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Dan Bednarz

A previous article discusses the future of health systems operating under neoliberal ideology as it comes a cropper in a world undergoing degrowth.[i] Here I consider how this thrusts public health[ii] into in a “Which side are you on?” dilemma[iii] likely to separate its institutional administration from its frontline professionals –and the public it is meant serve- as part of the larger process of political/economic conflict, cultural and environmental decline, chaos and (possibly) cultural renewal.

The effects of government-imposed austerity[iv], erroneously claimed to restore fiscal responsibility and restart economic growth, are a reflexive (or cybernetic[v]) reaction to protect the economic interests of wealthy elites at the expense of other citizens.[vi] The funding and operation of the public health system and the array of socioeconomic factors that ultimately ensure a nation’s health[vii] are damaged by austerity.

The deep-seated reasons for recent and continuing financial and economic crises (despite mountains of propaganda and self-delusion that a recovery is underway) lie in neoliberalism’s congenital rent seeking,[viii] its class-based dynamic to channel wealth to a tiny economic elite,[ix] and its inability to realize that modern economies are reaching the thermodynamic limits to growth.[x]  (This third characteristic is shared by most modernist forms of political thought, from the left to the right.)

It follows that neoliberal leaders of governments and their corporate masters view the ongoing economic contraction as a temporary deviation from the “natural” pattern of wealth accumulation-to-elites-trickle down-to-the-masses economics made possible by constant growth. Therefore, economic elites see an “opportunity” to use austerity as a cover to increase upward wealth transfer.[xi] A bonus is to accomplish the long-standing atavistic goal of rolling back[xii] the gains of the New Deal and Great Society.[xiii] Hence the massive governmental and corporate propaganda assaults on Social Security, Medicare and Medicaid –and other social benefits programs- as “Entitlements” that allegedly weaken the collective moral character, fiscal integrity and work ethic of the nation. The central premise of this attack -which is arrantly false yet widely disseminated without skepticism by mainstream media- is that these entitlements[xiv] for the “Lesser People”[xv] place the United States government at high risk of debt[xvi] default[xvii] or bankruptcy.[xviii]

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A conversation with the famous M. King Hubbert by the American Hospital Association, 1976.

There are several important take home messages from this interview.

  • The basic impacts of peak oil on our health care systems were understood 1/3 of a century ago.
  • Everyone alive today has grown up in a period of growth. That era is coming to a close, but are we ready to face that reality?
  • All baby boomers lived through the burning of more than half of the world’s cheap oil.
  • It is no surprise that the environmental effects of burning all those hydrocarbons, in a closed system, in such a short period of time, are also showing up now. As the late Barry Commoner has said:
  • Everything Is Connected to Everything Else.
  • Everything Must Go Somewhere.
  • Nature Knows Best.
  • There Is No Such Thing as a Free Lunch.

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What we're reading:

Turner, Graham. "A comparison of limits to growth with thirty years of reality." June, 2008.

Korowicz, David. "Tipping Point: Near-Term Systemic Implications of a Peak in Global Oil Production." (From the Feasta and the Risk/Resilience Network). March, 2010.

Heinberg, Richard. "‘Searching for a Miracle. Net Energy’ Limits & the Fate of Industrial Society." Post Carbon Institute & International Forum on Globalization - September, 2009.