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Bill Maher

Bill Maher

Posted: July 23, 2009 11:56 PM

New Rule: Not Everything in America Has to Make a Profit


How about this for a New Rule: Not everything in America has to make a profit. It used to be that there were some services and institutions so vital to our nation that they were exempt from market pressures. Some things we just didn't do for money. The United States always defined capitalism, but it didn't used to define us. But now it's becoming all that we are.

Did you know, for example, that there was a time when being called a "war profiteer" was a bad thing? But now our war zones are dominated by private contractors and mercenaries who work for corporations. There are more private contractors in Iraq than American troops, and we pay them generous salaries to do jobs the troops used to do for themselves ­-- like laundry. War is not supposed to turn a profit, but our wars have become boondoggles for weapons manufacturers and connected civilian contractors.

Prisons used to be a non-profit business, too. And for good reason --­ who the hell wants to own a prison? By definition you're going to have trouble with the tenants. But now prisons are big business. A company called the Corrections Corporation of America is on the New York Stock Exchange, which is convenient since that's where all the real crime is happening anyway. The CCA and similar corporations actually lobby Congress for stiffer sentencing laws so they can lock more people up and make more money. That's why America has the world;s largest prison population ­-- because actually rehabilitating people would have a negative impact on the bottom line.

Television news is another area that used to be roped off from the profit motive. When Walter Cronkite died last week, it was odd to see news anchor after news anchor talking about how much better the news coverage was back in Cronkite's day. I thought, "Gee, if only you were in a position to do something about it."

But maybe they aren't. Because unlike in Cronkite's day, today's news has to make a profit like all the other divisions in a media conglomerate. That's why it wasn't surprising to see the CBS Evening News broadcast live from the Staples Center for two nights this month, just in case Michael Jackson came back to life and sold Iran nuclear weapons. In Uncle Walter's time, the news division was a loss leader. Making money was the job of The Beverly Hillbillies. And now that we have reporters moving to Alaska to hang out with the Palin family, the news is The Beverly Hillbillies.

And finally, there's health care. It wasn't that long ago that when a kid broke his leg playing stickball, his parents took him to the local Catholic hospital, the nun put a thermometer in his mouth, the doctor slapped some plaster on his ankle and you were done. The bill was $1.50, plus you got to keep the thermometer.

But like everything else that's good and noble in life, some Wall Street wizard decided that hospitals could be big business, so now they're run by some bean counters in a corporate plaza in Charlotte. In the U.S. today, three giant for-profit conglomerates own close to 600 hospitals and other health care facilities. They're not hospitals anymore; they're Jiffy Lubes with bedpans. America's largest hospital chain, HCA, was founded by the family of Bill Frist, who perfectly represents the Republican attitude toward health care: it's not a right, it's a racket. The more people who get sick and need medicine, the higher their profit margins. Which is why they're always pushing the Jell-O.

Because medicine is now for-profit we have things like "recision," where insurance companies hire people to figure out ways to deny you coverage when you get sick, even though you've been paying into your plan for years.

When did the profit motive become the only reason to do anything? When did that become the new patriotism? Ask not what you could do for your country, ask what's in it for Blue Cross/Blue Shield.

If conservatives get to call universal health care "socialized medicine," I get to call private health care "soulless vampires making money off human pain." The problem with President Obama's health care plan isn't socialism, it's capitalism.

And if medicine is for profit, and war, and the news, and the penal system, my question is: what's wrong with firemen? Why don't they charge? They must be commies. Oh my God! That explains the red trucks!

Bill Maher, host of HBO's Real Time with Bill Maher airs live tonight at 10pm

Follow Bill Maher on Twitter: www.twitter.com/billmaher

How about this for a New Rule: Not everything in America has to make a profit. It used to be that there were some services and institutions so vital to our nation that they were exempt from market pr...
How about this for a New Rule: Not everything in America has to make a profit. It used to be that there were some services and institutions so vital to our nation that they were exempt from market pr...
 
 
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10:23 PM on 08/22/2009
Thank you, Bill!

The profit motive inspires awesome inventiveness and efficiency in research & development, manufacturing, retail sales, real estate, construction, entertainment, maintenance, transportation, communication, waste disposal, etc. Usually, however, some decent laws and regulations can partner with “the market” to ensure good work and product quality and plenty of innovation.

Trouble is, capitalism has an Achilles’ heel: the greed inherent in human nature. Therefore, unless there are viable and widely available public and not-for-profit alternatives, the profit motive has no place in utilities, justice (including corrections), social services, healthcare, education, parks, animal control, libraries, public safety/law enforcement, government generally, etc.

Especially where those in need are easy and profitable to exploit, the profit motive can generally be counted on to trump altruism, or even basic social ethics. Indeed, research suggests that this is not true only at the individual level, preferably when the subject knows she/he is being observed. Behind the cloak of secrecy or anonymity. what is best for those in need is not very likely to happen, especially if profit is available otherwise.

Anyway, the ideas above are my basis for strongly supporting a viable public option as part of healthcare reform. Indeed, if we can’t get this done this year, then our fine democracy really has been bought and bested by greedy corporations, big money, mean spirits, small minds, warped ethics, bad manners, ignorance, and apathy.
06:56 PM on 08/16/2009
Bill ~ The truth is we need to counter the notion that nominal profit separates good from bad. Nominal profit is immediate. Real profit measures usefulness in the long run and cannot be measured quickly.

Still, there is a way to overcome the power of profit to ruin our lives. It is to understand the role of Lincoln's "greenback" money as a tool to give Congress purchasing power not directly limited by profit and taxes.

In today's world, 40 million new patients outside the emergency room must be offered more doctors (and nurses, etc.)

If costs are paid in "greenbacks", profit is bypassed in favor of money.

We proved in WW II that money can double production in a hurry. It works better than profit because it can be applied when needed. To prevent inflation, savings work better than profit: if money is saved for a while, the system increases output to maintain affordable prices. Necessary savings will need a cost of living adjustment the way we protect social security pensions.

Goggle Mathew Forstater, Abba Lerner and Function Finance or see http://www.ustaxreform.us/ff.htm
05:49 PM on 08/13/2009
This thread is old and "cold" so there may not be much point in commenting but here goes. Bill, any economic enterprise that does not make a "profit" will ultimately fail. Drug companies have to make profit so they have capital for devote to R&D to discover that great new cancer drug, hospitals have to make to profit so they can purchase the new, more powerful MRI machine that will detect cancer earlier and just might save your life. Utilities have to make a profit to upgrade the power grid to get more reliable electrical power to your home. Get the picture? Enterprises that don't make a profit do not have the money to upgrade and improve the services they provide to us consumers. They will die since we want improvements in the services we buy and other more profitable firms survive. Capiche?
09:28 PM on 08/16/2009
I've been in a corporate environment for twenty years and have yet to see the profits, to more than a meager extent, plowed back into R&D on new technology. If you know of a drug company or medical equipment company whose budgets for new technology are 1/3 of their marketing budget, I'd stand corrected. Please expound.
09:19 PM on 08/12/2009
That was excellent. I have been wondering the same thing for years.
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Harry Pujols
12:46 AM on 08/09/2009
I hope the health bill does what it promises, a government option. With the mail, you have a not-for-profit government option (The Postal Service) competing with for-profit mail systems (FedEx, UPS, DHL, etc.) The government option keeps competitor's prices low and the private option forces the government to keep modernizing its services. The both can coexist.
09:56 PM on 08/12/2009
Tne post office is 75 billion in the red this year and last year. It is a government failure at this point.
FedEX, UPS are doing just fine.
05:37 PM on 08/08/2009
Thanks for the great info, very profound.
11:48 PM on 08/12/2009
Maher is a lot of things and profound isn't one of them.
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zakwouldhave
Freethinker. I'm 80% ears. 20% mouth.
12:17 PM on 08/14/2009
n5ifi, Since you at least read Maher can you give me some alternatives that would be considered profound in your book?
02:07 PM on 08/07/2009
I wish I could relay my thoughts so eliquently.

I have been struggling lately with intelligence v. happiness. (my therapist is putting me in the highly intelligent catergory) I wish I get talk to someone like Bill Maher about this. I know it's possible to be smart and happy, i'm just having a hard time when the people of this world are so crappy.....
06:27 PM on 08/08/2009
mudpuddles, read my profile that I just created yesterday. I mention basically the same issue: how the stupidity of the general populace challenges my innate optimism about the world. And Bill Maher's article about "Smart President does not equal Smart Country" says it all.
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MarkVA71
Arlington, Virginia
05:33 PM on 08/06/2009
I love this man!
01:53 AM on 08/06/2009
"And finally, there's health care. It wasn't that long ago that when a kid broke his leg playing stickball, his parents took him to the local Catholic hospital, the nun put a thermometer in his mouth, the doctor slapped some plaster on his ankle and you were done. The bill was $1.50, plus you got to keep the thermometer. " And if the kid needed cancer treatment, or an MRI, the evil, religion based Catholic hospital couldn't help them.

The money for health care will come from us which ever way we go, or we will have sub-standard health care with no research and development. There is no magic pot of gold we're not using. It will come in the form of taxes, or it will come from a combination of health insurance companies and us.

We cannot force doctors and nurses to work for free. Nor can we force companies to research and develop new drugs and technology for free, nor can we force them to provide equipment for free. I hear and read quite a bit of complaining, but no solution, unless we all agree that everyone should pay for everyone else, and the government should run all of health care.

But yes, maybe health care should be the first industry in which it's workers are *forced* to work out of the kindness of their hearts.
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lizr
Shamanic Healer goofing off here
11:41 PM on 08/06/2009
Oh come on.

I have friends in other countries that are happy with their health care, and I have not heard that doctors and nurses are working under duress.

I have experienced health care in Australia and it was great. much more low cost than here. NO big doctor ego trip either. American docs should take note. Check the ego at the door.
12:40 PM on 08/09/2009
I agree, no one should make money off the sick. But then again, why should anyone make money off of "laughs" or making someone smile ... shouldn't comedy be free? Maybe comedians should "check the ego at the door" and donate all their millions of dollars to fund health care to those of us who have a "right" to it but can't afford it. Are you listening Bill?
12:59 PM on 08/12/2009
There is a difference between "profit" and "wage".

No one is suggesting people work for free. We are suggesting that making money from capital investment is misplaced in the health care system.

Where should the money necessary for investment come from? Same place is comes from for anything critical to the national interest, i.e. the public sector.

It's not rocket science.
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Guitarsandmore
devoted father, community activist, musician, reti
06:13 PM on 08/04/2009
Excellent!

Well Said!
02:42 PM on 08/04/2009
Thanks, Maher, for pointing out the painfully obvious. Now, would you like to dedicate a portion of that amazing, untapped intellect for something useful, like coming up with ways to make it happen?

Your argument is tantamount to "Hey, y'know what'd be cool? Flying cars. Those would be awesome".

Good job, go collect your Emmy.
11:09 AM on 08/06/2009
"Your argument is tantamount to "Hey, y'know what'd be cool? Flying cars. Those would be awesome"."

In that case, the republican argument is tantamount to "You're right, Bill, flying cars would be awesome; But they're too expensive, so let's not even try." Aren't Americans supposed to be able to do anything??

"Americans can do anything.." - Bobby Jindal
04:42 AM on 08/09/2009
the Republican argument would be "If God had meant for the peons to fly he would have given them wings."
08:06 AM on 08/10/2009
No it is not, flying cars do not exist, universal healthcare does.
And your missing the point of the article.
01:58 PM on 08/04/2009
Bill Maher is a genius. "Religilous" was one of the best doc's I've ever seen. And here he's spot on. The big problem with capitalism is that it grows. The population explodes, resources are over consumed, and yet it continues to grow or it will die. Consumption must accelerate exponentially or it will crumble in on itself, as we saw after 9/11 and as we're seeing now. One small dip in consumer spending sends ripples of destruction through the entire system. We had the opportunity after WWII to do what our European allies did and mix our capitalist system with socialist elements. But there was too much greed, and what we are seeing now became inevitable. We can't achieve real change now without pain. Well, we should take our medicine and do what has to be done.
12:50 AM on 08/04/2009
As for the basic premise, that not everything in America has to make a profit, let me just state that one of the basic shifts in our cultural understandings has been that Progress is no longer our most important product (see if you can recall whose motto that was!) but has become, rather, that Profit is our most important progress. I realize that this discussion is about medical care, but much of what affects our current state of medical care and delivery has been influenced by decades of this paradigm that Profit is our most important progress. It is how we have come to measure ourselves, our culture, and the future of mankind. And that very definitely affects how we perceive the goals of medical care. JMO.
08:48 PM on 08/03/2009
Thank you Mr. Maher... We had two kids at home with midwives, and they are healthy as can be. Hospitals are indeed places you go to see eternal construction and "improvement" projects, and perhaps you get well. Perhaps they send you for more tests. Hospitals don't smell healthy, and they are always impossible to navigate. The fixtures, the bells, beeps, scanners, security--everything especially designed for the hospital environment. Like some kind of New World Order of Medicine... No Jello for me either.
04:22 PM on 08/03/2009
HEALTH INSURANCE CO-OP ? ? ?

It is high time for Americans to figure out a way to establish a citizen owned-and-operated health insurance company.....just like credit unions ! ! ! I am sick and tired of BEGGING OUR GOVERNMENT TO DO THE RIGHT THING ! ! ! The Board of Directors of such an organization would consist of people who are absolutely trustworthy......Bill Moyers-types!!! (Wendell Potter, the ex-CEO of Cigna would be terrific....he knows ALL the things to avoid !) We would all share the cost and have full coverage for basic healthcare.

Let's start a dialogue on this....IT IS POSSIBLE ! ! ! !

Maybe we don't need to keep wasting our time wrestling with the LUNATIC FRINGE IN BOTH PARTIES WHO HAVE SOLD THEIR SOULS AND CARE NOTHING ABOUT THE NEEDS OF THE AMERICAN PEOPLE ! ! !
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Danielle Graham
11:47 AM on 08/04/2009
You are so right on the money. My friend and I were just talking the other day about how we should start a not for profit bank. We don't have to be enslaved by these systems. There has to be a better and more logical way of dealing with a government that is in bed with special interests and corporations. How do we get it going is the question.
01:29 AM on 08/06/2009
Just join a credit union. They are non-profit.