Monday, July 02, 2012

CFU Doctoral Research Paper Notice: "The History Of Black Americans And Access To Health Care - From The Church To Toward The Government As The Provider"


The present political events around Black people and "Access To Health Care" has triggered me to propose a doctorate dissertation on this important subject.

I am motivated to do so, just as the La TaSha Levy (pictured below, facing forward, was disturbed to see so many Black students at University Of Virginia taking to the "Right Wing messages in the media. (Probably one student in a sea of 3,000 progressive Blacks but this was one too many).

My contention is that the organized effort for "Congregational Unity" which compelled "Dr" Levy to become concerned that a competitive point of view that she is hostile to triggered a greater response in her (and others who think just like her) than does her own perspective which aggregates massive amounts of "Black Community Development Consciousness" but it knows that BLACK PEOPLE WON'T EVER DEMAND 'A RETURN ON INVESTMENT' in line with the promises.

This is unfortunately a result of the failure to develop alternative channels beyond American Politics as the means by which the people can apply their talents as "Equal Human Beings", through the Institutions of their community - in order to effect the ultimate outcome and standard of living that they desire.

With this architecture for "Organic Competency Development" largely gutted - today's antics are its rational replacement.   The congregation unites behind the "Social Justice Meme" by which a central government that has sufficient resources (per its own reporting systems) to provide resources and services to the people IF a new political order is established - after a long battle against the Capitalistic and Racist Interests that stand opposed to change.  (Or at least this is the popular narrative.)

Unfortunately the real world and its economic, fiscal and "human resource development" challenges are far more complex than the indictment of "They hate our race and love their money more than they care anything about us".

My central argument, in staunch opposition to the creeping kudzu of the "Progressive Supremacist Multilateral Commission" is that they don't note to themselves their failure to deliver "social justice" within the confines of the expanded boundaries within the "fort" that encompasses their "Mission Accomplished Zones".   These are were the health care crisis is most acute.

The drive for "Nationalized Social Justice" is the tacit admission that such lofty, abstract goals can't be brought to fruition within the ranks of those who have to work THROUGH "The Least Of These".  Instead, upon tapping into the essence of Progressive Supremacy - they understand that progressivism is at its best when it makes EXTERNAL INDICTMENTS. 

The irony of this perpetual external struggle, that always scales up the hierarchy of the American government, is that its quest to obtain control over the COMMANDING HEIGHTS - the Federal Government is itself an entity that is funded by the very nuclear power plant that they hate the most PURE, UNADULTERATED CAPITALISM - and a fraudulent accounting scheme known as the Federal Reserve which creates 'Magic Money' out of thin air.

If one notes the arguments coming from Black Progressive Supremacist Intellectuals regarding health care it follows this framework:
  • Black people are the poorest Americans (due to discrimination) and we need health care
  • The racists in America, through the government have never provided Black people with health care as an expression of their contempt for Black people
  • Various efforts at health care reform have been attempted and thwarted over the years as capitalists seek to retain control over the status quo - Elite Whites on top, working Whites in the middle, people of color on the bottom
  • Barack Obama should be cheered because he is the first American President to break through this explicitly racist system that allows thousands of Black people to die each year.  The same people who stand opposed to "Obamacare" today are the same people who stood opposed to "Abolition of Slavery", "The End Of Segregated Schools" and "The War On Poverty"
They never seem to make note of the presence of the gap between the HOPES that were registered with Black people that successfully captured our VOTES as a benefit of having captured our "BLACK COMMUNITY DEVELOPMENT CONSCIOUSNESS" and the dispassionate accounting of what was actually received.  

Please understand - in their calculus those who "Hate Black People" and who resist change or expansion to a system that organizes wealth and privilege for themselves is  a WORSE VILLAIN than those who have a bucket placed underneath the Black community - which captures all of the drips of GRIEVANCES that ooze from our ceiling, having fully fused itself in the form of "The Black Agenda" but merely USING our people's inferior condition to fight against ITS OWN enemy.  

In the mind of this enemy (who holds the collection bucket) HIS ENEMY is not "RACIST" against Black people - he merely fails to see how to pick the harvest of the Negro for use in their long running gun battle.

For the Black community - the rational test of the presence of LOVE is for the collective to take an imaginary step away from their connection or repulsion of either of these two combatants and to begin to LOOK AT THEMSELVES.  

If someone LOVES YOU - they would be DEVELOPING YOU over time, in recognition of your status as an "Equal Human Being".

It is "sellout mentality" for me to expect that some time after "favorable people" are placed in our schools that THESE SCHOOLS will be the incubation centers through which future medical professionals are created, in line with the LONG UNRECOGNIZED NEEDS of the Black Community?

WORSE - is it wrong for ME to note that this take over has not only FAILED to produce the promised benefits, but as the "Eyes have been taken off of the Prize" - this self serving pile that produces steam - shows that it is only interested in the showcase of FACES IN LEADERSHIP  that look like the masses that provide a jobs program for adults but few points of excellence as expressed in the children?   

Does the fact that YOU are not PROTESTING THIS make ME wrong for calling out this organized fraud?  Nothing other than GROUP COMPLICITY is spiking such criticism.

Worse than the "Permanent Struggle" outward is the clear evidence that sound GOVERNANCE and MANAGEMENT institutions have never been built up.   It is more likely to have a house cleaning from a "Federal Corruption Probe" than we see the Black voters who are unhappy with the result - go beyond "Voting The Bums Out" but instead turning to each other as EQUAL ADULTS and developing a repetitive action plan that focuses not on getting the legislature to do the right thing but instead keys in on the PARENTS of each of these young  people - was they are our future and "Education Is The Great Equalizer".

Though the notion of "Blaming The Victim" still has sufficient legs to turn back most attempts at introspection - it is my opinion that the gravity of time will show that the natural demand for CONSUMPTION that exceeds the competency to fill up the reservoir will ultimately show that the "external struggle meme", while presently pleasing as it provides a purpose, was a longitudinal strategic mistake as it produces CONSUMERS rather than PRACTITIONERS - those who are more concerned with the governance of their own bodies more than concern about how the greater society, through government cares about their bodies as a matter of EQUALITY.


The History Of Blacks Access To Health Care As Freemen In America - A History Of Progression?

Unlike "Dr" Levy - I have no problem in being transparent about my bias as I enter into this set of research.
I know from living in metro Atlanta with its rich history that health care for Black people (along with schools) are a product of "The Church".     Not just the "Black Church" but Catholic Churches and other White Protestant churches saw the unaddressed needs in a relatively impoverished community and channeled money to assist BOTH in the "education of Black medical professionals" and the operation of segregated hospitals that attended to Black people.

Southwest Hospital dates its origin to 1943 when the Society of Catholic Medical Mission Sisters established the Catholic Colored Clinic in response to the lack of adequate medical care in southwest Atlanta, Georgia.

Southwest Hospital and Medical Center is a private, not for profit, healthcare organization located in southwest Atlanta, Georgia. It is a licensed 125-bed acute-care facility, accredited by the Joint Commission on Accreditation of Health care Organizations.[1] SWH's Medical Staff includes over 200 highly trained physicians specializing in many fields of medicine. The hospital and its physicians participate on numerous managed care and other health insurance plans throughout Metro Atlanta.
As one of six remaining African-American institutions (two for profit, four non-profit), Southwest Hospital and Medical Center strives to uphold the purpose for which it was founded.
The hospital closed January 16, 2009 due to credit market conditions.[

Constructive Feedback University's Framework For Transparent Measure Of "BLACK PROGRESS"
In the recent debates over "Access To Health Care" many have argued that a massive step forward has been achieved as the federal government now mandates that everyone carry health insurance.

From my vantage point the goal of the mandate is to increase the pool of money flowing into the "US Health Care System" as an off-set to the massive influx of some 50 Million newly insured people AND the increased amount of services that existing insured users will seek to recognize.

When looked at strictly from a CONSUMER perspective - I am neutral on this legislation.    The political battle that overlays everything in this nation merely distracts from the bottom line issues at hand.

My challenge to the assumptions about what the Black community actually received in this matter is two fold:

  1. With regard to the state of control that the Black community has presently over its own "Human Resource Development Institutions" (ie: the schools that should be matriculating health professionals and the community hospitals at which they practice) has there been sufficient progress, commensurate to this increase in control - in reference to the grand promise that was made as to our condition upon such taking?
  2. In gaining the right to stake a claim for access into the present system, after agreeing to make a (token) contribution to the system (which conservative critics should like) does this alter the bottom line question about the fiscal solvency of the US Health Care System and the associated Federal (and State) Deficits and tenuous fiscal state.
The key talking point driving this legislation has been "NO INDIVIDUAL AMERICAN SHOULD HAVE TO FILE FOR BANKRUPTCY AFTER RECEIVING HEALTH CARE".

This sounds like a lofty goal BUT the statement that is superior to this claim is:
"No NATION should go bankrupt attempting to distribute a resource to the masses while seeking to retain an artificially high STANDARD of care that summarily exhausts its financial resources, thus rendering everyone at a disadvantaged state". 

Where as I am critical of other Black people for being pacified with the "Massachusetts Miracle" (that wasn't)  I will seek to refrain from making this a "Europe Bashing" bit of research.  We all know (or at least some of us) that the various nations in Europe to which some people in America believe is a reference beacon to "Social Justice" are themselves teetering on a fiscal abyss, unable to afford their more expansive social safety net as they focused more on "Social Justice" than they did the back end net productivity that was required to feed the furnace.


For me, more important than the national fiscal "smoke and mirrors game" - (as it is true that the greatest amount of outright account fraud is conducted by the US Federal Government and its own monetary and fiscal policy)  is the question of the ALIGNMENT OF "HUMAN RESOURCE DEVELOPMENT INSTITUTIONS" with the "Civic Needs" of the (Black) Communities that they seek to service.


The truth is that many local hospitals have had to close over the past several decades due to crushing debt that exceeded their ability to continue operating, while providing a certain standard of care commensurate to this nation's expectations.   If these peripheral institutions could not manage to retain their fiscal balance individually - what exactly will be different once these places are brought back to life now that there is a FINANCIAL RESOURCE POOL that has been created by the fact that more people are made to fill up the pool?


The key concern is that this legislation also added more "patient rights" which will surely drain more resources from the pool (no discrimination against pre-conditions, on your parent's insurance rolls until age 26).   


In my first pass of research I conclude that the only way to more permanently address the demand for health (and dental) services in America - at an affordable price is to decentralize and distribute these services closer to the "edge", NOT to build up a massive state/commercial trust on health care.  The only thing that we have done is to build a larger reservoir to temporarily obfuscate the problem.   If the past is prologue - we will see a run up on the amount of diversion of resources from this resource pool as the patient/consumer demands more AND the medical service provider/technological innovator seeks to claim a larger share of this pool after submitting an invoice for "Services Rendered".


In as much as it is true that America's finances are a "Magic Set" with the "Federal Reserve" as the "Man Behind The Curtain" the ONLY question for Black America to ask itself is:



  • AFTER SECURING OUR FREEDOM AND TAKING CONTROL OVER AN INCREASING NUMBER OF "HUMAN RESOURCE DEVELOPMENT INSTITUTIONS"....................WHAT IS OUR PRESENT COMPETENCY IN LEVERAGING OUR 'HUMAN RESOURCES' TO CHURN OUT MORE 'PROFESSIONAL SERVICE PROVIDERS' AND TARGETED FINANCIAL RESOURCES - In A Manner That Is Functionally Distinct From THE STATE?
    • Not only will this be an important question as the need to isolate one's self from the massive economic correction for America (and the world) that is coming
    • The poor lowly individual in the BLACK DIASPORA is wondering when the "American Negro" will get beyond his CONSUMER CONSCIOUSNESS and begin focusing upon a system that can ultimately provide him some STRUCTURAL SUPPORT.

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