<p>As for food safety regulation, who is charged with that? The Food and Drug Administration. But there is a <a href="http://rense.com/general33/fd.htm">revolving door</a> between the FDA and Monsanto. This severely dampens the FDA&#8217;s independence, objectivity and effectiveness in serving the general welfare. Even though the FDA clearly reports within the Executive branch, its mission is subverted by prior or future big salaries at Monsanto. Simply put, revolving doors between corporations and public offices are unethical.</p>
<p>To fix the Monsanto monopoly problem, the FTC, FDA and the DOJ must do their jobs well. We need to end the oxymoronic concept of &#8220;independent federal agency.&#8221; Put the FTC inside the Department of Commerce and charge its director with opening an immediate investigation into Monsanto and restraint of trade. Second, make the revolving door illegal between the federal government and corporations. Pass clear legislation and hold the FBI accountable for enforcement, not only within the FTC and the FDA, but across all federal departments. Third, charge the director of the FDA with opening a science-based investigation into the health risks associated with GMO seeds, and fire the director if the agency&#8217;s findings are not consistent with global scientific research findings.</p>
<p>Fourth, and with far more difficulty, we must make the judicial branch more accountable to the people. Due to a long string of highly conservative appointments, the Supreme Court has favored corporations and the wealthy few. Perhaps a few pages from the Franklin Delano Roosevelt playbook would help. Remember, the Supreme Court nullified the highly popular New Deal with a rapid string of decisions in 1935 and 1936. It was reinstated in 1937 only after FDR threatened to unleash his devious court-packing plan. This dramatic and wholly unique chapter in U.S. history tells me two things. First, we need a viable impeachment process for justices who consistently fail to serve the general welfare. Second, we need a credible threat of unpopular decision reversal through a modernized, streamlined Amendment process.</p>
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		<title>The Great Corporate Tax Dodge</title>
		<link>https://fixcapitalism.com/the-great-corporate-tax-dodge/</link>
		<comments>https://fixcapitalism.com/the-great-corporate-tax-dodge/#comments</comments>
		<pubDate>Wed, 29 Jul 2015 20:51:20 +0000</pubDate>
		<dc:creator><![CDATA[Mark Blessington]]></dc:creator>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[Inequality]]></category>
		<category><![CDATA[Money In Politics]]></category>
		<category><![CDATA[Politics]]></category>

		<guid isPermaLink="false">http://fixcapitalism.com/?p=132</guid>
		<description><![CDATA[Confronting Capitalism by Philip Kotler is organized around 14 shortcomings. The list is broad and his thinking is brave and deep without being strident or bleak—a daunting challenge and a wonderful contribution given the controversial if not explosive nature of emotions at the intersection of money and politics. Kotler’s inaugural post for this site invites enhancements &#8230; <a href="https://fixcapitalism.com/the-great-corporate-tax-dodge/" class="more-link">Continue reading <span class="screen-reader-text">The Great Corporate Tax Dodge</span></a>]]></description>
				<content:encoded><![CDATA[<p><em>Confronting Capitalism</em> by <strong>Philip Kotler</strong> is organized around <strong><a href="http://fixcapitalism.com/the-14-points/">14 shortcomings</a></strong>. The list is broad and his thinking is brave and deep without being strident or bleak—a daunting challenge and a wonderful contribution given the controversial if not explosive nature of emotions at the intersection of money and politics.</p>
<p>Kotler’s inaugural post for this site invites enhancements to or additions beyond his list. I congratulate him on such openness and submit this post as support for Chapter 5 (Companies Not Covering Their Social Costs). Kotler explains that if air and water pollution results from steel production, then someone bears the cost. If steel companies evade the cost, then it is born by society either through poor health or from the clean up. Chapter 5 does not cover corporate taxes, though, which is a classic way for individuals and companies to cover social costs. If corporations avoid their fair share of the tax burden, then they are not covering their social costs.</p>
<p><em>What do we know about corporate taxes relative to social cost?</em></p>
<p>The bottom line in taxes is: &#8220;Who paid what?&#8221; Top marginal tax rates don&#8217;t really answer this question because they are easily dodged by large corporations and wealthy individuals. We need to measure actual taxes, not marginal rates. As the chart shows, corporations carried 44% of the tax load between 1929 and 1955. The remaining 56% was paid by individuals. Then from 1956 to 1980 the corporate share of taxes dropped precipitously. Since 1981 it leveled out at 20%, and the remaining 80% of the total tax burden has been paid by individuals ever since.</p>
<p><a href="http://fixcapitalism.com/wp-content/uploads/2015/07/corp-tax-burden.jpg"><img class="  alignnone wp-image-303 size-large" src="http://fixcapitalism.com/wp-content/uploads/2015/07/corp-tax-burden-1024x689.jpg" alt="" width="1024" height="689" /></a></p>
<p>Some might argue that the lower corporate tax burden is appropriate. Perhaps corporations became more socially responsible starting around 1955 and made important non-tax contributions such as enhanced employee programs (e.g., higher employment, compensation, benefits and training)? Maybe they enthusiastically embraced more responsible manufacturing practices (e.g., lower carbon footprint, less natural resource extraction) or better products (e.g., fewer cancer- or obesity-causing products)? Perhaps companies significantly decreased their use of “social goods” (e.g., lower road, bridge and airport use, less need for military intervention or protection)? Or, perhaps their tax burden should have declined due to the rise in social welfare programs?</p>
<p>As Kotler argues throughout his book, it is more reasonable to conclude that <strong>companies have radically increased their social costs,</strong> not decreased them. They have cut employee programs. They have outsourced work to other countries. They have encouraged consumption of questionable products and aggressively sought legal protections to continue doing so. (Shocking examples of protectionist legislation are found in the meat and dairy industries.) It certainly seems like companies have accelerated their use of public roads, bridges and airports since 1955. U.S. military involvement around the world seems to greatly benefit many powerful U.S. companies. And individual welfare, education and arts programs have suffered extensive defunding and privatization.</p>
<p>Concurrently, <strong>corporations dodged their fair share of social costs by investing heavily in lobbying, political spending, tax lawyers and consultants.</strong> Indeed, companies now spend more on lobbying than the U.S. spends to fund the House and Senate combined.</p>
<p>Strictly from a shareholder perspective, company efforts to avoid social costs have yielded fabulous returns. Given the pre-1955 proportion of 44%, the decline to 20% yielded a gain of $9 trillion for companies, before considering the time value of money or what they spent on lobbying, political spending, lawyers and consultants. If we add a conservative return to capital of five percent net of costs, then the gain to corporations has been almost $22 trillion. As a point of reference, the <a href="https://www.djindexes.com/mdsidx/downloads/fact_info/Dow_Jones_US_Total_Stock_Market_Index_Fact_Sheet.pdf">market capitalization of the U.S. total stock market</a> is currently about $25 trillion. <strong><a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1014264">David Parsley</a></strong> of the Vanderbilt Owen Graduate School of Management and his coauthors studied the return on investment for lobbying expenditures and concluded it was nothing short of dramatic.</p>
<p>From a common citizen’s perspective, the time since 1955 could be described as <strong>“The Great Corporate Tax Dodge.”</strong> Its cost to society is nearly the value of every publicly traded company in the U.S.</p>
<p>While some deride government ineptitude and insist on further downsizing, the interests of common citizens are better served by empowering government to crack down on corporate tax avoidance and force them to pair their fair share.</p>
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