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Labor Shall Rule
9th December 2009, 01:21
In the last five months, I've worked with the Erie Health Care Coalition (http://yourerie.com/content/video/?cid=71851) and the Universal Health Care Action Network (http://www.uhcan.org/) in demanding affordable health care for all. In the meetings that I would have before we mobilized, it was obvious that most of us (if not all) supported HR676—John Conyer's and Dennis Kucinich's Medicare-for-All bill. In using local “town hall” style meetings, we brought people together to fight for single-payer. The signing of petitions, and the use of phonebanks, was effective in bringing more and more people out to support reform. In fact, a decent number of people would come out to our rallies outside of the health insurance companies. We even got the Erie City Council to sign a resolution in support of health care reform.

But a problem with large single issue campaigns is that they are largely reformist in their outlook—indeed, much of the organizing efforts that I was involved in was based on getting people to voluntarily write letters and visit the offices of our legislators. It was also very top-down in it's structure. So we were given no choice but to put ourselves in place and to stop being "infantile leftists" as Marc Stier called it (http://blog.stier.net/?p=822), and to embrace Obama's health care plan in our day-to-day work. I am having a conflict of moral purpose here. I know that, as a socialist, it's very practical to demand single-payer. It's also easy to see how corporate lobbying has effected the formation of the public policy around health care reform. But at the same time, I feel like there is something really "far-left" about many advocates for single-payer.

There is a real lack of political clarity and leadership from the anti-capitalist left when it comes to the national debate about health care reform. In fact, it doesn't seem like that many ‘revolutionary’ organizations could make much of a difference in the debate anyway. It would make sense-in principle-to denounce how weak the reforms are. But I think this would alienate a lot of progressive people and block the legislation from being passed immediately. Which leads me to my next question: what is to be done? How can we make waves? How can we fight for health care reform while still denouncing the system that creates medical bill bankruptcies and "pre-existing conditions" in the first place?

Labor Shall Rule
9th December 2009, 20:16
Anybody?

Jimmie Higgins
9th December 2009, 21:01
Great post - I wish there were more like this about practical things we can be doing and about the problems of being a socialist and trying to get our politics out there while dealing with reformists and other political ideas and so on.

Really I don't know if much can be done at this point. The Democratic leadership decided long ago that single-payer was not an option and not going to even be entertained or debated. The media is behind them on this and the forces that could have supported single-payer (unions and so on) have been convinced, strong-armed, or simply demoralized enough into supporting this shitty bullshit plan being offered.

I think now we really do need to oppose it on principle because if this kind of plan goes through it will be worse that before and people will think "well we tried 'socialist healthcare' and it was worse! I guess the private sector can do things better and more efficiently". So we should oppose this plan for being pro-insurance industry, anti-worker, and basically keep fighting for real National Health or single payer so that we can do our part to make sure people know that this plan is not healthcare for all and it failed because it kept the insurance system intact.

As an induviudal, there still are some small grassroots single-payer reform organizations out there if you want to get involved with them

http://singlepayernewyork.org/index.php

The ISO's Socialist Worker paper had an interview with a single-payer activist from the above coalition:
http://socialistworker.org/2009/12/09/selling-out-health-care-reform
Also, here's the ISO take on the House version that was passed:
http://socialistworker.org/2009/11/11/deform-of-reform