A Travel Writer’s Editorial: America and the Threat of National Health Care

I’d like to take a short break from my reports in Iceland to discuss tomorrow’s launch of Obamacare.

The last wealthy nation in the First World without some kind of national health care is about to get a watered down version of what other nations just assume is the mark of a successful and developed society. And the vested interests — big medicine, insurance companies, and the politicians they employ — are screaming like mad and spending a fortune to stop it. Ads and campaigns of confusion are not directed at my state, but at poorer and less educated states where affordable health care is needed most and people are easiest to frighten and manipulate. (In my state, libraries can direct people to information to understand the new law. In many states, librarians are actually forbidden to provide this service.)

It’s amazing to me that in our great nation, about a fifth of the citizens are unable to afford health insurance, need to go to the emergency room for routine medical needs, and are terrorized by the specter of one serious accident or sickness wiping out their family financially. And, just as amazing, half of our country thinks that’s OK and is fighting mad about the possibility of change. Even more perplexing, many of the people who think this is the best America can afford are the very people who need help the most.

Someone recently asked me, “As a businessman and an employer, what do you think of Obamacare?” My response was that, as a businessman, I don’t think of it at all. I employ 80 people. I imagine my health-care costs might go up a bit. But this is a community issue. My response to Obamacare is as an American who wants to be proud of my country. It is an embarrassment that so many Americans are brutalized by health-care costs. Europeans and Canadians — who spend far less per person on health care, like their care, and have options for rich people to get all the private VIP service they like — marvel at how so much of America is hell-bent on maintaining our status quo.

We’re living through a tsunami of desperate media and political action to help us avoid relatively modest progress in national health care. Think of the toll Presidents Clinton took back in the 1990s and Obama is taking today by standing up to the torrent of media and political flack. Think of the patrons and allegiances of the politicians who fight against affordable health care. Follow the money. What motivates the talking heads, the commercial news services, and the politicians who are working overtime to convince us this is a bad thing? They are captives of the industries (who advertise and donate) that will take a hit when poor and struggling Americans have access to affordable health care.

Those opposed to Obamacare have a powerful and well-funded voice. I believe it’s the slickest marketing initiative money can buy. Those who need the Affordable Care Act don’t have these special interests speaking out in their favor. Study the issue carefully. Ask yourself what motivates the loudest voices pulling out all the stops to shape your opinion: compassion or greed?

The terror of a Centralsykhaus in America
The terror of a sentralsykehuset in America

Getting to Know the Family Is Easy in Iceland

Fewer than a million people have ever been born on Iceland. When you ask an Icelander how long their family has been here, most will say, “We came with the early settlers” — those mostly Norwegian adventurers who fled the old country for various reasons for this bleak and remote alternative. Consequently, the island has a unique genetic homogeneity that presents fascinating opportunities for science and medical experimentation.

Nearly the entire society (90 percent) has opted in to a genetic experiment giving a research company access to all medical records. In the name of medical progress, genes are isolated and everything is organized into a giant Icelandic database. There’s even an app for that. It lets Icelanders check into the national family tree and see how closely related they are to the person they’re buying a drink in the bar. My guide said, “Nearly everyone is related, and it’s nice to know just who you’re sleeping with. My wife and I have a common grandmother in the ninth generation.”

For me, with my Norwegian heritage, I felt surrounded by cousins:

p6-guide-rick-cousin

A Bit of Iceland’s History

Iceland was remote, backward, and poor until after World War II. Discovered accidentally by Vikings, thousands of settlers came here in the ninth and 10th centuries. The country, like America, was founded by freedom-loving people fleeing a harsh king and unfair taxes. Icelanders established a national parliament in 930 — considered the first of its kind. Shortly after that, while under extreme pressure from the Norwegian king, Iceland converted to Christianity — so they’ve been church-goers for a thousand years.

Rather than wars, Icelanders weathered centuries of volcanic eruptions and harsh winters. A big census in the 1700s counted 38,000 souls…nearly all of them related to early Norwegian settlers. When tough times hit, Icelanders — like so many Europeans — packed up and moved to the “New Land” of America. Nearly a quarter of the population emigrated to Canada and the USA in the late 19th century. By World War I, there were more Icelanders in America than at home.

During World War II the Allies needed a mid-Atlantic military base, and suddenly the world took note of little Iceland. A humble land of 60,000 people living mostly in turf huts before the war, Iceland boomed in the postwar years. The focus changed from Scandinavia to Britain and the USA, and eventually English rather than Danish became the second language (Iceland was part of the Kingdom of Denmark from 1814 to 1918). And with relative prosperity (and aid from the Marshall Plan) came modern building techniques. Readily available materials shape the architecture of any region. Immediately after World War II there were lots of military surplus structures. Where there are no trees there is lots of sand — so with the arrival of the first local cement factory in 1952 and cheap concrete, buildings began looking like what we’d expect.

Iceland’s heritage is Viking, Norwegian, and Lutheran. Standing tall and proud, like the adjacent Lutheran church, is a statue of one-time resident Leif Ericson — erected in 1930 to commemorate the 1,000th birthday of Iceland’s parliament. As part of the celebration, the United States acknowledged that Ericson (not Columbus) was the first European to reach the New World.
Iceland’s heritage is Viking, Norwegian, and Lutheran. Standing tall and proud, like the adjacent Lutheran church, is a statue of one-time resident Leif Ericson — erected in 1930 to commemorate the 1,000th birthday of Iceland’s parliament. As part of the celebration, the United States acknowledged that Ericson (not Columbus) was the first European to reach the New World.
Icelanders are not proud of their humble past. Since people lived fairly primitively well into the 20th century, homes and churches were torn down with no regard for heritage and historic value, and today almost nothing old survives. Thankfully, the national museum in Reykjavik has a wonderful collection representing traditional Icelandic folk life and art.
Icelanders are not proud of their humble past. Since people lived fairly primitively well into the 20th century, homes and churches were torn down with no regard for heritage and historic value, and today almost nothing old survives. Thankfully, the national museum in Reykjavik has a wonderful collection representing traditional Icelandic folk life and art.
While Iceland’s magnificent nature is clearly impervious to any economic collapse, this rainbow over Thor’s Woods seems to herald a promising future. Of all the European countries in economic crisis, Iceland had the biggest crash. In 2006 NATO pulled out. Suddenly 7,000 US troops were gone and, with them, much of the economy. Then, in 2008, Iceland’s banking industry collapsed. With it fell the local currency, the construction industry, and the nation’s confidence in its economy. Immigrants, imported by the formerly wealthy little country to do its dirty work, mostly returned home — leaving Icelanders to take out their own garbage and wash their own dishes. With so much going down, the cost of living went up. Thankfully, in the past couple of years, Iceland has made a remarkable recovery and visitors will hardly notice the scars left by the recent economic implosion.
While Iceland’s magnificent nature is clearly impervious to any economic collapse, this rainbow over Thor’s Woods seems to herald a promising future. Of all the European countries in economic crisis, Iceland had the biggest crash. In 2006 NATO pulled out. Suddenly 7,000 US troops were gone and, with them, much of the economy. Then, in 2008, Iceland’s banking industry collapsed. With it fell the local currency, the construction industry, and the nation’s confidence in its economy. Immigrants, imported by the formerly wealthy little country to do its dirty work, mostly returned home — leaving Icelanders to take out their own garbage and wash their own dishes. With so much going down, the cost of living went up. Thankfully, in the past couple of years, Iceland has made a remarkable recovery and visitors will hardly notice the scars left by the recent economic implosion.

Reykjavik Lifestyle — Little Insights

As this was my first time in Iceland, I enjoyed a burst of first impressions. It’s a rainy land with plenty of moss and green scrub covering black volcanic lava flows. And it has almost no trees. Even when the first settlers came, it was a land nearly without trees. Today about 1 percent of Iceland is forested, and much of that includes trees used to landscape towns. Sparsely populated and geographically isolated, Iceland has a rich folklore along with a passion for nature — and a strong connection between its heritage and nature. It seems every rock has a thousand-year-old name and a legend to go along with it. There’s no escaping nature here, and that’s turned into a plus. Trendy restaurants are enthusiastically organic — literally wallpapered with fish skin and serving gourmet delights on slabs of rock and rustic little planks.

Reykjavik’s Lutheran church, Hallgrímskirkja, seems to fit the terrain. Rocketing organically out of the landscape, it’s the leading church in a society that is very close to nature.
Reykjavik’s Lutheran church, Hallgrímskirkja, seems to fit the terrain. Rocketing organically out of the landscape, it’s the leading church in a society that is very close to nature.

And local pride is actually a psychological condition. Social scientists note that people who live on little, remote islands often have an inferiority complex and brag about whatever they can. It’s called the “Small Island Syndrome” and it actually makes visiting Iceland more fun. Little things are big here. Icelanders of note who live abroad are almost revered here. The place where Bill Clinton ate an Icelandic hot dog is practically a historical monument.

Tourism is important and, as you don’t just casually drop by Iceland, marketing is critical. A challenge for the tourist board is that outsiders can’t remember or even pronounce anything on the map beyond the capital city. We all know Reykjavik — which is abbreviated Rvk — but few can pronounce the name of the infamous volcano, Eyjafjallajökull, which stopped so much trans-Atlantic air travel in 2010. For convenience, it’s referred to by its first letter and the number of letters that follow: E15. The town of Vik, while of no interest to tourists, is the second most famous place in the country — simply because foreigners (that’s everyone but a third of a million people on this planet) can remember it and spell it.

A new visitor is struck by the brilliant light. Especially near the harbor, with the sun low in the sky, the colors are warm and rich. Iceland is a photographer’s delight.
A new visitor is struck by the brilliant light. Especially near the harbor, with the sun low in the sky, the colors are warm and rich. Iceland is a photographer’s delight.
While many residents still consider the notorious local dish known as “rotten shark” a delicacy (they munch tiny bits of fermented shark and down it with the local firewater), the new cuisine is trendy, enticing, and tasty. Thanks to local expertise in greenhouse agriculture, plenty of excellent fruit and vegetables are available.
While many residents still consider the notorious local dish known as “rotten shark” a delicacy (they munch tiny bits of fermented shark and down it with the local firewater), the new cuisine is trendy, enticing, and tasty. Thanks to local expertise in greenhouse agriculture, plenty of excellent fruit and vegetables are available.

Whether or not you can remember any names on the map, Iceland is an easy and rewarding place in which to travel. Icelandair has good fares in general and makes stopovers almost free. Since the economic crisis of 2008-2011, the value of the Icelandic crown has dropped by half. While prices have risen on imported goods correspondingly, the cost of living and visiting here, while still expensive, is about on par with Denmark — and much lower than in Norway. There are plenty of guesthouses, hostels, and fun, affordable eateries. Tourist activities and services (like bike tours and cheap shuttle buses from the airport) are competitively priced. All you need is a passport and proficiency in the English language.

Scenes from Reykjavik

The skyline of Reykjavik — as seen from approaching ships — is dominated by its sleek and towering Lutheran church, Hallgrímskirkja:

p1-rvk-from-water

Over half of all Icelanders live in or near Reykjavik. Since there are only 320,000 people on the island, it remains a small and easy-to-manage capital city. Reykjavik faces a century-old, workaday harborfront with busy dry docks and a hardy fishing fleet. Cruising is on the rise here and a new harbor just outside of town hosts about 80 ships a year. A big topic of discussion locally is how enthusiastically the cruise industry should be encouraged.

The view from my hotel window was of this busy fishing harbor and hardworking ships being dragged in and out of the hardworking dry docks:

p4-harbor-dry-dock

As in great cities all over Europe, harborfronts are transitioning from a purely industrial zone to a more people-friendly zone. Given Iceland’s humble economy and recent economic crash, the vision is measured.

The big news is Reykjavik’s dazzling new Harpa Concert Hall and Conference Center. The word Harpa has two meanings: the stringed musical instrument, and (from the Old Norse calendar) the spring season, a time of rebirth. It was a much-needed addition to the city’s cultural infrastructure. Until 2011, the national symphony performed in a movie theater. The center was originally the vision of a local banking tycoon and it was intended for what some considered “elitist activities” — the opera and symphony. But he went bust during the economic crisis and the state and city took it over. Now it’s an 1,800-seat cultural palace with a mandate to bring diverse and affordable arts and culture to the populace. But, as happens with farsighted investments in culture and a nation’s heritage all over the world, this hall still draws complaints. Old-timers grouse that for the cost of that fancy building they could have bought 30 big fishing trawlers.

p2-Harpa