Friday, February 27, 2015

American Exceptionalism

News is that Oklahoma, in a supposed rebuff to the Common Core curriculum, is proposing making it illegal for state high schools to offer Advanced Placement courses. The thinking here is that the federal government is too involved in deciding what should be considered for such courses and that means that the federal government is meddling too much in what should be state and local issues. In addition, the complaint is that Advanced Placement courses don't place enough emphasis on “American Exceptionalism.” For those unfamiliar with the term American Exceptionalism is a theory that the United States occupies a space that is different and superior to other nations. The term has been used by conservative writers and policy makers to lend credence to American intervention in global disputes. No one disputes the right of the United States to intervene in issues that affect its national interests but to even imply that we have some inherent right to do so because of some superior endowment is just plain hubris.
When I was a kid (and that was a bit longer ago than I like to admit) my Dad taught me that there was no one else any better than me. At the same time he taught that I should not act as though I was any better than anyone else either. I would bet good money that well over 90% of you were taught the same lessons. My teachers (my Mother included) were people that had endured The Great Depression and World War II. Life lessons had taught them quite a lot about living in a society that had seen desperate times from allowing the elite of society to grow into an entitled class. World War II taught them that it could all disappear and that any one of them could be required to sacrifice for the well being of the whole. Lessons that we seem to have forgotten. We have once again allowed a privileged class to rise to great positions of power. Levels that exceed even those of that long ago Gilded Age. Now we can go to war without requiring sacrifice from the public, indeed, without even paying for it. Just put it on the credit card. There will be no suffering required. Now, just how exceptional is that? It is pretty exceptional but not in a good way.

The idea of using American Exceptionalism to justify foreign adventures reminds me of nothing so much as Manifest Destiny. You may recall that doctrine from high school American History as being the doctrine that allowed us to drive across the continent in a wave that took land from the native Americans. It held that if it were not manifest that God wanted this we would not be able to do it. The depredations and misdeeds done in the name of Manifest Destiny have come more to light since my high school days and one must acknowledge that great harm was done. Shall we ever be able to rectify those misdeeds? Not likely but at least the new doctrine of American Exceptionalism will allow those we conquered to live in an exceptional nation.

Personally, I think we do live in an exceptional country. In the 240 years since our independence we have done many worthwhile things along with some not so worthwhile. What is exceptional about our country are the ideals upon which it was founded and that bear so much tending in order to sustain. We have not always been faithful. But to assert that we have some right to press our culture and belief on some other country is being untrue to that heritage. Truthfully, a nation cannot be exceptional unless its people are exceptional.

While it is possible for us to live in an exceptional country it does not necessarily follow that we are exceptional and others are not. Great empires have risen to be exceptional but have fallen when that sense of exceptionalism gave way to a sense of privilege and the benefits that arose from that status were not shared with the multitudes. It is a given that people with great privilege will attempt to keep that status proprietary and not share it and that is not exceptional.

To assert that such a thing as American Exceptionalism would give the United States the right to go about attempting to dictate a way of life to others and to bend the world to our whim is hubris befitting the gods and that hubris is what always brought them to their downfall. If we continue to assert American Exceptionalism it will one day be our downfall also. If we look about the world over the past fifty years there is no shortage of adventures in which we attempted to mold countries and people to fit our perceptions and values but when we do that we automatically devalue what they hold dear about their own countries and ways of life.

But a doctrine of “American Exceptionalism” carries with it a connotation of some divine right having been bestowed upon us just as we once asserted of “Manifest Destiny.” It is dangerous to allow ourselves to become what we believe to be heirs of some divine or inevitable gift because then what we do in the name of that gift we must also attribute that worthiness. Do we dare assert that? Is there an empire that has ever risen that did not assert that?

My Take is that exceptionalism is as exceptionalism does (to paraphrase a great philosopher). If we are to be remembered by history as being and exceptional nation then we must attempt to provide an environment in which the values that we treasure can come to fruition. We must allow that not all peoples follow the waves of history on the same timetable but perhaps by our example we can be the exceptional nation that is admired globally and that others may wish to emulate. To do so we will have to tame our own appetites and be more willing to engage with reason and patience. We will never achieve that American Exceptionalism by dint of power and force but only by being able to carry our core values that assert the power of the people through the ages.





Monday, February 16, 2015

Open Letter to the Governor

 I am sending this to the governor as an open letter.  I will also forward it to newspapers in the hope that it may jar something in state bureaucracy loose and get our daughter some help.




The Honorable Governor Steve Beshear
700 Capitol Avenue, Suite 100
Frankfort, Kentucky 40601

Dear Governor Beshear:

I am writing this letter to you because I just can't think of any other route to take. You are proud, and justifiably so, of linking Kentucky to the Affordable Care Act and that makes you in charge. I hope you have some answers.

I read the article the other day about how great KyNect has been for Kentucky and how the percentage of Kentuckians who were uninsured has dropped dramatically. It is one of the few promising things that shows our state in a positive light and I commend you on your willingness to make Kentucky and her residents some of the first to take advantage of this great deal.

I have one question. If you have insurance but the managed care company that administers KyNect won't approve treatment do you really have insurance?

Last Friday we called to have my daughter, who is now 49, taken to the hospital because of chest pain. She has been suffering from chronic and progressive back pain since her early twenties and has been through a litany of doctors and procedures. The emergency room at the local hospital said that, yes, her heartbeat was erratic but that was because of the intense pain. Then they sent her home without any kind of care whatsoever saying that her managed care company would not approve it.

Just a few months ago she was scheduled for surgery on her cervical spine. Nerve compression is causing her to lose the use of her arms and causes very bad headaches. Her doctor had jumped through all the hoops demanded by the managed care company, the surgery had been scheduled and the operating room reserved when one more hoop was demanded. She missed that reservation and her doctor dropped all Medicaid patients. He said that the managed care companies would no longer allow him to treat patients according to their best interests. This from a doctor trained and regarded as one of the best spinal surgeons we have. Now she is still waiting, trying to find a doctor that will even see her. They see a woman that is suffering so much that they think it will be impossible to make it profitable. Those that have the ability to help with her pain are in so much fear from the draconian laws concerning opiates that they choose not to treat to avoid the overzealous enforcement of the drug police. All those laws have done is make it harder for those who need those drugs to get them while creating an epidemic of heroin abuse and death.

So, how does KyNect reach out and serve my daughter? Again, If you have insurance but the managed care company that administers KyNect won't approve treatment do you really have insurance?

Even now the lower spine issues will not permit her to walk. She is confined to a wheelchair when she has to go to the bathroom or anything else. We know this does not have to be this way. We have seen her more functional and, while never without pain, be able to have rudimentary ability to care for herself. She has become so cynical about our health care providers that she says, “if you are poor you just don't count.” I want to believe we are better than that but evidence indicates she is right. It does not take a rocket scientist to understand that the only way that managed care companies can save money for Medicaid is by denying care to those who need it.

On the other hand, there are those who have other challenges for whom we actually pay people to advocate. They will ensure that those people who need support receive all the benefits that are available to them. What makes my daughter any less deserving of those benefits and that assistance? She exists on a small disability check (and I mean small) and a meager allotment of food stamps. By the middle of the month she is broke and scraping the bottom of the larder and all this while dealing with more pain that either you or I can imagine.

So, Governor. How can KyNect be of service to her. We would appreciate any suggestions because we have beat our heads against the wall of denial for so long we are at a loss for any way to proceed. From where we sit it appears she is right. Poor people don't count.

I don't mean this to be an academic question. I want to know what to do to help my daughter. I am eagerly awaiting your response. In the meantime I am sending this as an open letter in the hope that answers can be forthcoming.

Sincerely

Robert F. Moore