SWEDEN, EVIL SOCIALISM AND THE HEALTH CARE DEBATE
As I cleared customs at Arlanda airport, pleased to be in Sweden for post-graduate studies at the University of Stockholm a few years ago, I glanced over to the news Kiosk where a screaming headline caught my eye. “Skandal I Tunalbannan”. Simply translated, it read “Scandal in the Subway” which I immediately interpreted to be a report on common graft, theft or bribery. Following my processing at the University, I bought the paper, curious about this crime that was front-page news. Amazingly, the story detailed how a subway extension in suburban Stockholm had been built, and, they had neglected to build a handicap ramp! This lead story was very publicly decried as intolerable; the disadvantaged had been shortchanged!
As Congress attempts to reconcile House and Senate versions of health care legislation, a bill that a majority of Americans apparently don’t approve of according to recent polls, it may be helpful to assess one central reason why, and how this bill became far less from what progressives had been promised, and hoped for. That subway ramp in Stockholm speaks volumes about progressive shortcomings in American politics today.
Lets face it, Republicans consistently demonstrate Borg-like efficiency in their ability to spin the facts and gin-up fearful prospects to the public. These "Star Trek" baddies who consume star systems throughout the galaxy are a great metaphor for our "friends" on the Right. Progressives consistently denounce, and then privately admire this “Resistance is futile, you will be assimilated” discipline of our adversaries, and then do little or nothing about it but complain about our “lack of passion.” This past summer for example, the news cycles were completely dominated by zealous town meeting attendees and every talking head on the right frantically raising the specter of “Losing our country”, to President Obama’s “Socialist” policies. Tea Baggers took up the baton from there in the fall, and here we are, holding our breath hoping a bill that we really don’t like very much makes it to the finish line. as many have noted, all of this is painfully reminiscent of Senator Kerry’s failure to respond to the “Swift-Boating” of August 2004, with less than inspiring, or effective rebuttals from Obama’s White House.
In light of the inflammatory rhetoric of the past year, it may be helpful and informative to take a quick look at Sweden, cited as many as the quintessential “Socialist Paradise”. Most Political Scientists agree that Sweden was indeed the “precursor” nation for most of the social welfare policies now the norm in Western European Democracies, such as universal health care, educational subsidies, care for the elderly and the disabled, parental leave, as well as extensive employment and pension benefits.
With a population under 10 million, dwelling in a beautiful, pristine nation the size of California with abundant natural resources and a largely homogeneous population, any direct comparisons with the polyglot monolith of United States is not the objective here. Its policies, lifestyle, and general welfare are however, quite relevant when the talking points of the right are unequivocal in asserting that “Socialist States” are a complete failure, with miserable citizens suffering under the yoke of oppressive governments intruding into their lives.
The national dialogue regarding health care reform has consistently overlooked or underplayed “quality of life” issues which to many, is the essence of this entire debate with millions of Americans uninsured, and countless others rendered bankrupt, and most shamefully, terminally ill from lack of medical care. In all developed nations, with the exception of the U.S., the support of the commons, the basic services affecting our daily lives, provided by the government, are basic, fundamental rights. Without debating the quality of their respective health care services which independent international agencies rate significantly superior to ours, Sweden, and many other Western European Democracies who have chosen this path, are certainly not the Dante’s Inferno the right would have you believe.
In fact, Sweden is not a “Socialist” country in the classical sense at all. Marx and Engels would have been very disappointed with Sweden where 90% of industry is privately owned. Sweden is a modern, “Social Democratic” nation as are most European countries where, the “Middle Way” between collectivism and individualism has been carefully crafted. Virtually unfettered, capitalist free market economies have meticulously endeavored to achieve harmony with welfare policies that at the end of the day, have created very “decent” societies.
While the burden of excessive taxation was the hot topic in Sweden during the 70’s and 80’s, tax rates have been lowered considerably. Their capital markets and banking system diligently avoided the precarious financial speculation that nearly derailed the world economy last year by demonstrating exemplary fiscal discipline. Sweden’s economy today is strong, stable and resilient, unlike their Nordic neighbor Iceland who rushed headlong into the American model of de-regulated banking and is now virtually bankrupt.
If per-capita income, quality health care, happiness index variables, life expectancy, economic stability, and environmental sustainability are measure of success, Sweden is certainly one of the most successful countries in the world. With Sweden and other Social Democracies so routinely vilified, the rhetoric emanating from the Republican Borg “drone” raising the specter of “failed Socialist principles” undermining our safety, security and way of life rings not only hollow, but disingenuous, and intellectually dishonest.
It is essential that Progressives become more effective in refining a strategic focus that leverages our greatest strengths. Our principled, values laden history of supporting Social Security, civil, gay and workers rights, environmental protection, and universal access to education are so rarely discussed, or even referred to in passing. Why? We must dramatically improve our communications tactics to reflect these values, which a significant majority of Americans strongly identify with. We need to be much more consistent, and aggressive in our ability to respond to and correct blatant lies from the Right. This past few weeks for example, every Republican talking head, from Senators and Congressmen to their “ditto-heads” in the media have decried the health care bill as a “Government takeover of Health Care” which is completely false false! If it only were so! The bogeyman of Socialism rears its ugly head again! Where is the indignation and rebuttal to these endless distortions we see and hear daily? Not only do we need to correct the Right on their facts, we need to respond, empowered by and mindful of the success of nations like Sweden where Social Democratic principles have resulted in very agreeable societies.
We need to shift the dialogue, become more bold and assertive in claiming the high moral ground, without hesitation in the true values debate. We must remind the American people that government can facilitate compassionate and useful policies, especially when the will to do so is affirmed by the public in endless polls and research studies. Good policy always reflects the will of the people. We must do a better job in communicating this very basic value proposition, or suffer the electoral consequences in 2010 and beyond.
Mark L. Mawrence
Is a consultant who resides in Santa Monica California where his "Dolphin Piggy Banks" have contributed over $250,000 to homeless charities.



9 Comments







I have had a running argument with about 5 of my conservative acquaintances over general politics and they just love to bring up France and Sweden as socialist purgatories where everybody is miserable and suffering under the jackboot of central planned economies. Of course I am the only one in the room who has spent any appreciable time in these countries and I ask what the hell do they really know about the day to day running of these societies. Of course all they know is what some Repub propaganda pamphlet has told them.
Recently I finally blew up and hollered “G** Dammit! I have been listening to you characters tell me that France and Sweden are going down the toilet for the last 35 years! But they are still standing! In fact, it looks to me that the U.S., with it’s vaunted laissez-faire, free market, Bernie Madoff style Ponzi scheme economy, is the one that seems to be swirling round the toilet bowl. Why don’t you guys actually GO to Sweden or France or even Canada for God’s sake and actually SEE what you are talking about?
Most of these guys are pretty insulated from the real world effects of american bad decisions, but for the 1st time they were a little hushed. Facts are stubborn things.
P.S. Love Stockholm, Gothenbourg and the island of Branno. Swedes are so cool on the outside but so very warm on the inside. It is true that if you make friends with a Swede, you’ve made a friend for life. Wonderful country and people and I found that so many of them know far more about American literature and American history than the average American.
I’ve never been to Sweden, but my experience in Paris was similar; clean, beautiful cities unmarred by overdevelopment, children playing in the streets without hovering parents, no obese people, great food, amazing public transit, and on and on. Of course, being French, people complained about things, “Nobody is rich because of the taxes…” but complaining from one’s apartment with five terraces on an island in the Seine with a view of the Eiffel Tower is a relative thing, I guess. No one wanted to move to Houston, needless to say.
A few months later, I listened to a Fox-addled blowhard here talking about France as though it were some Soviet Hellhole. “Have you been there? I asked. You can guess the answer.
The Republican party’s entire existence rests on the fact that Americans don’t travel, and are supremely gullible.
L-O-L!
Something tells me you’re not really a cocktailhag.
Cocktail, maybe. Hag? No.
Mark,
Preface: I come from the right and have been to 50+ countries, including Sweden on numerous occasions.
The real Sweden today is marred by increased meth & cocaine use, increased violent gang crimes, football hooliganism that would not be tolerated in the USA, increased youth suicide and atrocious society-wide racism that would make your head spin. It is not the utopia you make it out to be. Yes we could all cherry pick statistics and data to paint a picture, but the simple point is that Sweden is just an typical industrial society…It’s not the holy grail of social direction.
Similarly, Sweden’s Health Care System reeks of all the problems endemic to all socialized Health Care systems.
http://www.nationalcenter.org/NPA555_Sweden_Health_Care.html
This article shows, among other things, that Cost Control, Rationing, Delays and Govt. Control negatively affect the QOL of recipients.
Researchers studying Swedes waiting for hip or knee replacement concluded that “almost every aspect of daily life is affected by the indeterminate wait for surgery and the related experiences of pain and disability. The respondents express a deep sense of lost dignity, powerlessness and frustration.”23 One patient complained that the pain had gotten so bad that she “had no quality of life.” “I can’t participate in anything,” she said. “I can’t go for a walk, I can’t do anything, so why on earth do I need to wake up in the morning!”24 Depression and hopelessness were other common symptoms. Another patient complained, “I feel as though I’ve lost my human dignity. You get depressed and fed up with the pain. Still I try to be patient. But you lose the desire (to live).” She further complained of her treatment by the clinic where her surgery was to take place. “I felt so neglected, you get treated, yes, worse than an animal because you can take an animal to the veterinary… I feel so powerless.”
Again, we could all cherry pick vignettes, studies and empirical data to suit our arguments, I’m pointing out that the Swedish system has serious and demonstrable flaws.
While one could certainly argue that a Swedish style system MIGHT work here, history shows us in Hawaii and Massachusetts that even on a small scale, Universal Health Care is too expensive in the USA. Remember Sweden gets 45% of its energy from nukes, we get 20% of our energy from nukes. Sweden spends 6 billion on military annually, we spend 685 billion on military annually. The mean Swedish income tax 47% and the mean US income tax is 28%. Simply stated, Swedish society is better positioned for a universal health care system…we are not…if you want to argue we should all have a 47% mean income tax, build 100 + nuclear facilities and reduce the military budget by 65% …then we can talk, but I doubt America is ready for any of that, and thats just for three discreet structural issues. In a sense you could argue that the US taxpayer via the Air Force and Nuclear weaponry is providing a defense umbrella/subsidy to all of western Europe that allows their social democracies to have single payer systems.
A year ago Capitalism was a dirty word, not Socialism. I think the way in which the Stimulus bill was created, voted on & administered, reversed that trend. In fact many Americans were adamantly against TARP. After TARP Part 2, the Inauguration, the GM Bailout and then …Stimulus….and later Omnibus….by then….the Progressives had shot their wad….it was too much ….too soon….and most of it appears to have been ineffective. Hence, the Right is not against “Health Care Reform” per se…and the Bogeyman is not Socialism…the problem that Progressives continue to miss is the key issue of Spending Spending Spending. The Right looks at it this way:
- We are in debt as a nation.
- That debt is overwhelming.
- That debt has nearly doubled in the last 18 months.
- We would love to make a perfect world and give free everything to everyone on the planet, but we don’t have the money.
- This new government blew its one chance to be responsible in Stimulus creation, waste, fraud, and govt. incompetence.
- Senate Health Care creates a large unnecessary bureaucracy with 100 new regulatory agencies.
- Senate Health Care creates rationing of care and loss of innovation.
- Senate Health Care negatively affects actual Health Care, creates unnecessary delays and negatively affects QOL for 80% of Americans to the benefit of 10% (allegedly). (with 10% receiving no change in quality of care)
- Senate Health Care allows IRS enforcement and allows tax returns to be used for something other than tax collection…perhaps even as political weapons…realize that in any court action today you couldn’t touch or access my tax return for any reason even with a subpoena. After Senate Health Care, my tax return will be accessible by dozens of new bureaucracies.
- Senate Health Care is extra constitutional by violating the takings clause and equal protection clause.
I won’t digress by going into the Right’s dissertation on how this is NOT deficit neutral. It’s not, period. I don’t believe we can afford this. Most importantly, I do not understand how borrowing a dollar today to subsidize 30 million health care policies is anything less than stealing a dollar plus interest from the Health Care of tomorrow’s US citizens. In other words, because of the unsustainable debt levels, loss of GDP and high unemployment… we cannot afford to pay for this other than by taking health care dollars away from tomorrow’s citizens. So while 30 million US citizens may benefit today, 45 million will have less or no health coverage tomorrow.
I mean, if the model works…why not try it in a Sweden sized state….and show us its sustainable…if it were, would not such a system be duplicated in all 50 states? Fact is gang, win lose or draw, health care reform on its best day is an economic catastrophe for today’s tax payers and tomorrows would-be health care recipients. It doesn’t work on a small scale and it wont work on a large scale. Usually, in the real world, we test programs in miniature and expand from there.
Where is the moral imperative to subsidize Health care for some drugged out meth head who made bad decisions his/her whole life, when that subsidy will only lead to lower health care for today’s seniors and tomorrows children?
There are a lot of problems with the bill, and there are a lot of problems with Socialism. The progressive message on the environment, compassion, gay/lesbian issues, etc is loud and clear…and needs no amplification, you all do a great job there. Getting out the message on the Swedish example won’t alter the debate. Socialism, even Socialism-lite is an anathema to many Americans; while noone debates the program in play is not pure Socialism, you really can’t plausibly deny that Senate Health Care is a titanic step in the direction of socialized medicine.
Lastly for a smart guy your analysis re Government takeover is off the mark, this is a Government Takeover of Health Care….Just because it’s not single payer system (for now) doesn’t alter the fact that the government will now regulate all aspects of Health Care, Costs, Premiums, Services, Profits, Wages, Delays, Priority and Quality. They will do so via 100 new agencies and through broad discretionary powers given to the Secretary of HHS.
Democrats proceed under the notion that a bad bill is better than no bill. They proceed to make the plan irreversible, or if reversible at all, only after a decade of litigation. I hope it passes and I hope it works as I expect it will work. I think 270 million Americans will be pretty pissed at the increases in tax, increases in premiums, increases in debt and decreases in services. I think that this will be a crushing blow to the left in 5 – 7 years, let alone in 2010. I think the Health Care Plan for ALL Americans should be created by ALL Americans…no matter how well intentioned….this is a really really really bad idea for Dems and by extension Progressives and was not very well thought out…and will knock Progressives back 30 years. Its a boon to Conservatives like myself who can taste the palpable resentment of independents building even in erstwhile liberal bastions like LA and SF. That resentment is virulent, it is powerful and it appears to be contagious. Sometimes I hear things from people who I assume to be mild-mannered and apolitical that leads me to believe that this Health Care snafu will cause a generation of resentment no matter how good the spin or how good the Health Care Service…the damage may already be done.
The preceding comment (after7 #5)is utterly full of cut and pasted propaganda bullshit. I would take half and hour and refute it all but I don’t need to because FDL’ers see through this crap.
I will say that I am in the medical field. A professional of over 27 years and have visited 22 countries and looked into, sometimes out of necessity and other times professionally, the working medical systems of countries such as France, Sweden, Ireland, Cost Rica, England, Mexico, Canada, Phillipines, Germany and Australia. I can confidently say that with the possible exception of Mexico and the Phillippines, NONE of the citizens I came across either as patients or health professionals would even entertain the idea of trading their country’s health system with ours. The most common term I heard in describing our system was “barbaric.” Many of the people I consulted had lived in the US and seen the difference 1st hand.
I will further say that the long quote by the woman supposedly waiting for a hip replacement could be made by any one of thousands here in the US denied treatment due to lack of insurance or because they were denied care by their insurance co. She also sounded like many pt’s in this country who are waiting for insurance co. approval. Things are not always so snappy here in the US either. Also, she was in pain and complaining. That is universal and I hear it everyday in the US even from pt’s receiving red carpet care. Complaining is just something a LOT of folks do when they are suffering.
We have not tried single payer universal health care in the US on a state by state basis because the health cartel uses the same techniques to stymie it in the states that they do at the national level. By a system of legal bribery and advertising public relations bullshit which I strongly suspect afterseven is part of.
Characterization of Sweden as a drug infested suicidal hell-hole is absurd and an insult to the Swedes. Suicide rates there ARE marginally higher there, but that can be attributed to a number of factors including hundreds of years of history spent living in a very cold Northern latitude with 6months of almost Alaskan style long nights. A depressing condition not lmited to Swedes. If you postulated to Swedes that depression is an element of their society because they have not adopted a free swinging, 2 fisted, American style capitalistic model for their society they would roll their eyes and look at you as though you were an idiot.
Enough.
GDC707,
Devolving to name calling does not advance your arguments, and for a medical “professional” such conduct appears rather unprofessional. Your love-fest for Sweden and for Socialized medicine is long on wind and ignorance and short on facts. In the future…get your facts straight, then shoot your mouth off.
1. Health Care in Mexico, the UK, Costa Rica & the Philippines better than the USA???? Pure unadulterated Buffoonery.
2. 5 year Survival rates for most forms of Cancer, Heart Attacks and Strokes are higher in the USA than any of the countries you mention, in fact the Survival rates are better for these major killers here ….than anywhere.
http://www.medscape.com/viewarticle/561737
3. Even Japan – With the world’s highest life expectancy and a socialist-lite Health Care system is already crumbling under the weight of emergency care overload…people are dying after being refused treatment at multiple hospitals…Don’t take my word…take Time magazine’s…by the way there is no near term fix for this crisis:
http://www.time.com/time/world/article/0,8599,1879755,00.html
4. I never said Sweden was a “drug infested suicidal hell-hole”…and in making such a representation you expose your immaturity and arrogance, I was simply making the point that Sweden is no Utopia as the author wanted us to believe. I’ve lived there, have you? Their system discriminates against the poor and the immigrant communities and they have been hammered recently by the UN for these racist policies…are you advocating a racist Healthcare system????
Here are the facts….when you have something intelligent to say about Sweden, lemme know.
Alcholism trend: http://www.thelocal.se/14026/20080830/
Youth Mental Health trend: http://www.thelocal.se/14026/20080830/
Youth Suicide trend: http://www.thelocal.se/8687/20071004/
Cocaine trend: http://www.thelocal.se/6878/20070402/
Meth trend: http://www.thelocal.se/18104/20090310/
Drug trend: http://www.thelocal.se/4732/20060830/
Gang Violence trend: http://www.thelocal.se/18164/20090312/
Violent Crime trend: http://www.thelocal.se/14696/20081002/
Racism trend: http://www.swedishrasism.com/blog/
Obeisity trend: http://www.thelocal.se/3211/20060307/
Hooliganism trend: Youtube.com…hours of video..keywords Swedish Hooligan, Firman Boys or Black Army
Segregation Policy negative effects on immigrant access to Healthcare: http://www.thelocal.se/23150/20091109/
see also
http://www.swedishrasism.com/blog/index.php?/archives/33-Segregation-in-Sweden.-Ghetto-neighbourhoods-like-Rinkeby,-Tensta,-Fitja-and-Hjulsta..html
Case closed.
5. None of the people I know in France, Sweden, Ireland, Canada, Germany and especially Australia believe they can get better health care than in the USA. The people I’m refering to have college educations and have lived in both countries, so I suppose reasonable minds can differ on the subject. N’est pas?
6. Americans suffer from bad diet/obesity, chronic illegal drug use, high traffic/vehicle mortality and an absurdly high cost of pharmaceuticals…(which in turn helps subsidize socialist-lite health care in Germany and Switzerland.) Tweak any of these realities and you solve a lot of health care woes. No doubt, any health care system can be improved. But with a life expectancy of 78+ years and rising quickly due to our early adoption of “No Smoking” statutes vis a vis Europe & Japan; and with hands down the best surgical care and diagnostic care on earth…what improvements does Senate Health Care Bill offer?
Universal coverage: Not even close.
Lower Pharma prices: Nope
Better access to Health care: Nope.
Rationing of care: You bet
Better wages for Doctors: Nope
Better wages for Nurses: Nope
Increased Incentive for R & D: Nope
Increased revenue for Corporate Insurance behemoths: You Bet
Sweetheart deal for Big Pharma: You Bet
Elimination of Billions in Unfunded Liabilities for Unions: You Bet
Better care for Seniors: Hell No
Improvement in the Health-Income gradient: Nope (see below)
Consider the following conclusions in a recent paper comparing Canada and the USA Health Systems and draw your own conclusions about the “Need” for reform…and the actual results likely to be obtained by reform:
http://www.nber.org/papers/w13429
We find a somewhat higher incidence of chronic health conditions in the U.S. than in Canada but somewhat greater U.S. access to treatment for these conditions. Moreover, a significantly higher percentage of U.S. women and men are screened for major forms of cancer. Although health status, measured in various ways is similar in both countries, mortality/incidence ratios for various cancers tend to be higher in Canada. The need to ration resources in Canada, where care is delivered “free”, ultimately leads to long waits. In the U.S., costs are more often a source of unmet needs. We also find that Canada has no more abolished the tendency for health status to improve with income than have other countries. Indeed, the health-income gradient is slightly steeper in Canada than it is in the U.S.
again…if you want to discuss facts….fire away….if you want to spout nonsense with impunity, you’ll have to find another thread.
Nuts, I just typed for 20 mins. in response to your response and then lost it all when I went to some of your links. I don’t have the gumption to retype it all now.
Suffice it to say that if you are saying that the present House- Senate health care bill is a piece of crap, I totally agree and would kill it if I could. If you’re are saying that the status quo health care system in the US with all its attendant inequities, injustices, deaths, injuries, wastefulness, bankruptcies, damage to American competitiveness and on and on (I went into much more detail before it got lost,) is just fine, then I can only say that you are just like my conservative buddies. Rich, greedy and utterly uncaring of your fellow countrymen and to the country as a whole.
And yes, I stand by every single thing I said about my experience dealing with health professionals and citizens in foreign countries. That they would absolutely not trade our system of providing healthcare to the citizens of those countries with ours. Absolutely.
Do they bitch about problems within the system? Of course! Bitching about governmental systems and bureaucracies is the lingua franca of humanity. But, in the main, people under the various single payer systems or hybrids around the world do not feel as if they are dealing with a predatory system that would happily let them die, get injured or go bankrupt.
So I ask you. What do you want? The status quo? Then I ‘m sorry, you get no ear or quarter from me. I’ve seen the status quo up close and professionally and I know it is crap. A lot of people say they are content with their health insurance arrangement until they have to deal with it. Then they quickly change their tune. Not always of course, but plenty. And please spare me the “allow insurance companies to sell across state lines and tort reform” line. That’s baloney and you know it. If you can layout some system that breaks the stranglehold of the healthcartel on Congress and the American people I’ll listen. If it honestly strives to get healthcare to all Americans, regardless of ability to pay, I’ll listen. If it honestly tries to keep Americans from going bankrupt due to crushing medical costs, I’ll listen. But I have the experience of arguing with my rich conservative colleagues for hours at a time and their argument inevitably boils down to this: I got mine. Fuck everybody else.
I will be frank. I think you are wealthy. Perhaps very wealthy. You can afford the red carpet treatment that benefits the rich in this country. It’s all about you and what’s comfortable for you. Because it sure isn’t about what is good for the country because I’ve been around too, pal. And no amount of right wing propaganda is going to turn me away from what I have seen with my own eyes. And I’m saying this as someone who will most likely profit quite well from this legislative monstrosity posed by the Congress. But I put the needs of my country and countrymen ahead of just making a boatload more money.
GDC707,
Your position appears to be that anyone who disagrees with you is wealthy, selfish, greedy and uncaring. By contrast you must be benevolent, magnanimous and of course very very very caring. So a quick question for you: How many of the World’s 4 billion uninsured humans does Health Care reform take care of?? 30 million? less? Basically less than 1% of the world’s uninsured. WHat the hell is wrong with you? I guess you progressives adopt the attitude as you artfully state: I got mine. Fuck everybody else.
I guess you rich medical types who will “most likely profit quite well” from Obamacare just don’t care about people after all. Always me me me…never solving problems.