Picking At the Trump Pimple

Depending on whether you're a fan or a critic, Donald Trump in Europe was either too sexy for his shirt or too big for his britches. Or maybe his tailor quit in the middle of the job because Trump's deposit check had bounced. This is the picture that all the fashionista pundits couldn't stop talking about this week:

The next-most earth-shattering thing they're talking about, now that Trump's insults to Meghan Markle and the mayor of London are disappearing into the ether to keep the Trump Baby Balloon company, is that Trump threatened to single-handedly destroy Britain's beloved National Health Service!  Its demise will be the offer the Brits will be unable to refuse if they have any hope of a post-Brexit trade deal with Trump's United States.

"Mar-a-Lago Comes For British Health!" is the dire warning of the New York Times's Paul Krugman.

That would be the same Paul Krugman who warned only three years ago that the nefarious Bernie Sanders was coming for Obamacare, and who continues to speciously argue that single payer health care espoused by Sanders and other progressives is next to impossible "in the current climate.

Krugman writes,

As it happens, the British and American health systems lie at opposite ends of a spectrum defined by the relative roles of the private and public sectors.

 Although the Affordable Care Act expanded health coverage and increased the role of Medicaid, most Americans still get their insurance (if they get it at all) from private companies and get treated at for-profit hospitals and clinics. In other countries, like Canada, the government pays the bills, but health providers are private. Britain, however, has true socialized medicine: The government owns the hospitals and pays the doctors.

That skirts the truth, to put it politely. As I responded to Krugman in my published comment: 

The NHS is already opened up to private US companies and it has been at least since 2006. That was when the Hospital Corporation of America partnered with British medical facilities that serve only private patients.

 Other US-based corporations have followed suit, with the stated anodyne objective along the lines of "improving efficiencies" and other neoliberal buzz-phrases to mask creeping privatization.

Optum, a division of UnitedHealth, works with the NHS in contract negotiations and medications management. Kaiser Permanente also "advises" the NHS, and IBM provides it with electronic records services.

 This has mostly been under the radar, until Donald Trump came along and did his usual oafish thing. No wonder that the discreet wing of the ruling class can't stand him. He rips the mask right off all the plunder and the greed. He bellows that he wants to destroy the social contract wherever it exists in the world, from a platform where everybody can hear him, thus endangering the whole late-capitalistic plan.

A Henry Kissinger he definitely is not. It wasn't until years after the fact that the Kissinger-Nixon plot to "make Chile's economy scream" by overthrowing the socialist government with a CIA coup became widely known. Then it was too late.

 It's not too late in Britain. And hopefully, it's not even too late in the United States

Why do we keep hearing that Medicare for All is "impossible?"

 For one reason: It'd put a dent in the profits of the voracious oligarchy.

The most radical shift in the stealthy undoing of the NHS came in 2012, with the passage of Britain's Health and Social Care Act. This law specifically enforces a restructuring of the system based upon the advice of McKinsey, the US-based global consulting firm which has come in for some well-deserved criticism lately. As the public advocacy group Patients4NHS explains:

The Act ordered the NHS to use the private sector: it made it compulsory for those services that potentially could be provided by non-NHS organisations to be put out to competitive tender. Private companies are now involved in a wide range of NHS services, from GP or out-of-hours care to diagnostic services (such as scans or blood tests), elective (or routine) surgery and ambulance services. In addition, private, multinational consultancy firms are being paid considerable amounts of taxpayers’ money for advising NHS providers, such as hospital Trusts, on managing their service.

The NHS was already on the chopping block in the Obama era's secretive trade deals, such as the Trans-Atlantic Trade and Investment Partnership (TTIP) and the Comprehensive Economic Trade Agreement (CETA), which not only would give private US-based corporations the right to destroy Britain's socialized medical care system, but would prevent any future governments from ever reversing the privatization!

So perhaps we should thank Donald Trump's freely oozing mouth for warning us about the systemic cancer which lurks beneath. He is putting his unwitting squeeze right on the corporate propaganda campaign which continues to vociferously deny that Britain's health care system is on the chopping block in trade extortion schemes that long preceded, and go far beyond, Donald Trump's clumsy unfiltered threats.

Ominously, the private companies already infiltrating the NHS are still permitted to use the NHS logo, thus further deliberately hiding their for-profit agenda from the British public. 

So Krugman and other critics who pile on Trump to the exclusion of critiquing the entire transnational anti-democratic corrupt system that created him in the first place are themselves doing harm by picking on just one particularly annoying unsightly zit while ignoring a whole body full of chronic deep-tissue lesions.

This is what critics who are not Trump, from both the right and the left, mean when they accuse the mainstream corporate media of purveying "fake news," both by commission and by omission. Krugman is no dummy. He knows, or should know, that the danger to the NHS preceded Trump by decades, and that the plunder of social welfare programs around the world will long outlast Trump - unless, of course, capitalism eats itself into extinction first.

Trump is simply the most glaring contemporary symbol, and symptom, of malignant terminal capitalism. Getting rid of him might feel good in the short term, but it's no cure for what deeply ails the sick and decaying body politic.

There's plenty more where he came from, within the highly weaponized Defense of Wealth industry.