line-height:150%;font-family:"Verdana","sans-serif"”>Nightly news crime reporting gives the latest grim facts on inner-city shootings and murder. It deletes the critical and related contexts of capitalist abandonment and societal racism that give rise to endemic despair, gang formation, and violence in the nation’s savagely de-industrialized and poverty-ridden ghettoes and barrios.
line-height:150%;font-family:"Verdana","sans-serif"”>News on American military action abroad focuses on killings and casualties, generally repeating Pentagon and White House talking points and ignoring the broader corporate interests being served and the deeper related imperial agenda guiding that action.
line-height:150%;font-family:"Verdana","sans-serif"”>An excellent example is found in “mainstream” media’s coverage of the so called Affordable Care Act (ACA, also known as “Obamacare”) – U.S. President Barack Obama’s signature health insurance “reform” – in the fall of 2013. The narrow focus of the reigning coverage was epitomized by a front-page Wall Street Journal article in early November:
“Health Glitches Tarnish Obama”
“President Barack Obama, bogged down by problems with his signature health-care problem, is seeing both his approval and personal-favorability ratings with Americas sag.”
“During past turbulence in Washington, Americans’ approval of the job Mr. Obama is doings has dipped. But in those stretches, Mr. Obama was buoyed by voters’ general admiration for him as a person and by their trust in his credibility.”
“That has changed recently, particularly as thousands of Americans lose their insurance coverage under the health law’s rollout, despite the president’s pledge that anyone who liked their current plan could keep it.”
“The president has apologized to Americans about the insurance-cancellation notices, and he is taking other steps to shore up his political standing. But if his reservoir of personal goodwill continues to diminish, it could hamper him at a time when his administration tries to repair the insurance web site on which much of the Affordable Care Act rests, and as it considers administrative changes to better implement the health law.”
…”only 41% of Americans viewed Mr. Obama in a late October Wall Street Journal/NBC poll, with 45% holding a negative impression of him….Obama’s all-time low as president –and the first time more people saw him negatively than positively…..[Still] Mr. Obama says he has retained the public’s confidence’ [and]….has asked supporters for time and patience: ‘Sometimes I worry, because everybody had such a fun experience in ’08 at least at least, that’s how it seemed in retrospect…And ‘yes we can’ and the posters, et cetera – sometimes I worry that people forget change in this country has always been hard.’” 
line-height:150%;font-family:"Verdana","sans-serif"”>Typical of the dominant mass media’s highly personalized “horse race” approach to current events, the Wall Street Journal focused on two technical and programmatic “glitches” in the ACA’s implementation – difficulties with the functioning of the bill’s insurance market web site and the cancellation of existing healthcare plans their holders did not wish to drop – and above all on the impact of those malfunctions on the president’s political standing.
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padding:0in”>“The Health Insurers Have Already Won” (August 2009)
line-height:150%;font-family:"Verdana","sans-serif"”>Here we need to think back further than the latest news cycle – back, say, to the ascendancy of Obama. The silver-tongued and “charismatic” (so they said) Obama swept into the White House on the (false) promises (among other things) to deliver universal health care and to free ordinary people from the tyranny of the giant private health and drug companies. Having campaigned on a pledge to let all voices be heard in a spirit of openness and conciliation, he then proceeded to exclude serious – that is, single-payer (Improved Medicare for All) – activists from even a tiny seat at the edge of the table of the health care reform process he advanced as the signature priority of his presidency. While Obama golfed and confabbed with leading private insurance and pharmaceutical executives and lobbyists, the venerable black Congressman and single payer advocate John Conyers (D-MI) and Obama’s own “good friend” Dr. Quentin Young (a longstanding single-payer proponent) had to fight even to get invited to the White House’s Health Care Summit. There they were treated like forgotten stepchildren despite the curious fact that they represented the policy perspective of the nation’s purportedly sovereign citizenry. It was brutal, consistent with the advice of his corporatist chief-of-staff, the right wing Democrat Rahm Emmanuel: “ignore the progressives.”baseline”>
The health “reform” that passed in early 2010 reflected the advice. It could have been called the “All Power to the Six Leading Insurance Companies and Big Pharma Act.” The bill left the private insurance and drug corporations in parasitic, profit-extracting control of the nation’s absurdly expensive health care system, whose costs are pushed up mainly by the insurance syndicates’ giant investment in marketing, tracking, and denial of service. These giant socio-pathological firms were happy to concede on matters like giving up their right to deny coverage to people with pre-existing conditions as long as the federal government would offer no competing public plans and all Americans would be compelled to purchase private health insurance. baseline”>
The corporatist nature of the “Affordable Health Care Act” (AHCA) was a foregone conclusion, thanks to the unelected dictatorship of big capital, which strangles all potentially progressive policy in the corporate-state cradle. Knowing the authoritarian score, candidly told is affluent readers that “The Health Insurers Have Already Won” in early August of 2009. As the magazine’s health care correspondents Chad Tehrune and Keith Epstein explained: baseline”>
. The likely victors are insurance giants such as UnitedHealth Group, Aetna, and WellPoint. Health reform could come with a $1 trillion price tag over the next decade, and it may complicate matters for some large employers. But insurance CEOs ought to be smiling.” mso-bidi-font-style:italic”> mso-bidi-font-style:italic”>“…” line-height:150%;font-family:"Verdana","sans-serif"”> baseline”>
The key point for the corporate insurance bosses was to block any public insurance competition or alternative. They were ready to give on “pre-existing conditions,” lifetime benefit caps and the like in order to do that. They knew that “reform” was in the air and had support from many large business, political, and professional interests, not just the nation’s quaintly excited citizenry. A popular new president had staked his reputation and perhaps his re-election chances on some (almost any) version of “health care reform” being passed in his name. Something was going to happen, the big private insurance and drug protection outfits knew. Their goal was to “redefine” and set the terms in a way that left core corporate prerogatives unchallenged by popular public alternatives. baseline”>
That goal was achieved early on and in standard defiance of . Contrary to politicians’ and dominant (corporate) media pundits’ insistent claim that public insurance lacked popular support, a CBS- polls in January of 2009 found that 59 percent of Americans supported a single-payer health insurance program. (The exact same percentage of doctors supported the same system in an April 2009 poll). In a poll conducted in late September of 2009, 65 percent of more than 1,000 Americans randomly surveyed by CBS and the responded affirmatively to the following question: “Would you favor or oppose the government offering everyone a government-administered health insurance plan – something like the Medicare coverage that people 65 and over get – that would compete with private health insurance plans?” [2A]They did so with good reason.  baseline”>
(Of course, none of this ugly plutocratic record stops the Orwellian right wing propaganda machine from insistently and absurdly calling “Obamacare” dangerously “socialistic” and even “Marxist.” The right propagandists will never inform those they egg into neo-McCarthyite dread that Obama’s “radical leftist” insurance bill is based on the legislative proposals of the Republican Heritage Foundation in the 1990s. Modeled largely on a state-level plan that Republican presidential nominee Mitt Romney passed and oversaw as governor of Massachusetts, it is dedicated to a vision of “change” that leaves the corporate and financial oligarchy free to extort massive profits that drive health care costs to the breaking point for individuals, families, communities, non-profits, small businesses, and government. Touting his record as a “centrist” at the Associated Press luncheon last year, Obama himself boasted that the ACA was taken from the Republicans in an effort to privilege what he called “market solutions” over “government solutions” in addressing the nation’s problems.)
line-height:150%;font-family:"Verdana","sans-serif"”>You don’t have to be leftist to be concerned about the regressive and corporatist nature of the “A”CA. Last October, Robert Lenzner, a veteran New York investment banker and a staff writer at no less capitalist a journal than Forbes, expressed his hope that that the ACA will someday be reformed “for the benefit of the 300 million, not just the millions of lucky shareholders who may have understood the ramification of ObamaCare, which was to multiply the profits of five giant insurance companies, just as the major bank oligopoly was rewarded by the federal bailouts and Fed monetary policy.”
line-height:150%;font-family:"Verdana","sans-serif"”>“So far in 2013 the value of the S& P insurance index has gained 43%. That’s more than double the gains made in the broad stock market index, the S & P 500. The shares of CIGNA are up 63%, Wellpoint 47% and United Healthcare 28%. And if you go back to the early 2010 passage of ObamaCare, you will find that Obama’s sellout of the public interest has allowed the public companies the ability to raise their premiums, especially on small business, dramatically multiply their profits and send the value of their common stocks up by 200%-300%. This is bloody scandalous and should be a cause for concern even as the Republican opponents of the bill threaten the close-down of the government.”
line-height:150%;font-family:"Verdana","sans-serif"”>Yes, Mr. President, “change in this country has always been hard.” It is made difficult in part by deceptive, fake-progressive Democrats, embodiments of what the formerly Left Christopher Hitchens aptly described (in his book on the arch-corporatist neoliberal Clintons) as “the essence of American politics…the manipulation of populism by elitism.”
[email protected]) is the author of many books, including The Empire’s New Clothes: Barack Obama in the Real World of Power (2010) and hey Rule: The 1% v. Democracy (Paradigm, 2014).
2. Chad Terhune and Keith Epstein, “The Health Insurers Have Already Won,” , August 6, 2009.
New York Times-CBS Poll, “Confusion Over Health Care,” survey of 1,042 adults, September 19-23, question number 57, p. 15 of 26, poll results at