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What Obama Can Learn From Europe

by: Steven Hill, t r u t h o u t | Perspective

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People are reflected in the mirrors of solar cell systems. President-elect Barack Obama could take a cue from Europe when it comes to energy, health care, and jump-starting the economy. (Photo: Mike Blake / Reuters)

    The inauguration of the 44th president of the United States is starting to look like the most spectacularly dramatic debut since the Beatles arrived in New York. Before too long, though, the buildup and the hype will be over, and it will be time for Team Obama to produce. Particularly when it comes to three of the president-elect's top priorities - energy and climate change, health care and jump-starting the economy - President Obama would do well to look toward Europe for guidance.

    Europe recently displayed its global leadership by enacting its 20-20-20 Plan: agreeing to cut human-produced carbon emissions that contribute to global warming by at least 20 percent by 2020. They will do this by ramping up renewable energy technologies to 20 percent of its energy usage, and by enacting the world's most ambitious carbon trading program.

    Displaying an important principle that will be crucial to any global climate agreement, the richest European nations agreed to contribute a greater share toward combating climate change than the poorer European nations.

    Importantly, Europe has not allowed the current economic crisis to thwart its drive. European Union Commission President Jose Manuel Barroso told the BBC, "The financial crisis is not an excuse, on the contrary; we can make it a win-win situation; we can create more green jobs; we can promote more investment in the low-carbon economy of the future." In a friendly challenge to the president-elect, Barroso said "Our message to our global partners is: 'Yes, you can' ... especially to our American partners."

    Similarly on health care, the Obama administration should learn from what has worked in Europe. European nations are rated by the World Health Organization as having the best health care systems in the world, spending on average far less than the United States for universal coverage and quality results. France has the top rated health care system, while the US is ranked 37th - just ahead of Cuba and Slovenia.

    Yet, contrary to stereotype, France, Germany, and other countries do not use government-run "socialized medicine." Unlike single-payer Britain or Sweden, they have figured out a third way, a hybrid with private insurance companies, short waiting lists for treatment and individual choice of doctors (most of whom are in private practice). And, it turns out, this third way is good for businesses because it doesn't expose them to the soaring health care costs that have plagued American businesses.

    This third way hybrid is based on the principle of "shared responsibility" between workers, employers and the government, all contributing their fair share to guarantee universal coverage. Participation for individuals is mandatory, not optional, just like it is mandatory to have a driver's license to drive an auto.

    These health care plans are similar to what Massachusetts recently enacted, but with two important differences. In France and Germany, the private insurance companies are nonprofits. Doctors, nurses and health care professionals are paid well, but you don't have corporate health care CEOs making hundreds of millions of dollars. Generally speaking, the profit motive has been wrung out of the system.

    The second key difference is in the area of cost controls. In France and Germany, fees for services are negotiated between representatives of the health care professions, the government, patient consumer representatives and the private nonprofit insurance companies. As in the American system for Medicare, together they establish a national agreement for treatment procedures, fee structures and rate ceilings that prevent health care costs from spiraling out of control.

    The Obama administration also could take notes from how the Europeans are jump-starting their economies. Europe sometimes is criticized for its lack of unity, but at times that multi-headed hydra affords certain advantages. Having so many powerful nation-states allows each nation to act as a laboratory for the others, learning from each other's successes and shortcomings.

    For example, during the massive financial meltdown in the fall of 2008, as markets reeled and the US announced a $700 billion bailout plan, each European country initially tried its own bailout formula. Within two weeks, the British strategy under Prime Minister Gordon Brown emerged as the most effective. The rest of Europe quickly adopted it, as did the US eventually since Treasurer Hank Paulson's plan had proven so ineffective.

    The European plan also includes stricter controls over the bailout money, equity in the banks and concessions from the bankers, all of which were lacking from the US bailout. And Europe already has enacted a fiscal stimulus worth hundreds of billions of dollars at the continental and national levels, while the US still awaits the Obama administration's plan.

    Europe's economic success speaks for itself. With a half billion people, Europe is the largest, wealthiest trading bloc in the world, producing nearly a third of the world's economy - as large as the US and China combined. While its critics have derided Europe as a land of "creeping socialism," in fact, Europe has more Fortune 500 companies than the US, China or Japan.

    Like the United States, Europe is fighting to pacify the rising economic floodwaters. But something about Europe and its "social capitalism" seems particularly well suited to this make-or-break century challenged by a worldwide economic slump, global warming and new geopolitical tensions. Team Obama would do well to take notes.

    -------

    Steven Hill is director of the Political Reform Program at the New America Foundation. His book, "Europe Rising," will be published by the University of California Press in 2009.

  

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Comments

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Aside from this speculation,

Aside from this speculation, I've lost an enormous amount of respect for Obama's leadership qualities in not calling for an immediate ceasefire and unimpeded humanitarian aid for babies, children and innocent civilians in Gaza.

Why is it that solutions to

Why is it that solutions to social conditions always involve convoluted formulas such as carbon trading when the real answer is for the high volume users back away from the table. Why should they be allowed to use more than their share. They live in lavish 2000+ sq. ft. houses loaded with energy sucking items, travel by car and airplane excessively and generally muck up the world. They have the power to stop the madness by curbing their behavior. Barack Obama can begin by retiring Air Force One and the fleet of limousines. GET REAL AMERICA.

"Social capitalism" has a

"Social capitalism" has a sweet ring to it. Except that "social debtism" is what it means. My friends in Europe report unbridled debt in some of the young, debt that is driving them crazy. They had no idea. Debt= servitude?

I have witnessed firsthand

I have witnessed firsthand the "capitalismism" of the French health care system. It means that all public institutions are allowed to decay so that , later, they can say "it no longer works" (even though it worked fine for decades). The French, under Sarkosy, are trying to dismantle the social safety net that is the backbone of Europe as the superior model. It breaks my heart. It is so very, very wrong.

Yours is a great article and

Yours is a great article and I wish it could be put to use. Unfortunately, we will need a lot of education before this can happen. In Western Pennsylvania, where the steel workers' labor unions were mercilessly crushed by Carnegie and Frick in the name of unfettered capitalism, the blue collar workers fear "socialism" like the devil. Any mention of looking to Europe as a successful model is seen as blasphemy and rewarded with "If you don't like it here, leave!"

I live in Sweden. The

I live in Sweden. The health-care system works fine, meaning that patients contribute small amounts to an annual maximum far below anything anyone in the US would have to pay for similar services. Of course America should look to Europe, study European health care systems and apply what can be applied. Michael Moore has the info, bring him into the picture. The main impediment is the archaic myth that the US is best in everything. This myth has been carefully cultivated by the media and by Hollywood. Looking at the USSR we used to call it brainwashing. US brainwashing has been infinitely more sophisticated and effective. I'm afraid Obama will do what he has basically been doing in other areas - work 'across the aisle', meaning he'll try to improve the existing system a little bit. That won't be good enough. The current system is exploitive, unfair and thoroughly ingrained. To change it, the American people will have to wake up from their long self-punitive trance. Peter Edler Stockholm

2000+ sq. ft. houses?

2000+ sq. ft. houses? Charles must live in a NYC crib, how about 8000+ normal in some places. This article is wrong. Gordon Brown's bail-out of the banks by investing in them has not helped, they are not lending and they are still failing. He couldn't save them anyway but still. This article is also wrong about Europe, I predict the euro will not last 2 more years, or at least half the countries will be booted out. The S. & E. member states are coming apart & they are way over their debt-to-GDP ceilings. Article badly overstates its case, Europe is looking at demographic and immigrant time-bombs, just like the US but worse. "There is smth about Europe partic well suited to this century.." hahaha, that presupposes writer already knows what surprises this century holds. Silly.

Living in Berlin Germany I

Living in Berlin Germany I sure appreciate the article. Responses here both to the financial crisis and also to the deepening recession can provide insights. While there is no "utopia" here, there is lots of practical work being done to transform economic activity to achieve a viable, sustainable future.

It's time for those steel

It's time for those steel workers to get a clue (which means stop watching Fixed News and listening to Rush Limbaugh and Sean Hannity, and start listening to Democracy Now and hear Naomi Klein whenever she's on the TV or radio) and realize that we have "disaster capitalism" now, in which profits are privatized, the rich get richer at the expense of the working middle and poor classes, and when there are losses, like the current situation,they are socialized, as with TARP, or giving contracts to private business to clean up disasters like Katrina. I'm all for businesses making money, but not at the expense of the taxpayer or worker, whether in rising prices, shoddy products, products made overseas instead of here in the USA, and in destroying unions or lowering pay and compensation. And if huge corporate business needs a taxpayer bailout to keep going, then We the Taxpaying American Public should be getting the profits that might come about later, like in higher social security payments, and expanded medicare for all Americans! We also need real competition in this country: why should Mobil Exxon and Texaco Chevron get all these tax breaks (oil depletion allowance), while the solar energy panel maker/installer gets no tax breaks at all worth mentioning! Perhaps all these mega-businesses should become "non profits" so that well-connected hacks like Dick Cheney and George W. Bush and their corporate buddies do not become multi-million dollar chief executive officers. This country was founded partly on the idea that there would be no nobility, no upper class aristocracy. Well, of course that was b.s. then, and it always has been, because there is an upper-class twit aristocracy and they (about 1 1/2% of the population) own about 95% of the wealth!

Provocative article with

Provocative article with some revealing statistics and sensible suggestions. The United States, like the rest of the world, should learn from best practices from around the globe. We can't be so super smug with 32 million illiterate American adults, 47 million Americans without health insurance, and countless collapsing bridges, roads, and leaky water pipes. It's time to be smarter, collect more information, and make wiser investments in our own citizens.

Perhaps, the best national

Perhaps, the best national health care model for the US, which has public and private components, in which consumers do not pay for office visits, a particularly vile practice in the US. More importantly, the administration costs of the system is about 6% because it is fully computerized. Obama should have a pipline to the Taiwan model as a Harvard professor was instrumental in its development and implementation.

But to take up this way of

But to take up this way of listening to Europe, the U.S. must get off its high horse of super-arrogance and begin to cooperate - and stop bombing - the rest of the world. As long as we spend over 70 % of our tax revenues on advanced weaponry, this sort of listening will never happen.