Susan Rosenthal, socialist and physician, has a new collection of essays out. Here’s the announcement and an essay by Susan explaining who she is and how she came to be an activist. Susan’s writings are essential reading to understand the social reality behind the health care debate in this country. Recommended to readers.
‘Reducing income inequality in the United States would save as many lives as would be saved by eradicating heart disease or by preventing all deaths from lung cancer, diabetes, motor vehicle crashes, HIV infection, suicide and homicide combined.’
Even greater benefits would flow from eliminating class inequality entirely.
- Inequality: The Root Source of Sickness
- Engels and the WHO Report
- Mental Illness or Social Sickness?
- The Myth of Scarcity
- The US and Canada: Different Forms of Medical Rationing
- The Fight for Medicare in Canada
- Assembly-Line Medicine
- Health Care or Damage Control?
- The Lessons of Chile
About Susan Rosenthal: The Doctor’s Dilemma Resolved
I am a physician and a socialist. I always wanted to be a doctor, probably because my brother Ron was born with severe hemophilia for which there was no treatment at the time. To my young mind, doctors had the power to stop suffering, and I wanted that power.
I had the good fortune to be born at the right time. During the 1960s, the Canadian government subsidized children from the working class to go to university. My second stroke of luck was getting into medical school.
I soon discovered how powerless doctors really are. Most of my patients’ problems were rooted in social conditions that were outside my control. The best I could do was manage their symptoms.
Medicine radicalized me. I was a socialist because I came from a family of socialists. But I didn’t really understand capitalism. Like most people, I thought it was an economic system.
As a physician, I learned that capitalism is the system of social relationships in which we are all immersed. We are born into it; we are shaped by it; and we re-create it every day.
Capitalism is a cruel and heartless system that tears people apart mentally, physically and socially. We must replace it with a completely different system based on equality and reciprocity, a socialist system in which we all share the world’s work and the world’s resources.
Until recently, my two identities of physician and socialist occupied separate spaces. At work, I tended an endless succession of wounded people. Outside of work, I struggled to change a heartless capitalist system that propels the wounded to my door.
I wanted to connect these two activities, however, physicians tend to be a conservative section of the middle class, well-rewarded for managing the misery that capitalism creates. I could find no medical organizations that questioned this role, only reform groups offering different levels of misery management. I wanted the misery to stop. So I continued my double life, unaware that capitalism would present a solution to my dilemma.
I’ve worked primarily in Canada, but for a time I also lived in the United States. In both countries, medical services were traditionally delivered by small businesses. During the 1990s, large corporations (HMOs) cornered the American market by offering lower-cost medical services. It was a scam.
By 2005, 45 million Americans could not afford medical insurance, and medical bills had become a prime cause of financial ruin, even for those who had insurance when their problems began.
Canada’s medical system is also in crisis caused by decades of under-funding. In 2004, Canada’s Supreme Court declared that all patients cannot be assured of getting medically-necessary treatment.
Capitalism is forcing health workers into an impossible bind. We are employed to provide a social service, but we are increasingly denied the resources to do so. When we try to meet the needs of our patients, we find ourselves in conflict with a penny-pinching system. If we go along with demands to ration care, we cannot meet our patients’ needs. As a result, health workers are being forced to take sides.
Most medical professionals have jumped on the rationing bandwagon, echoing the cry that there’s not enough to go around. As I explain in Professional Poison, professionals are trained to manage capitalism, not to challenge it.
Other health workers believe that people’s needs should come first – our patients’ needs and our own needs as workers. That belief is leading us to organize as workers against capitalism.
Organized health workers are the best defenders of medical services. I learned this in 1981, when the Canadian Union of Public Employees (CUPE) struck Ontario hospitals to protest cuts to staff and services.
For seven days, 13,000 striking health workers defied back-to-work legislation, media attacks, police harassment and the jailing of top union officials. Unwilling to mobilize an all-out public-sector strike to press their demands, union officials caved in.
The defeat was substantial. Thirty-five worker-activists were fired, and more than 9,000 were disciplined. My brother Ron was one of the fired activists, being the chief shop steward and picket captain for the Toronto General Hospital.
Eventually, all the activists were reinstated, but Ron had died of heart failure by then. He was only 32. It wasn’t the strike that killed him, but the betrayal of union officials. As he wrote,
“In the events leading up to the strike, during the strike and throughout the defense campaign, the union brass acted against the interests of the rank and file.”
This is Ron on the first day of the strike.
Should society produce for profit or for need? Health workers face this question on the job every day. Every day, we are immersed in human suffering. And every day, we are denied the resources required to alleviate that suffering.
To get more resources, we need more power. And to get that power, we need fighting unions, not talk-shops that build careers for professional union bureaucrats. And we need to organize across unions, to fight as a class for a society where people come first. That is what real socialism is – millions of people pulling together to take care of one another.
As a socialist, I have written many articles and several pamphlets, including Striking Flint, a narrative history of the GM sit-down strike. As a physician, I have explored the link between society and health in my newsletter, Trauma and Illness and in Class, Health and Health Care.
My first book, POWER and Powerlessness, integrated my experience as a physician with my experience as a socialist. It also brought me into contact with other health workers. In the fall of 2007, we organized ourselves as International Health Workers for People Over Profit.
I finally found the solution to my dilemma. Social power is necessary for human health, and solidarity is the best medicine. Ron knew that. It just took me a little longer. Here’s a photo of us in our backyard.