Physicians for a National Health Program (PNHP) has an
article on their website entitled:
MARKET DRIVEN HEALTH CARE AND SOCIAL CONTROLHere's a couple of snips:
THE EFFECTS OF MARKET-DRIVEN CARE
What are the results of market-driven health care? First, market-driven health care makes people feel insecure about their prospects for receiving health care when they need it. Second, it destroys the trust that patients once had in their doctors by making doctors "gatekeepers'' whose role is often to block access to care. Third, by making health care a commodity to be bought and sold like any other, it expands the growing economic inequality in the United States to include health inequality. Fourth, it pits health professionals against each other in competing physician groups and hospitals. These are four classic methods of social control: make people feel too insecure to challenge those in power, destroy people's trust in one another, make them more unequal, pit them against each other.
Even before the rise of market-driven health care, corporations relied on the insecurity of health care to control workers. For decades, large employers have preferred to link health benefits to employment, knowing it gave them more control over their employees. According to a New York Times/CBS poll in 1991, 32 percent of workers did not quit jobs they disliked because they were afraid of losing their health benefits.<13> In June, 1998 General Motors threatened to deny medical benefits to striking workers in Flint, Michigan in order to pressure them back to work. <14> Raytheon actually did cancel health insurance for striking workers in Massachusetts in August 2000, to force them back to work.
Corporate leaders abandoned the old method of social control embodied in the New Deal and the Great Society and began relying instead on a fundamentally different, "get tough," strategy designed to strengthen corporate power over people by making them less secure. This new strategy motivates corporate leaders' new enthusiasm for the "discipline" of the free market, which they use to justify not only market-driven health care but downsizing and attacks on the social safety net.
Market-driven health care is part of a pattern of government and corporate policy initiatives over the last several decades which have one thing in common: they strengthen corporate power over people by lowering people's expectations in life, and by reducing their economic, social, and emotional security. These policies include corporate downsizing and the "temping" of jobs; the elimination of the "family wage," so that now both parents have to work full-time and have less time with their children; drastic cuts in the social safety net of welfare and related assistance; the introduction of pension plans based on individualized investments that leave each older person to his or her own fate; and the use of high stakes tests in public elementary and secondary schools to subject children to the same stress and insecurity that their parents face on the job. In the workplace, employers have adopted anti-worker tactics that had not been used since the early 1930s, most notably firing striking workers and hiring permanent replacements, as President Reagan did during the air traffic controllers' strike. All these policies put people on the defensive and pressure them to worry more about personal survival than working together for social change.
Thanks for bringing this up. I read this analysis years ago and had forgotten all about it.
wp