More

Keli Goff

Keli Goff

Posted: October 11, 2009 11:44 PM

Why I Divorced the Democratic Party: A Response to My Health Care Critics

What's Your Reaction?

To the chagrin of my editors I rarely read or respond to comments on pieces that I write.

But my mom does. And she felt that it was imperative that I "clear my name," which was being "trashed" in response to my most recent post for TheLoop21.com, republished here as, "Mad at Greedy Insurers for this Health Care Mess? Then Why Aren't You Mad at Your Greedy Neighbors?" After taking a look, I don't think that I was being "trashed" per se, but I do think that some of my political beliefs have been mischaracterized.

Apparently my politics have been an issue of debate for a bit now. Recently a journalist who recognized me from television incorrectly stated that I was a Republican. I assumed she was confusing me with Michelle Bernard, or Amy Holmes or another African-American female pundit (hey, it happens). When I told her that I am a registered Independent, she said, that she had heard from others that I "lean Republican." I told her that the conservatives who sent me hate mail during the 2008 election, and Democratic Congresswoman Carolyn Maloney, whose re-election campaign I ran back in 2002, might be surprised to hear that.

To clarify, I am not a Republican, but the responses to my post from many commenters on this site reinforced precisely why I am now an Independent, and happy to be one. I was raised a Democrat, albeit a somewhat conservative one, in Texas but while researching my book Party Crashing, about the changing politics of young Black voters (a third of whom are now registered Independents, and are Obama loyal but not Democratic party loyal) I found that I had much more in common with some of the subjects I was writing about than some of the liberals I had worked with and for.

My main gripe with both parties hinges largely on the issue of personal responsibility. While Republicans seem to be under the impression that every problem encountered by any American can be blamed on one's lack of personal responsibility, Democrats seem to think that no American problem can be blamed on personal responsibility. I believe that both positions are equally false and equally dangerous.

For those assuming that I am yet another person who has "made it" and has abandoned my liberal sensibility accordingly, nothing could be further from the truth. Like many of you I too am one medical catastrophe away from financial disaster. As such, I am just as much for reforming our health care system as the next person. The only difference is I want the right people held accountable so that a viable solution can be found, and if we're not allowed to talk honestly about who's to blame for the problem, we won't find an adequate solution. A doctor I spoke with the day after my piece appeared on this site said that while he and his colleagues "wholeheartedly support health care reform, nearly half of hospital admissions at [his] hospital are for preventable ailments," and there should be "more discussion of that." Although after reading the comments my post elicited he probably understands why there's not.

Though one commenter seemed to think that anyone who uses the term "personal responsibility" is engaging in coded racial language, (which I guess means I'm racist, although being a Black female I'm not entirely clear how that works) I find the idea that personal responsibility is racially, politically or class specific, insulting. My personal responsibility edict comes from my mom, one of the most inspiring women I know who had her first child, as an unmarried Black woman in the early sixties and yet never took a single dime from the government. Instead, she took jobs that most of you probably would not, cleaning houses and scrubbing floors. Despite the liberal myth, a woman who had absolutely every card stacked against her did not become some statistic, and didn't have to rely on her fellow taxpayers to avoid becoming one. As she often reminds me she made one bad choice, not two or three. And as she has told me on more than one occasion my family is not rich so I am essentially one or two bad choices away from becoming a statistic myself (like some of my family members have, unfortunately.)

So with that out of the way, I want to respond directly to some of the most pointed criticism this piece received.

UNFAIRLY TARGETING THE OVERWEIGHT?

A lot of you were angry because you felt that I was unfairly targeting overweight people and overweight people alone. That's not true, and anyone who took that away from my piece clearly did not read it in its entirety, or at least did not do so with an open mind. I say that because one of my closest friends admitted as much when he called to say that he didn't "entirely" agree with where I was coming from because "how can you legislate behavior?" When I mentioned specifically targeting the fast food lobby, he said, "that sounds like a good idea. You should have put that in your piece."

I did.

Apparently some of you (including him) were so busy disagreeing with me that you didn't bother to read that part. It should be easier for people to have access to healthier food choices. In New York, McDonald's is certainly cheaper than buying a piece of fresh fish and vegetables, so as I said, financial incentives and penalties need to target the dealer, not just the addict.

However, something important was inadvertently left out of the piece when it was republished on the Huffington Post, but was included when it ran in its first incarnation on TheLoop21.com. It was a link to a terrific article from The New York Times on trying to hold the fast food and soft drink lobby financially accountable. Forgetting to include it upon republication was clearly an error on my part. Here is the link. The next time you write your elected official about health care reform, might I suggest including it?

ALCOHOL

A lot of commenters mentioned alcohol, noting that if I am going to suggest that we tax fatty foods, and want to make people financially accountable for their personal choices, then shouldn't we do the same for alcohol, especially considering the high number of drunk driving injuries and fatalities, (something I have written about before.)

No disagreement from me here.

This came up so much that I began to wonder if some rumor was going around that I am secretly a lush and everyone assumed that playing the alcohol card was a surefire way to get me. (For the record, I'm not one although I enjoy the rare glass of champagne at New Year's.) Adding alcohol to a list of unhealthy, high tax goods doesn't sound like a bad idea to me. Although considering the number of DUI's among our elected officials I think we'll have better luck starting with fast food.

CHILDREN

A lot of commenters mentioned children as the "ultimate expensive choice," noting sarcastically that if we want to make people financially accountable for choices that affect us all then should we include the choice to become a parent? Phrases like "what about your choice to have a child Keli?" came up so much that I wondered if another rumor was going around that I have a Jon & Kate plus eight-type brood secretly hiding in my apartment. The answer is no. I don't even have a dog although I really want one.

Of course people should not be penalized for having children, but the rest of us should not be penalized for their choice to do so either. Sarcasm aside, the commenters who brought this up are correct. Having a child is ultimately a choice--the most serious choice a person can make and should be treated as such. Many of our world's problems would be solved--from poverty, to the environment and even violence--if people took the choice to have a child more seriously and children were born into loving, emotionally stable, financially secure homes. According to the latest stats as reported in the New York Times, it costs a minimum of $221,000 to adequately raise a child in America, not including college costs, and that's not just in New York. (Citing financial circumstances I wonder how many of you judged so-called "octomom" Nadya Suleman when her choice to become a parent is really no more questionable than a middle class couple that decides to have three children with little to no savings.)

Furthermore, choosing to have fewer children was recently dubbed by a new report as the single most important thing anyone can do to protect the environment. (A finding that I noticed seemed to go largely uncovered by the pro-environment, parent activists on this site.)

So yes, the choice to have a child whether you are poor, or middle class, or wealthy, is the ultimate example of when personal responsibility should matter, yet often seems to be an afterthought. If you know that you are not prepared, financially or emotionally, to care for or raise a child for the next eighteen to twenty-two years, then don't have one. That's why God gave us birth control. And if you choose to, which you have the right to do in a free country, then don't just expect everyone else to pick up the slack--financially or otherwise. There's nothing in the constitution about that.

WHAT ABOUT OTHER "HIGH-RISK" ACTIVITIES?

A number of you mentioned other high-risk activities, besides smoking, such as skiing and riding motorcycles. For the record, I recently went skydiving, and will probably go again, which I'm pretty sure constitutes a "high-risk," (or "crazy," in the words of my friends) activity. If someone asked me to pay a tax for the pleasure of engaging in such high-risk behavior, I would have no problem doing so. I may have a right to life, liberty and the pursuit of happiness, but no one says I have the right to make you foot the bill if my pursuits don't go according to plan, such as if my parachute decides not to cooperate.

Lastly, while my mother may be mad at some of you I am appreciative of every person who takes the time to read and the extra time to comment on anything that I write, even if we don't always agree, so thanks for reading.

www.keligoff.com

 
 

Follow Keli Goff on Twitter: www.twitter.com/keligoff

To the chagrin of my editors I rarely read or respond to comments on pieces that I write. But my mom does. And she felt that it was imperative that I "clear my name," which was being "trashed" in re...
To the chagrin of my editors I rarely read or respond to comments on pieces that I write. But my mom does. And she felt that it was imperative that I "clear my name," which was being "trashed" in re...
 
 
  • Comments
  • 112
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
Page: 1 2 3 4  Next ›  Last »  (4 total)
HUFFPOST COMMUNITY MODERATOR
propitiousmoment
the journey is the destination....
11:57 AM on 10/14/2009
My problem with the "personal responsibility" crowd, whether you claim to be progressive or not, is that you ignore the systemic pressures on individual behavior. Our entire food production system has been taken over by one or two big businesses and they have no incentive to quit using harmful chemicals, HFCS, or take other actions to make our food supply more healthy or less harmful. Our entire medical system is driven by the corporate profits of not only insurers but the big-money pharmaceutical industry with its implicit message that there is a drug to cure everything; instead, the medical system should be wellness-driven, with incentives to actively seek out a healthy lifestyle. Everyone pretty well knows the root causes of the financial crisis but all too many ignore the systemic pressures that put individual homeowners and lenders in the mess that we are all in now. Other financial systems are possible (and have existed at some point in other countries in the world) that do not encourage irresponsible behavior but reward responsibility and thrift. Personal responsibility is important but to elevate it to the level of be-all and end-all of all solutions is to ignore the realities of human psychology. We need to build a system that takes our nature and procilivities into account. Otherwise you're just adding to the sum total of smug self-righteous condemnation of people for just being human. And that is one thing we definitely do not need more of.
photo
SolarPowerGuy
Ph.D., Immunology; Solar power @ home; Green Party
01:53 AM on 10/14/2009
It's refreshing to read an article about personal responsibility from a fellow progressive. Thank you.
This user has chosen to opt out of the Badges program
photo
12:18 AM on 10/14/2009
Medical systems still have to work in the real world. A system which only works if everyone is fit, eating right, working out and without addictions, stress, mental illness or workaholism is a medical system which does not work.
This user has chosen to opt out of the Badges program
photo
09:42 PM on 10/13/2009
"That's why God gave us birth control."

Not only did God NOT give us birth control, depending on which church you belong to, it may be considered a sin.
03:00 PM on 10/26/2009
Abstinence??
This user has chosen to opt out of the Badges program
photo
09:37 PM on 10/13/2009
"As she often reminds me she made one bad choice, not two or three."

That sounds like a really ugly thing for a mother to tell their child.
been2there
Facts have a liberal bias.
09:36 PM on 10/13/2009
Kelli has a point. While it is an oversimplification, it can be said that Republicans have been trying to treat the world as if it were their idea of perfect, and Democrats as if it could not be improved. Neither is correct; like Kelli, I consider both to be dangerous.
Responsibility is always a two-way street. Overweight is not as simple as not beginning to smoke or drink, but as a person who keeps my weight in the healthy range with unreasonable effort, I agree that individuals must do what they can. We are wrong to deny health care to those who behave unreasonably; those who behave unreasonably are wrong to do so. The real answer is to put social pressure on people to stay with healthy habits, and at the same time, support efforts to improve those whose habits are not so good.
As far a weight goes, it is not merely coincidental that healthy food is more expensive, and low income goes with higher weight. This is a good place for government action to improve the price distribution!
overcat
My micro-bio is so full, it's bursting at the seam
09:02 PM on 10/13/2009
Spot on with the point that all too often the concept of personal responsibility is dismissed as coded racism or classism. Of course there are reactionaries who use the concept in that vein, however their misuse of the notion of personal responsibility doesn't create a valid philosophical pass on the idea for anyone. Waiting for others to do for you what you can do for yourself is an abdication of your own self determination - that's not a conservative or liberal notion.

While obesity is primarily a preventable health issue, with it comes socially negative issues, but that doesn't change the essential nature of being overweight as primarily a result of behavioral choices. A lack of physical activity coupled with an unhealthy diet can be changed by the individual once the individual chooses to make the changes. People always have options in those regards, it's up to them to exercise them. I could stand to lose a few pounds myself, and it's not going to happen unless I make it so (I'm working on it). No one's going to do it for me.

Alcohol IS taxed fairly heavily in most parts of the US, and as someone who imbibes regularly, I've no problem with that. A fast food tax could do a bit to encourage healthier eating, though that's less of a cut and dried issue.
been2there
Facts have a liberal bias.
11:19 PM on 10/13/2009
Compare the cost of milk and soda; chips and fresh fruit; meat and junk food. Money does come into this because it is cheaper to buy junk!
overcat
My micro-bio is so full, it's bursting at the seam
03:08 PM on 10/14/2009
I buy groceries too so I'm well aware of that. I know what it's like to be on a tight budget, but that doesn't drive me to purchasing sodium/sugar/fat laden processed foods. We all have choices in that regard.
07:47 PM on 10/13/2009
This is one of the most perfect columns I've ever read (and I'm a liberal of the leftiest kind). Thank you.
07:25 PM on 10/13/2009
I'm going to attempt to respond to this blog. Now, I don't believe that if you ask democrats if they believe in personal responsibility that they would say no. I know that I do and every other democrat that I know and I know many, thank God. Anyway, what about people who done everything the "right way" as my brother did. He was extremely successful with 1 child and unmarried and he found out he had lupus at 28. He died at 32 but he couldn't get health insurance because he was already sick when he found he really needed it. I don't know too many people who would even think they needed it at 28. So of course he had to sell his house and spent tons of money on medicine and thankfully he could afford it but it got to the point that that was ALL he could afford. It had come down to keeping his house or medicine and he chose medicine because he HAD to. Now, what personal responsibility should he have taken? I'd like to think that REAL life was as simple as your choices but it's not. Sometimes life throws a curveball that makes your previous choices irrelevant. I'd like to live in a country where when this happens that our ideals will hold that we ARE our brother's keeper.
HUFFPOST SUPER USER
drreader
06:27 PM on 10/13/2009
What people should be worried about is the growing of an even more judgemental society. We constantly judge other's personal behavior on matters that are none of our business. Oprah is a perfect example of a beautiful person who has openly struggled with weight. If "thin" was so easy for everybody, certainly she would be a very thin person. At my corner store, they do a big business in cigarettes, beer and lottery tickets to poorly dressed customers..Let's grab them and make them buy J. Crew instead. Read recently that there is no major grocery store in urban Detroit, but some fast food joints thrive. well, duh, people get hungry. ["All those health nuts are going to be so mad when they are in the hospital dying of nothing." ....Woody Allen"] So I guess if you are thin and healthy but get cancer you are entitled to treatment, if not, go home and "die early".
overcat
My micro-bio is so full, it's bursting at the seam
08:37 PM on 10/13/2009
"poorly dressed" has NOTHING to do with anything in the article and is completely irrelevant to any point being made.
HUFFPOST SUPER USER
drreader
09:41 PM on 10/13/2009
You are right, bad example, instead of clothes, we should take their lotto money and make them buy apples..My point is, if we abandon the idea that we are, indeed, our brother's keeper {regardless of the brothers' behavior] , some part of our collective "soul" dies..The idea of a conforming society where everyone is thin and health conscous could easily proceed to being thin, healthy, blond and blue eyed...and where have we heard about that before?.Encouraging personal responsibility is one thing, punishing those who don't share your version of what that should be is quite another. The extreme right has gifted this country with more than enough self righteous prigs. If the independents and progressives start welcoming them, we are done.
05:38 PM on 10/13/2009
The fundamental question here is very simple: Is safe afforable health care a right that should be afforded to all Americans, or is safe affordable health care a commodity that is available to only those who can pay for it?
photo
HUFFPOST PUNDIT
marco01
05:53 PM on 10/13/2009
nicely put
photo
HUFFPOST COMMUNITY MODERATOR
ECBA88
04:23 PM on 10/13/2009
While I can't say I agree with much of this--it's heavy on the social engineering for my personal political taste--I do appreciate your clarification that some of these choices, especially dietary ones, occur above the level of the individual. So-called "food deserts" in urban areas are a serious public health concern. Likewise, most of the choices you chalk up to personal responsibility are currently constructed to institutionally push the poor toward bad decisions--either by making one choice simpler than another, or, in the fast food example, removing the best choices altogether. Let's start by being sure everyone has an equal opportunity to make good decisions for themselves. Once we see what they do with them, we can decide whether some of those choices are truly bad for society.
photo
HUFFPOST SUPER USER
BassMent
Left of Ted Kennedy, right of Che Guevara
04:19 PM on 10/13/2009
While Ms. Goff is certainly right to point up the sorts of human behaviors that have a causal effect on poor health and, consequently, increase health care costs in this country, she has entirely missed the boat on what the debate should be about (and actually IS about, although we're all to timid to face it and name it):

We are not debating HEALTH CARE.

We are debating HEALTH CARE INSURANCE, which pays for our health care.

And as long as we look at HEALTH CARE INSURANCE as an individual insurance against catastrophy rather than a societal insurance against catastrophy, we will continue to tolerate a system of health care reimbursement built on a for-profit model, where the only incentive the insurance companies have is to keep fees high, services cheap, oversight minimized and reimbursements to health care providers as low as possible.

This is the system we built, it's the system we used to own which now owns us. We think we have elected officials in Washington who can fight for us, but we are delusional. All of this "get healthy" talk is well and good, but it ignores the fact that whether we're healthy or not, there are TRILLIONS of dollars to be made off the the health care industry by the institutions which control its finances.

It's an immoral system. Every other wealthy, educated nation on the entire freakin planet has figured this out except for ourselves.
photo
HUFFPOST COMMUNITY MODERATOR
Waltb31
04:56 PM on 10/13/2009
Very well put!
05:54 PM on 10/13/2009
ditto
04:11 PM on 10/13/2009
"If you know that you are not prepared, financially or emotionally, to care for or raise a child ...then don't have one...And if you choose to...then don't just expect everyone else to pick up the slack--financially or otherwise."

Wow...
...because we all know that those millions of children born into financially/emotionally unstable families are whose really responsible for their parents "poor choice". These kids should just suck it up & deal because god forbid some some of your hard earned money goes towards programs that might help these children. Why should good libertarian minded folk worry if a few poor kids starve or die of some preventable illness, curing them might just encourage them to get sick & feeding them might just encourage them to eat.

But seriously, You seem to forget that it's the kids who are going to suffer most when we as a society decides to leave them behind because some of us don't like the idea of "supporting" their parents "poor personal choice". Is this how we want society to view an entire class of Americans, who, by no fault of there own, were born into poor families or to single parents? Is referring to them as "mistakes" and "poor choices" a way to make those more fortunate feel morally superior when we as a society simultaneously abandon these kids?
photo
HUFFPOST SUPER USER
BackFromParadise
06:45 PM on 10/13/2009
Exactly. Fanned.
12:30 AM on 10/14/2009
"curing them might just encourage them to get sick & feeding them might just encourage them to eat"

great writing. fanned.
04:03 PM on 10/13/2009
As soon as the govt conrols health care they control you. We are quickly giving away our freedoms for the uncertain benefit of social engineering. Unintended consequences always swamp the good intentions, especially in a country where special interests get to write the laws. The best we can ever hope for is no govt action or intervention. Does anyone really think that education would have declined even faster if the Dept of Education was note created??? The govt makes everything worse. Its a fact. You can look it up.
04:48 PM on 10/13/2009
REALLY?

Governments intervene to take up the slack which the private sector cannot handle.

If governments didn't do this, then ONLY the wealthy would have healthcare, education, and food.

The next time you feel the need to channel Ronald Reagan with his "Government is the problem" mantra, think about ALL of the government services you take for granted ........

Police departments, Fire departments, the Armed Forces, the FDA, the CDC, the EPA, OSHA, FDIC, CIA, FBI, USDA, EEOC, the VA, FEMA, Air Traffic Control, Public Schools, Public Hospitals, Social Security, US Customs and Border Patrol, US Immigration ................ And the list goes on and on.

Are you prepared to give all of this up? ............. Are you prepared to pay, or able to pay, for ALL these services if they were put in the hands of PRIVATE companies?

Perhaps you can pay for example ------ Private fire department services, but your neighbor cannot afford the service ......So the neighbor's house catches fire which threatens your house (and you are not home to know what's happening) ........... What do you do?......... Lose your house because the neighbor can't afford PRIVATE fire services or be thankful that a government service is available to save your home?
04:56 PM on 10/13/2009
Sorry but I think those 100+ people that die each day for lack of health insurance would disagree that their "freedom" would have been taken away had they had the choice of acquiring government provided health care (unless you think "freedom" means death).

If it's good enough for the members of congress, the senate and the president, then it's good enough for the rest of us.

I can't stand shallow "freedom" posturing. "Freedom Fries" do nothing for actual freedom, rights and liberties. (read the dec. of independence) the word "liberty" comes after "life", for the simple reason that one needs to preserve ones life (and the lives of fellow countrymen) in order to have liberty...To be perfectly blunt, it's kinda hard for one to have liberty and happiness in this world if you're dead.