Democracy Uprising
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      Immigration Economics: An Interview with Professor Giovanni Peri

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      Science Fiction From Below

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      Democrats Won Power in Several States. Will They…

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      How movements can maintain their radical vision while winning…

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      Could we be entering a ‘movement moment’ against…

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      Trump’s backpedaling shows he’s not invincible

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      It’s going to take multiple strategies to win…

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      A new wave of movements against Trumpism is…

      Social Movements

      How to make sure your disruptive protest helps…

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      Why protests work, even when not everybody likes…

      Social Movements

      Harold Washington’s lessons for taking on a political…

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      Strategy is a Craft

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      Remembering Romero

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      John Paul II’s Economic Ethics

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      U.S. Politics / Elections

      Could we be entering a ‘movement moment’ against…

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      Trump’s backpedaling shows he’s not invincible

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      It’s going to take multiple strategies to win…

      U.S. Politics / Elections

      A new wave of movements against Trumpism is…

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      Strategy is a Craft

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      This new model for upholding labor law may…

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      Does It Make Sense to Protest a President…

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      Why Wendell Matters

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      Jordlösa kombinerar radikala visioner med praktiska reformer (Swedish)

      Español

      Hacer Que Nuestras Demandas Sean Tanto Orácticas Como…

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      C’è più di un modo per colpire il…

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      Français

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      Hong Kong Phooey

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      Bush Nuit Même Aux Compagnies U.S.

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      Le dynamisme du mouvement pour la paix

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      La déroute de l’ALCA dans une Miami en…

      Français

      Ceux qui ne comptent pas

      Français

      La guerre en Irak : une expo des…

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      C’è più di un modo per colpire il…

      Italiano

      Richieste dei movimenti: sia pratiche che visionarie

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      La strategia di Gandhi per il successo –…

      Italiano

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      Come il movimento Occupiamo Wall Street si sta…

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      Economia tabù

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      ガンジーはどのように勝利したのか? (Japanese)

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      Truth Versus Superpower (Japanese)

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      Japanese

      Revenge of the Combat Cartoonist (Japanese)

      Japanese

      Bush’s Uneasy Mexican Visita (Japanese)

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      Mark Twain in Iraq (Japanese)

      Japanese

      Globalization’s “Lost Decade” (Japanese)

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      Hawks Say the Damnedest Things (Japanese)

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      As reformas não reformistas de André Gorz mostram…

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      A vida na Nação Prisão

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      O império hipotecado

      Arabic

      Abandoning the World Bank (in Arabic)

      Arabic

      The Return of Daniel Ortega (in Arabic)

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      Where’s The Jubilee? (in Arabic)

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      Is Market Access the Answer to Poverty? (in…

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Democracy Uprising

  • About
    • About Mark Engler
    • About Democracy Uprising
  • Books
    • This Is An Uprising
    • How To Rule the World
  • Topics
    • All Immigration Labor Latin America Social Movements Religion U.S. Politics / Elections War / Militarism Book Reviews Environment Essays / First Person Global Economy
      Social Movements

      Could we be entering a ‘movement moment’ against…

      Social Movements

      Trump’s backpedaling shows he’s not invincible

      Blog

      It’s going to take multiple strategies to win…

      2023-2025

      A new wave of movements against Trumpism is…

      Social Movements

      How to make sure your disruptive protest helps…

      Social Movements

      Why protests work, even when not everybody likes…

      U.S. Politics / Elections

      Harold Washington’s lessons for taking on a political…

      Social Movements

      Strategy is a Craft

      Immigration

      When Undocumented Activists Infiltrated ICE

      Immigration

      The Children of Intervention

      Immigration

      Immigration Economics: An Interview with Professor Giovanni Peri

      Immigration

      Science Fiction From Below

      Immigration

      Four Ways of Looking at an Aztec Eagle

      Immigration

      Treated Like a Criminal

      Immigration

      When Sanctuary is Resistance

      Immigration

      The Massive Immigrants Rights Protests of 2006 Are…

      Labor

      This new model for upholding labor law may…

      Labor

      Democrats Won Power in Several States. Will They…

      Labor

      The Case for a Social Distancing Wage

      Labor

      The Seattle Protests Showed That Another World Is…

      Labor

      Reviving the General Strike

      Labor

      Jeff Bezos Has Enough! It’s Time for a…

      Labor

      There’s Still Power in a Strike

      Labor

      The Amazon Effect: Sweat, Surveillance, Exploitation

      Latin America

      How movements can maintain their radical vision while winning…

      Latin America

      The Pan American

      Latin America

      Lessons from the Pledge of Resistance

      Latin America

      The Children of Intervention

      Latin America

      Against Shithole Nationalism

      Latin America

      The Last Porto Alegre

      Latin America

      Kissinger Is Not Our Friend

      Latin America

      Even If You Have Nothing to Hide

      Social Movements

      Could we be entering a ‘movement moment’ against…

      Social Movements

      Trump’s backpedaling shows he’s not invincible

      Social Movements

      It’s going to take multiple strategies to win…

      Social Movements

      A new wave of movements against Trumpism is…

      Social Movements

      How to make sure your disruptive protest helps…

      Social Movements

      Why protests work, even when not everybody likes…

      Social Movements

      Harold Washington’s lessons for taking on a political…

      Social Movements

      Strategy is a Craft

      Religion

      In God’s Country

      Religion

      Reverend Billy’s Holiday Shopocalypse

      Religion

      Toward the “Rights of the Poor”

      Religion

      The Pope and the Poor

      Religion

      Will the Next Pope Embrace Liberation Theology?

      Religion

      Remembering Romero

      Religion

      John Paul II’s Economic Ethics

      Religion

      Against the God of Free Trade

      U.S. Politics / Elections

      Could we be entering a ‘movement moment’ against…

      U.S. Politics / Elections

      Trump’s backpedaling shows he’s not invincible

      U.S. Politics / Elections

      It’s going to take multiple strategies to win…

      U.S. Politics / Elections

      A new wave of movements against Trumpism is…

      U.S. Politics / Elections

      Harold Washington’s lessons for taking on a political…

      U.S. Politics / Elections

      Strategy is a Craft

      U.S. Politics / Elections

      Think #MeToo didn’t make a real difference? Think…

      U.S. Politics / Elections

      This new model for upholding labor law may…

      War / Militarism

      Does It Make Sense to Protest a President…

      War / Militarism

      Lessons from the Pledge of Resistance

      War / Militarism

      Is Rambo Still A Republican?

      War / Militarism

      War: The Wrong Jobs Program

      War / Militarism

      The Ascent of Niall Ferguson

      War / Militarism

      Those Who Don’t Count

      War / Militarism

      Six Essays About War and About Peace

      War / Militarism

      The Dangerous Dignity of War

      Book Reviews

      The Pan American

      Book Reviews

      The Godfather of Microcredit

      Book Reviews

      Capitalism as Catastrophe

      Book Reviews

      Four Ways of Looking at an Aztec Eagle

      Book Reviews

      The Ascent of Niall Ferguson

      Book Reviews

      Ordinary Outrages

      Book Reviews

      No Better Place

      Book Reviews

      In God’s Country

      Environment

      Why Wendell Matters

      Environment

      The Gulf at the Gas Station

      Environment

      Climate Disobedience

      Environment

      Farming the Everglades

      Environment

      The Winter of the Climate Denier

      Environment

      Climate of Change: An “Inside-Outside” Strategy Against Global…

      Environment

      Provoking an American Climate Crisis

      Environment

      The Real “Farmer” Story: So God Made High-Fructose…

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      Is Rambo Still A Republican?

      Essays / First Person

      On the Price is Right

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      The Last Porto Alegre

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      Six Essays About War and About Peace

      Essays / First Person

      Republicans Among Us

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      New York Says “No”

      Essays / First Person

      The Sideshow Rebels

      Essays / First Person

      A Week in New York

      Global Economy

      Meet the Bailout’s New Slush Fund for Corporate…

      Global Economy

      The Seattle Protests Showed That Another World Is…

      Global Economy

      Jeff Bezos Has Enough! It’s Time for a…

      Global Economy

      The Amazon Effect: Sweat, Surveillance, Exploitation

      Global Economy

      The Godfather of Microcredit

      Global Economy

      Capitalism as Catastrophe

      Global Economy

      Immigration Economics: An Interview with Professor Giovanni Peri

      Global Economy

      The World Is Not Flat

  • Translations
    • All Français Italiano Japanese Português Arabic Thai Chinese Deutsch Español
      Translations

      Jordlösa kombinerar radikala visioner med praktiska reformer (Swedish)

      Español

      Hacer Que Nuestras Demandas Sean Tanto Orácticas Como…

      Italiano

      C’è più di un modo per colpire il…

      Português

      As reformas não reformistas de André Gorz mostram…

      Español

      Las reformas no reformistas de André Gorz

      Deutsch

      Die nicht-reformistischen Reformen von André Gorz

      Italiano

      Richieste dei movimenti: sia pratiche che visionarie

      Chinese

      泛美洲人 爱德华多·加莱亚诺的世界 (Chinese)

      Français

      La révolution non-violente a-t-elle échoué en Egypte?

      Français

      Le pari risqué du populisme au Pérou

      Français

      Hong Kong Phooey

      Français

      Bush Nuit Même Aux Compagnies U.S.

      Français

      Le dynamisme du mouvement pour la paix

      Français

      La déroute de l’ALCA dans une Miami en…

      Français

      Ceux qui ne comptent pas

      Français

      La guerre en Irak : une expo des…

      Italiano

      C’è più di un modo per colpire il…

      Italiano

      Richieste dei movimenti: sia pratiche che visionarie

      Italiano

      La strategia di Gandhi per il successo –…

      Italiano

      Le promesse infrante di Obama

      Italiano

      Guantanamo deve sparire

      Italiano

      IL BANK TRANSFER DAY: UN SUCCESSO

      Italiano

      Come il movimento Occupiamo Wall Street si sta…

      Italiano

      Economia tabù

      Japanese

      ガンジーはどのように勝利したのか? (Japanese)

      Japanese

      Truth Versus Superpower (Japanese)

      Japanese

      Bush’s Bad Business Empire (Japanese)

      Japanese

      Revenge of the Combat Cartoonist (Japanese)

      Japanese

      Bush’s Uneasy Mexican Visita (Japanese)

      Japanese

      Mark Twain in Iraq (Japanese)

      Japanese

      Globalization’s “Lost Decade” (Japanese)

      Japanese

      Hawks Say the Damnedest Things (Japanese)

      Português

      As reformas não reformistas de André Gorz mostram…

      Português

      A vida na Nação Prisão

      Português

      Outro pretexto?

      Português

      Imigração tem efeito positivo sobre emprego e salários

      Português

      O império hipotecado

      Arabic

      Abandoning the World Bank (in Arabic)

      Arabic

      The Return of Daniel Ortega (in Arabic)

      Arabic

      Where’s The Jubilee? (in Arabic)

      Arabic

      The Last Porto Alegre (in Arabic)

      Arabic

      Seattle At Five (in Arabic)

      Arabic

      Is Market Access the Answer to Poverty? (in…

      Arabic

      Mexico’s Democratic Transition Still Incomplete (in Arabic)

      Thai

      Progressive Good Tidings of 2007 (in Thai)

      Thai

      2006: A Global Justice Year in Review (In…

      Thai

      WTO: Best Left For Dead? (In Thai)

      Thai

      Is Market Access the Answer to Poverty? (In…

      Thai

      Bush’s Bad Business Empire (In Thai)

      Thai

      The Last Porto Alegre [Thai]

      Thai

      Globalizers, Neocons, or… ? (in Thai)

      Chinese

      泛美洲人 爱德华多·加莱亚诺的世界 (Chinese)

      Chinese

      Why Wendell Matters (in Chinese)

      Chinese

      Globalization’s Watchdogs (in Chinese)

      Deutsch

      Die nicht-reformistischen Reformen von André Gorz

      Deutsch

      Als Martin Luther King seine Feuerwaffen aufgab

      Deutsch

      Mikrokredite: Die Entlassung eines Nobelpreisträgers

      Deutsch

      CAFTA – am besten stillschweigend beerdigen

      Deutsch

      Bush in Mexiko

      Deutsch

      Das globale Duell in Evian

      Deutsch

      Die Rückkehr des Daniel Ortega

      Español

      Hacer Que Nuestras Demandas Sean Tanto Orácticas Como…

      Español

      Las reformas no reformistas de André Gorz

      Español

      ¿Adoptará el nuevo papa la teología de la…

      Español

      Wall Street quiere que les estemos agradecidos

      Español

      Si Las Monjas Se Fueran a una Huelga,…

      Español

      ALEC retrocede; a la derecha le da un…

      Español

      ¿ALEC disgustado ante la pérdida de patrocinadores? Se…

      Español

      La vida en la nación prisión

    • Other Translations
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2009-2010Blog

Health Care: A Blow Against Global Inequality

by Mark Engler March 25, 2010
written by Mark Engler March 25, 2010
Health Care: A Blow Against Global Inequality

A dispatch for the “Arguing the World” blog at Dissent magazine.

Published in Dissent.


David Leonhardt has been getting a lot of attention for his piece in the New York Times: “In Health Bill, Obama Attacks Wealth Inequality.” He has a good angle, placing health care reform in the context of some crucial economic facts of which most Americans just aren’t aware. Leonhardt writes:

“For all the political and economic uncertainties about health reform, at least one thing seems clear: The bill that President Obama signed on Tuesday is the federal government’s biggest attack on economic inequality since inequality began rising more than three decades ago.

Over most of that period, government policy and market forces have been moving in the same direction, both increasing inequality. The pretax incomes of the wealthy have soared since the late 1970s, while their tax rates have fallen more than rates for the middle class and poor.

Nearly every major aspect of the health bill pushes in the other direction.”

The key stats about inequality he cites are:

“Since 1980, median real household income has risen less than 15 percent. The only period of strong middle-class income growth during this time came in the mid- and late 1990s, which by coincidence was also the one time when taxes on the affluent were rising.

For most of the last three decades, tax rates for the wealthy have been falling, while their pretax pay has been rising rapidly. Real incomes at the 99.99th percentile have jumped more than 300 percent since 1980. At the 99th percentile—about $300,000 today—real pay has roughly doubled.

The laissez-faire revolution that Mr. Reagan started did not cause these trends. But its policies—tax cuts, light regulation, a patchwork safety net—have contributed to them.”

Discussing inequality is vital not only in thinking about American society but also in assessing the global economy. Just as we could argue that inequality is a leading product of Reaganite domestic policies, it has also been one of our leading exports. This is to say, the economic neoliberalism of the “Washington Consensus” has probably produced inequality more efficiently than anything else.

In some parts of the world, such as Latin America, one could make the argument that neoliberalism has failed flat out to produce economic growth. However, in other parts of the world, it’s not quite as simple. Without going into specific case studies, we can imagine countries in which governments have mouthed the mantras of market fundamentalism and have actually seen some growth. But again and again, we’ve seen policies of deregulation, privatization, and austerity create gains that are overwhelmingly captured by a small elite. It’s not that such countries are going backwards in absolute terms. A little bit may indeed be trickling down. The question is, what kind of society is created amid increasingly inequitable conditions?

Another way to look at the issue, especially in the U.S., is this: productivity has been going up tremendously since the early 1970s, even while real wages for working people have stagnated. Again, it’s not that we’re going backwards in absolute terms. Still, it gets disturbing to think about where all of the benefits from our hard-earned productivity gains have been going, if not to the great majority of people who show up for work every day.

* * * * *

On a closing note, Leonhardt points out:

“Health reform hardly solves all of the American economy’s problems. Economic growth over the last decade was slower than in any decade since World War II…. Educational gains have slowed, and the planet is getting hotter.”

The second sentence, in particular, is something not often mentioned, and even less frequently reflected upon, in venues like the Times. Political economists in the Marxist tradition have theories about the declining rates of profit and about capitalism running up against the ecological limits of production. But the respectable center tends to be far behind on theorizing these issues. Of course, should the problems Leonhardt alludes to come to a head, it wouldn’t be the first time that mainstream economics has failed to see a crisis coming.

inequalityneoliberalismNew York TimesDavid Leonhardthealth care
Mark Engler

Mark Engler is a writer based in Philadelphia and an editorial board member at Dissent magazine. His latest book, written with Paul Engler, is entitled This Is an Uprising: How Nonviolent Revolt Is Shaping the Twenty-First Century.

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The Author

Mark Engler is a writer based in Philadelphia and an editorial board member at Dissent magazine. His latest book, written with Paul Engler, is entitled This Is an Uprising: How Nonviolent Revolt Is Shaping the Twenty-First Century (Nation Books). Mark’s full bio is available here.

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