Showing posts with label philanthropy. Show all posts
Showing posts with label philanthropy. Show all posts

Wednesday, 29 July 2020

Are We In A World War?

Is it possible that we are in a modern-style World War without realising it?


Prior to WW1


Pre-WWI there were new technologies, globalising, free-trade, a rules-based world economic system underpinned by the leading power of the day (and to its advantage), and a period of general peace among major countries. And the rise of a financial class, with great wealth and power. And huge inequality.

J D Rockefeller is a good example of how extremely wealthy individuals use that wealth to protect their income and power. Rockefeller's wealth soared as kerosene and gasoline grew in importance. 


Amazingly the electric carriage was invented in 1828. In 1888 the first real electric car was invented.  Electric battery-powered taxis became available at the end of the 19th century. Electric vehicles had a number of advantages over their early-1900s competitors. They did not have the vibration, smell, and noise associated with gasoline cars. They also did not require gear changes. The cars were also preferred because they did not require a manual effort to start; no need for a hand crank to start the engine. By the early 20th century electric cars had a potential range of some 100 km and were especially popular among well-heeled customers who used them as city cars, where their limited range proved to be even less of a disadvantage. Electric cars were often marketed as suitable vehicles for women drivers due to their ease of operation. 

So what happened? How is it that they are only now becoming a thing again?

In 1900 in the United States, 40 percent of automobiles were powered by steam, 38 percent by electricity (helped by homes having electricity), and 22 percent by gasoline, but the electric car soon went into decline, due mainly to relentless promotion of the gasoline car, where the real money was to be made, from powerful people like Rockefeller. 

Rockefeller was the richest person in the US, controlling 90% of all oil in the United States at his peak. Furthermore, Rockefeller gained enormous influence over the railroad industry which transported his oil around the country. Standard Oil was the first great business trust in the United States. 

The Supreme Court ruled in 1911 that Standard Oil must be dismantled for violation of federal antitrust laws. It was broken up into 34 separate entities, which included companies that became ExxonMobil, Chevron Corporation, and others—some of which still have the highest level of revenue in the world. Individual pieces of the company were worth more than the whole, as shares of these doubled and tripled in value in their early years; consequently, Rockefeller became the country's first billionaire, with a fortune worth nearly 2% of the national economy. Rockefeller was also the founder of the University of Chicago, whose 'Chicago boys' later on brought us neoliberalism.

Rockefeller spent much of the last 40 years of his life in retirement, defining the structure of modern philanthropy. His fortune was mainly used to create the modern systematic approach of targeted philanthropy through the creation of foundations that had a major effect on medicine, education, and scientific research. Like our modern-day Bill Gates, philanthropy fed back into Rockefeller's personal fortune, supporting business and medical philosophies that increased inequalities and his own personal power. And like Bill Gates (or at least his father) Rockefeller was an avid supporter of eugenics, the set of beliefs and practices that aim to improve the genetic quality of a human population, historically by excluding or eliminating people and groups judged to be inferior and promoting those judged to be superior. The WHO, whose largest donor is now set to be the Bill & Melinda Gates Foundation, was found to have used the tetanus vaccine in Kenya to impose population growth control.

In WW1, the total number of military and civilian casualties in World War I, was around 40 million.
There were 20 million deaths and 21 million wounded. The total number of deaths includes
9.7 million military personnel and about 10 million civilians. Spanish flu in 1918 killed around 50 million. H1N1 (Spanish flu) was a coronavirus that had jumped from chickens to people, as is very often the case with coronaviruses. US military personnel were widely vaccinated (against typhus, smallpox and against a range of other ailments) and the vaccines contained chicken egg cells, and almost certainly chicken viruses. Spanish flu's first documented case was at a US military base in Kansas.

In fact influenza and pneumonia killed more American soldiers and sailors during the war than did enemy weapons, sickening at least 26% of the army, probably more like 40%. The war fostered disease by creating conditions in the trenches of France that enabled the influenza virus to evolve into a killer of global proportions, and soldiers moving around created new foci of contagion among a wider population that was at the time physically deteriorated. Chickens were also kept in horrible industrial-type conditions in order to feed the soldiers, a second relevant point given that coronaviruses typically come from other species, and as a result our immune system is not prepared for them. There was also an inability to separately identify the viral flu sufferers from bacterial pneumonia.

And now?

Modern globalisation has been spurred by some of the same forces that powered the pre-WWI epoch: new technologies, an open, free-trade, rules-based world economic system underpinned by the leading power of the day (with rules to its own advantage), and a period of general peace among major countries. And the rise of a financial class, with great wealth and power. And huge inequality which has returned to pre-World War I levels.

As before World War I, the great wave of globalisation has led to a surge in immigration, both as poor people flee their trashed countries and as large corporations actively encourage the influx of illegal immigrants, at the same time as they warn against it in the media. Large corporations love illegal immigrants, who are cheap and compliant workers, and simultaneously need to stigmatise the immigrant in order to keep them illegal and cheap, while making sure that the general population sees the immigrant as the source of their own personal stagnation or downright poverty and deprivation, rather than the economic order.

In addition to globalisation, technology, social changes and government policies have all been instrumental in determining who benefits and who loses out from global economic integration in past decades.

But globalisation has also hurt some less-skilled workers by exposing them to competition from places with lower wages and taxes, and less meaningful health, safety and environmental laws. In addition, globalisation allows for an easier political scapegoat: it’s easier for politicians to blame foreign countries or individuals for their troubles than technology or their own policies. Technology tends to make even previously skilled workers non-skilled, as witnessed by artificial intelligence, which is at this very moment making a large portion of the things we do susceptible to automation, and to hierarchical control from above, from a very few, extremely powerful number of individuals.

Prior to WW2

Everyone has heard of the 1929 Crash that brought in the Great Depression. Most people think that the hyper-inflation of the Wiemar Republic caused the resentment that in turn caused the rise of the Nazi Party and, ultimately, the Second World War. In fact it was the terms of the Versailles Treaty that imposed firstly a huge debt on Germany and then austerity towards the end of the 1930s in order for the 'creditors' to be paid that caused the German people to turn towards the populist message of Hitler. Which scapegoated immigrants, Jews, gypsies... the other.

85 million people died in the war, excluding those that died afterwards from related illnesses, homelessness, poverty...

And right now?

The CV-19 pandemic (or plandemic - as you wish) has left millions unemployed adding to those jobless or under-employed after the 2008 crash. The horrible Recession of 2008 and onwards, the one we were told we'd recovered from, although our jobs - if we had one - were precarious and depressing, never really went away and was showing signs of resurgence before the CV-19 crisis. 

During these strange and humiliating times full of rules on where you can go, whom you can see, face and hands coverings, biocidal unguents you must slather yourself with, strangers pointing infrared devices at you or sticking contaminated swabs deep into you, biocide drenched mats to walk over, ozone-poisoned offices and shared spaces, biometric tattoos and passports, digital money, isolation, queuing or walking where the arrows dictate, unrequested CV-19 messages on our phones/social networks/computers/TVs... we have belatedly seen that our governments have really huge power over everything we do and that the obscenely rich have great power over them. 

Many of those who are not happy about all of this are cannon fodder for new populist, unpleasant strongmen, who keep the shocks coming fast and furious, who turn our susceptible gaze towards the immigrants, again fleeing from the extreme poverty or war that our economic system imposes on their countries. Meanwhile our leaders elect are quickly looting the bank vault before they too, like their predecessor, have to skulk off in ignominy, unable or unwilling to deal with their hidden paymasters.

CV-19 (the pandemic or the response to an imagined pandemic - as you wish) has caused a wartime mentality, the "we're-all-in-it-together" feeling, the violent and illogical response of a significant portion of the public to those who are not wearing masks or not walking in the direction the arrows dictate. The same people who in other times would have willingly turned in all the Jews they could to the Gestapo. Along with the immigrant we have this even deadlier enemy, one that is invisible, has no measurable effect on you, that you don't know is inside you, and which makes you and everyone else a deadly threat to everyone else, without you knowing it.

664,000 have died from it, possibly at least, as it seems that less people are dying from other causes, suggesting that CV-19 is being used to group deaths from other causes. In any case, a number similar to a bad flu season (250,000-600,000, WHO). Many will die from having their elective surgery or other medical treatments postponed during these months. Some will do better, having not seen the doctor. Small children whose vaccination has been postponed will probably do much better. But depression caused by the lockdown and other measures will cause a significant reduction in life expectancy for many, with potentially soaring suicides and drug-related deaths, especially when the dire job situation becomes apparent. 

During all this the obscenely rich have become much, much richer. Jeff Bezos broke all records when he increased his fortune by $13 billion in one day. If that isn't the rentier economy that Adam Smith warned us against, I don't know what is! Bezos, like the old aristocracy that used to dine on peacocks' tongues, lives a life far distanced from normal mortals and will eat just about anything so long as its disgusting enough.


In any case, if this is a covert war it is working well as concerns making the rich richer, keeping us all looking the other way, and restructuring the world. But what about population reduction?

Whatever you think about CV-19 itself, you have to admit that no one is really dying from it at the moment. If you believe the official figures, which seem to include an awful lot of people who die having had a positive test result in the past at some point but not necessarily from CV-19, 4,000 people a day in a world of nearly 8 billion is not very many. As a practical consideration, were we all to live to a hundred, around 0.0027% of us would die every day. Currently 0.00007% are officially dying from coronavirus, so approximately 2% of deaths are due to this coronavirus, the rest are coronary artery disease, stroke, lower respiratory infections, chronic obstructive pulmonary disease (emphysema, bronchitis), lung disease and cancer, diabetes, Alzheimer's and dementia, diarrhoea, TB, road injury (in order)... In fact even this is not true: ALL the CV deaths had another underlying cause.

Note that road injury - a most preventable cause - kills twice as many per year as CV-19 has ever and, yet, no one is fretting about that. We stopped our economies for CV but never contemplated such a thing for road injury, which in 6 months kills as many as CV ever has.

Forget the asymptomatic CV-carriers. If they are carrying an illness which they can transmit and which is still not going to kill others, are they at all relevant? At its most virulent, CV has killed as many people as are murdered in a year in the world. Do we wish to lock up everyone because they may be a homicidal maniac?

You have to have a really blind faith in our deep state not to smell a rat of some sort, either grave conspiracy or plain old incompetence. Quickly forgotten are all the solemn speeches about China's lack of personal freedoms and democracy, as it becomes our model for how people should be ordered about.

China for 35 years, till 2015, had a 'one-child policy'. Those that were powerful or had money to bribe officials had more children, but those that depended on the state for welfare (as the unemployed, underemployed, furloughed, underpaid are) abandoned baby girls in huge numbers and bred pampered, lonely male children. Even in 2007 36% of the population was subjected to the policy, the rest having a series of exemptions. China now faces a serious demographic problems with the excess of lonely males who cannot marry, and old people facing a lonely old age.

It does seem that we are very shortly to be given the choice of never being able to go out, let alone travel, or accepting a vaccine that is largely untested, potentially lethal, probably useless against coronaviruses and unnecessary, as CV-19 is of late a non-story. Our collective immune system ALWAYS adapts to new viruses in time. 

Is the vaccine, as many suspect, a Trojan horse to further reduce our fertility? Our elites almost certainly do not vaccinate themselves or their children: witness Tony Blair's refusal to answer this question in parliament, Bill Gates' doctor's comments, Zuckerberg's rather too public filming of his children at the clinic, Australia's NSW premier pretending to be vaccinated while the cap was on the syringe - there are too many instances to enumerate. 

Hysteria was ramped up at the beginning with photos of coffins and the like. We never saw them in our own streets, although we did get to see nurses just about everywhere going through dance routines. Hysteria is now kept going - despite the dearth of even potential death suspects - with the contradictory narratives of asymptomatic illness (think about it); and - if you prefer - so few cases as to confer no herd immunity at the same time as hundreds of thousands of positive test results.

Will the new, largely untested vaccine get the second result of a WW done: population control? Vaccine trials are already being pushed in parts of Africa and Indian slums, although we are told that people there are NOT ill. After all, as The Guardian's headline shouts, "over half the people living in the slums of Mumbai have had the coronavirus", but way down we hear that "the survey results suggested asymptomatic infections were “likely to be a high proportion of all infections” and also indicated the virus death rate was likely to be “very low”."  (One also wonders why The Guardian puts "very low" in inverted commas.) Will the vaccine sterilise us, as previous others have provably done? Will it make us weaker and iller, when this coronavirus - and no doubt future ones - weeds out the old and infirm?

Is this our new war, one we're sleepwalking into again? Are millions about to be willingly culled or sterilised, and will these same millions oblige the rest to be unwillingly culled or sterilised? Is the world order being intentionally reconfigured so that a handful of billionaires can get still richer while the obsolete masses are quarantined or exterminated?


Saturday, 9 May 2020

Why Private Healthcare Makes Public Healthcare Worse

Like so much that goes on today, there's an idea that private healthcare does not impact public healthcare and can even lessen the burden on the public system. Years of neoliberal simplification of everything into pounds and pence, always understood as today's pecuniary cost, often an imaginary spin on the real cost, without taking into account other repercussions or future impacts, have meant that, even though we can see that every year is a little worse than the previous one, we cannot see why that is. We continue to be told that, if we just apply the selfish, everyone-in-it-for-themselves, I'm-all right-Jack doctrine, suddenly, magically, everything will come out fine.

It was a historic triumph in almost all modern countries - excluding the USA - to achieve a National Health Service, a stunning symbol of solidarity in the community. 

As Aneurin Bevan, the creator of the NHS in England and Wales in 1948, said, “Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune, the cost of which should be shared by the community.” We apply the same principle of solidarity to state education or welfare payments and the arguments for a national health service are more or less the same as for other forms of solidarity within a community.

Margaret Thatcher famously said that there is no society, only individuals. Were this true, it would be a sad and depressing reflection on humankind. But it is not true: we are social animals and become dysfunctional the more isolated we are.

Most people in favour of private health care pay at least lip service to the notion that the national health service should be maintained.


But...

The very existence of private health care undermine the principle of solidarity, one of the most precious foundations of our coexistence with other beings. Do we really want to return to having to avoid others in the street for fear of their carrying dangerous diseases that they cannot afford to have cured?

Bill Gates used to have a huge public image problem, arising from his unattractive personality, his criminal undermining of all competition to Windows (and its awful browser), his sullen and shifty performance in the the US anti-trust court case against him, and his ubiquitous and horrible OS and browser. That was until he took advantage of the neoliberal creed that the wealthy managed to foist on us of hardly taxing the very rich. His soaring wealth allowed him to reinvent himself as a health expert and philanthropist. Luckily for him, all that giving was mostly to his own organisations or those he controlled, and it always worked towards his own interests (of gaining power over 99% of the world) so that, although Microsoft is only 20% of his portfolio, his wealth has doubled during these years of "giving", from $50 billion to $100 billion over the last decade.

Amancio Ortega, Zara's immensely rich owner, chooses to produce its garments using cheap labour abroad where the minimum wage is truly minimum and where health and safety measures are in short supply. Zara pays taxes in Holland, Ireland and Switzerland, not Spain, saving itself at least 585 million euros from 2011 to 2014.

There are Irish companies belonging to Inditex that report millions of euros in turnover, but do not have a single employee on the payroll and paid no corporate tax at all.

Ortega is worth more than 62 billion euros, and his yearly dividend is around 270 million euros per year or, if you like 739,726€ per day. Just 514€ per minute, every minute of every day of the year! He  donates from time to time to the health service in specific machines - mostly inappropriate for the public health service and requiring expensive maintenance - or surgical masks, gaining huge popularity. His donation, made possible by starving the Spanish state of the taxes it should receive and by ensuring that Spain's unemployment rate is never mitigated by his company, is always specific, never in cash, and never democratically accountable. It gives him an incalculable value in cheap publicity at an insignificant cost. 

Worse still, as these donations reduce his tax bill, a substantial sum of money comes out of the public purse to pay for these generally useless so-called gifts, should they be accepted. As they say - and, pertinently, was first documented as being put into common parlance in the 1930s during the Great Depression -, there's no such thing as a free lunch (TNSTAAFL).

Philanthropy does not, and cannot, substitute for a proper, solidaristic State. State institutions, when they work, when they have not been undermined and infiltrated by rich, vested interests, protect against the venal interests of particular individuals. Both Gates and Ortega have no medical nor medical research training, yet are able to use their tremendous wealth in order to pressure governments into buying into their agenda. Neither support, either ideologically or economically, the national health service. Gates has received huge pledges of money from most western governments in order to fund the vaccine he intends to use on the entire world population against Covid-19 (excluding his own family, I have no doubt). They will start with Africa, I suspect, although Africa really does not have a problem with the coronavirus. Yet.

As we have just seen, the private health services do NOT generally cover serious new infectious diseases, be they Covid-19, Sars, Mers, Ebola, HIV, tuberculosis..., nor do they cover pre-existing illnesses. New minor ailments are covered but the yearly premium quickly becomes prohibitive once they become serious or chronic. Private health services scrimp on personnel costs, often employing trainees and insufficient qualified staff. When things go wrong, as they often do, patients are frequently transferred to the public hospital, at public cost, never the other way round, and the public sector ends up with patients who may need very expensive life-long treatment, often as a result of mala praxis or incompetence while in private care.

For years, governments have been stealthily selling off the NHS, sending patients for minor treatments to private clinics and paying these clinics for the service. The private clinics make a profit (that is what they are there for), money that should have been saved or invested into the public sector. The public sector increasingly ends up with a disproportionate number of poor, very ill, or chronic patients, making its cost per patient far higher than the private sector's. This leads it to be criticised by unscrupulous people who can then justify further privatisation.

The Centre for Health and the Public Interest claims that post-operative care is generally carried out by a junior doctor, one who is working up to 168 hours a week without supervision.

The criminal surgeon Ian Paterson, who treated more than a thousand patients fraudulently at private hospitals under Spire Healthcare and carried out useless, life-changing operations where many of his patients died and hundreds were mutilated, cost the NHS more than £17m in compensation to victims. Patients were referred to him due to the NHS's long waiting lists, following decades of intentional mismanagement of the NHS, despite Ian Paterson having a dubious background and previous suspension. He was ultimately sentenced to 20 years' prison, and his motive is assumed to have been simply to earn more money.

Such is the incentive to make a profit and line some specific pockets that in Madrid during the Covid scare the authorities dolled out free masks, overalls, gels and the like to the private care homes, valued at 3.2 million euros; and sent many patients to these private centres although there was room in the public ones, costing another million euros. At the same time the overwhelming proportion of deaths was in the private care homes, where many patients were isolated, abandoned, and purposefully not given treatment for illness, nor water, nor food. These deaths tended to be of old people over 70 years of age, in private macro-'care' homes, while the small public sector homes had much better outcomes. Private 'care' and hospitals cost up to six times more than public sector ones.

As Noam Chomsky famously said, "That’s the standard technique of privatization: defund, make sure things don’t work, people get angry, you hand it over to private capital."

Other surgeons, like Dr Arackal Manu Nair who carried out unnecessary prostate operations at Spire Parkway private hospital in Solihull, have also been suspended after years of abusing patients, years too late for their victims, due to lack of oversight and the way that doctors are outsourced and allowed to have private practices elsewhere.

In small, fragmented clinics, consultants, who carry out the surgery, do not hang around to look after their patients afterwards but disappear home. Private clinics often do not have intensive care facilities and, if they do, they may well not have sufficient qualified staff permanently on hand. The transfer to a public hospital also transfers a large cost to the public sector and, at the same time, further endangers the patient's life by the transit.

In 2018, a report by the CQC into the independent sector was scathing. It found two in five private hospitals were failing to meet safety standards. In particular it raised a major concern into the lack of effective oversight of consultants "working" for the hospital but not formally employed by them. It also said there was not enough reporting of serious incidents or transparency when something went wrong.

Mr Patterson worked independently, the private hospital he worked at did not employ him (clinicians are effectively freelance) and he had his own insurance.

So, when something went wrong, as it so cruelly did, the hospital was able to claim it was not liable (though Spire healthcare has paid out some damages to some patients as has Mr Paterson’s insurance company, but the victims had to fight tooth and nail to get it).

The public health system often seems expensive not only because it treats the most expensive patients (and continues to do so even when extensive private healthcare is available), but also because it incorporates safety and quality procedures and maintains permanent in-house staff. The private sector charges far more in fact but will always end up cutting corners, because it exists in order to make a profit, the larger the better. The US has a highly privatised healthcare system that per capita is the most expensive in the world, yet the US is ranked number 38 in life expectancy.

But far more insidious is the fact that private healthcare starves the public sector of its resources. Imagine if $9,892 per person were used for a public sector healthcare budget in the US. Instead, the biggest cause of personal bankruptcy in the US is medical treatment, despite the country's huge healthcare cost. And yet, over 6 decades, surveys have repeatedly shown that the US population is overwhelmingly in favour of a public, single-payer healthcare system; yet, the private industry's lobbyists ensure that this never happens.

A near-universal single-payer public service can negotiate cheap medicines and supplies, due to the fact that its very size makes it a match for negotiating with any laboratory. Witness the cost of medicines in the US compared to Canada: an Epipen (for serious allergic reactions) typically costs $100 in Canada and $300 in the US. In the UK you will be charged £8.80 ($11). However, the NHS buys them for around £45 ($58).

The last reason why a private system will never coexist in harmony with a public system is that the current system is now out of date. Covid-19 and other recent pandemics shows that infectious diseases, which have been long on the back foot, are perhaps coming back, for whatever reason. Possibly the reliance on vaccines for decades has allowed viruses to mutate and, together with increasing poverty and precarious health for a significant part of the population, allowed them to get a new hold on us.

These infectious diseases must be kept separate from chronic diseases and, indeed, Covid-19 has been shown to be on a practical level dangerous only for those who are chronically ill, who should have been kept away from the Covid-19 patients, but were not or - equally worryingly - have not been able to receive their customary treatment due to hospital saturation with Covid-19 patients.

For any area with sufficient population to warrant a hospital, at the moment the paucity of the public sector ensures that, although there will also be various private clinics, there will not be sufficient resources for there to be a second public hospital, to treat the infectious patients in a different facility to the chronically ill.

We should realise that health is a communal issue and that other people's health affects ours. For that reason alone we should invest in a first class public health system and ditch the idea that a two tier system can do anything decent for us.