Take Two Aspirin and Call the NSC in the Morning

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The hawks in charge of health care reform? Say it ain’t so. Okay, it ain’t so … yet. But in this month’s Health Affairs, Leonard Schaeffer warns that if we don’t act soon–the “we” in this case being the U.S. medical-industrial complex–the national security guys and budget minders will be the ones rakishly calling the shots on our healthcare future. Why, they wouldn’t dare! Well, actually they would, because in case you haven’t noticed, healthcare spending is turning into the new global warming. (more after the jump)

Despite decades of hand-wringing, the healthcare community hasn’t found the political clout, the political will, or even the collective desire to wrestle the costs into control (Schaeffer, as chairman of Surgical Care Affiliates, one of the nation’s largest surgical care companies, is part of that crowd.) In the meantime, a quicksand of greedy special interests, spineless pols, and, let’s admit it, our own sense of entitlement has left America with some of the planet’s highest per-capita health spending–$6,102 a person in 2004 versus an average of $2,552 for member countries of the Organization for Economic Cooperation and Development. What has this money bought? Not much. Schaeffer cites our “disturbing” international rankings on the accepted measures of healthcare performance.

As the author notes, alarm bells are now sounding in D.C. Indeed, in this month’s New England Journal of Medicine, Congressional Budget Office boss Peter Orszag warns that we’re breaking the bank, a message he’s already put directly to Congress. On our current path, Orszag stresses, Medicare and Medicaid spending alone will suck up the equivalent of our current federal budget by 2050–that’s 20 percent of GDP, for all you policy wonks.

That’ll never happen, of course. But the healthcare industry’s window for self-reform is closing fast, Schaeffer writes. Washington will soon start talking about healthcare in the language of national security, as in: Sorry pal, we just can’t maintain our nuclear subs, fight the terrorists and pay for your liver surgery.

In a nutshell, he’d much rather the health lobby be in charge than the defense lobby. No surprise, given his job title. Then again, some of the patients at Walter Reed Army Medical Center would no doubt agree with him.

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Minority rule, corruption, disinformation, attacks on those who dare tell the truth: There is a direct line from what's happening in Russia and Ukraine to what's happening here at home. And that's what MoJo's Monika Bauerlein writes about in "Their Fight Is Our Fight" to unpack the information war we find ourselves in and share a few examples to show why the power of independent, reader-supported journalism is such a threat to authoritarians.

Corrupt leaders the world over can (and will) try to shut down the truth, but when the truth has millions of people on its side, you can't keep it down for good. And there's no more powerful or urgent argument for your support of Mother Jones' journalism right now than that. We need to raise about $450,000 to hit our online fundraising budget in these next few months, so please read more from Monika and pitch in if you can.

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