Regenerating Public Health: Beyond Obama and Trump

As evidenced by the 2016 primary and general elections, Americans–Democrats, Republicans, Greens, and Independents–want real change, radical change, not just “business as usual.” That’s why Sen. Bernie Sanders (I-Vt.) nearly won the Democratic Party nomination in 2016 with his call for a “Revolution,” including Medicare for All, reining in Wall Street, higher taxes on corporate profits, an end to wars in the Middle East, and free tuition for students at public colleges. Polls consistently indicated that had Sanders survived the dirty tricks of Hillary Clinton and the Democratic National Committee, and actually won the Democratic Party nomination, he could have defeated Trump by a significant margin.

On the Republican side of the partisan divide, 63 million (mainly white),bitterly dissatisfied Americans cast their votes against Hillary Clinton and for Donald Trump, a self-proclaimed revolutionary, who promised to “Make America Great Again,” by reducing taxes, and by raising the living standards of everyday Americans. Trump’s platform included putting an end to Obamacare and providing a more effective and affordable system of healthcare by devolving power to the states.

Since his inauguration, Trump and his minions have unfortunately declared war on the majority of Americans with a divisive, indeed alarming, series of sexist, racist, authoritarian and homophobic policy pronouncements and executive orders. After declaring he would “drain the swamp” of lobbyists and special interests, Trump has instead hypocritically put forth the nominations of corporate millionaires, billionaires, Wall Street insiders, militarists and climate deniers to his Cabinet, along with an anti-abortion extremist to the Supreme Court, and has enacted a series of executive decrees on immigration, environmental pollution, and pipelines that have brought millions of protesters out into the streets.

According to the well-respected Institute on Agriculture and Trade Policy (IATP),

“Trump has issued instructions to effectively gag government scientists, thus threatening continuity and public accountability in research, and is preparing to gut regulations across multiple sectors that were designed in the public interest. He is building a cabinet of powerful millionaires and billionaires, some of whom oppose the very purpose that their agencies are mandated to serve. He is perpetuating the idea that recognition of climate change is subject to a belief system rather than to scientific evidence. He is attempting to reverse the social-, economic- and environmental-achievement and promise of renewable energy. –IATP newsletter Feb. 4, 2017.

One of the most pressing crises we face, a major topic in the 2016 elections, is our rapidly deteriorating public health and healthcare system. See the linked article and video at the end of this article. Unfortunately, neither Establishment Democrats (Clinton et al) nor Republicans (Trump) appear ready to “bite the hand that feeds them” (Big Pharma, the American Medical Association, insurance companies, junk food conglomerates, corporate agribusiness, chemical polluters) and offer a real solution, in terms of effective and affordable healthcare and public policy that address the underlying causes of rampant disease and sickness, not just the symptoms.

The root causes of the world’s most expensive and ineffective system of healthcare—the U.S. healthcare system—are not only medical errors (failing to focus on prevention and nutrition for example) and malpractice (the third leading cause of death in America), but also the self-destructive lifestyle choices or addictions (junk food, alcohol, tobacco, drugs, and lack of exercise) of the majority of the population. The everyday behavior of consumers in our Fast Food nation, compounded by the routine “profit-at-any-cost” contamination of our environment, have not only degenerated public health, but have also raised healthcare costs ($3.3 trillion per year and rising) to the point where they are threatening to bankrupt our entire economic system.

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