,P>T #b1 ,*APT] #i 
,! ,U,S ,HEAL? ,SY/EM ,IS AN ,9T]NATIONAL ,SC&AL--& ,A,C,A ,REPEAL ,WILL ,MAKE ,IT ,WORSE 

,PEOPLE 3 

,AU?OR 3 ,NOAM ,*OMSKY 

,TEXT 3 

,! ,U,S ,HEAL? ,SY/EM ,IS AN ,9T]NATIONAL ,SC&AL--& ,A,C,A ,REPEAL ,WILL ,MAKE ,IT ,WORSE 

  

,C4 ,J4 ,P,O,L,Y,*,R,O,N,I,\3 ,TRUMP & ! ,REPUBLICANS >E B5T ON DO+ AWAY ) ,OBAMAC>E4 ,DOESN'T ! #ba ,PATI5T ,PROTECTION & ,AF=DABLE ,C>E ,ACT 7,A,C,A7 REPRES5T AN IMPROVEM5T OV] :AT EXI/$ BE=E8 ,&1 :AT W\LD ! ,REPUBLICANS REPLACE IT )8 

,N,O,A,M ,*,O,M,S,K,Y3 ,I P]HAPS %\LD SAY1 TO BEG91 ?AT ,I HAVE ALWAYS FELT A LITTLE UNCOM=TABLE AB\T ! T]M 0,OBAMAC>E40 ,DID ANYONE CALL ,M$IC>E 0,JOHNSONC>E80 ,MAYBE WRONGLY1 BUT IT HAS SEEM$ TO ME TO HAVE A T+E ( ,REPUBLICAN-/YLE VULG> DISP>AGEM5T1 MAYBE EV5 ( RACISM4 ,BUT PUT ?AT ASIDE4 ,YES1 ! ,A,C,A IS A DEF9ITE IMPROVEM5T OV] :AT CAME BE=E--:I* IS NOT A GREAT COMPLIM5T4 ,! ,U,S HEAL? C>E SY/EM HAS LONG BE5 AN 9T]NATIONAL SC&AL1 ) AB\T TWICE ! P] CAPITA EXP5SES ( O!R WEAL?Y 7,O,E,C,D7 C\NTRIES & RELATIVELY POOR \TCOMES4 ,! ,A,C,A DID1 H[EV]1 BR+ IMPROVEM5TS1 9CLUD+ 9SURANCE = T5S ( MILLIONS ( PEOPLE :O LACK$ IT1 BANN+ ( REFUSAL ( 9SURANCE = PEOPLE ) PRIOR DISABILITIES1 & O!R GA9S--& ALSO1 IT APPE>S TO HAVE L$ TO A R$UCTION 9 ! 9CREASE ( HEAL? C>E CO/S1 ?\< ?AT IS H>D TO DET]M9E PRECISELY4 

,! ,H\SE ( ,REPRES5TATIVES1 DOM9AT$ BY ,REPUBLICANS 7) A M9ORITY ( VOT]S71 HAS VOT$ OV] FIFTY TIMES 9 ! PA/ SIX YE>S TO REPEAL OR WEAK5 ,OBAMAC>E1 BUT !Y HAVE YET TO COME UP ) ANY?+ LIKE A COH]5T ALT]NATIVE4 ,?AT IS NOT TOO SURPRIS+4 ,S9CE ,OBAMA'S ELECTION1 ! ,REPUBLICANS HAVE BE5 PRETTY MU* ! P>TY ( ,N,O4 ,*ANCES >E ?AT !Y WILL N[ ADOPT A CYNICAL1 ,PAUL ,RYAN-/YLE EVASION1 REPEAL & DELAY1 TO PRET5D TO BE HONOR+ !IR F]V5T PL$GES :ILE AVOID+ AT LEA/ = A TIME ! CONSEQU5CES ( A POSSIBLE MAJOR COLLAPSE ( ! HEAL? SY/EM & BALLOON+ CO/S4 ,IT'S F> FROM C]TA94 ,IT'S CONCEIVABLE ?AT !Y MI<T PAT* TOGE!R SOME K9D ( PLAN1 OR ?AT ! ULTRA-RI<T & QUITE PASSIONATE 0,FRE$OM ,CAUCUS0 MAY 9SI/ ON 9/ANT REPEAL )\T A PLAN1 DAMN ! CONSEQU5CE = ! BUDGET1 OR1 ( C\RSE1 = PEOPLE4 

,ONE P>T ( ! HEAL? SY/EM ?AT IS LIKELY TO SUFF] IS ,M$ICAID1 PROBABLY ?R\< BLOCK GRANTS TO /ATES1 :I* GIVES ! ,REPUBLICAN-RUN /ATES OPPORTUNITIES TO GUT IT4 ,M$ICAID ONLY HELPS POOR PEOPLE :O 0DON'T MATT]0 & DON'T VOTE ,REPUBLICAN ANYWAY4 ,SO1 ACCORD+ TO ,REPUBLICAN LOGIC1 :Y %\LD ! RI* PAY TAXES TO MA9TA9 IT8 

,>TICLE #be ( ! ,U,N ,UNIV]SAL ,DECL>ATION ON ,HUMAN ,RI<TS 7,U,D,H,R7 /ATES ?AT ! RI<T TO HEAL? C>E IS 9DE$ A HUMAN RI<T4 ,YET1 IT IS E/IMAT$ ?AT CLOSE TO #c MILLION ,AM]ICANS REMA9 UN9SUR$ EV5 ) ! ,A,C,A 9 PLACE4 ,:AT >E SOME ( ! KEY CULTURAL1 ECONOMIC1 & POLITICAL FACTORS ?AT MAKE ! ,UNIT$ ,/ATES AN \TLI] 9 ! PROVISION ( FREE HEAL? C>E8 

,FIR/1 IT IS IMPORTANT TO REMEMB] ?AT ! ,UNIT$ ,/ATES DOES NOT ACCEPT ! ,UNIV]SAL ,DECL>ATION ( ,HUMAN ,RI<TS--?\< 9 FACT ! ,U,D,H,R WAS L>GELY ! 9ITIATIVE ( ,ELEANOR ,ROOSEVELT1 :O *AIR$ ! COMMISSION ?AT DRAFT$ ITS >TICLES1 ) QUITE BROAD 9T]NATIONAL P>TICIPATION4 

,! ,U,D,H,R HAS ?REE COMPON5TS1 :I* >E ( EQUAL /ATUS3 CIVIL-POLITICAL1 SOCIOECONOMIC1 & CULTURAL RI<TS4 ,! ,UNIT$ ,/ATES =MALLY ACCEPTS ! FIR/ ( ! ?REE1 ?\< IT HAS (T5 VIOLAT$ ITS PROVISIONS4 ,! ,UNIT$ ,/ATES PRETTY MU* DISREG>DS ! ?IRD4 ,& TO ! PO9T H]E1 ! ,UNIT$ ,/ATES HAS (FICIALLY & /RONGLY CONDEMN$ ! SECOND COMPON5T1 SOCIOECONOMIC RI<TS1 9CLUD+ ,>TICLE #b#e4 

,OPPOSITION TO ,>TICLE #be WAS P>TICUL>LY VEHEM5T 9 ! ,REAGAN & ,BU% ,I YE>S4 ,PAULA ,DOBRIANSKY1 DEPUTY ASSI/ANT SECRET>Y ( /ATE = HUMAN RI<TS & HUMANIT>IAN AFFAIRS 9 !SE ADM9I/RATIONS1 DISMISS$ ! 0MY?0 ?AT 0ECONOMIC & SOCIAL RI<TS CON/ITUTE HUMAN RI<TS10 AS ! ,U,D,H,R DECL>ES4 ,%E WAS FOLL[+ ! LEAD ( ,REAGAN'S ,U,N AMBASSADOR ,JEANE ,KIRKPATRICK1 :O RIDICUL$ ! MY? AS 0LITTLE MORE ?AN AN EMPTY VESSEL 9TO :I* VAGUE HOPES & 9*OATE EXPECTATIONS CAN BE P\R$40 ,KIRKPATRICK ?US JO9$ ,SOVIET ,AMBASSADOR ,&REI ,VY%9SKY1 :O AGRE$ ?AT IT WAS A M]E 0COLLECTION ( PI\S PHRASES40 ,! CONCEPTS ( ,>TICLE #be >E 0PREPO/]\S0 & EV5 A 0DANG]\S 9CITEM5T10 ACCORD+ TO AMBASSADOR ,MORRIS ,ABRAM1 ! DI/+UI%$ CIVIL RI<TS ATTORNEY :O WAS ,U,S ,REPRES5TATIVE TO ! ,U,N ,COMMISSION ON ,HUMAN ,RI<TS UND] ,BU% ,I1 CA/+ ! SOLE VETO ( ! ,U,N ,RI<T TO ,DEVELOPM5T1 :I* CLOSELY P>APHRAS$ ,>TICLE #be ( ! ,U,D,H,R4 ,! ,BU% ,I,I ADM9I/RATION MA9TA9$ ! TRADITION BY VOT+ ALONE TO REJECT A ,U,N RESOLUTION ON ! RI<T TO FOOD & ! RI<T TO ! HI<E/ ATTA9ABLE /&>D ( PHYSICAL & M5TAL HEAL? 7! RESOLUTION PASS$ #e#b-#a74 

,REJECTION ( ,>TICLE #b#e1 !N1 IS A MATT] ( PR9CIPLE4 ,& ALSO A MATT] ( PRACTICE4 ,9 ! ,O,E,C,D RANK+ ( SOCIAL JU/ICE1 ! ,UNIT$ ,/ATES IS 9 TW5TY-SEV5? PLACE \T ( ?IRTY-ONE1 RI<T ABOVE ,GREECE1 ,*ILI1 ,MEXICO1 & ,TURKEY4.<#a#b.> ,?IS IS HAPP5+ 9 ! RI*E/ C\NTRY 9 WORLD HI/ORY1 ) 9COMP>ABLE ADVANTAGES4 ,IT WAS QUITE POSSIBLY ALREADY ! RI*E/ REGION 9 ! WORLD 9 ! EI<TE5? C5TURY4 

,9 EXT5UATION ( ! ,REAGAN-,BU%-,VY%9SKY ALLIANCE ON ?IS MATT]1 WE %\LD RECOGNIZE ?AT =MAL SUPPORT = ! ,U,D,H,R IS ALL TOO (T5 DIVORC$ FROM PRACTICE4 

,U,S DISMISSAL ( ! ,U,D,H,R 9 PR9CIPLE & PRACTICE EXT5DS TO O!R >EAS4 ,TAKE LABOR RI<TS4 ,! ,UNIT$ ,/ATES HAS FAIL$ TO RATIFY ! FIR/ PR9CIPLE ( ! ,9T]NATIONAL ,LABOR ,ORGANIZATION ,CONV5TION1 :I* 5DORSES 0,FRE$OM ( ,ASSOCIATION & ,PROTECTION ( ! ,RI<T TO ,ORGANIZE40 ,AN $ITORIAL COMM5T 9 ! ,AM]ICAN ,J\RNAL ( ,9T]NATIONAL ,LAW REF]S TO ?IS PROVISION ( ! ,9T]NATIONAL ,LABOR ,ORGANIZATION ,CONV5TION AS 0! UNT\*ABLE TREATY 9 ,AM]ICAN POLITICS40 ,U,S REJECTION IS GU>D$ ) SU* F]VOR1 ! REPORT CONT9UES1 ?AT !RE HAS NEV] EV5 BE5 ANY DEBATE AB\T ! MATT]4 ,! REJECTION ( ! ,9T]NATIONAL ,LABOR ,ORGANIZATION ,CONV5TION CONTRA/S DRAMATICALLY ) ! F]VOR ( ,WA%+TON'S D$ICATION TO ! HI<LY PROTECTIONI/ ELEM5TS ( ! MISNAM$ 0FREE TRADE AGREEM5TS10 DESIGN$ TO GU>ANTEE MONOPOLY PRIC+ RI<TS = CORPORATIONS 709TELLECTUAL PROP]TY RI<TS071 ON SPURI\S GR\NDS4 ,9 G5]AL1 IT W\LD BE MORE ACCURATE TO CALL !SE 09VE/OR RI<TS AGREEM5TS40 

,COMP>ISON ( ! ATTITUDE T[>D ELEM5T>Y RI<TS ( LABOR & EXTRAORD9>Y RI<TS ( PRIVATE P[] TELLS US A GOOD DEAL AB\T ! NATURE ( ,AM]ICAN SOCIETY4 

,FUR!RMORE1 ,U,S LABOR HI/ORY IS UNUSUALLY VIOL5T4 ,HUNDR$S ( ,U,S WORK]S W]E BE+ KILL$ BY PRIVATE & /ATE SECURITY =CES 9 /RIKE ACTIONS1 PRACTICES UNKN[N 9 SIMIL> C\NTRIES4 ,9 H] HI/ORY ( ,AM]ICAN LABOR1 ,PATRICIA ,SEXTON--NOT+ ?AT !RE >E NO S]I\S /UDIES--REPORTS AN E/IMATE ( SEV5 HUNDR$ /RIK]S KILL$ & ?\S&S 9JUR$ FROM #ahgg TO #a#i#f#h1 A FIGURE :I*1 %E CONCLUDES1 MAY 0GROSSLY UND]/ATE ! TOTAL CASUALTIES40 ,9 COMP>ISON1 ONE ,BRITI% /RIK] WAS KILL$ S9CE #a#i#a#a4 

,AS /RUGGLES = FRE$OM GA9$ VICTORIES & VIOL5T MEANS BECAME LESS AVAILABLE1 BUS9ESS TURN$ TO S(T] MEASURES1 SU* AS ! 0SCI5TIFIC ME?ODS ( /RIKE BREAK+0 ?AT HAVE BECOME A LEAD+ 9DU/RY4 ,9 MU* ! SAME WAY1 ! OV]?R[ ( RE=MI/ GOV]NM5TS BY VIOL5CE1 ONCE R\T9E1 HAS BE5 DISPLAC$ BY 0S(T C\PS0 SU* AS ! REC5T C\P 9 ,BRAZIL1 ?\< ! =M] OPTIONS >E /ILL PURSU$ :5 POSSIBLE1 AS 9 ,OBAMA'S SUPPORT = ! ,HONDURAN MILIT>Y C\P 9 #b#i1 9 NE> ISOLATION4 ,LABOR REMA9S RELATIVELY WEAK 9 ! ,UNIT$ ,/ATES 9 COMP>ISON TO SIMIL> SOCIETIES4 ,IT IS CON/ANTLY BATTL+ EV5 = SURVIVAL AS A SIGNIFICANT ORGANIZ$ =CE 9 ! SOCIETY1 UND] P>TICUL>LY H>% ATTACK S9CE ! ,REAGAN YE>S4 

,ALL ( ?IS IS P>T ( ! BACKGR\ND = ! ,U,S DEP>TURE 9 HEAL? C>E FROM ! NORM ( ! ,O,E,C,D1 & EV5 LESS PRIVILEG$ SOCIETIES4 ,BUT !RE >E DEEP] REASONS :Y ! ,UNIT$ ,/ATES IS AN 0\TLI]0 9 HEAL? C>E & SOCIAL JU/ICE G5]ALLY4 ,!SE TRACE BACK TO UNUSUAL FEATURES ( ,AM]ICAN HI/ORY4 ,UNLIKE O!R DEVELOP$ /ATE CAPITALI/ 9DU/RIAL DEMOCRACIES1 ! POLITICAL ECONOMY & SOCIAL /RUCTURE ( ! ,UNIT$ ,/ATES DEVELOP$ 9 A K9D ( TABULA RASA4 ,! EXPULSION OR MASS KILL+ ( ,9DIG5\S NATIONS CLE>$ ! GR\ND = ! 9VAD+ SETTL]S1 :O HAD 5ORM\S RES\RCES & AMPLE F]TILE L&S AT !IR DISPOSAL1 & EXTRAORD9>Y SECURITY = REASONS ( GEOGRAPHY & P[]4 ,?AT L$ TO ! RISE ( A SOCIETY ( 9DIVIDUAL F>M]S1 & ALSO1 ?ANKS TO SLAV]Y1 SUB/ANTIAL CONTROL ( ! PRODUCT ?AT FUEL$ ! 9DU/RIAL REVOLUTION3 COTTON1 ! F\NDATION ( MANUFACTUR+1 BANK+1 COMM]CE1 RETAIL = BO? ! ,UNIT$ ,/ATES & ,BRITA9 &1 LESS DIRECTLY1 = O!R ,EUROPEAN SOCIETIES4 ,ALSO RELEVANT IS ! FACT ?AT ! C\NTRY HAS ACTUALLY BE5 AT W> = FIVE HUNDR$ YE>S ) LITTLE RESPITE1 A HI/ORY ?AT HAS CREAT$ 0! RI*E/1 MO/ P[]FUL & ULTIMATELY MO/ MILIT>IZ$ NATION 9 WORLD HI/ORY10 AS S*OL> ,WALT] ,HIXSON HAS DOCUM5T$4.<#a#c.> 

,= SIMIL> REASONS1 ,AM]ICAN SOCIETY LACK$ ! TRADITIONAL SOCIAL /RATIFICATION & AUTOCRATIC POLITICAL /RUCTURE ( ,EUROPE1 & ! V>I\S MEASURES ( SOCIAL SUPPORT ?AT DEVELOP$ UNEV5LY & ]RATICALLY4 ,!RE HAS BE5 AMPLE /ATE 9T]V5TION 9 ! ECONOMY FROM ! \TSET--DRAMATICALLY 9 REC5T YE>S--BUT )\T G5]AL SUPPORT SY/EMS4 

,AS A RESULT1 ,U,S SOCIETY IS1 TO AN UNUSUAL EXT5T1 BUS9ESS-RUN1 ) A HI<LY CLASS-CONSCI\S BUS9ESS COMMUNITY D$ICAT$ TO 0! EV]LA/+ BATTLE = ! M9DS ( M540 ,! BUS9ESS COMMUNITY IS ALSO SET ON CONTA9+ OR DEMOLI%+ ! 0POLITICAL P[] ( ! MASSES10 :I* IT DEEMS AS A S]I\S 0HAZ>D TO 9DU/RIALI/S0 7TO SAMPLE SOME ( ! RHETORIC ( ! BUS9ESS PRESS DUR+ ! ,NEW ,DEAL YE>S1 :5 ! ?REAT TO ! OV]:ELM+ DOM9ANCE ( BUS9ESS P[] SEEM$ REAL74 

,H]E IS YET ANO!R ANOMALY AB\T ,U,S HEAL? C>E3 ACCORD+ TO DATA BY ! ,ORGANIZATION = ,ECONOMIC ,COOP]ATION & ,DEVELOPM5T 7,O,E,C,D71 ! ,UNIT$ ,/ATES SP5DS F> MORE ON HEAL? C>E ?AN MO/ O!R ADVANC$ NATIONS1 YET ,AM]ICANS HAVE POOR HEAL? \TCOMES & >E PLAGU$ BY *RONIC ILLNESSES AT HI<] RATES ?AN ! CITIZ5S ( O!R ADVANC$ NATIONS4 ,:Y IS ?AT8 

,U,S HEAL? C>E CO/S >E E/IMAT$ TO BE AB\T TWICE ! ,O,E,C,D AV]AGE1 ) RA!R POOR \TCOMES BY COMP>ATIVE /&>DS4 ,9FANT MORTALITY1 = EXAMPLE1 IS HI<] 9 ! ,UNIT$ ,/ATES ?AN 9 ,CUBA1 ,GREECE1 & ! ,E,U G5]ALLY1 ACCORD+ TO ,C,I,A FIGURES4 

,AS = REASONS1 WE CAN RETURN TO ! MORE G5]AL QUE/ION ( SOCIAL JU/ICE COMP>ISONS1 BUT !RE >E SPECIAL REASONS 9 ! HEAL? C>E DOMA94 ,TO AN UNUSUAL EXT5T1 ! ,U,S HEAL? C>E SY/EM IS PRIVATIZ$ & UNREGULAT$4 ,9SURANCE COMPANIES >E 9 ! BUS9ESS ( MAK+ MONEY1 NOT PROVID+ HEAL? C>E1 & :5 !Y UND]TAKE ! LATT]1 IT IS LIKELY NOT TO BE 9 ! BE/ 9T]E/S ( PATI5TS OR TO BE EFFICI5T4 ,ADM9I/RATIVE CO/S >E F> GREAT] 9 ! PRIVATE COMPON5T ( ! HEAL? C>E SY/EM ?AN 9 ,M$IC>E1 :I* ITSELF SUFF]S BY HAV+ TO WORK ?R\< ! PRIVATE SY/EM4 

,COMP>ISONS ) O!R C\NTRIES REVEAL MU* MORE BUREAUCRACY & HI<] ADM9I/RATIVE CO/S 9 ! ,U,S PRIVATIZ$ SY/EM ?AN ELSE:]E4 ,ONE /UDY ( ! ,UNIT$ ,/ATES & ,CANADA A DECADE AGO1 BY M$ICAL RESE>*] ,/EFFIE ,WOOLH&L] & ASSOCIATES1 F\ND 5ORM\S DISP>ITIES & CONCLUD$3 0,R$UC+ ,U4,S4 ADM9I/RATIVE CO/S TO ,CANADIAN LEVELS W\LD SAVE AT LEA/ @s#b#i BILLION ANNUALLY1 5\< TO FUND UNIV]SAL COV]AGE40 ,ANO!R ANOMAL\S FEATURE ( ! ,U,S SY/EM IS ! LAW BANN+ ! GOV]NM5T FROM NEGOTIAT+ DRUG PRICES1 :I* LEADS TO HI<LY 9FLAT$ PRICES 9 ! ,UNIT$ ,/ATES AS COMP>$ ) O!R C\NTRIES4 ,?AT EFFECT IS MAGNIFI$ CONSID]ABLY BY ! EXTREME PAT5T RI<TS ACCORD$ TO ! PH>MACEUTICAL 9DU/RY 9 0TRADE AGREEM5TS10 5ABL+ MONOPOLY PR(ITS4 ,9 A PR(IT-DRIV5 SY/EM1 !RE >E ALSO 9C5TIVES = EXP5SIVE TREATM5TS RA!R ?AN PREV5TIVE C>E1 AS /RIK+LY 9 ,CUBA1 ) REM>KABLY EFFICI5T & EFFECTIVE HEAL? C>E4 

,:Y >5'T ,AM]ICANS DEM&+--NOT SIMPLY EXPRESS+ A PREF]5CE = 9 SURVEY POLLS--ACCESS TO A UNIV]SAL HEAL? C>E SY/EM8 

,!Y >E 9DE$ EXPRESS+ A PREF]5CE1 OV] A LONG P]IOD4 ,JU/ TO GIVE ONE TELL+ ILLU/RATION1 9 ! LATE ,REAGAN YE>S #g P]C5T ( ! ADULT POPULATION ?\<T ?AT HEAL? C>E %\LD BE A CON/ITUTIONAL GU>ANTEE1 & #d P]C5T ?\<T IT ALREADY WAS 9 ! ,CON/ITUTION S9CE IT IS SU* AN OBVI\SLY LEGITIMATE RI<T4 ,POLL RESULTS DEP5D ON WORD+ & NUANCE1 BUT !Y HAVE QUITE CONSI/5TLY1 OV] ! YE>S1 %[N /RONG & (T5 L>GE MAJORITY SUPPORT = UNIV]SAL HEAL? C>E--(T5 CALL$ 0,CANADIAN-/YLE10 NOT BECAUSE ,CANADA NECESS>ILY HAS ! BE/ SY/EM1 BUT BECAUSE IT IS CLOSE BY & OBS]VABLE4 ,! E>LY ,A,C,A PROPOSALS CALL$ = A 0PUBLIC OPTION40 ,IT WAS SUPPORT$ BY ALMO/ TWO-?IRDS ( ! POPULATION1 BUT WAS DROPP$ )\T S]I\S CONSID]ATION1 PRESUMABLY AS P>T ( A COMPACT ) F9ANCIAL 9/ITUTIONS4 ,! LEGISLATIVE B> TO GOV]NM5T NEGOTIATION ( DRUG PRICES WAS OPPOS$ BY #he P]C5T1 ALSO DISREG>D$--AGA91 PRESUMABLY1 TO PREV5T OPPOSITION BY ! PH>MACEUTICAL GIANTS4 ,! PREF]5CE = UNIV]SAL HEAL? C>E IS P>TICUL>LY REM>KABLE 9 LI<T ( ! FACT ?AT !RE IS ALMO/ NO SUPPORT OR ADVOCACY 9 S\RCES ?AT REA* ! G5]AL PUBLIC & VIRTUALLY NO DISCUSSION 9 ! PUBLIC DOMA94 

,! FACTS AB\T PUBLIC SUPPORT = UNIV]SAL HEAL? C>E RECEIVE OCCASIONAL COMM5T1 9 AN 9T]E/+ WAY4 ,:5 RUNN+ = PRESID5T 9 #b#d1 ,DEMOCRAT ,JOHN ,K]RY1 ! ,NEW ,YORK ,TIMES REPORT$1 0TOOK PA9S 444 TO SAY ?AT HIS PLAN = EXP&+ ACCESS TO HEAL? 9SURANCE W\LD NOT CREATE A NEW GOV]NM5T PROGRAM10 BECAUSE 0!RE IS SO LITTLE POLITICAL SUPPORT = GOV]NM5T 9T]V5TION 9 ! HEAL? C>E M>KET 9 ! ,UNIT$ ,/ATES40 ,AT ! SAME TIME1 POLLS 9 ! ,WALL ,/REET ,J\RNAL1 ,BUS9ESSWEEK1 ! ,WA%+TON ,PO/1 & O!R M$IA F\ND OV]:ELM+ PUBLIC SUPPORT = GOV]NM5T GU>ANTEES TO EV]YONE ( 0! BE/ & MO/ ADVANC$ HEAL? C>E ?AT TE*NOLOGY CAN SUPPLY40 

,BUT ?AT IS ONLY PUBLIC SUPPORT4 ,! PRESS REPORT$ CORRECTLY ?AT !RE WAS LITTLE 0POLITICAL SUPPORT0 & ?AT :AT ! PUBLIC WANTS IS 0POLITICALLY IMPOSSIBLE0--A POLITE WAY ( SAY+ ?AT ! F9ANCIAL & PH>MACEUTICAL 9DU/RIES WILL NOT TOL]ATE IT1 & 9 ,AM]ICAN DEMOCRACY1 ?AT'S :AT C\NTS4 

,RETURN+ TO Y\R QUE/ION1 IT RAISES A CRUCIAL QUE/ION AB\T ,AM]ICAN DEMOCRACY3 ,:Y ISN'T ! POPULATION 0DEM&+0 :AT IT /RONGLY PREF]S8 ,:Y IS IT ALL[+ CONC5TRAT$ PRIVATE CAPITAL TO UND]M9E NECESSITIES ( LIFE 9 ! 9T]E/S ( PR(IT & P[]8 ,! 0DEM&S0 >E H>DLY UTOPIAN4 ,!Y >E COMMONLY SATISFI$ ELSE:]E1 EV5 9 SECTORS ( ! ,U,S SY/EM4 ,FUR!RMORE1 ! DEM&S C\LD READILY BE IMPLEM5T$ EV5 )\T SIGNIFICANT LEGISLATIVE BREAK?R\<S4 ,= EXAMPLE1 BY /EADILY R$UC+ ! AGE = 5TRY TO ,M$IC>E4 

,! QUE/ION DIRECTS \R ATT5TION TO A PR(\ND DEMOCRATIC DEFICIT 9 AN ATOMIZ$ SOCIETY1 LACK+ ! K9D ( POPUL> ASSOCIATIONS & ORGANIZATIONS ?AT 5ABLE ! PUBLIC TO P>TICIPATE 9 A MEAN+FUL WAY 9 DET]M9+ ! C\RSE ( POLITICAL1 SOCIAL1 & ECONOMIC AFFAIRS4 ,!SE W\LD CRUCIALLY 9CLUDE A /RONG & P>TICIPATORY LABOR MOVEM5T & ACTUAL POLITICAL P>TIES GR[+ FROM PUBLIC DELIB]ATION & P>TICIPATION 9/EAD ( ! ELITE-RUN C&IDATE-PRODUC+ GR\PS ?AT PASS = POLITICAL P>TIES4 ,:AT REMA9S IS A DEPOLITICIZ$ SOCIETY 9 :I* A MAJORITY ( VOT]S 7B>ELY HALF ! POPULATION EV5 9 ! SUP]-HYP$ PRESID5TIAL ELECTIONS1 MU* LESS 9 O!RS7 >E LIT]ALLY DIS5FRAN*IZ$1 9 ?AT !IR REPRES5TATIVES DISREG>D !IR PREF]5CES :ILE EFFECTIVE DECISION-MAK+ LIES L>GELY 9 ! H&S ( T9Y CONC5TRATIONS ( WEAL? & CORPORATE P[]1 AS /UDY AFT] /UDY REVEALS4 

,! PREVAIL+ SITUATION REM9DS US ( ! WORDS ( ,AM]ICA'S LEAD+ TW5TIE?-C5TURY SOCIAL PHILOSOPH]1 ,JOHN ,DEWEY1 MU* ( :OSE WORK FOCUS$ ON DEMOCRACY & ITS FAILURES & PROMISE4 ,DEWEY DEPLOR$ ! DOM9ATION BY 0BUS9ESS = PRIVATE PR(IT ?R\< PRIVATE CONTROL ( BANK+1 L&1 9DU/RY1 RE9=C$ BY COMM& ( ! PRESS1 PRESS AG5TS & O!R MEANS ( PUBLICITY & PROPAG&A0 & RECOGNIZ$ ?AT 0P[] TODAY RESIDES 9 CONTROL ( ! MEANS ( PRODUCTION1 EX*ANGE1 PUBLICITY1 TRANSPORTATION & COMMUNICATION4 ,:OEV] [NS !M RULES ! LIFE ( ! C\NTRY10 EV5 IF DEMOCRATIC =MS REMA94 ,UNTIL ?OSE 9/ITUTIONS >E 9 ! H&S ( ! PUBLIC1 HE CONT9U$1 POLITICS WILL REMA9 0! %AD[ CA/ ON SOCIETY BY BIG BUS9ESS40 

,?IS WAS NOT A VOICE FROM ! M>G9ALIZ$ F> LEFT1 BUT FROM ! MA9/REAM ( LIB]AL ?\<T4 

,TURN+ F9ALLY TO Y\R QUE/ION AGA91 A RA!R G5]AL ANSW]1 :I* APPLIES 9 ITS SPECIFIC WAY TO CONTEMPOR>Y WE/]N DEMOCRACIES1 WAS PROVID$ BY ,DAVID ,HUME OV] #be YE>S AGO1 9 HIS CLASSIC /UDY ,( ! ,FIR/ ,PR9CIPLES ( ,GOV]NM5T4 ,HUME F\ND 

NO?+ MORE SURPRIS+ ?AN TO SEE ! EAS9ESS ) :I* ! MANY >E GOV]N$ BY ! FEW2 & TO OBS]VE ! IMPLICIT SUBMISSION ) :I* M5 RESIGN !IR [N S5TIM5TS & PASSIONS TO ?OSE ( !IR RUL]S4 ,:5 WE 9QUIRE BY :AT MEANS ?IS WOND] IS BR\<T AB\T1 WE %ALL F9D1 ?AT AS ,=CE IS ALWAYS ON ! SIDE ( ! GOV]N$1 ! GOV]NORS HAVE NO?+ TO SUPPORT !M BUT OP9ION4 ',TIS !RE=E1 ON OP9ION ONLY ?AT GOV]NM5T IS F\ND$2 & ?IS MAXIM EXT5DS TO ! MO/ DESPOTIC & MO/ MILIT>Y GOV]NM5TS1 AS WELL AS TO ! MO/ FREE & MO/ POPUL>4 

,IMPLICIT SUBMISSION IS NOT IMPOS$ BY LAWS ( NATURE OR POLITICAL !ORY4 ,IT IS A *OICE1 AT LEA/ 9 SOCIETIES SU* AS \RS1 :I* 5JOYS ! LEGACY PROVID$ BY ! /RUGGLES ( ?OSE :O CAME BE=E US4 ,H]E P[] IS 9DE$ 0ON ! SIDE ( ! GOV]N$10 IF !Y ORGANIZE & ACT TO GA9 & EX]CISE IT4 ,?AT HOLDS = HEAL? C>E & = MU* ELSE4 

,ORIG9ALLY PUBLI%$ 9 ,TRU?\T1 ,JANU>Y #a#b1 #bag 

,FROM 3 ,!,AN>*I/,LIBR>Y4ORG4 

,*RONOLOGY 3 
,JANU>Y #c1 #bba 3 ,P>T #b1 ,*APT] #i -- ,ADD$4 
,JANU>Y #a#f1 #bbb 3 ,P>T #b1 ,*APT] #i -- ,UPDAT$4 

 FILE G5]AT$ FROM 3  
HTTP3_/_/REVOLTLIB4COM_/