Public Health Profiteering

The diet industry feeds on the hopes and the fears of those who need-or think that they need-to lose weight. Since the publication of the first known diet book in 1864, a host of sanctimonious preachers and self-proclaimed experts-often overweight themselves-have stoked fears of obesity effectively for both profit and political power, none more so than former surgeon general C. Everett Koop. In Public Health Profiteering, James T. Bennett and Thomas J. DiLorenzo offer a scathing and irreverent assessment of Koop's public and private career showing how a brilliant pediatric surgeon has evolved into a self-seeking and hypocritical public scold.During his term as Surgeon General under the Bush administration, Koop, enamored of the military trappings of title and uniform, saw himself as leading an army of public health administrators against an enemy. As often as not, the enemy took on the disquieting countenance of the American people. In Koop's view they were stupid, improvident, feckless, unable to make the simplest decisions about their lives. As Bennett and DiLorenzo show, he used his position as a bully pulpit for intemperate attacks on the tobacco and alcohol industries and to irresponsibly exaggerate the dangers of obesity. While taking a prohibitionist line, Koop himself smoked a pipe, drank martinis, and weighed in at a hefty 210 pounds. Although Koop claimed that he would never cash in on his office, his subsequent career tells a far different story. He has lobbied, hawked, and endorsed products for a host of firms: Wyeth Ayerst (makers of the dubious diet drug Fen-Phen), Weight Watchers, Jenny Craig, Intel, Neurocrine, Kelloggs, BioPure, and many others.Lively in style and carefully researched, Public Health Profiteering will be of interest to health policy specialists, political scientists, economists, and media analysts.James T. Bennett is professor of economics at George Mason University. He is founder and editor of the Journal of Labor Research and has authored many books and articles, including Health Research Charities: Image and Reality and Official Lies: How Washington Misleads Us, co-authored with Thomas DiLorenzo.Thomas DiLorenzo is professor of economics at the Sellinger School of Business and Management at Loyola College in Baltimore. He has co-authored many books and is widely published in academic journals as well as the popular press, including the Wall Street Journal and USA Today.

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On July 12, 1966, the Medical Care Insurance Act was passed by the federal House of Commons after a ferocious public debate that pitted the vast majority of Canadians against a powerful alliance of business, insurance companies, and doctors. More than thirty years later, the same battle is being fought all over again. Only now, the forces opposed to medicare are more ideologically unified, more richly endowed, and tied to transnational corporations whose power exceeds that of entire countries. In Profit Is Not the Cure, Maude Barlow traces the history of medicare in Canada. She compares it with both public and private systems in other parts of the world. And she contrasts it with the brutally divisive system that exists in the United States, where forty-four million people have no medical insurance, and millions more get minimal care through profit-driven health maintenance organizations. From the point of view of most patients, the United States health-care model is a disaster. But the proponents of privatization in Canada, supported by the right-wing media and corporate lobbyists, are determined to impose American-style “reforms” on the Canadian public. Three provinces – British Columbia, Alberta, and Ontario – are moving ahead rapidly to enlarge the role of commerce in the provision of health-care services. They are introducing user fees, delisting procedures that previously were covered, and encouraging private corporations to move into areas that used to be the exclusive domain of the public system. While the prime minister and federal cabinet have paid lipservice to the principles of medicare, they have made it clear by their actions that they will do nothing to impede the destruction of those principles by the provinces. In fact, their enthusiastic support of NAFTA, and the impending Free Trade Agreement of the Americas (FTAA) and General Agreement on Trade in Services (GATS), has made the defence of medicare increasingly difficult. Canadians overwhelmingly support medicare. Many, however, have been persuaded that it is a luxury we can no longer afford. Maude Barlow argues that this proposition is wrong. An earlier generation fought a bitter battle to bring medicare into existence. Another battle must be fought now to save it. But we owe it to the founders of the system, as well as to future generations, to take up the cause again. This important book shows the way.

The Government of Alberta under Ralph Klein has asked a reasonable question: can health care be better provided partly as a private, for-profit product rather than as a not-for-profit public service? But-despite the claims of advocates for market-driven medicine-private hospitals are neither cheaper nor more efficient than public ones. Clear Answers summarizes the huge body of evidence showing that they are more expensive and less efficient.

Profiteering, corruption and fraud are emblematic of our profit-driven, corporatized marketplace and so-called health care system. The three bleed into each other in an entangled way, and they are even increasing. We have to ask and answer: who is the health care system for- profits for health care corporations, their shareholders, and Wall Street traders and investors? for the corrupt and fraudulent scammers? or for patients, their families, and taxpayers? The urgent need for health care reform is at an all-time high as the U. S. struggles to deal with the COVID-19 pandemic and the recession certain to follow. We are far behind other advanced nations with one or another system of universal coverage. Incremental attempts to reform U. S. health care have failed for many years. Our broken system is no longer affordable for patients, families, and taxpayers. This book updates where we are with the untenable status quo and compares three major alternatives for reform-building on the ACA, the public option, and Medicare for All.

Since the start of the twenty-first century, Canadian provinces have increasingly begun turning to the private sector to finance and construct large-scale infrastructure projects. From a critical public policy perspective, the danger of these public-private partnerships (P3s) is that they are more than just new ways to deliver public infrastructure. They are neoliberal projects that privatize and corporatize the basis of public services. Analyzing four Canadian P3 hospital projects, Heather Whiteside argues that P3s not only fail to fulfill the promises made by their proponents but also compromise public control of health policy, outcomes, and future plans. Yet, despite these disadvantages, the use of P3s is being normalized and expanded in BC and Ontario through capital planning frameworks and special government agencies that support and encourage P3 projects. Based on extensive interviews with academic experts, union representatives, provincial government decision-makers, and private sector partners, Purchase for Profit will be important for those studying public policy in any of the areas in which P3s are now being adopted.

Medicine in the United States is big business. We spend 50 percent more on health care per capita than other developed countries, but a multitude of measures indicate that we are not getting health-care value for our money. In Too Big to Succeed, author Dr. Russell J. Andrews details why health care in America has become more expensive but less effective and outlines a new paradigm for health-care delivery. Too Big to Succeed describes how American medicine is on an unsustainable course: costs are increasing while benefits are deteriorating in comparison with other developed nations. Beginning with the Hippocratic Oath and the the premedical student, Andrews traces the myriad ways in which the profit motive has infiltrated American medicineincluding medical school training, current models of health-care delivery, medical professional societies, medical research, and medical drug and device development. Presenting an insiders look into the current crisis in health care, Andrews demonstrates that until both the physician and the patient return to the relationship that underlies medicine, physicians will not experience the joy of healing those who seek their help and patients will not appreciate that a good physician is a permanent part of their lives.