SMACK DOWN of MACKEY’S WHOLE FOOD CARE

Rebuttal to John Mackey’s Wall Street Journal Op-Ed

“The Whole Foods Alternative to ‘ObamaCare’”

John Mackey’s editorial in the Wall Street Journal is merely a continuation of the myths propagated by the for-profit health insurance and pharmaceutical industries and the right-wing think tanks they fund. His suggestions would take us farther in the direction that has already failed.

For this rebuttal I’ll focus on the following points:

Healthcare IS a right in other countries. So, what does our Constitution “guarantee?” The European Union’s Constitution includes Health Care as a Right. The U.S. Supreme Court ruled in 1936 that Article II Section 8’s “Promote the General Welfare” applied to Social Security. Medicare falls under this ruling. Though not binding, the Universal Declaration of Human Rights, signed by the United States, includes medical care as a right. (Details and references)
Does health reform mean a “government take-over?” Ridiculous question but NO! Free markets do not work without rules and an independent arbiter. All Bills before Congress maintain the private sector for delivery of health care, both hospitals and doctors; but include regulations such as protection from arbitrary loss of health insurance and greater transparency. (Details and references)
Repealing mandates on what insurance must cover & state laws which prevent insurance companies from competing across state lines. Without some minimum national regulations and means of enforcement, companies will incorporate in states with the least regulations and enforcement, leaving consumers vulnerable. In addition, administrative costs for doctor’s offices and hospitals will increase. (Details and references)
Health Savings Accounts – Why they don’t work. 80% of health care costs for individuals in the U.S. exceed $2,500 and 73% exceed $5,000, so people would rapidly exhaust their health savings accounts. Sick and injured people trust their doctors to make appropriate decisions and neither have the skills for making the decisions nor the availability of data to base such decisions on. High deductibles leads to reductions in both appropriate and inappropriate care, e.g. blood pressure monitoring. (Details and references)
Medicare reform and finances – Why we will not allow Medicare to go bankrupt. Medicare has done a better job than private insurance companies in keeping costs down. Medicare covers the costliest sector of our population, altogether over 43 million Americans. Private insurance would either be denied due to pre-existing conditions or prohibitively expensive. Medicare pays for all specialty residencies and subsidizes hospitals with a high proportion on uninsured. Without Medicare, besides the human tragedy of seeing our loved ones experience both reduced quality and length of life, emergency rooms will collapse under the additional strain, hospitals will close, and many doctors will go out of business. Medicare’s cost cannot be separated from a health care system whose current projectory is unsustainable. (Details and references)
Wait times here and abroad (including emergencies) – Mackey’s misleading statistics. Wait times in Canada are far better than reports given here and they are investing vast sums in improving both quality and timeliness of care. Wait times in many other nations with non-profit universal health care are actually quite good. And wait times in the U.S., especially for the un- and underinsured are worse than in many other countries and, even for those with insurance, wait times exist and are deteriorating. (Details and references)
Medical Liability/Tort Reform – why this won’t solve the healthcare crisis. Malpractice costs are an infinitesimal portion of total health care costs. Up to 100,000 Americans die from preventable medical errors. Just five percent of all doctors are responsible for approximately 40% of malpractice suits. Truly bad doctors seldom lose their licenses. Only about 1/10^th of all medical errors that cause death or serious disability lead to malpractice suits. So-called “defensive medicine” is often just an income generator for physicians who own or are invested in labs and radiology facilities. (Details and references)
Healthy life styles are good but don’t save us enough. Many factors affect health, including genetics, air and water pollution, infectious diseases, commercial food interests targeting children, even in our schools, availability of recreational facilities, physical education in our schools, and longer and longer working hours. Healthy life styles are important; but almost everyone will sometime in their lives need health care. A healthy life-style can often delay the onset of chronic diseases and/or if ill or injured contribute to a more rapid recovery; but it is naïve to believe that healthy life styles can solve our health care system problems. (Details and references)

CONCLUSION: John Mackey doesn’t know what he is talking about. In essence, he is just parroting the myths and propaganda created by the for-profit insurance and pharmaceutical industry together with their well-funded right-wing think tanks.

I don’t wish to support a platform of policies that allow private insurance companies to continue to take undue advantage of average citizens for profit, much less make it easier for them by adopting any of Mackey’s ideas. I am joining thousands of former Whole Foods loyalists to redirect my dollars to support organic co-ops and local farmers’ markets. I hope you will join me.

Joel A. Harrison, PhD, MPH, lives in San Diego, where he does consulting in epidemiology and research design. He has worked in the areas of preventive medicine, infectious diseases, medical outcomes research, and evidence-based clinical practice guidelines. He has lived and studied in both Canada and Sweden. Dr. Harrison is a long time advocate for a single-payer plan. For those interested in learning more go to Physicians for a National Health Program’s website at www.pnhp.org

Dr. Harrison is a Fan of the Whole Foods Boycott Action Page on Facebook.