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Posts filed under The Long Memory

When the State gives doctors power over their patients, the doctors’ primary loyalty will be to the power of the State, not to their patients

(Via Cheryl Cline @ der Blaustrumpf 2008-12-02: Trusting Doctors.)

The first step is that the State grants legal privileges to doctors. Or, more specifically, to those doctors who practice medicine according to the approaches favored by the government and government-backed medical guilds like the American Medical Association. These privileges for officially-approved doctors to force their competitors out of business with threats of fines, jail, or death, and thus to force captive patients to seek their services. In many countries, these privileges include a large apparatus of government-subsidized healthcare, in which government-approved doctors are paid largely, or entirely, by funds that the government has taken from unwilling taxpayers. (Healers whose practices are not officially approved by the government, obviously, receive none of these subsidies.) In some cases, they also involve the power of doctors — especially psychiatrists, or other doctors treating children, or treating adults labeled as insane or feeble-minded — to force invasive treatment on unwilling patients through the use of deception, threats, restraint, and, if necessary, outright violence.

When the government gives doctors this kind of unaccountable, legally-backed plenary power to control or coerce their patients, it converts the medical profession into a class of legally elevated and legally regulated mandarins, who expect and enjoy considerable political power through their legally-privileged professional associations and through the State apparatus itself. Since doctors enjoy special privileges over their patients, and depend on legal force rather than on their patients’ judgment to get their way, the legal privilege helps foster a culture of arrogance and entitlement. And at the same time it creates a situation where doctors depend on government power for their wealth and cultural prestige, since they depend on it to create an artificial scarcity of medical services, and to keep patients captive to the doctor’s preferred regimen. Moreover, whenever medical doctors get special political privileges over their patients, politics defines what will be counted as legitimate medicine, and so medical doctors necessarily become politicians, acting a minor faction of the ruling class, just by establishing professional standards. When those professional standards are enforced by law, State-approved doctors’ professional associations are transformed from voluntary associations into a branch of the government, and medicine is transformed from a service to the patient into an arm of State policy.

And whenever, wherever, and exactly to the extent that the State gives doctors this kind of power over their patients, and makes them instruments of State policy, State-privileged doctors will owe their primary loyalty to power of the State, not to their patients.

The results of that shift in loyalty will depend on the nature of the State that claims their loyalty. When a State is relatively restrained, or simply incompetent, doctors will still help their patients, for the most part, rather than hurting them. When a State becomes more predatory, or lethal, politically-privileged doctors will be called on to be fine-tuned instruments of the predation or the murder. Since they depend on the State, politically-privileged doctors will usually answer the call, even if it means subjecting their victim-patients to malpractice, torture, or murder. Indeed, since a more powerful and invasive hygienic or therapeutic State means more power and influence for politically-privileged doctors, many of them will not only side with and collaborate with a predatory or lethal State, but will actively urge it onwards toward ever greater atrocities, and beg to be given the responsibility for carrying them out.



As Yoel Abells, a Toronto family doctor and medical ethicist, said of the experience in Germany under the Third Empire, and America under the United States government’s Global War on Terror:

One fact Abells found particularly disturbing was that doctors joined the Nazi Party in greater numbers than other professionals.

Almost half of all doctors were members of the Nazi Party, he said, compared with only a quarter of lawyers or musicians, and to the 9 per cent of the German population as a whole.

Joining Nazi groups, he said, was intoxicating for many doctors because of the power over life and death it gave them.

Today, Abells said, a disturbing number of doctors continue to be involved in genocidal campaigns, terrorist organizations, torture and the interrogation of prisoners of war.

A report in the New England Journal of Medicine in September found that the U.S. Army continues to use doctors in its interrogation of suspected terrorists, despite every major medical association condemning the practice.

— Stuart Laidlaw, HealthZone.ca (2008-11-05): Medical atrocities did not end with Nazi era

As Cheryl Cline writes:

The collusion of the medical profession with the State is certainly nothing new. And sadly, it is not all that surprising. Intuitively, the public trusts its doctors and others perceived as public servants more than it trusts, say, its lawyers or ad men. (The popular TV show Mad Men is a perfect example of capitalization on our distrust of the capitalist-minded. Can you think of a show that would portray doctors in a similar light?) With so many people putting blind faith in government bureaucrats to foster the public good, it’s hardly surprising to see the two entities take advantage of the public's trust to merge and consolidate power.

— Cheryl Cline, der Blaustrumpf (2008-12-02): Trusting Doctors

When doctors have this unchecked power to wreak torture or death on patients — whether it’s thrust upon them by an aggressive State, or whether they collaborate with an ambitious State to get it — then you will always get atrocities. And that’s an outrage. But it should not be a surprise. It is not an abuse of power; the power itself is the abuse, and doctors will always and everywhere sweep aside their ethical obligations to patients in favor of political obedience to the State, as long as it is State power rather than patients’ consent that determines what counts as legitimate medical practice, and as long as State privilege transforms medical practice from a consensual service into a forcibly-wielded instrument of public policy — which is to say, an instrument of State power. Sometimes it happens in little, obnoxious ways (under little, obnoxious legal regimes), and sometimes it happens in big, deadly ways (under big, deadly legal regimes), but it’s been going on for a long time now, and there’s no way around it. No way, that is, except genuine freed-market medicine, the only thing that can free the medical profession from the influence of State power and to make doctors accountable to patients rather than to power. No way, that is, except to abolish all forms of political command-and-control over the practice of medicine and to let doctors return to providing nothing more, and nothing less, than a consensual, life-affirming service to willing patients.

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Left-Libertarian Engagement

  • Lew Rockwell’s recent interview of Naomi Wolf for his podcast — the scare quotes are there because it quickly turns into a very two-sided conversation, and works very differently from a conventional interview — is really remarkable, and a paradigm for the kind of engagement that could build a vibrant libertarian Left. Naomi Wolf is not my favorite feminist, and Lew Rockwell is certainly not my favorite libertarian, but this is great stuff. Naomi Wolf now says she thinks she’s been a secret libertarian for many years in many, many ways and mentions that she’s feeling increasingly sympathetic toward radical libertarianism; she insists on the importance of challenging both Democratic- and Republican-sponsored power grabs, and expresses sympathy for the libertarian case for abolishing federal control over schooling. Rockwell does a tolerable job of explaining the libertarian case against the Fed as a instrument of class warfare, does a good job of cautioning against premature jumps into statist political action, and comes out that the conservative movement has been an engine of fascism for the past 50 years. Also, Wolf has some great material at about 23:45 in the interview about the way in which media producers deliberately encourage false-alternative shouting matches and instruct their guests that serious deliberation is not good television.

  • Socialist Alexander Cockburn writes a libertarian article for the Buchananite newsjournal The American Conservative, discussing the ongoing bipartisan assault on civil liberties, in which he points out the continuity between Clinton’s and Bush’s anti-terrorism and drug war rackets, decrying Social Security Numbers and the Kelo decision, while praising the defense of the individualist reading of the Second Amendment in Heller.

  • There’s been a lot more discussion of Roderick’s Corporations Versus the Market piece on Cato Unbound. Roderick’s Keeping Libertarian, Keeping Left replies to the initial responses from the Danny Bonaduce of the Blogosphere, Steven Horwitz, and Dean Baker. Roderick’s Owning Ideas Means Owning People makes the case for libertarian radicalism against Intellectual Protectionism (indeed, for a position even more radical than those advocated by Cato minimal-statist Tim Lee and by anti-IP, but pro-governmental Leftist Dean Baker).

    Yglesias, in reply to Roderick and Steven Horwitz, says he is a bit puzzled by pragmatic arguments for left-libertarianism, based on the claim that markets do more for human flourishing than government programs, writing: If this means that the absence of governance ?@c3;a0; la Joseph Stalin is a more important determinant of our well-being than is, say, the existence of unemployment insurance then, yes, of course this is true. But the question facing government programs is not whether they are more or less beneficial than the existence of a market economy, the question is whether the programs are more beneficial than would be the absence of programs. Roderick does a great job of responding to Yglesias (as well as to some another reply by Dean Baker) here. Let me just add a bit more about the fundamental problem with Yglesias’s proposed methods for assessing whether or not a given government program is warranted.

    The problem here is that Yglesias seems to be treating this as a ceteris paribus comparison: as if the right question to ask is whether people would be better off with the government program in place or in a situation which is exactly identical, but without the government program.

    There are two problems with this. First, unless there is some strong reason to believe that ceteris will stay paribus in the absence of a government program, the real alternative is between a government program and market alternatives to that program. So, for example, Yglesias mentions ex ante environmental regulations. But he rigs the match by apparently comparing outcomes with ex ante environmental regulations to outcomes from a market situation which is basically the same as the present, but in which corporate polluters are free to go on polluting with impunity. An un-rigged comparison would be one between ex ante environmental regulations and free market means of addressing pollution that the ex ante regulations have either directly suppressed or crowded out — like the use of pollution nuisance suits or a more robust use of free market grassroots activism, through boycotts, sustainability certification, social investing, and so on. Maybe these kind of tactics would not be as effective as ex ante regulation, or maybe they would be more effective; but in either case, this is the comparison that actually needs to be made, and as far as I can tell Yglesias hasn’t given any argument to support a claim that market methods would do worse. Indeed, there’s some good reasons to think that they might do better. Since freed-market methods are by their nature decentralized, and not dependent on political lobbying or electioneering, they are also not subject to the same problems of regulatory capture by those who can put a lot of money and political influence behind their interests.

    Second, Yglesias also more or less explicitly suggests that, when you’re deliberating over whether to favor government programs or freed-market alternatives, any given government program ought to be assessed in isolation from all the others (on a case-by-case basis). But of course libertarian Leftists have repeatedly stressed the importance of seeing particular social or political processes in the context of how many different processes interlock and interact with each other. So, for example, as Roderick has repeatedly stressed, if you want to know about whether to prefer unfettered free markets or regulatory command-and-control in financial markets, it doesn’t make sense to compare a rigged market where finance capital is tightly regulated and can reasonably expect government bail-outs in case of failure to a rigged market where finance capital is loosely regulated but can still reasonably expect government bail-outs in case of failure. Whether the latter or the former turns out to have better results is a question we could debate, but the important point, from a left-libertarian point of view, is that it would be more interesting and fruitful to compare the rigged markets to a free market with neither ex ante regulation nor bail-outs. Similarly, if we are looking at environmental regulations then we have to consider not only market alternatives to ex ante environmental regulation; we also have to consider other government programs which may indirectly contribute to environmentally destructive practices — like subsidizing corporate centralization and capital-intensive production; or stealing land from homeowners and small businesses for large, polluting manufacturing plants, garbage incinerators, and other forced-modernization boondoggles; or subsidizing fossil fuel dependence; or highway-driven suburban sprawl — and whether the absence of those other programs, taken together with the absence of ex ante environmental regulation, would make freed-market alternatives to ex ante environmental regulation even more palatable than they would be when considered in isolation. (For some similar points in the context of health care, see GT 2007-10-25: Radical healthcare reform.)

    Meanwhile, Roderick’s article has also prompted a lot of discussion outside of Cato Unbound, most notably interesting but misguided replies from Peter Klein, Will Wilkinson, and an extremely ill-conceived response by Walter Block and J.H. Huebert. I’ve already discussed Block’s and Huebert’s comments, with a focus on their distortion of my own expressed views (cited favorably by Roderick) on radical labor unionism.. There’s a lot of fascinating exchange among Klein, some other right-libertarians and agnostic-libertarians, and a number of libertarian Leftists in the comments thread on Klein’s article; note especially the exchange among Araglin, Klein, P.M. Lawrence and others over the legitimacy and viability of the corporate form, limited liability, etc., under freed markets, and this short comment by Jesse Walker: It seems clear to me that, at the very least, the “more local and more numerous” claim is correct, if not in every sector than certainly in the economy as a whole. Removing occupational licensing laws alone would unleash such a flood of tiny enterprises — many of them one-man or one-woman shows, sometimes run part-time — that I doubt the elimination of antitrust law and small-business setasides would offset it. Especially when large businesses have proven so adept at using antitrust and setasides for their own purposes. . . . . (Jesse promises a more detailed follow-up at Hit and Run; I look forward to it.)

    Meanwhile, as promsied, Roderick has added his own (detailed, excellent) reply on most of the points raised by Klein, Wilkinson, Huebert, and Block back over at Cato Unbound, entitled Free Market Firms: Smaller, Flatter, and More Crowded.

    Read the whole damn thread. It’s great.

  • On the activist front, this past Monday, New Jersey ALLy Darian Worden announced a new series of Alliance of the Libertarian Left outreach flyers and subversion squares available from the NJ ALL website. Enjoy! (I also think there will be some interesting news in the near future about ALL in Southern California, England, Denver, and some new activities for ALL in Las Vegas. But I’m not going to tip my hand more than that in public, just yet. If you’re curious — and especially if you are in one or more of those geographical areas — drop me a line in private.

A brief history of Franklin Delano Roosevelt, the “Friend of Labor”

Because of the late unpleasantness, there’s been a lot of debate among a certain kind of Leftist as to what attitude the Left ought to take towards the Democratic Party’s big win at the polls, and the grassroots efforts by eager young Obamarchists to help bring it about. In the name of critical support, many state Leftists — particularly those who fancy themselves Progressives — urge other Leftists to hop on board the Democratic Party train; those who are a bit more skeptical, point out that, for people seriously concerned with peace, civil liberties, labor radicalism, anti-racism, ending bail-out capitalism,and so on, an Obama Presidency is an extremely limited victory at best, and those who know a bit of history point out that the Democratic Party has been the graveyard of social movements for over a century now, with one movement after another being diverted from grassroots action on behalf of their primary goals into the secondary or tertiary goals of bureaucratic maneuvering, party politicking, canvassing, fund-raising, or shamelessly apologizing for Democratic Party politicians. And once they go in, movements more or less never come out.

Perhaps not surprisingly, given the current economic crisis, in discussions like these a lot of electoralist Progressives very quickly dig up the decaying corpse of Franklin Roosevelt, apparently in order to demonstrate a case where so-called critical support from the Left worked — that is, it supposedly worked because it supposedly got us the New Deal, and the New Deal supposedly represents a series of victories that Leftists should feel good about. The problem is that this picture is false in just about every detail. The New Deal was achieved in spite of the grassroots efforts of the American Left, not because of them. It was, in fact, put through largely as a means to co-opt or stifle the American Left. And what was put through ought to be considered a travesty by anyone for whom economic Leftism is supposed to mean an increase in workers’ power to control the conditions of their own lives and labor, rather than an increase in government’s power to make businessmen do what politicians want them to do.

So here is a brief history, contributed by a member of the Movement for a Democratic Society listserv (in response to a series of uncritical critical support apologetics and name-drops to Roosevelt), of the administration of Franklin Delano Roosevelt, the friend of labor and patron saint of the American Progressive Left.

From: bob
To: MDS-Announce
Date: 5 November 2008 7:51 PM

Oct. 1933, 4 strikers killed in Pixley Ca. textile strike.

Early 1934, Roosevelt intervenes in the auto industry on behalf of company unions as opposed to worker organized unions.

In 1934, General Strikes in Toledo, San Francisco and Minneapolis began to threaten the capitalist order.

IN 1935, the Wagner Act was passed to regularize labor relations. The NLRB was set up to mediate between labor and capital ending the surge of general strikes.

In 1936-7, workers began to use the sit down strike to great advantage. In 1937, the Roosevelt appointed National Labor Relations Board declared them to be illegal. Later the Supreme Court in 1939, dominated by pro-Roosevelt judges, declared sit-down strikes to be illegal, taking the wind out of the sails of the labor movement.

When labor leaders tried to gain Roosevelt’s support in critiquing the killing of 18 peaceful workers in the steel strikes of ’37, Roosevelt refused, thus condoning the killings.

IN 1938 and 39 with rising unemployment, Roosevelt cut programs for the poor and unemployed.

The passing of the Social Security Act institutionalized the incredibly regressive payroll tax while postponing and benefits and establishing a retirement age beyond the life expectancy of workers so that payments would be minimal. Additionally, most women and Afro-Americans were purposefully not covered by the Act. At the time it was established the NAACP protested the racism inherent in the exclusions of most job categories employing blacks. The original act was also blamed for contributing to the economic downturn of 1937 because the government collected taxes from workers but paid no benefits to workers during this time period. Initially, no benefits whatsoever were to be paid until at least 1942. Amendments in 1939 changed that to 1940 but only encompassed a tiny minority.

Friend of Labor Roosevelt in 1940 signed the Smith Act which had been proposed by a Democrat and passed by a Democratic Congress. The first prosecutions were ordered by Roosevelt’s Attorney General Francis Biddle. Unfortunately, the split between the orthodox communists and the Trotskyists resulted in the persecution of the Trotskyists.

When the Federal Theater Project planned a musical production in 1937 attacking corporate greed, Roosevelt shut it down. He then had the theatre padlocked and surrounded by armed soldiers.

So much for the concept of political space under the Democrats.

One mistake rather consistently made by a good chunk of progressives is to frame an analysis based on the paranoia of the extreme right wing, taking their statements as if they were facts.

So if Sean Hannity and Rush Limbaugh and their ilk criticize some facet of American life or history (for example FDR as being some sort of left enabler), the progressives then want to disagree completely with Hannity et al and thus accept whatever BS he put forward but take the opposite point of view on it. So we then have progressives defending Roosevelt’s supposed progressive leanings or opening political space for the left or whatever phrasing suits their purposes. It’s not helpful to let the extreme right thereby define the nature of political discourse. It leads to an incredibly false and warped view of society and history.

Rather than helping to create an opening for the left in the 1930s, Roosevelt did what he could to shut off all openings that had been created by the workers themselves. He ended the surge of general strikes, then he ended the surge of sit down strikes. He put a stop to progressive artists. Clamped down on the radicals of the time period. Condoned the police and national guard killing of protesting workers. Collected regressive taxes from workers while promising them pension benefits at a point in the future for those fortunate enough to survive their employment and avoid an early death.. He continued racist and sexist policies especially relating to employment, government sanctioned discrimination and unfair dispersal of social benefits.

The main thing I would want to add to the analysis is that, unfortunately, I don’t think that the veneration of St. Franklin is solely due to the rush to take an equal-but-opposite reaction to the vilification of Roosevelt by plutocratic Right-wing hacks like Limbaugh or Hannity. The attitude is much older than Right-wing hate radio, and I think it is deeply rooted in the historical narratives and the self-conception of the Progressive wing of the Left. At the time Roosevelt went on a full-bore attack against the radical Left but enjoyed the support of the professional-class Progressive Left — whose influence he dramatically increased, and whose fortunes he subsidized on the taxpayer’s dime, with his massive expansion of the civil service and government planning bureaucracy. And he is venerated today by so many on the Left because so many on the Left continue allow their message to be set by the agendas of the political parties and by the nostrums of mid-20th century vital center corporate liberal politics. The counter-historical hagiography isn’t just a way of reacting to the Right; it’s also a way that the Establishmentarian Left keeps the radical Left in line, diverts all too many of us into the failed strategy of increasing workers’ power by increasing government power, and blinds all too many to the fact that their efforts within or on behalf of the Democratic Party are failing repeatedly, or when they succeed, inevitably succeed in increasing the power of professional government planners, without any significant gains for ordinary workers.

So it is really refreshing, at this historical moment, to see some folks challenging St. Franklin from the Left. And it’s deeply unfortunate, but not surprising, that it is refreshing to see that. It ought to be easy and common to make the Leftist case against a millionaire dynastic politician who officially kicked off his administration with a series of massive bank bail-outs, systematically attacked labor radicals, created a bureaucratic apparatus intended to buy off and domesticate labor moderates and conservatives, while sidelining or criminalizing labor’s most effective tactics, and presided over repeated physical attacks on organized workers. A millionaire dynastic politician who, in 1936, ordered J. Edgar Hoover to ramp up federal surveillance of questionable domestic political groups, and who aggressively dispensed with traditional restraints on unilateral executive power in order to pack the courts in favor of his own policies and to elevate himself to President-for-Life. A President-for-Life who conscripted millions of workers in the United States’ first ever peacetime military draft, who then spent a couple years deliberately wangling his way into a position where he could throw his new conscript army into the largest and most destructive war in the history of the world, who then, using the exigencies of a global war on tyranny as his excuse, drove Congress to create the House Un-American Activities Committee, imprisoned war protesters and political opponents on sedition and espionage charges, extracted no-strike agreements from the now-politically-controlled labor unions, commandeered virtually every good and imposed massive rationing and government-mandated wage freezes on American workers, created the modern military-industrial complex, ordered the firebombing of hundreds of German and Japanese cities, and, with a series of unilateral executive orders and military proclamations, summarily seized the property of hundreds of thousands of Japanese Americans, imposed arbitrary curfews on them based solely on their nationality, and finally sent in the military to roust them out of their homes and march them into concentration camps scattered across the American West.

Unfortunately, that kind of talk doesn’t square with the preferred historical narrative of Democratic Party politicians, and (therefore) it doesn’t much suit those who have ambitions that depend on currying favor with Democratic Party politicians. So it’s not the sort of thing that you hear much about. But it is the sort of thing that we can remember, and that we can talk about, whether they want us to or not.

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Oh for Christ’s sake

I don’t at all agree with Bash Back’s tactics. For a lot of reasons. But this ain’t one of them:

Look at the Civil Rights movement, I dont see minorities storming anything and doing this sort of thing and look what we have in the White House. I hope those guys are all arrested and fined.

This is stupid, Marquette County, Wednesday, November 12, 2008 at 8:07 a.m.

O.K.; let’s look at the Civil Rights movement.

Black students storm the whites-only Blue Boar cafeteria and sit in. Louisville, Kentucky.

Black students sit in at a whites-only lunch counter. Nashville, Tennessee, February 1960.

Sit-in at a whites-only Woolworth’s lunch counter. Jackson, Mississippi, 28 May 1963.

Black students arrested for storming a whites-only library and illegally reading in it. Jackson, Mississippi, 1961.

Oh, and while we’re at it:

Eric Evans and other members of the Afro-American Society announce the end of their 36-hour takeover of Willard Straight Hall at Cornell University. 20 April 1969.

You know how you can tell when some discussion in mainstream politics is going to have absolutely nothing to do with the history of the Civil Rights movement? Answer: if it starts out with someone saying Look at the Civil Rights movement….

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Rank and file

The week before the election, I complained about an ad that DNC political hacks sent out, which (wrongly, and dangerously) suggested that political change amounted to nothing more than, and ended with the success of, an effot to get some millionaire professional politician installed in office. It turns out that MoveOn agrees with me, and they’re working on organizing Fired up and ready to go gatherings in every community the can, to keep their grassroots organizing moving forward. I know because they sent me an e-mail about it. <Well, bully for them. However, having read some of the comments that MoveOn specifically selected to represent the sentiments they were hearing from their members, when they asked about what to do after the election, I can’t say I’m terribly heartened by their idea of what kind of organizing you do after an electoral victory:

From: Nita Chaudhary, MoveOn.org Political Action
Date: 3:01 PM
To: Rad Geek
Subject: Fired up and ready to go

. . .

We need to continue the same level of involvement and commitment to whatever this Presidency needs of us to accomplish all that we believe can be done. Yes we can, Yes we did, and Yes we will!—Judith C., Salem, MA

. . .

We have to be prepared to go through with whatever we need to—even if that means some sacrifice. Obama will lead the way!—Sarah A., Greer. SC

. . .

Let Barack know that we stand ready to go to work. Take advantage of our energy and enthusiasm for the common good, put us to work.—Jeff R., Boulder, CO

. . .

Be willing to work with him and make personal sacrifice for the good of our country and our children’s future.—Stephanie L., Laguna Niguel, CA

I don’t know whether these sentiments are actually representative of the MoveOn membership, or whether MoveOn selected a few unusual comments that seemed most useful to their purposes. But in either case, this sort of sentiment — that grassroots, street-level organizations should stand ready, not as a countervailing social force to direct recently-elected politicians and to keep them on track for the grassroots’ own agenda, but rather as shock troops for some messianic leader to issue marching orders to and put … to work, even at great personal sacrifice, for whatever the leader may require — is the sort of thing that ought to disgust anyone who genuinely believes in people-powered community organizing, and ought to terrify anyone who believes in the principles of a free and open society.

I’ve seen that movie before, and I know how it ends.

I guess it really is time to Move On.

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