The WHO’s War on Tobacco

January 29, 2013

Gillian Wong of the Associated Press wrote about a battle over tobacco heating up in China—pun intended. China also signed the global anti-tobacco treaty backed by the World Heath Organization (WHO) to cut tobacco use. In fact, WHO awarded China’s Health Minister Chen Zhu for his efforts to battle tobacco use.

However, in China, tobacco companies sponsor public schools.  Something similar happened in the US when Coke and Pepsi installed vending machines in the public schools where students could feed their sugar cravings and grow obese at the same time by drinking sodas.

In fact, at Nogales High School in La Puente, California where I taught for years, I was told one morning by the truck driver filling the vending machines in the halls that more than two-thousand cases of Coke were selling a week there.

I complained in writing, of course, but was told by a district administrator that the money made off all that teenage sugar consumption was more important (not in those exact words but that’s what he meant).

The school district made a nice profit from its share. Now, it seems selling sodas at school may be against the law.

Maybe the US was China’s role model, but the Chinese have gone one-step further by (according to Gillian Wong) taking elementary students on school sponsored tours of cigarette factories where the slogans say, “Talent stems from hard work, tobacco helps you become accomplished.”

Where’s Qin Shi Huangdi when China needs him most? After all, when the first emperor wanted to get something done, nothing stopped him. He unified China, finished building The Great Wall, mandated one written language and had the scholars who complained dig their own graves before setting them on fire and throwing dirt on the remains.

On the other hand, if China did nothing, the One-Child policy could be abolished to make up for deaths caused by tobacco use.

In fact, China should encourage smoking to reduce the population. Estimates say that one in three young men will die early from tobacco use. Within fifty years, China’s population problems would be solved while private companies make massive profits from smoke.

Did you know that the US State Department helped open China to US Tobacco products after the States in America took on the cigarette giants and beat them in courts hurting their profits? After all the smoke cleared in all those courts, big tobacco in the U.S. owed the states $206 billion, and those companies had to open new markets—China was the target.

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Lloyd Lofthouse is the award-winning author of The Concubine SagaWhen you love a Chinese woman, you marry her family and culture too. This is the love story Sir Robert Hart did not want the world to discover.

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Evil Tobacco

January 28, 2013

Cigarettes are evil.  The person smoking the cigarette may not be evil but the pain and suffering that cigarettes cause is. I watched a father-in-law, a neighbor, an aunt and my father die from the ravages of tobacco.

The last few years of my father’s life, he wore a breathing mask attached to a tank of oxygen.  His freedom was limited to the fifty-foot hose connected to that tank.

Margie Mason of the Associated Press wrote about smoking and listed some frightening statistics.

  • Thirty percent of the world’s smokers are in China.
  • In the next 15 years, an estimated 2 million will die from it.
  • The largest tobacco grower in the world is in China.
  • Heart disease, linked to smoking, is already killing a million a year.
  • China has more cases of diabetes than any country.

Dr. Judith Mackay said, “You have to price them (cigarettes) out of the hands and pockets and the mouths of children.”

Hong Kong may be showing the rest of the mainland how to cut back on tobacco use by putting high taxes on cigarettes as we have done in America. The Chinese government may be watching and hoping that this cycle of doom can be slowed.

Learn more from Smoking Gun

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Lloyd Lofthouse is the award-winning author of The Concubine SagaWhen you love a Chinese woman, you marry her family and culture too. This is the love story Sir Robert Hart did not want the world to discover.

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In healthcare, what comes first: the chicken or the egg? – Part 2/3

October 29, 2012

To compare universal health care in China to private sector health care, I’m going to use Wal-Mart as an example to explain why we cannot rely on the private sector when it comes to the importance of health care and the quality of life.

In the private sector in the US, Wal-Mart did not achieve success because a sorcerer waved a magic wand and “POOF” suddenly Wal-Mart is everywhere as if a light switch were turned on.  The first Wal-Mart store opened in July 1962. By 1967, there were 24 stores. Today, forty-five years later, Wal-Mart has 2.2 million employees/associates worldwide and serves 200 million customers each week at more than 10,000 stores in 27 countries.

But China’s challenge is to serve 1.3 billion Chinese compared to Wal-Mart providing health care for 2.2 million of its workers. There is a HUGE difference in the numbers and China  hasn’t had forty-five years to build the infrastructure of this new universal health care plan.

Of course, a China critic may point out Wal-Mart’s success because it was a private sector business but that same critic, out of ignorance or by design, will not mention what Christian Science Monitor.com says about Wal-Mart’s health care for its employees:

“In addition to stopping the retaliations and respecting workers’ right to free speech and assembly, OUR Wal-Mart members would like to see the retailer offer more dependable work schedules, affordable healthcare for full-time workers, and a living wage ($13 per hour minimum).

“Wal-Mart has been advertising that they are a family-oriented company. And if this is how family is treated, then I would rather not have a family at all,” says Ms. Cruz.”

In the private sector, the way corporations/businesses treat employees varies from company to company. There is no universal standard of treatment, and there never will be unless the private sector eventually is owned by one global corporation.

Business Insider.com shows how Wal-Mart treats its employees: “Wal-Mart Guts Its Employee Health Care Plan and Raises Premiums—Rates are expected to climb by more than 40 percent for some employees. Combined with high deductibles, employees are complaining that their health care will now eat up to 20 percent of their annual pay.”

Continued on October 30, 2012, In healthcare, what comes first: the chicken or the egg? – Part 3 or return to Part 1

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Lloyd Lofthouse is the award-winning author of The Concubine Saga. When you love a Chinese woman, you marry her family and culture too. This is the love story Sir Robert Hart did not want the world to discover.

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In healthcare, what comes first: the chicken or the egg? – Part 1/3

October 28, 2012

Following the same logic as the title of this post, we should also ask, “Does a country exits without its people—not just the wealthy one percent but everyone?”

Studies show that the Mayan civilization (2000 BC – 900 AD) all but vanished overnight because the people walked away into the rainforest and stopped cooperating with the system of government and business that existed.

For this reason alone, every government owes its citizens a form of universal health care to help improve the quality of life, because a government cannot exist with public support.

In fact, every government has a responsibility to its citizens and that goes beyond just maintaining laws, an education system, police, fire-fighting services and a military to defend the country.

The least we should expect from our government is a basic universal health care system that rewards contributing citizens that live healthy lifestyles with more coverage at a lower cost.

On the other hand, citizens that live unhealthy lifestyles should pay more for anything beyond basic health care. When I say basic health care, I mean an annual checkup and treatment for health challenges that are not related to poor lifestyle choices. I do not think that working taxpayers should pay for the health care of a person that made poor lifestyle choices.

However, most universal health care plans do just that–take care of all citizens regardless of individual lifestyle choices.

At the end of 2008, China’s government published its reform plan clarifying government’s responsibility by saying that it would play a dominant role in providing public health and basic medical service. It declared “Both central and local governments should increase health funding. The percentage of government’s input in total health expenditure should be increased gradually so that the financial burden of individuals can be reduced,” The plan listed public health, rural areas, city community health services and basic medical insurance as four key areas for government investment. It also promised to tighten government control over medical fees in public hospitals and to set up a “basic medicine system” to quell public complaints of rising drug costs.

The plan was passed by the Chinese Cabinet in January 2009. The long-awaited medical reform plan promised to spend 850 billion Yuan by 2011 to provide universal medical service and that measures would be taken to provide basic medical security to all Chinese

For China, I found this from CNN, “Where in the world can you get universal health care?” dated June 29, 2012:

China announced an overhaul of its health system in 2009 to bring safe, affordable basic health services to all residents — a tall order for a country containing 1.3 billion people.

The government committed about $126 billion to reform the quality and efficiency of its health care, and ensure affordable and quality medication.

But the issue of equity in health care persists. “There are still significant disparities in health status between regions, urban and rural areas, and among population groups,” according to the WHO.

China has seen increased life expectancy and reductions in infant deaths, but health observers stated in the WHO report the need to improve delivery of care. Source: cnn.com

CNN.com says that Obamacare in the US is NOT universal health care coverage and that nearly 50 countries out of almost 200 have attainted universal or near-universal health coverage by 2008.  China was on the list of eight countries mentioned as examples. They were: Brazil, where free health care coverage is recognized as a citizen’s right; Rwanda; Thailand; South Korea; Moldova; Kuwait; Chile, and China.

As far as I know, none of these countries have ever gone bankrupt or have come close to bankruptcy due to this socialist policy. However, they also do not have a history of fighting wars with other nations.

This report from PBS News Hour in April 2011 explains why and how China is dealing with universal health care system for 1.3 billion people. It talks about the pros and cons of establishing reforms in health care in China.

I wonder how long it will take for China to build the infrastructure and adjust for problems in this new system before it is more competent to handle the demand.

For PBS to report on this topic, they had to have approval from the CCP in Beijing. I’m sure that China’s critics will only focus on the problems without considering or mentioning that instant gratification is unrealistic and it takes time to build the infrastructure for a new system of any kind.

Continued on October 29, 2012, In healthcare, what comes first: the chicken or the egg? – Part 2

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Lloyd Lofthouse is the award-winning author of The Concubine Saga. When you love a Chinese woman, you marry her family and culture too. This is the love story Sir Robert Hart did not want the world to discover.

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Health Care during the Mao era

August 14, 2012

After the Chinese Communists (CCP) won the Civil war in 1949, health care improved in China. Prior to that, life expectancy for the average Chinese was thirty-five years. By Mao’s death in 1976, average life expectancy had increased by twenty years so the program worked.

In fact, the CCP was the first government in China’s history to set goals and plans to help its people living in poverty improve the quality of their lifestyles.  For example, soon after Mao Zedong’s healthcare speech in 1965, the concept of the barefoot doctor (with basic paramedical training) was developed. By 1968, the barefoot doctors program was a national policy.

The barefoot doctor program came to an end in 1981 with the end of the commune system of agricultural cooperatives. However, two-thirds of rural village doctors currently practicing in China were first trained as barefoot doctors

Under the barefot doctor program, there were three basic areas of medical care. Free substandard medical care was provided to the proletarian working class, meaning workers and peasants.

This program was the backbone of rural-health care in China, and anyone could become a barefoot doctor.

Mao told the people that if you wanted to be a doctor, you didn’t need to go to medical school. All you had to do was have the motivation to provide medical care to needy people and the government would support you and provide limited training.

The second class of medical care went to people like teachers, clerks and secretaries, ‘friends’ of the working class, the proletariat. The only difference was that the ‘friends’ had to pay to get medical treatment. It was possible to face financial ruin from one hospital stay.

The third class were considered enemies of the proletariat like former shop-owners, landlords and denounced intellectuals like liberal arts professors. These people were denied health care treatment altogether.

Then, between 1981 and 2003, the health care system in China was privatized, which meant people had to pay before treatment or no treatment. This changed in 2003, when the CCP launched a new cooperative medical system operated and funded by the government with copay of 10 Renminbi per year for each person covered by the program.

Discover China’s Urban Rural Divide

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Lloyd Lofthouse is the award-winning author of The Concubine Saga. When you love a Chinese woman, you marry her family and culture too. This is the love story Sir Robert Hart did not want the world to discover.

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Note: This revised and edited post first appeared February 27, 2010