Thousands line up at Los Angeles free clinic

17 August 2009

A tidal wave of suffering and human need has been on display this week
at a free healthcare clinic inside a Los Angeles-area sports arena.
Just as the New Orleans Superdome, packed with refugees from Hurricane
Katrina, shocked the world in 2005, the scene in Inglewood, California
gives a glimpse of the social crisis devastating America. And it could
be multiplied, a thousand times over, in every city, suburb and rural
district of the United States, as deepening unemployment and spreading
homelessness exacerbate what was already a vast unmet need for
healthcare services.

Thousands of uninsured workers and their families have flocked to the
Forum at Inglewood since Tuesday, seeking free medical and dental care
from a group of volunteer doctors, dentists and nurses. The Forum,
formerly the suburban home of the Los Angeles Lakers basketball team,
became for a week the site of the largest free medical clinic in
American history.

The organizers of the event, the Remote Area Medical Foundation, a
Tennessee-based charity that relies on contributions of money and
medical supplies and volunteer medical personnel, said that more than
8,000 people would receive help at the Forum before the event was
finished. In the first three days alone, 706 teeth were extracted,
1,640 fillings put in, 141 mammograms administered and 550 sets of
eyeglasses prepared. There were hundreds of pap smears and
tuberculosis tests. Some patients were put directly into waiting
ambulances and taken to local emergency rooms.

Many of the patients waited for hours or slept overnight in their cars
to make sure they did not lose their place in line. The demand has
overwhelmed the supply of volunteers, with foundation leader Stan
Brock saying the clinic had work for 100 dentists and 20 eye doctors,
more than three times the number who were mobilized.

Remote Area Medical has focused on impoverished third-world countries
for more than 20 years, beginning with clinics in the Amazon jungle of
Brazil. But in recent years it has begun to work inside the United
States, including in New Orleans after Katrina, and earlier this year
in the Appalachian foothills of Virginia, where volunteer dentists
performed more than 4,300 tooth extractions in two days.

The Los Angeles event was made possible by a group of film and record
producers who learned of the charity’s activities from a “60 Minutes”
profile and contacted Brock. The Forum, now owned by a local church,
was chosen as a centrally located site, close to the densely populated
south side Los Angeles.

One volunteer dentist who spoke to the local media said that
conditions in Los Angeles were worse than in Brazil, where he has done
equivalent charity work. “They have a nice system of public hospitals
and clinics,” he said, referring to Brazil. A volunteer doctor, when
asked about the difference between Third World conditions and those in
Los Angeles, responded, “Here the people speak English.”

According to local press accounts, among those seeking help at the
clinic were:
• A homeless man who camped outside in order to get glasses
• An unemployed grocery clerk needing a root canal
• A laid-off auto mechanic with back pain
• A laid-off office worker uninsured for two years
• A cancer patient who had exhausted her benefits under her HMO plan
• A community college student with sinus problems and blurred vision
• A laid-off security guard who needed glasses
• An unemployed grocery clerk with a toothache
• A woman whose children are covered under the state Medi-Cal plan but
lacks insurance for herself
• A county government worker whose dental insurance deductibles were
too high to afford treatment for her husband and three-year-old
daughter
• A retired welder who lost his coverage while he was in the middle of
getting dentures
• A couple, both employed, who between them needed dentures, a general
physical, a breast exam and a pap smear
• A diabetic amputee who could not afford to buy needed drugs
• A retiree needing an X-ray for a lung problem
• A 70-year-old Vietnam vet who put off a root canal for two years
because the VA hospital was overwhelmed with more urgent cases
• A 63-year-old woman who received her first new pair of glasses in
five years
• A 46-year-old woman who had an abnormal pap smear last year but was
unable to follow up because Medi-Cal denied her coverage.

Carol Meyer, a top official of the Los Angeles County Department of
Health Services, visited the Forum and drew the obvious lesson,
telling reporters: “The current system of healthcare in the United
States is broken.” Los Angeles Times columnist Steve Lopez called the
lines outside the Forum, “the perfect distillation of an
unconscionable societal failure.”

The huge turnout for the free clinic attracted significant media
coverage in both the network television news and the major daily
newspapers. But neither of the two sides in the official “healthcare
debate” has made any reference to it.

For the Republican Party, the vast dimensions of the social crisis in
America are an inconvenient distraction from its ongoing efforts to
mobilize ultra-right and fascist-minded elements against the Obama
administration. Newt Gingrich, Sarah Palin, Fox News & Co. prefer
fanning hysteria over “death panels” and other such mirages to
confronting the reality that tens of millions of working people lack
access to needed healthcare because they have no insurance or no
money.

For Obama and the Democrats, however, the Forum event is equally
unwelcome. The president addressed town hall meetings on healthcare
Friday night and Saturday night in Montana and Colorado. At neither of
the forums, heavily publicized and televised live on cable, did he
make any reference to the extraordinary and moving spectacle in Los
Angeles. On Sunday, an op-ed column on healthcare appeared in the New
York Times under Obama’s byline, also without any mention of the Forum
free clinic.

This deliberate silence is proof enough that Obama’s healthcare
program has nothing to do with “reform,” in the sense of any genuine
effort to make an improvement, even of a minimal character, in the
availability of healthcare to working people.
More than four decades ago, both John F. Kennedy and Lyndon Johnson
visited impoverished areas of Appalachia as part of efforts to win
support for the anti-poverty measures enacted during the 1960s. If
Obama were advocating even a limited social reform, he would have
seized on the Los Angeles event as a demonstration of the acute social
need.

But the goal of Obama’s pro-corporate healthcare restructuring is to
increase the financial health of American capitalism, not to improve
the physical health of the American people. Hence his overriding
emphasis on the need to cut healthcare spending, in order to reduce
labor costs and improve the competitive position of corporate America.

That is why the Obama healthcare program is supported by major
sections of big business, including the bulk of those corporations—
drug manufacturers, health insurance companies, and giant hospital
chains—whose profit drive is fundamentally responsible for the
healthcare crisis.

The Obama plan has been drawn up in close consultation with these
corporate interests, who have been given explicit assurances that
their profits will not be threatened. It is the patients, i.e., the
entire American population, who will bear the cost, through the
establishment of a two-class healthcare system—first-class care for
those who can afford it, and cut-rate care for the vast majority.
As opposed to the fake alternatives presented by the Obama
administration—either his reactionary healthcare program or the status
quo—the working class must demand an end to medicine-for-profit, and
the establishment of free healthcare for all, as a basic human right,
to be provided at public expense.

The resources for healthcare should be obtained as part of the
socialist reorganization of all of economic life. This means the
nationalization of the giant corporations and banks, the confiscation
of the wealth of Wall Street and the super-rich, and the
transformation of the healthcare industry into a public utility
dedicated to serving human needs and democratically owned and
controlled by the working people.

Patrick Martin
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