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 cruel and heartless and tears people apart, mentally, physically and socially. In order to survive, 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 social arrangement that propelled 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 the 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.
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.
In contrast, most health workers believe that people’s needs should come first – our patients’ needs and our own. That belief compels us to organize with other 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 Rosenthal 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. In his pamphlet, Rank and File Rebellion: The 1981 Ontario Hospital Strike, Ron 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 picketing outside the Toronto General Hospital on the first day of the strike.
Should society produce for profit or to meet human needs? 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.
The only enduring solution is for the working class to manage society so that health workers can manage the health system. Until then, the business/profit model will rule, regardless of the harm it does to us and our patients.
Our first step is to build fighting unions, not talk-shops that build careers for professional union bureaucrats. And we need to organize across unions, as a class, to fight for a sane society that puts people first. That is what real socialism is – billions of people working 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 my second book, SICK and SICKER: Essays on Class, Health and Health Care (2010).
My first book, POWER and Powerlessness (2006), integrated my experience as a physician with my experience as a socialist. However, there is a Grand Canyon between theory and practice.
Capitalism has shown how ruthless it can be in driving down living standards in order to enrich a few. Capitalists can keep doing this as long as they can prevent workers from knowing their real power, and by discrediting socialists who remind them of it.
In January, 2014, I launched ReMarx Publishing to fill a void among left-wing publishers. One can find many useful books about capitalism, socialism, and working-class history. However, many of them are long, academic, and difficult to read. There is a reason for that.
After the capitalist class began attacking the gains of the 1960s, many socialists sought refuge on university and college campuses. This strategy kept marxism alive, but the call to action got lost in the bottomless pit of academia.
As more people move into action against the system that oppresses them, they need shorter publications that are easy to read, get to the point, and offer some way forward.
No one can know the future; we can only choose what we do today. In a world where so much of our lives is controlled by others, we get only one real choice: to resign ourselves to the way things are, or to fight for a completely different society where we all contribute for the benefit of all.