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George Lakoff

George Lakoff

Posted: February 22, 2010 07:57 PM

Health Means Life; Health Means Freedom

What's Your Reaction:

Life and freedom are moral issues.

It is time for Democrats to talk about health in those terms, beyond just policy terms like health insurance reform, bending the cost curve, types of exchanges, etc.

Health means life. If you get a major illness or injury and cannot get it treated adequately, you could die. And tens of thousands do.

Health means freedom. If you have a serious illness or injury and cannot get it treated, your freedom will be limited in many ways. Your physical freedom: you may no longer have the freedom to move around. Your economic freedom: you may not be able to work or your medical bills may impoverish you. Your emotional freedom: you will not be free to live a happy life.

Health is therefore a moral issue of the highest order. And it is a patriotic issue. Health security is a problem for far more Americans than military security. Your security is far more likely to be threatened by the lack of treatment for illness and injury than by any likely terrorist attack.

Real terror is seen in the thousands of letters sent to the White House and Congress by people whose lives have been shattered or threatened by the behavior of the health insurance corporations. Wellpoint, which made $2.7 billion in fourth quarter profits in 2009, tried to raise its Anthem/Blue Cross premiums 39% in California. Wellpoint made its profits by NOT giving health care. It treated 2.2million fewer people. It found a way NOT to treat people who needed treatment, either by refusing to insure them, or dropping them as clients, or denying authorizations. If you are sick or injured and that happens to you, you face terror -- very real terror.

That's when "health maintenance organizations" (HMOs) become health terror organizations.

The Obama administration has been missing the moral arguments in the health care debate, while conservatives always hit their moral targets. Where the conservatives argue loss of freedom ("government takeover") and life ("death panels" and abortion), the administration has been giving policy wonk arguments about economic and pragmatic policy details that the public cannot understand: health exchanges, percentages of the poverty line (133% vs. 150%), and so on. They are real enough. But they do not communicate the moral issues.

Morality and Policy

Why should Congress move to reconciliation? Because it is moral. It is the right thing to do, because it will enhance life and freedom.

Why should the public option be in the reconciliation bill? Because it is right and practical: it allows the market to police the insurance companies -- to keep their greed from overwhelming the life and freedom of tens of millions of Americans. And a public plan-- an American Plan!-- gives you an your doctor much more freedom to determine your treatment, with no profit incentives for insurance companies to deny you care.

Why should national exchanges, not state exchanges, be in the reconciliation bill? Because they provides greater economic freedom -- through bigger pools, which means much more affordable insurance for all. Affordability means economic freedom!

Why cover folks up to 150%, not just 133%, of the poverty line. To offer life and freedom to many more of our fellow Americans.

Why should anti-trust exemptions be ended for health insurance companies? Economic freedom! Anti-trust exemptions function like corporate bailouts. They transfer the money from ordinary people into corporate coffers. By reducing or eliminating competition, corporations can charge more for less treatment to fewer people. Those extra charges, plus out of pocket costs when we are denied care under the plans, come out of our pockets. Anti-trust exemptions take money out our pockets and put it into corporate profits. They threaten our economic freedom.

And how should we be thinking about the passage of a health plan that makes progress but falls short of what is needed? We should be taking it as a national commitment -- a moral commitment -- to health for Americans. It is a commitment to doing what is right, to life, freedom, and health security, a first step of many steps to come.

It is time to return to the moral fundamentals. Health security is deeply patriotic -- perhaps our most important form of security. Health means life. Health means freedom. Everyone can understand that.


George Lakoff is Goldman Distinguished Professor of Cognitive Science and Linguistics at the University of California at Berkeley. His latest book is The Political Mind: A Cognitive Scientist's Guide to Your Brain and Its Politics

 
 
 
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09:14 PM on 03/10/2010
I absolutely agree with Dr. Lakoff about this. Just yesterday I had to wrangle with my health insurance company about coverage for when I broke my toe. A small thing compared to what some have to face, but it's stupid. I'm paying for it, I should get covered.

Frankly, I'm fed up with Progressive leadership. I volunteered for the Obama campaign and earlier on, Obama was full of passion and values. What happened to investing in main street instead of Wall Street? What happened to "yes we can"? Now, it's clarify the "facts" about health care policy and roll over when the Conservatives push.

I'm a passionate, rank-and-file implementer. I donate, I sign the petitions and I volunteer. I put out a ton of energy and money to help Obama and other progressives take Washington away from Neo Cons like Bush and now I feel like even though we have the White House and we have Congress, Progressive leaders are rolling over and taking it instead of expressing the Progressive values that are so dear to me -- the values I'm fighting for.

What good is it to donate, volunteer and sign the petitions, etc., if our Progressive leaders will just roll over instead of having our backs?
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Cosatjockomo
10:41 AM on 02/24/2010
I can't totally support your health = freedom argument. When you are sick, getting healthy = freedom. When you are healthy, paying for health care = loss of freedom. I want to pay for health care when I need it - at that time. I don't want to pay for health insurance that I know I won't ever personally use. (A personal decision I would not impose on others, but I expect not to have their personal decision imposed on me.) THAT's freedom!
11:07 AM on 02/24/2010
How do you know you won't ever use health insurance?
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Cosatjockomo
01:25 PM on 02/24/2010
Personal philosophy. I can remember 3 deaths from prior lives (fine now you think I'm a luney). I don't fear death, because I know there's something after. I think the world is over-populated and that our medical profession has weakened the human species by reversing Darwinian functions. The day when all humans are diabetics is close at hand. My grandfather died from an easily preventable cause and I consider him a hero. I have never sought medical treatment for something that could not be immediately fixed or cured (stitches, medication for poison ivy, etc.) (I can simply pay cash should that arise) I will never accept "treatments" which enslave someone to their doctor (I firmly believe the health care industry hides cures because they aren't profitable - please see the immunization against tooth decay discovered in early 1991 which the ADA has buried as deeply as possible because they know it will put many dentists out of business). "Physician heal thyself." But I would not ask anyone else to behave like I do. I understand that faithless people see death as oblivion.
09:13 AM on 02/24/2010
Health is patriotic. Yes, sir!!!
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SEQUOIABISON
President of the Sequoia Bison Society a non profi
05:20 AM on 02/24/2010
Excellent points Mr Lakoff.

This is a life and death emotional issue and not a cold and calculated cost/benefits analysis issue.
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08:27 AM on 02/24/2010
And every time Republicans start up with their fainting goat antics over the cost to reform health care, please feel free to rub their noses in this (from the free market cheerleading, conservative Cato Institute):

"Republicans also have their own policies of big spending to blame. Tax cutting has been made more difficult because Bush has been the most profligate president in decades. In his first five years, 2001 to 2006, federal spending increased 45 percent and deficits have soared. It’s tougher to convince the few centrist Democrats in the Senate to go along with making tax cuts permanent when federal red ink is gushing non-stop.

The big spending policies of the Bush administration have been remarkably short-sighted economically and politically, as they have threatened Bush’s primary domestic policy success of pro-growth tax cuts. For its part, the Republican leadership in Congress has gone along with, and often encouraged, the spending feast of recent years. There are only about 50 serious budget reformers in the 435-member House. For the rest, it’s been a pork-barrel pigout in recent years."

http://www.cato.org/pub_display.php?pub_id=6621

Straight from theie own horse's mouth...

Please circulate the Cato Institute report so that our Congressional leaders can arm themselves.
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WilliamBradford
Veritas vos Liberabit
09:03 AM on 02/24/2010
This kind of "well he did it first" approach has no value for actually encouraging anyone to do the right thing. If you live your life always using "someone is worse than me" as a guidepost, you are likely to become a rather bad person following an endless downward spiral.

I am reminded of nothing so much as my children, who are genetically programmed to cry "he hit me first" or "she started it", and if all else fails, "that's not fair".

Since the mid-80's, our government has been consistently irresponsible with our money. They have caved to voters and special interests and said "yes" too often, without paying the bill. Much of our population has lived the same way. Let's all start to think like grown-ups and start saying "no", especially to pointless partisan games.
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02:05 AM on 02/24/2010
Dr. Andy Coates, MD
DNR the "public option"
http://www.commondreams.org/view/2010/02/23-4
04:23 PM on 02/24/2010
DNR yourself!
A public option, single payer system for health care coverage is the most efficient and cost reducing way to provide for our health.
01:45 AM on 02/24/2010
The scariest sentence I've read in a while is, "The western medical system is designed to kill people as profitably as possible." ouch. Many tests and procedures are damaging and unnecessary - but profitable. The only thing insurance companies add to health care is cost. The collusion between doctors and bigpharma, the FDA, big agriculture and factory farming, chemical cos like Monsanto who push GM foods, and the mainstream media is deadly. Too many in Congress are bribed, brainwashed, or blackmailed. What George Lakoff writes here is spot on. Why does not the President or any in Congress bring this view and argument to the table?
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HUFFPOST PUNDIT
wethepeople3884
in Order to form a more perfect union ...
01:27 AM on 02/24/2010
No doubt that pres and the dems have done an absolutely horrendous job at constructing the public debate. They have not only poorly phrased the debate among themselves but have failed to decostruct the lies of the opposition (and the GOP is not just the opposing part but in fact the opposition to america). I love when they say americans don't want this - show me some polls, some numbers. I have seen about a hundred polls showing surprisingly huge support for the public option. how can the america people not support that but the polling numbers be dramatically in favor of it? You cant lie to my face without at least trying to prove the lie at least once. The dems have not even went towards this overwhelmingly popular part of the legislation consistently holding up the despised senate bill that a little more than a quarter of americans still find tolerable at best. And why wouldnt they? This bill is forcing americans who usually despise the insurance industry to buy insurance for those they hate without any alternative course and with the threat of punishment for not doling over huge sums to the insurance that has failed this country.
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realitytrumpsbull
Two 'alves of coconut!
11:44 PM on 02/23/2010
I hope the Obama administration gives the healthcare industry the 'medicine' it's been crying out for, for years, a federal investigative enema! The desire to help others is very noble, very grand...until it turns out to be in the financial self-interest of the 'helpers', who, turns out, are mainly interested in helping themselves to revenue out of other people's wallets, all in the name of Medicine!(R), of course. I'm sorry, there comes a point when I can frankly do without the 'help' provided by people in lab coats earning 100K/yr+. How many billions of dollars will turn up 'missing' this year, out of Medicare, or some other government-funded program? Which health insurance company will 'burn in' because of internal embezzlement, which company providing hard goods to hospitals/clinics etc. will become the latest media spectacle, for trying to bill an insurance company, or the government for $50/bag for cotton balls, as 60 Minutes discovered, many years ago? Who does the accounting for these health insurance companies, and the auditing, and are the findings publicly available? Something stinks like a full bedpan, in there, I think, and I also think that Congress should get all the facts, second, third, fifteenth opinions, before writing or signing anything on behalf of the People. What does it cost to run one example hospital, for one day, including wages and the power/water bill? Facts, please, hold the B.S.?
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11:37 PM on 02/23/2010
"Health means life. Health means freedom. Everyone can understand that. "

Even DickC heney would agree with that !!

I bet he'd agree with "defferments means life and freedom" - the more the better.

4 heart attacks, 5 defements, 2 (?) kids, (1) wife.

Daim, this socialist medicine is GOOD !!!!
11:13 PM on 02/23/2010
Agreed - healthcare reform is, indeed, a moral issue. However, since it's useless to dialogue with nags who insist on wearing monetary blinders, the juicy carrot needs to be laced with uppers of profit.
Not for the working slugs, but for the corporate jockeys and their bettors.
What's amazing is that absolutely nobody has bridled the steed named Healthy Worker Productivity. Even before that great American financial meltdown of 2008, the U.S. Bureau of Labor Statistics recorded that $250 billion per year was lost to our economy because of worker illness and absenteeism. Another $180 billion per year was lost to workers who showed up sick and underperformed while passing along their germs.
How many of these do you think are the working poor - the 1:4 of us who earns less than $11.11/hour and who can't even dream of buying health insurance?
Our government is having to provide jobs and healthcare because big business is gnawing on the carrot named Dividends Any Which Way.
You do the math and stretch it over a decade - putting people to work while helping them to maintain their health and productivity is exactly what will pay for the healthcare reforms. All we've been fed is fuzzy math coasted with fear.
10:47 PM on 02/23/2010
You cannot have a right to something that obligates someone else to provide it. That is slavery! That is why the rights to life, liberty, and the pursuit of happiness come from God; no man can provide them for another. What you are proposing is the undoing, the opposite, of this founding principal.
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11:30 PM on 02/23/2010
Right to a trail by jury?

But, of course, you are misleading. Health care reform is about the advantages of a larger pool of insurance buyers, not about having you pay for someone else.
07:57 AM on 02/24/2010
I am fine with that only if when I pay more in I get more out than someone who pays less or nothing. ...and don't use the car insurance argument back, because noone is trying to make driving a car a right.
12:06 AM on 02/24/2010
Public Servants(despite what the name implies) and educators are NOT slaves.
07:44 AM on 02/24/2010
No, they aren't. They have a vast pool of people (taxpayers) guaranteeing their salaries, benefits and pensions....
10:37 PM on 02/23/2010
word
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08:28 PM on 02/23/2010
Lakoff makes so much sense that I just don't understand why Obama and the Democrats don't start doing this immediately. Obama has a natural ability to speak with moral vocabulary. It's as though some advisor is whispering in his ear that he shouldn't use language that people will take personally. Does anyone understand why Democrats have thus far refused to take up Lakoff's suggestion? Are Democrats really uncomfortable with moral language?
07:55 PM on 02/23/2010
If I can charge the Dog Crap out of you and or your insurer every time and get you into revolving door of doctors. Who will keep the same program going and if you stay sick I still make more money. Why would I have any motive or intention of getting you better? There are reputable doctors but they are few amidst a vast sea of Quacks and Opportunist. Staying healthy really is the only true defense. If you get sick do your homework!
08:18 PM on 02/23/2010
Staying healthy should be one's responsibility. The Dems health care plan (aka ObamaCare) blames the insurance companies, rewards unhealthy habits and living, and devastates the concept of personal responsibility.
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bosse
09:00 PM on 02/23/2010
ron 46 must be a very healthy but ignorant creature! No one wants to be sick. Very few want to be humiliated getting free anything. But like thunder and lightning, earthquakes and wild fires, as humans we face calamities, diseases. As a nation, so called" the strongest biggest richest etc". WE NEED to take care of the needy, especially those who need life saving medical attention. This is so simple, only a very few rich and ignorant and currently employed( perhaps with no children) can think otherwise. These same folks do not see anything wrong with having ten times more Atom bombs fighter planes and war ships, than is needed to secure us from the now non existent enemies! Wake up people, Do not blame Obama for trying to do the right thing, with cooperation of most in the Congress. The inactive football watching crowd drinking beer and non voting ... let me stop here ..
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09:56 PM on 02/23/2010
Hard to stay healthy when your Heroes are injuring innocent citizens by flying their planes into buildings.
07:54 PM on 02/23/2010
Huffpo readers who want to read what Mogulescu says is "the real reason" the president had no intention of including a public option, go here:

http://www.huffingtonpost.com/miles-mogulescu/the-real-reason-obamas-pl_b_473924.html