The history of "wealthy" Virginia Tidewater plantation owners who grew tobacco for a living is a brilliant life lesson in the politics of autonomy. For many years, Virginia tidewater planters grew tobacco on their large plantations as a status symbol in the early American culture. The plantation owners included George Washington and Thomas Jefferson. Planation owners were expected to loan money to their neighbors and townsfolk in a time where valued currency was hard to come by. Such loans existed on gentlemen's agreements and when a loan was called in, the owner apologized for such an imposition. The problem with the culture is that the plantation owners were really living stressed out lives of debt. They worked hard all year round: the planting, transplanting, topping, curating and prizing seasons dominated the local culture and dictated times of community gatherings. The fiction in it all was that the planters shipped off their hogsheads of tobacco to British merchants without any commercial say. The merchants determined the selling prices and shipped back ordered refined goods such as lace, silverware, and carriages. The balance sheet was always in the negative based on the merchants' control of the market pricing and amount of goods ordered to ship back. The plantation owners found themselves living off of credit due to the merchants. They lived extravagant lives of debt. Over time, they felt trapped and helpless. It is surprising that they allowed this to go on for so long. When Virginian Patrick Henry rang the call for independence, the plantation owners internalized their need for independence in not just political terms, but also self autonomy from merchants who controlled their destiny. George Washington rejected the lifestyle of debt early on and turned his tobacco plantations to wheat farms. Robert Byrd sold off his belongings in a lottery that failed at paying off his debts. Others had similar doomed destinies including suicide, and penniliess endings.
Today we see the same lack of commercial savvy and trust in our nation's healthcare. While Congress endlessly debates over health care coverage, providers are charging exorbitant fees for medical services putting countless Americans into bankruptcy without even a say as to the pricing of the medical services they received. This cannot go on too long before a movement in fueled barring Congressional action. Personal autonomy requires bargining in a commercial exchange. Whether it is the price for a shipment of goods or the cost of medical care, the consumer must have some say in cost for responsible choices to be made. Currently, a person may have a heart attack and is unconsciously transported to a facility where he or she cannot control unreasonable price gouging in the costs so effortlessly passed down to them. There are no bodies of independent regulation and appeal looking our for consumers in health costs. The closest thing is the government which goes after Medicare and Medicaid fraud. This does not help the American who is not on Medicaid or Medicare. How can a country be strong when so many of its voices have become helpless in bankruptcy courts? The free market requires give and take. No government should dictate pricing in a commercial economy, but guidelines, prosecution of reckless avarice and choices need to be available and practiced. We no longer answer helplessly to British merchants over the cost of our independent holdings, but we have traded this unconsciously for being hostages to our own healthcare prices. Healthcare has turned into the modern debtor's prison. It is crippling our people. It cannot stand for our America to be proud and strong.
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