from: The Neoliberal Triad of Anti-Health Reforms:
Government Budget Cutting, Deregulation,
and Privatization
by MILTON TERRIS
http://members.aol.com/jphpterris/neolibral.htm<snip>
THE HISTORICAL BASIS OF THE NEOLIBERAL PHILOSOPHY
What is the historical basis of the economic and political philosophy of neoliberalism? Why has it become so powerful in recent years?
For a long time I could not understand why my Latin American colleagues used the term “neoliberal” to describe the policies of cutting governmental health budgets and privatizing health services. To me, the term “neoconservative” seemed to provide a more accurate description. This is because in the U.S. we have used the term “liberal” to denote people who favor government action to improve the health and welfare of the people. I did not understand that the liberalism referred to is that of the 18th and 19th centuries, the liberalism of the rapidly-growing new class of merchants and industrialists who espoused the doctrine of “laissez faire,” opposing government regulation or other interference with their freedom to operate according to their own dictates. Today’s “neoliberals” are the descendants of that class, transformed to become the owners of large national and transnational corporations that wield tremendous political influence and power. During the past century, governments accepted major responsibilities for the expansion and improvement of preventive and therapeutic health services, as well as education, housing, nutrition, and other living and working conditions. These reforms were enacted in response to the growth of labor, socialist and communist parties and the fear of socialist revolution. That fear was greatly reinforced by the emergence and growth of the socialist economic system to include 14 nations-9 in Europe, 4 in Asia, and Cuba in the Americas-comprising 33 per cent of the world’s population.
The victory of the capitalist nations in the so-called “Cold War” a vast military, political and economic struggle that lasted for 70 years - removed the greatest single obstacle to world domination by the national and international corporations. The fear of socialist revolution disappeared, and it became possible to press for a return to the laissez-faire liberalism of the earlier centuries, by again reducing state interference to a minimum - such interference as occupational health and safety regulations, workers’ compensation, minimum-wage laws, building codes, anti-pollution requirements, anti-discrimination laws, and food and drug regulations - that raise the costs and reduce the profits of industry. The corporations are determined to cut back on government services by reducing the budgets, not only of the above-mentioned programs, but of public schools and universities, public housing, public hospitals and clinics, government health insurance programs, and government contributions to social security funds, in order to reduce corporate taxes and thereby increase profits. Further, government-operated industries such as transportation and communication services are being sold off to private corporations at bargain prices. The key word today is privatization; the market is king, and profit is the overriding goal.
The health reforms of the earlier decades were truly reforms in the sense of expansion and improvement of health services for the people. The so-called “health reforms” of the post-Cold War period are not health reforms at all, but the very opposite; these are reactionary programs designed to limit access to, and impair the quality of, the health services available to the majority of the population. The specific characteristics of these anti-health reforms vary, depending on the different types of health services in each country, and the outcome of the anti-health campaign in each country will depend on the strength and strategies of the contending forces.
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