great nhs heist (doc)
https://www.youtube.com/watch?v=kwlvLe-X27o
intro’d via:
David Graeber (@davidgraeber) tweeted at 8:48 PM on Fri, Dec 06, 2019:
Actually I think if everyone in the country gets to see this video the election’s over. (They do use me as a talking head way too frequently) #greatnhsheist. Let’s just make sure everyone actually gets to see it.
https://t.co/O4jpNWry8D
(https://twitter.com/davidgraeber/status/1203159373129945089?s=03)
notes/quotes (2 hr doc):
2 min – david: people don’t have certain level of security.. attracted to extremes.. created welfare state.. afraid of revolution – population coming back from war.. trained in use of weapons..
3 min – danny dorling: it (british nhs) didn’t exist it was announced.. it didn’t come into being until 1948.. but the most telling thing is the absolute collapse of the suicide rate of elderly people in the years before nhs began.. because you no longer had to kill yourself so you were not a burden on your children because you knew it was coming
4 min – danny: it was the beginning of the end of fear.. the idea that you’re all part of something .. something you hoped you would never have to use
5 min – yanis: proves that public health provided freely is far more efficient than anything private sector can produce
6 min – david: taking the edge off the radical insecurity of life was very much something people felt as a social responsibility.. which was really opp of neolib regime which was really about increasing insecurity and turning that into a weapon
7 min – on the details/progression of the heist – via privatization, deregulation, and tax cuts for rich – thatcher and reagan
9 min – frank dobson: more than 10b pounds a year extra going on running the contracting system.. money down the drain..t
bauwens contract law et al
too much ness
11 min – david: on rise of admin class.. believing that democracy is following the rules.. t
cleaning was outsourced.. more infections et al
frank: the contracts gave more profits
14 min – hospital now to earn half income from 1/2 patients.. privatizing control.. et al..
15 min – david: any med system based primarily on principle of competition is going to be a disaster.. we don’t want to have impulses of greed to be validated w/in a structure which is based on the opposite principles
david: once you say it’s ok to think about own interest above of others.. that starts effecting everybody and undermines the very project
17 min – christopher redman: (on his service success) it wasn’t planned.. you worked day by day.. you saw the needs and adapted to meet the needs
have need ness
18 min – changed into a business
david: if trying to do something disreputable .. easiest way to do it is to dress it up in very bureaucratic language.. make it seem fair.. make is seem like it’s about rules/regs.. and people of prof/managerial staff.. the people who essentially staffed these bureaucracies.. think that way.. they think rules are all there really is.. all that’s saving us from chaos..t
19 min – david whyte: on boiling it down to two things.. 1\ public choice and 2\ measures to help make choices.. see it in all sectors.. ie: ed, transport.. what it does in fact is distort the relationships between providers and users
yeah.. that whole choice thing (from ie: spinach or rock ness) rather than daily curiosity (ie: cure ios city).. coupled with any form of measuring/accounting.. killing us
10 day care center ness et al
20 min – david: going into bs jobs ness.. make up something for people actually doing work to do.. making it difficult for them to actually do the work
bs jobs et al.. supposed to’s.. of school/work
david whyte: all focusing energy on improving targets.. improving targets rather than services.. so b of public service.. opposite of stated intention to streamline
24 min – david: exec has to behave in rational fashion.. not my money so decisions based on ie: shareholders – who also have no say) introducing that logic (following rules supposed to ness) into a care structure.. creates utterly toxic contradictions
25 min – targets don’t work because everyone is not the same.. they (people) should be in control
30 min – on bully ness – to get ie: whistleblowers out of the system.. t
33 min – david: so many people had jobs they took because they wanted to help others.. maybe not making a lot of money but helping others.. then to have people doing less w more power .. incredibly frustrating
34 min – (dr for allowing baby to come in.. should have let it die in bathroom) after i was disciplined.. my colleagues stopped fighting .. they were frightened of being disciplined.. of the same experience i had – 41 yrs.. t
regulators compounding the problem – crafting the con
36 min – david: if you’re rich/powerful there are usually dozens of people whose full time job is coming up with reasons to tell you why whatever is in your interest is really in the best interest of everyone.. they call them think tanks for example.. t
need others to be your talking heads rather than saying it from w/in business.. think tankers do this for private sector.. all giving advice and taking a chunk out of the system.. consensus at the top
45 min – land grab – on paying many times cost of ie: buildings
47 min – david: some of most absurd kafkaesque come from nexis of public/private.. best way to make things inefficient
51 min – data heist
we’re focusing on the wrong data to begin with.. ie: data of whales in sea world.. let go
to get back/to us.. need to detox/leap via self-talk as data
1:00 – american role model – state owned health maintenance orgs.. 2012.. to control of american insurance industry
david himmelstein: community w surplus resources.. but many not getting what they needed
1:01 – (people not getting what need) with or without insurance
hard to get away from because system works very well for some: ie: insurance/drug co’s
if people have to take money out of pocket to see a dr.. they’ll do it less often
david himmelstein: 1 in 1000 people w/o ins will die because of that
over last 40 yrs.. # of drs has doubled.. # of admin 30x..t
1:06 – david: obama actually said doesn’t want universal health because would eliminate jobs
on getting (ins co’s) caught in fraud.. paying ticket and keep on driving
1:07 – wendell potter: ins claims they pay over 70% of treatment.. probably true.. but small population with lower cost care.. larger population’s care costs higher (and mostly not covered)..
ie: sign up healthy people.. huge effort to make people look sicker than they are.. false claims act et al
ie: kidnapping psych patients ..holding against will until day ins ran out
1:10 – david: most common cause of bankruptcy in america is med debt.. people are terrified that their lives are going to be destroyed because someone they care about is going to become sick..t.. and they have these terrible choices.. can’t let them die.. but since system seems perfectly happy w letting them die.. don’t help and guilt or help and resent them (because of debt)
1:11 – med bills cause of 60% of bankruptcy in america and more than 3/4 of these bankrupt families had med insurance.. t
larry sanders: people w lots of wealth and good coverage.. find small prints cuts them out of care when they need it most
1:12 – despite all moneys/resources .. us.. highest number of maternal deaths.. in developed countries.. almost 3x higher than in britain.. ins co’s deciding when patient should leave hospital .. not drs
1:15 – one group who do extremely well out of american health care system.. in 2016 alone top 6 health care systems (cigna, unitedhealthcare, centene, aetna, humana, anthem)..chief exec officers each earned upwards of 17 m dollars.. t
people in us pay double.. to public and private
1:16 – wendell potter: on sicko.. my job was to discredit michael moore and the film itself.. but as i watched the film i was very effected by it.. his depiction of how health ins operates was dead on.. saw the real consequences of actions of my industry
1:19 – on insured being told.. until dental problems went to head or heart.. wouldn’t be covered; 6th grader not able to read for 3 yrs can’t afford glasses
1:22 – on remote medical (stan brock).. taking care of 1000 in a weekend.. stan: people worried about socialized system need to get over tha
1:24 – the corporate state
tamasin cave: so many mps and lords that had direct financial interest in what was happening in these reforms.. normal behavior
1:25 – david: democracy has become essentially a system of institutionalized bribery..t
newspapers owned by billionaires
1:26 – ‘he who owns the media control the minds of the public’ – noam chomsky
1:28 – wendell: at heart.. created fear of reform.. made people to think they were unworthy
1:29 – bob gill (made/wrote this film) – biggest lie is that nhs is unsustainable.. other myths.. elderly/tourist (sucking it up).. most toxic line they’re using is that of the undeserving sick blaming illness on the sick.. break down public cohesion.. central to govts goal of privatization
1:30 – yanis: bullies always blame victims for their bullying
wendell – on astroturf/fake orgs/movements (vs grassroots).. trying to tell populace that people are uniting over something
tamasin cave: people trust drs in main stream media
1:32 – david: we’ve had more protests in country since 72.. but wouldn’t know from news.. they don’t write about it anymore.. nowadays they realize if you pretend it isn’t happening it’s very demoralizing.. we have an ideology that works not because people think the system is fair.. (but) because people falsely believe that everybody else thinks it’s fair..t.. i know it’s fixed but these other sheep/stupid people are duped
pluralistic ignorance et al
1:34 – david: what we discovered in 2008.. was just what a lie that was
everything to dissuade people from looking at the real problem.. ie: if get rid of immigrants would be ok
1:37 – on wearing down public support so that private is inviting
1:38 – yanis: greece is the champion ie of austerity.. depression, malnutrition.. the bitter harvest of austerity
1:39 – life expectancy plateaued in uk.. infant mortality increased
1:43 – david: why is it that certain deaths are all over the front pages.. and other deaths are something we wouldn’t even talk about .. how many people have been found fit to work and cut from benefits and found dead a month or two later.. it’s in the 1000s at this point
1:45 – david: american health care system a disaster.. and i don’t know anyone.. who isn’t getting paid to think diff.. who wouldn’t agree w that
1:53 – david: one reason people like nhs – it’s like universal love.. taking that away is a real violence
1:57 – when they’re meeting in davos.. that’s what they’re deciding.. these people will be the poor and these people will have the riches
1:58 – raise the alarm
bob gill: a tragedy of our own making if we don’t change it.. do we have the stomach to fight for it
2:00 – david: it is critical to have a victory.. so first thing set your sights on something you can achieve.. and the moment you have won victory.. everything changes
yeah.. i don’t know
hasn’t worked yet
danny: you can actually appeal to selfishness.. if people want to take care of own family .. they’ll want nhs
yeah.. nhs isn’t the answer..
go deeper.. ie: roots of healing
2:02 – david: we say we have a direct democracy.. but most people don’t even know what a democracy is like.. to sit around w 20 other people and make collective decisions together in a way that isn’t imposed by some leader..
dang.. losing it on the raise alarm part.. ie: public (even 20 is public) consensus always oppresses/imposes-on someone
go deeper.. ie: curiosity over decision making.. otherwise.. just spinning our wheels
david: when you start getting involved in movements that model society as you’d like to see.. it changes your sense of social possibility
yeah.. not enough yet.. we haven’t yet gotten to what we’re capable of.. we can’t seem to get ourselves out of sea world..
today we have the means for legit revolution of everyday life.. via tech as it could be (ie: listens to every voice .. everyday.. first thing)
2:02 – bob gill: you cannot compromise on the needs of people: 1\ secure jobs 2\ looking after when sick 3\ pension when old 4\ good ed for kids 4\ home to live in.. and those are now revolutionary demands.. because the system can’t provide it
and exactly why we keep missing it.. go deeper.. to just two: maté basic needs
supposed to’s.. of school/work; money (any form of measuring/accounting);.. et al.. all poisoning/killing us
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be you. 