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“Clausewitzian” Health Care: Austeritywitz in Greece

[1]

Ger­man Out­pa­tient Clin­ic

[2]

Dave Emory’s entire life­time of work is avail­able on a flash dri­ve that can be obtained here. [3] (The flash dri­ve includes the anti-fas­cist books avail­able on this site.)

COMMENT: We have high­light­ed the ideas of Pruss­ian mil­i­tary the­o­reti­cian Carl von Clause­witz in many arti­cles. Posit­ing war as the con­tin­u­a­tion [4] of pol­i­cy by “oth­er means”, von Clause­witz also saw pol­i­tics as the con­tin­u­a­tion of war by oth­er means dur­ing the unfold­ing of what he called “the post­war.” [5]

As the con­tin­u­a­tion of war by oth­er means [6] con­tin­ues to unfold in Europe, the lethal nature [7] and con­se­quences of Ger­many’s “post­war” [8] assumes greater [9] and more hor­ri­ble dimen­sions [10].

(This post should be digest­ed against the back­ground [11] of the Ger­man role in pre­cip­i­tat­ing and han­dling the Greek eco­nom­ic col­lapse. In addi­tion to con­sid­er­a­tion of the plans for using a Ger­man-dom­i­nat­ed Euro­pean eco­nom­ic union as a vehi­cle for world con­quest, this post should be con­sid­ered in light of the delib­er­ate role of Ger­man banks [12] in cre­at­ing the cri­sis. Those banks are, of course, under con­trol of the Bor­mann cap­i­tal net­work [13]and the Under­ground Reich.)

Hav­ing plun­dered Greece dur­ing World War II [14] and also delib­er­ate­ly shirked its duty [15] to ten­der repa­ra­tions, Ger­many is using the EU and EMU to gen­er­ate prof­it for its med­ical estab­lish­ment, while forc­ing dead­ly med­ical and social real­i­ty on the Greek peo­ple.

(NEVER for­get that this is the fate that awaits the Amer­i­can peo­ple, should the Naz­i­fied GOP [16] regain con­trol of the gov­ern­ment. When we say the Repub­li­cans are Nazis [17], this is NOT a rhetor­i­cal flour­ish or hyper­bole. After dras­tic bud­get cut­ting, which will pre­cip­i­tate a defla­tion­ary spi­ral, Medicare and Med­ic­aid will be gut­ted, lead­ing to “kinder, gen­tler” exter­mi­na­tion [18]. The so-called “pro­gres­sive” sec­tor is doing its part, sanc­tion­ing euthanasia–public health care of the future if the GOP can get back into pow­er.)

Con­sid­er how Ger­man pol­i­cy is, lit­er­al­ly, war by oth­er means. There is no need for fir­ing squads, anti-par­ti­san units or death camps when one can imple­ment what Ger­many is doing:

“Aus­ter­i­ty Kills”; german-foreign-policy.com; 7/25/2013. [23]

EXCERPT: The reor­ga­ni­za­tion of the Greece’s health sys­tem, under Ger­man direc­tion, is advanc­ing. “A final timetable is to be pre­sent­ed in the sec­ond half of this year,” declared the Ger­man Health Min­istry (BMG). The Ger­man gov­ern­ment sees deficits also in the lack of an “effec­tive cost man­age­ment,” but most of all in the lack of “com­pet­i­tive ele­ments.” In a “Mem­o­ran­dum of Under­stand­ing” (MoU), the BMG and the Task Force for Greece (TFGR) have reached an agree­ment with the Greek gov­ern­ment on the intro­duc­tion of the high­ly crit­i­cized Ger­man-mod­eled so-called case flat-rates. The crit­i­cisms stem from the fact that patients are not being treat­ed in response to their med­ical needs but on the basis of eco­nom­ic effi­cien­cy. The mas­sive con­se­quences the aus­ter­i­ty mea­sures are hav­ing on the pub­lic health in Greece are becom­ing more evi­dent. A grow­ing num­ber of Greek cit­i­zens are los­ing their health insur­ance, due to unem­ploy­ment and there­fore must pay med­ical costs them­selves. The short­age of med­ical aid, for exam­ple, has caused an increase of 40 per­cent in the child mor­tal­i­ty rate since 2009. Dis­eases such as malar­ia or AIDS are spread­ing more rapid­ly. The Ger­man gov­ern­ment con­tin­ues to insist on its aus­ter­i­ty course in spite of these ram­i­fi­ca­tions.

With­in the frame­work of the EU aus­ter­i­ty dic­tates, Ger­many took the lead in the reor­ga­ni­za­tion of the Greek health sys­tem back in March 2010. “The Ger­man Min­istry of Health is in sup­port of the Greek gov­ern­men­t’s mea­sures to increase the effi­cien­cy and effec­tive­ness of long-term health care, by sub­stan­tial and effec­tive trans­for­ma­tions in the orga­ni­za­tion of its health sys­tem,” declared the State Sec­re­tary in the Min­istry of Health, Ste­fan Kapfer­er in Feb­ru­ary 2011, on the occa­sion of the sign­ing of the cor­re­spond­ing “Dec­la­ra­tion of Intent.”[1] The con­crete mea­sures had been spec­i­fied by the Ger­man Min­istry of Health and the Task Force for Greece (TFGR) in the April 2012 “Mem­o­ran­dum of Under­stand­ing” (MoU) with the Greek gov­ern­ment. These mea­sures include the intro­duc­tion of case flat-rates, a change in hos­pi­tal man­age­ment struc­tures, the reor­ga­ni­za­tion of the Nation­al Orga­ni­za­tion for Health­care Pro­vi­sion insur­ance (EOPYY) and new pric­ing mod­els for med­i­cine. The Ger­man GIZ devel­op­ment aid agency was giv­en the respon­si­bil­i­ty of the final elab­o­ra­tion of these plans, which there­by opens “new mar­kets in indus­tri­al­ized coun­tries.” .. . .

. . . . These pro­posed trans­for­ma­tions are being imple­ment­ed with­in the frame­work of the aus­ter­i­ty mea­sures being enforced by Berlin. Accord­ing to the stip­u­la­tions hand­ed down by the Troi­ka, Greece’s health expen­di­tures should not sur­pass six per­cent of the coun­try’s gross nation­al prod­uct — in Ger­many these expen­di­tures were at 11.3 per­cent in 2011. Since, as a result of the aus­ter­i­ty pol­i­cy imposed on that coun­try, the Greek GNP has been on the decline for years, the expen­di­tures for the health sys­tem are sink­ing dras­ti­cal­ly. By 2012, these expen­di­tures were reduced to around 9.5 bil­lion Euros, from 14 bil­lion Euros in 2009.[5] The Greek gov­ern­ment has already shut down 46 of its 130 hos­pi­tals and cut the bud­get by 40 per­cent for those remain­ing. This has added thou­sands more to the unem­ployed cre­at­ed by the dev­as­ta­tion of the health sec­tor. . . .

. . . . Dr. Gior­gos Vichas, speaks of a “human­i­tar­i­an crisis.”[7] Since 2008, the child mor­tal­i­ty rate has risen by 40 per­cent. The num­ber of HIV pos­i­tive drug users has risen from 10 — 15 in 2007 to 314 in the first eight months of 2012 alone — main­ly due to the dras­tic cut­backs in pre­ven­tive pro­grams. Malar­ia and tuber­cu­lo­sis, the West Nile and dengue fevers are con­tin­u­ing to spread. . . .

. . . . “The inter­ac­tion between aus­ter­i­ty pol­i­cy, eco­nom­ic shock treat­ments and defi­cient social pro­tec­tive mea­sures seems to ulti­mate­ly lead to an esca­la­tion of the health and social crises in Europe,” con­clud­ed a study by sev­er­al schol­ars pub­lished in the renowned “The Lancet” med­ical journal,[8] Epi­demi­ol­o­gists, David Stuck­ler and San­jay Basu drew the same con­clu­sion in their book “The Body Eco­nom­ic — Why Aus­ter­i­ty Kills.” . . .