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Our main enemy is our willingness to pursue fantasies

by Herb Ruhs, MD

Mar. 27, 2008
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Our society in the US resembles an asylum or a prison system more than it resembles any intuitive sense of what a society is or should be. Functionally, it most resembles a slave system with very lopsided master to slave ratio. It certainly has little resemblance to what is defined as a democratic society. Maybe fascist slave state is the best descriptive label.

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Our main enemy is not, as we imagine, the oppressive realities that confront us. Our main enemy is our willingness to pursue emotionally
appealing fantasies.

Oppression is clever. For millennia it has used our weaknesses against us. First it teaches us a righteous fear of social control. Then it uses this fear against us by teaching us to associate liberationist social movements with a degree of control more obnoxious than what we are currently experiencing. A neat trick. First fear the forest dwellers, then fear the prophets, then
Taking control of our lives back from the fascists will likely not be a pretty process, but imperfect starts toward self-reliance are what we will need to depend on to get the process off the ground.
fear heresy, then neighboring peoples, then unionism, then socialism, then communism and now, I guess, terrorism, though it is not clear how they are planning to make this one work out as well as its predecessors.

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In light of this current spectacle of a primary race on mega-steroids, it is not that I encourage people not to vote, or that the process is entirely meaningless, but I want to slap people upside the head and have them realize that it is largely just a show.

To believe that the outcome of a presidential election will somehow lead to liberation from oppression is just fantasy, just day-dreaming. The fascist elite periodically offer us a choice between a narrow range of options, all of which primarily serve the interests of these elites. That is reality.

While it is important to express a desire in the poling place in favor of greater social justice, for whatever ameliorating effects on our suffering that may represent, it is equally important to remain skeptical of the process. Getting swept away
in a giddy enthusiasm for what is demonstrably a rigged process is embarrassing and self defeating.

This thinking calls on me to recommend Dr. Peter Philips excellent piece entitled An election without meaning.

Peter runs Project Censored, one of the very few sources of journalistic integrity in the US. He is also a friend.

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Here is an article that might be a good sidebar to my recent stuff on medical reform:

Most aren't fans of health care system
 
Excerpt: A survey of more than 26,400 Americans conducted by the AFL-CIO found that people are fed up with the U.S. health care system, whether they have health insurance or not. ...

Re Drop a flyer, Misses the point
  An election without meaning
by Peter Philips, Project Censored

Excerpt: The 2008 presidential race is a media entertainment spectacle with props, gossip, accusations, and public relations. It is impression management from a candidates’ perspective. How can we fool the most people into believing that we stand for something? It is billions of dollars of gravy for the media folks and continued profit maximization for the war machine, Wall Street, and insurance companies no matter who is determined the winner in November.

We must face the fact that the US government’s primary mission is to protect the wealthy and insure capital expansion worldwide. The US military -- spending more than the rest of the militaries of the world combined -- is the muscle behind this protect-capital-at-all-costs agenda, and will be used against the American people if deemed necessary to support the mission.  ... MORE ...

Some nitpicking. Taking insurance company money might seem like a good idea, but the insurance industry has configured the laws so that taking any insurance is like taking a poison pill. Any self-help action, therefore, would need to be one that uses NO insurance or third party payments. This can be a difficult choice. There is intense interest on the part of underinsured people (essentially everyone now but especially those with Medicare and Medicaid) to force any such community effort to accept their insurance plans. Sorry folks, it won't work.

Also, in response to other comments, I am a great supporter of "Free Clinics." They help a lot of people, but they do not represent a sustainable system. They exist as a small bandage on the immense draining wound of health care in the US. Realistic alternatives will need to be responsible about self-financing and not take the opium of "free labor." Volunteer labor only exists because most of the volunteers are dependent on jobs in the conventional system. Ultimately volunteerism only supports the interests of the economic elite and the status quo.

Ultimately good care is the result of good relationships between patient and provider. Part of that relationship needs to be fair payment for labor. A functional health co-op would need to confront many, many problems. The greatest of these is the iron control that the establishment has over hospital care. People should not be taken in by the illusion that a health co-op could address their most serious needs in the short or mid term. One of the most important aspects of my original Modest Proposal is that it would have significant economic clout that it could use to force hospitals and emergency rooms to provide affordable care to its membership.

Of course the current system only implies that it is going to address people's real needs. What it really does is target the most vulnerable for economic dispossession. Medical bills are the leading cause of bankruptcy in the US. Medical care in the US has been transformed into an enormously profitable protection racket that provides little protection and a lot of racket. Education leading to a clearer understanding of our current system will make the sacrifices and difficulties of participating in an alternative system easier to accept.

An important experiment in establishing a viable alternative system of care was undertaken by a consortium of labor unions in Cleveland in the
Maybe it won't be as bad as I can imagine, maybe it will be worse.

In the midst of this kind of chaos, regardless of degree of severity, only the most well-planned and executed cooperative institutions are likely to survive.

Community solidarity will be the dominant factor in success and survival.
middle of the last century. Doctors working for the system were denied admitting privileges to local hospitals at the insistence of the local monied establishment. They built their own hospital but they were not able to operate it because of commercial boycotts engineered by the same reactionary forces. They ultimately were forced to sell their hospital to Kaiser (which is how Kaiser first left California) and this well-funded experiment in self-help failed. This is a cautionary tale to those who would consult common sense thinking when imagining how to confront entrenched reactionary power in the US. Our ruling class considers good medical care the privilege of an economic elite.

"Regulatory standards" (which are often just corrupt measures to ensure a monopoly for the current predatory system of health care) can make establishing alternative methods of care extremely difficult. As an example, consider the California law that requires strict record-keeping of all patient contacts, and that those records state that "conventional" treatments were offered and refused by the patient when less expensive, and often less dangerous, "alternative" treatments are recommended.

Also, practitioners in "alternative" settings, that offer opportunities for significant numbers of people to avoid the current system, can expect to be the victims of selective enforcement of these sorts of corrupt regulations whereas practitioners in "conventional" (meaning largely practitioners employed by corporate medicine) remain essentially unregulated. Consequently, self help arrangements will need to be very well informed about the risks that their practitioners will be taking and be prepared to back them up legally and financially.

Taking control of our lives back from the fascists will likely not be a pretty process, but imperfect starts toward self-reliance are what we will need to depend on to get the process off the ground. As the energy of rebellion rises in response to increasing economic inequality, we can expect that "austerity" measures will be imposed, with the intended effect of distracting people from their rage by the traditional means of denying food and shelter along with the imposition of repressive violence.

Maybe it won't be as bad as I can imagine, maybe it will be worse. In the midst of this kind of chaos, regardless of degree of severity, only the most well-planned and executed cooperative institutions are likely to survive. Community solidarity will be the dominant factor in success and survival.

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Re Middle East on hair-trigger alert

As usual I find nothing to dispute with the factual basis of the Canadian's analysis, but if you look at the same set of facts from Israel's enemies' point of view they can be explained more easily by the assumption that Israel plans a preemptive attack that must be prepared for. After all, besides the Saddam regime (also with US backing), no country in the middle east has invaded by means of aggressive war other than Israel. Countries, like people, do tend to hold to a pattern.

I suspect that Israel's enemies understand that the ongoing genocidal attacks on Palestinians and the recent brutal invasion of Lebanon are merely attempts by Israel to provoke a response that it can use as a pretext to unleash nuclear war and achieve total domination of the charred radioactive remains of the middle east, the depopulation of which will remove pesky obstacles in the way of maximal exploitation of the oil reserves by US and Israeli commercial interests. This may sound insane, but these "full spectrum dominance" folks are nothing if not insane.

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It is becoming increasingly clear that McCain suffers from unresolved combat PTSD. Rage attacks, a frightening personality, compensatory self aggrandizement and aggressiveness, with more symptoms likely to be revealed under stress, characterize one particularly dangerous variety of combat PTSD. At the lowest social levels we read continually about this sort of person having psychotic episodes that result in their deaths by law enforcement or in instances of murder suicide usually involving their families.

In an age of intense ironies, the greatest conceivable irony would be that the US is destroyed in a mass murder suicide provoked by a commander in chief who was himself a psychological war victim. Poetic justice for aggressive war making.

Herb Ruhs, MD 

  Sounds like the punch line to a kick-ass Twilight Zone ... I can almost hear Rod Serling's voice reading your note.

And it sounds uncomfortably probable.

Helen & Harry 

Daniel B. replies
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