Measuring Quality of Life

GDP (Gross Domestic Product) is convenient for economists and politicians, but it misleads us into thinking an increase in GDP makes us better off. More guns, worse natural disasters, and private prisons add to GDP, but show us that not every contribution to GDP improves our lives.

Measures of the improvement in the quality of our lives is vastly more important. Unfortunately, GDP is easier to measure, so that’s what we look at. As any laid-off or underpaid worker can tell you, the quality of life for everyone but the richest few has been stagnant or declining for decades in spite of rocketing GDP. The desperation of these workers is why Donald Trump’s lies about how he was going to make everything better convinced them.

Every demagogue knows he must tell his followers that they have an enemy who is to blame for all their miseries. Hitler blamed the Jews, and Trump blamed Democrats, especially Hillary Clinton. Those elite, pointy-headed, out-of-touch ivory tower intellectuals who never worked a day in their lives and don’t know what the real world is like. Liars. Criminals.

We don’t have a good, simple measure of the quality of life yet, but we do know that it does not lie in the realm of “stuff”. We already have too much stuff, and the addition of an 80-inch TV will not improve our quality of life.

Actually, it’s relatively easy in modern nations to have high quality of life. Why do we not have it? We do not have high quality of life because the very rich and corporate powers have given far too much wealth to themselves and to Congress. Members of Congress are all given fabulous amounts of money in the expectation that it will earn access for lobbyists to convince Congress to vote in ways that favor these interests. It works. Congress again and again votes for bills that make the rich richer and the rest of us less well off. We cannot, for example, use leverage to obtain better prices for medicines because Big Pharma paid Congress to pass a bill that says we can’t. So we are forced to subsidize a multi-million dollar bonus for a Big Pharma CEO when we buy our grossly overpriced meds.

Wealth is finite. If it goes to the very wealthy it cannot go elsewhere. The wealthy do not use it to build factories and provide jobs. They merely invest it for themselves, taking it out of circulation, where it would improve the quality of our lives.

Health care is one of the most important elements of quality of life.

Congress, almost entirely because of the Republican position, has never given serious study to one of the most important ways to improve the quality of life: national health care. We are literally the only modern nation without national health care, and it shows. Our health as a nation is much worse than virtually any other modern nation, in spite of the fact that we pay literally double what others pay. This doesn’t bother the wealthy because they can easily buy top quality medical care. The poor who can’t get treatment just die.

A large part of this tragedy is because a quarter of our health care bill goes to private insurers, who provide absolutely no health care at all. Another big chunk goes down the drain because we can’t readily control the price of what we pay for medical care or medications. Countries with national care have neither of these major problems. We still have this antiquated system largely because Republicans have a pathological aversion to anything they think is “socialism”, which they apparently equate with Stalinist communism. They stick to this story because they are beholden to moneyed interests that get them re-elected.

Are we entitled to health care? Yes, we are.

Consider the case of one of the most important medical advances in recent centuries, penicillin. Penicillin and its later offspring has cured diseases that in the past claimed millions of lives. Penicillin greatly improved our quality of life. It also earned truckloads of money for those who manufactured it, but that money did not improve our quality of life.

I maintain that we are all entitled to penicillin if we need it, and it would be amoral to withhold this lifesaver from anyone, even if they are penniless. The same holds true even for expensive medical treatment. Half a million families every year are bankrupted after selling everything they own to pay for an expensive medical treatment. This creates a net negative effect for the whole country, because each of these families is thrust into worse quality of life. The children may have to give up college plans, so the effect lasts more than a generation. This national disaster happens only in the US, the only country without national health care.

Inexplicably, Republicans waste endless hours trying to preserve unearned wealth yet make health care affordable. They cannot understand that the biggest insurance pool is the most efficient, that the private health care insurance industry is completely useless, and that the cost of medical procedures and medicines can easily be managed by national boards. We are the only modern nation in the world that hasn’t figured this out.

Health care is not rocket science, it’s simple arithmetic.