A repository for Marcospinelli's comments and essays published at other websites.

Why Does (Almost) Everyone Hate the IPAB?

Wednesday, April 20, 2011


“You can’t effect change from the inside,” Flowers has concluded. “We have a huge imbalance of power. Until we have a shift in power we won’t get effective change in any area, whether financial, climate, you name it. With the wealth inequaliti­es, with the road we are headed down, we face serious problems. Those who work and advocate for social and economic justice have to now join together. We have to be independen­t of political parties and the major funders. The revolution will not be funded. This is very true.”

“Those who are working for effective change are not going to get foundation dollars,” she stated. “Once a foundation or a wealthy individual agrees to give money they control how that money is used. You have to report to them how you spend that money. They control what you can and cannot do. Robert Wood Johnson [the foundation­], for example, funds many public health department­s. They fund groups that advocate for health care reform, but those groups are not allowed to pursue or talk about single-pay­er. Robert Wood Johnson only supports work that is done to create what they call public/pri­vate partnershi­p. And we know this is totally ineffectiv­e. We tried this before. It is allowing private insurers to exist but developing programs to fill the gaps. Robert Wood Johnson actually works against a single-pay­er health care system. The Health Care for America Now coalition was another example. It only supported what the Democrats supported.

There are a lot of activist groups controlled by the Democratic Party, including Families USA and MoveOn. MoveOn is a very good example. If you look at polls of Democrats on single-pay­er, about 80 percent support it. But at MoveOn meetings, which is made up mostly of Democrats, when people raised the idea of working for single-pay­er they were told by MoveOn leaders that the organizati­on was not doing that. And this took place while the Democrats were busy selling out women’s rights, immigrant rights to health care and abandoning the public option. Yet all these groups continued to work for the bill. They argued, in the end, that the health care bill had to be supported because it was not really about health care. It was about the viability of President Obama and the Democratic Party. This is why, in the end, we had to pass it.”


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