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If national health care sucks, why do people like it?

The first person we meet in Sicko, Michael Moore’s new film about health care in America, is George W. Bush, who tells us that “too many OB-GYNs aren’t able to practice their—their love with women all across this country” (because trial lawyers are hounding them out of business). The second person we meet is Adam, who explains, as he matter of factly sews up a nasty gash in his knee, that “I don’t have a job and I don’t want to have any more debt than I already have.” There a lot more Adams in this country than there are OB-GYNs held back by trial attorneys from practicing their love.

Bush shows up again when he signs the Medicare prescription drug benefits legislation, otherwise known as the Big Pharma Welfare Act, and yet again as he congratulates a middle-aged woman who has to work three jobs to make ends meet and is worried about Social Security. “Uniquely American, isn’t it,” the vacation-happy president says in response to her revelation. “I mean that is fantastic that you’re doing that. Get any sleep?”

Raise your hand if you share the president’s enthusiasm.

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Health care in America is un-American

People in countries with universal health care live longer and healthier lives than people in the United States. Their infant mortality rates are lower. No one goes bankrupt or loses their home because of unpaid medical bills. No one has to make a choice between food and medicine or between rent and health insurance payments. No one has to put off going to the doctor because it’s too expensive. Changing jobs doesn’t mean losing or changing medical coverage. Losing a job doesn’t mean losing medical coverage.

Universal health care even mitigates the costs of malpractice insurance: a big chunk of many malpractice awards goes toward future medical costs, and with universal health care, those costs are already covered.

So what’s the down side? Opponents of universal health care will tell you about waiting lists and inferior medical services. They’ll bring up the spectre of “socialised medicine,” which is meant to make you think of some faceless Soviet-style bureaucrat ordering you to see some poorly-trained doctor in some bleak clinic.

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U.S. to withdraw 70,000 troops from Iraq in 2008

Sometime between January and November of next year, probably beginning in March, U.S. troop levels in Iraq will drop precipitously. The reason for this is that, as I noted back in April — well before Hearst Newspapers cottoned on to the scam — the combination of The Surge and extended deployments means we’ll have in the neighborhood of 200,000 troops there by the end of this year.

That number isn’t sustainable, so predicting that the administration will see sufficient signs of progress to begin noisily “withdrawing” as many as 70,000 troops, which would bring the numbers down to where they’ve been for most of the past four years, doesn’t require much of a crystal ball.

Republicans are in trouble on Iraq and they won’t nominate a candidate who genuinely wants out of the mess; the best they can hope for is a faux withdrawal sufficiently splashy, and coincident with something less than a total implosion of Iraq, that they can attempt to spin it as the product of success. The charade will also suit the purposes of many congressional Democrats — and possibly the eventual Democratic presidential nominee, depending on who that is — since they can pretend that their ineffectual gestures toward bringing the U.S. occupation to an end are bearing some fruit.

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In which Michael Moore puts Archimedes to the test

Archimedes said, “Give me a big enough lever and I will move the world.” Of course a big lever requires a lot of force, and when it comes to fixing America’s insane approach to health care, the only force big enough to move a massive pile of politicians, doctors, insurers and health care industrialists off their lucrative perch is the electorate. Michael Moore’s new film about America’s dysfunctional health care system, “Sicko,” is set to become the lever that might just turn voters into the requisite force.

“Sicko” doesn’t tell us anything we shouldn’t already know. The U.S. pays more for health care and gets less for its money than any other developed nation. We spend twice as much money per capita as do countries such as Canada, France and the UK, all of which offer low-cost or free health care and prescription drugs, and we have lower life expectancies, higher infant mortality rates and a generally less healthy population to show for it. The primary beneficiaries of our system are the executives and shareholders of the health care industry and the politicians the industry buys. That quid pro quo is the sole rational element of the system.

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Housekeeping Notes

Through a combination of ill health, low spirits and technical befuddlement (all on the part of the proprietor — our other contributors are not to blame), BTC News has been variously moribund or inaccessible for much of the past two months. We’ve trashed the previous design, which was probably the source of the mechanical . . . → Read More: Housekeeping Notes

Judge defies threats, sends Libby to jail

Threatening letters to Judge Walton are counterproductive. . . . → Read More: Judge defies threats, sends Libby to jail

The New Mythology: Three Books Reviewed

The Iron Dragon’s Daughter by Michael Swanwick: A
The Story of the Stone by Barry Hughart: A
The King Must Die by Mary Renault: B

Here are three novels that satisfied, more or less, this month’s eagerness for re-imagined myths. The settings range from creepily realistic version of a human trapped in a fairy world to a vibrant and superstitious ancient China to a retelling of classic Greek stories. In addition, these selections all were based on my impressions of on-line personalities. Find out who.
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A roller coaster that seems always to go up

U.S. Counterterrorism Center says there’s more terrorism than ever! . . . → Read More: A roller coaster that seems always to go up