Capitalism

By: Henry Giroux

The health care reform bills proposed by Republicans in the House and Senate have generated heated discussions across a vast ideological and political spectrum. On the right, senators such as Rand Paul and Ted Cruz have endorsed a new level of cruelty – one that has a long history among the radical right — by arguing that the current Senate bill does not cut enough social services and provisions for the poor, children, the elderly and other vulnerable groups and needs to be even more friendly to corporate interests by providing massive tax cuts for the wealthiest Americans.

Among right-wing pundits, the message is similar. For instance, Fox News commentator Lisa Kennedy Montgomery, in a discussion about the Senate bill, stated without apparent irony that rising public concerns over the suffering, misery and death that would result from this policy bordered on “hysteria” since “we are all going to die anyway.” Montgomery’s ignorance about the relationship between access to health care and lower mortality rates is about more than ignorance. It is about a culture of cruelty that is buttressed by a moral coma.

On the other side of the ideological and political divide, liberals such as Robert Reich have rightly stated that the bill is not only cruel and inhumane, it is essentially a tax reform bill for the 1 percent and a boondoggle that benefits the vampire-like insurance companies. Others, such as Laila Lalami of the Nation, have reasoned that what we are witnessing with such policies is another example of political contempt for the poorest and most vulnerable on the part of right-wing politicians and pundits. These arguments are only partly right and do not go far enough in their criticisms of the new political dynamics and mode of authoritarianism that have overtaken the United States. Put more bluntly, they suffer from limited political horizons.

What we do know about both the proposed Republican Party federal budget and health care policies, in whatever form, is that they will lay waste to crucial elements of the social contract while causing huge amounts of suffering and misery. For instance, the Senate bill will lead to massive reductions in Medicaid spending. Medicaid covers 20 percent of all Americans or 15 million people, along with 49 percent of all births, 60 percent of all children with disabilities, and 64 percent of all nursing home residents, many of whom may be left homeless without this support.

Under this bill, 22 million people will lose their health insurance coverage, to accompany massive cuts proposed to food-stamp programs that benefit at least 43 million people. The Senate health care bill allows insurance companies to charge more money from the most vulnerable. It cuts maternity care and phases out coverage for emergency services. Moreover, as Lalami points out, “this bill includes nearly $1 trillion in tax cuts, about half of which will flow to those who make more than $1 million per year.” The latter figure is significant when measured against the fact that Medicaid would see a $772 billion cut in the next 10 years.

It gets worse. The Senate bill will drastically decrease social services and health care in rural America, and one clear consequence will be rising mortality rates. In addition, Dr. Steffie Woolhandler, co-author of a recent article in the Annals of Internal Medicine, has estimated that if health insurance is taken away from 22 million people, “it raises … death rates by between 3 and 29 percent. And the math on that is that if you take health insurance away from 22 million people, about 29,000 of them will die every year, annually, as a result.”

Leftists and other progressives need a new language to understand the rise of authoritarianism in the United States and the inhumane and cruel policies it is producing. I want to argue that the discourse of single issues, whether aimed at regressive tax cuts, police violence or environmental destruction, is not enough. Nor is the traditional Marxist discourse of exploitation and accumulation by dispossession adequate for understanding the current historical conjuncture.

he health care reform bills proposed by Republicans in the House and Senate have generated heated discussions across a vast ideological and political spectrum. On the right, senators such as Rand Paul and Ted Cruz have endorsed a new level of cruelty – one that has a long history among the radical right — by arguing that the current Senate bill does not cut enough social services and provisions for the poor, children, the elderly and other vulnerable groups and needs to be even more friendly to corporate interests by providing massive tax cuts for the wealthiest Americans.

Among right-wing pundits, the message is similar. For instance, Fox News commentator Lisa Kennedy Montgomery, in a discussion about the Senate bill, stated without apparent irony that rising public concerns over the suffering, misery and death that would result from this policy bordered on “hysteria” since “we are all going to die anyway.” Montgomery’s ignorance about the relationship between access to health care and lower mortality rates is about more than ignorance. It is about a culture of cruelty that is buttressed by a moral coma.

On the other side of the ideological and political divide, liberals such as Robert Reich have rightly stated that the bill is not only cruel and inhumane, it is essentially a tax reform bill for the 1 percent and a boondoggle that benefits the vampire-like insurance companies. Others, such as Laila Lalami of the Nation, have reasoned that what we are witnessing with such policies is another example of political contempt for the poorest and most vulnerable on the part of right-wing politicians and pundits. These arguments are only partly right and do not go far enough in their criticisms of the new political dynamics and mode of authoritarianism that have overtaken the United States. Put more bluntly, they suffer from limited political horizons.

What we do know about both the proposed Republican Party federal budget and health care policies, in whatever form, is that they will lay waste to crucial elements of the social contract while causing huge amounts of suffering and misery. For instance, the Senate bill will lead to massive reductions in Medicaid spending. Medicaid covers 20 percent of all Americans or 15 million people, along with 49 percent of all births, 60 percent of all children with disabilities, and 64 percent of all nursing home residents, many of whom may be left homeless without this support.

Under this bill, 22 million people will lose their health insurance coverage, to accompany massive cuts proposed to food-stamp programs that benefit at least 43 million people. The Senate health care bill allows insurance companies to charge more money from the most vulnerable. It cuts maternity care and phases out coverage for emergency services. Moreover, as Lalami points out, “this bill includes nearly $1 trillion in tax cuts, about half of which will flow to those who make more than $1 million per year.” The latter figure is significant when measured against the fact that Medicaid would see a $772 billion cut in the next 10 years.

It gets worse. The Senate bill will drastically decrease social services and health care in rural America, and one clear consequence will be rising mortality rates. In addition, Dr. Steffie Woolhandler, co-author of a recent article in the Annals of Internal Medicine, has estimated that if health insurance is taken away from 22 million people, “it raises … death rates by between 3 and 29 percent. And the math on that is that if you take health insurance away from 22 million people, about 29,000 of them will die every year, annually, as a result.”

Leftists and other progressives need a new language to understand the rise of authoritarianism in the United States and the inhumane and cruel policies it is producing. I want to argue that the discourse of single issues, whether aimed at regressive tax cuts, police violence or environmental destruction, is not enough. Nor is the traditional Marxist discourse of exploitation and accumulation by dispossession adequate for understanding the current historical conjuncture.

The ethical imagination and moral evaluation are viewed by the new authoritarians in power as objects of contempt, making it easier for the Trump administration to accelerate the dynamics and reach of the punishing state. Everyday behaviors such as jaywalking, panhandling, “walking while black” or violating a dress code in school are increasingly criminalized. Schools have become feeders into the criminal-prison-industrial complex for many young people, especially youth of color. State terrorism rains down with greater intensity on immigrants and minorities of color, religion and class. The official state message is to catch, punish and imprison excess populations — to treat them as criminals rather than lives to be saved.

The “carceral state” and a culture of fear have become the foundational elements that drive the new politics of authoritarianism and disposability. What the new health bill proposal makes clear is that the net of expulsions is widening under what could be called an accelerated politics of disposability. In the absence of a social contract and a massive shift in wealth and power to the upper 1 percent, vast elements of the population are now subject to a kind of zombie politics in which the status of the living dead is conferred upon them.

One important example is the massive indifference, if not cruelty, exhibited by the Trump administration to the opioid crisis that is ravaging more and more communities throughout the United States. The New York Times has reported that more than 59,000 Americans died of drug overdoses in 2016, the largest year-over-year increase ever recorded. The Senate health care proposal cuts funds for programs meant to address this epidemic. The end result is that more people will die and more will be forced to live as if they were the walking dead.

A politics of disposability thrives on distractions — the perpetual game show of American politics — as well as what might be called a politics of disappearance. That is, a politics enforced daily in the mainstream media, which functions as a “disimagination machine,” and renders invisible deindustrialized communities, decaying schools, neighborhoods that resemble slums in the developing world, millions of incarcerated people of color, and elderly people locked in understaffed nursing homes.

We live in an age that Brad Evans and I have called an age of multiple expulsions, suggesting that once something is expelled it becomes invisible. In the current age of disposability, the systemic edges of authoritarianism have moved to the center of politics, just as politics is now an extension of state violence. Moreover, in the age of disposability, what was once considered extreme and unfortunate has now become normalized, whether we are talking about policies that actually kill people or that strip away the humanity and dignity of millions.

Disposability is not new in American history, but its more extreme predatory formations are back in new forms. Moreover, what is unique about the contemporary politics of disposability is how it has become official policy, normalized in the discourse of the market, democracy, freedom and a right-wing contempt for human life, if not the planet itself. The moral and social sanctions for greed and avarice that emerged during the Reagan presidency now proliferate unapologetically, if not with glee.

Cruelty is now hardened into a new language in which the unimaginable has become domesticated and “lives with a weight and a sense of importance unmatched in modern times,” in the words of Peter Bacon Hales. With the rise of the new authoritarianism dressed up in the language of freedom and choice, the state no longer feels obligated to provide a safety net or any measures to prevent human suffering, hardship and death.

Source:

http://www.salon.com/2017/07/04/a-new-american-revolution-can-we-find-the-language-and-build-a-movement-to-break-out-of-our-nations-culture-of-cruelty/#.WVvMCLkJ7PE.email