Docs to follow the dons?


| by Vickramabahu Karunaratne

( October 21, 2012, Colombo, Sri Lanka Guardian) We hear that if the university dons get a higher salary and other benefits, doctors too will launch their struggle. The latter should be looked after by the state; otherwise we will be in for trouble.

It’s an interesting question. Why is medical care subsidized by welfare states under socialism? The answer is obvious – as medical care requires highly trained practitioners and state-of-the-art technology to provide the absolutely best care. Such trained practitioners and technology are in limited supply despite the increase in the number of doctors who pass out of our medical faculties.

Subsidizing is unsustainable

It is a problem all over the world. Hence doctors with advanced knowledge are in great demand and thus incredibly expensive for an average person who would want to obtain his/her services without financial assistance, be it from welfare, insurance schemes or socialist handouts. However, one could argue that perpetually subsidizing medical care will never address the underlying cause of its scarcity, and in turn, the incredible cost. It is also claimed that subsidizing is unsustainable, economically. For example, it requires rationing and difficult “moral” decisions to be made regarding who receives what treatment. Such scenarios belittle both human dignity and the full potential of human existence.

Of course no one other than an extreme pragmatist tied to the market economy could seriously suggest that people deserve to be denied medical care for the simple fact that they cannot afford it. Yet, the sad reality is that many people do not receive the best treatment available, subsidized or not, because   neither they nor the state can afford it.

The answer to this problem is quite simple – perhaps so simple, especially when divorced from political ideology. So called socialist handouts are tools. Like any tool, they are only as good as the people using them. While the intention of socialist medicine, welfare, education and so on seem noble, in reality, in the present capitalist society ruled by the Mahinda Chinthanaya they are primarily used by self-serving, crooked politicians as bribes handed out in exchange for the voting public’s servile dependency on a particular political agenda. Many kinds of voting blocs have been created using so called socialist handouts in this fashion. Pragmatic solutions based on proper care and kindness are never seriously pursued because pragmatic, permanent solutions – while alleviating entirely any particular social problem – would undermine the real purpose of the handouts, namely, building a dependent, servile voting bloc. In the end we find drug companies and equipment sellers taking control of the system and creating a totally corrupt system.

Threat of foreign subversion

In this situation it will be interesting to see what has been done in Venezuela. Hugo Chavez had agreed to invest in education and development of technology that includes medical sciences as well. For instance, if Venezuela elects to pursue more permanent, technological solutions to problems currently subsidized, then it would not by necessity, “open their markets” to foreign multinationals and crippling “neo-liberalism.” In many Western countries one can already observe truly free markets or economic anarchy where giant corporations are free to do anything they wish. Hugo has avoided that situation for Venezuela. This has created many powerful enemies for his regime. For Venezuela, the threat of foreign subversion is still very real.

There is a very real global network of subversion maintained by the corporate-financier interests of Wall Street and London, forming the foundation of modern super imperialism. If President Hugo Chavez wants to put down the hammer and begin using more articulate tools, he should communicate these intentions to his support base and mobilize the Venezuelan people, and make them aware of the dangers and payoffs of pursuing the next step. Finally, as a growing front of nations begin to rise up against Western global hegemony and the “Washington Consensus,” it is important to understand that people around the world are fighting the global power of the capital.