‘Americans have spent decades being impoverished of public health by the American Idiot — the kind of person who votes against better healthcare for everyone, including themselves, their kids, their parents. What the? What kind of idiot does that? A very, very large number of Americans.
The result of that attitude was a society poor in a gruesome and strange way — poor in public health itself. What I mean by that is that American life expectancy is the lowest in the rich world, and plummeting, that Americans have the highest rates of all kinds of preventable chronic diseases, from diabetes to obesity to heart disease. You can see it on American faces, in fact: a society poor in health is a society of unhealthy people.
We expect much, much poorer societies to be impoverished in public health. It’s a strange concept to have to think about precisely because we don’t expect it of a rich country. Perhaps one of a poor one, that’s never really developed at all. This is a syndrome unique to America — a form of poverty that Europeans and Canadians struggle to understand, because, well, they’ve mostly eliminated it. But in America, health poverty is endemic.
So endemic that you can see America’s gotten shockingly poorer and poorer in health — right down to the resurgence of old, conquered diseases, from measles to mumps. Again, that’s the work of the American Idiot — the kind of person who won’t vaccinate their kids, which is an idea that in the end takes society right back to the medieval days of endemic smallpox and polio.
So what was going to happen when a society impoverished in terms of health met a pandemic? Utter catastrophe. America’s mortality rate and infection rate are so high precisely because America was a time bomb of failing public health waiting to go off.
What then are the results of creating a society impoverished in public health? Well, Americans face a gruesome choice that doesn’t exist anywhere else in the rich world, even in much of the poor one: your money or your life. “Medical bankruptcy” is the result — I put in quotes because it’s a notion that scarcely exists elsewhere….’
— Umair Haque via Eudaimonia and Co