North Korean prison camp survivor
Seoul, South Korea
June 21, 2002
"I was a normal gullible North Korean citizen, loyal to Leader and Party, and believed that North Korea was a people's paradise. I was the Director of the Government Supply Office for party cadres for 14 years when I was arrested in 1984 under the false charge of embezzlement of state property. I was subjected to severe torture during a 14 month preliminary investigation until I was forced to admit to the false charges against her. Eventually, I received a term of 13 years in prison at a kangaroo court. I had served 5 years and two months in prison when I was released in 1992 under a surprise amnesty.
During the first six months in the prison, I had worked briefly at all of the factories in the prison before I was finally assigned accounting work due to my background as an accountant. My routine responsibilities included updating prisoners' list by deleting the dead from it and adding new arrivals to it, allocation of meals and work quotas, updating work accomplished, collecting daily work reports, carrying new work instructions to all work sites, and so on.
Thus, I had access to records of numbers of inmates and production plans, etc., and was privileged to daily visit all factories in the prison in both men's and women's sectors. I survived her over five years of ordeal because of the opportunity to walk to all the work sites every day which other prisoners could not and because I had relatively easy work in an office as an accountant with the prison officials.
I surrendered to South Korea in December 1995 with my son Dong chul Choi. I published a book, The Bright Eyes of the Tailless Beasts in Seoul in December 1996 to inform the world of these crimes against humanity by the North Korean government. With the help of a volunteer art student, I has produced the following illustrations to show the world the reality of the North Korean crimes against humanity.
In addition to the detention settlements for political prisoners, there are two or three secret political prisons. Prisoners accused of violating policies of the party are imprisoned here through kangaroo court. I was a prisoner at one of these political prisons.
I recollect life in the North Korean prison:
"A prisoner has no right to talk, laugh, sing or look in a mirror. Prisoners must kneel down on the ground and keep their heads down deeply whenever called by a guard, they can say nothing except to answer questions asked. Women prisoners' babies are killed on delivery. Prisoners have to work as slaves for 18 hours daily. Repeated failure to meet the work quotas means a week's time in a punishment cell. A prisoner must give up her human worth. When I was released, some 6,000 prisoners, both men and women, were crying and pleading with me in their hearts to let the outside world know of their suffering. How can I ever forget their eyes, the eyes of the tailless beasts?"
After release, I could have lived peacefully in North Korea and enjoyed my previous status as a senior party member because people all knew that I was innocent. However, I decided to risk my own life to inform the world of the Kim Jung II's crimes against humanity. I testifies that most of the 6,000 prisoners who were there when I arrived in 1987 had quietly perished under the harsh prison conditions by the time I was released in 1992. This shows that about 1,000 prisoners died each year and a fresh supply of new prisoners was obtained each year in order to meet the production quotas! I recalls that I was the only prisoner released during the term of my imprisonment. The only exception I can recall is a group of some 250 prisoners, Koreans from Japan. They had arrived there from Yodok detention settlement, I was told, several months before my arrival. On the day of the 30th anniversary of the signing of agreement between North Korea and Japan for returning Korean residents from Japan to North Korea (shortly after her arrival at the prison), they were sent to an unknown location.
North Korean Kangaroo Court
The preliminary trial was for 10:00 am at my former office, where I worked for 17 years as a loyal party member. I asked for my husband before entering the court. "Your husband is not here. Don't ever try to meet anybody else, understand?" was the reply. Don't I even get to see my husband on the day of my trial?
I met my lawyer for the first time in the courtroom. The court consisted of a judge, prosecutor, lawyer and a two member "jury." My interrogator was there also. The judge made a few remarks about the charges against me and asked me if I accepted the charge.
I had promised the interrogators earlier that I would accept the charge, but I simply could not control myself at that moment. "Your Honor, I have neither embezzled government property nor violated any of the party policy. Never, never! I am innocent. Please allow me a fair investigation." The two guards at my sides shouted, "You must be crazy!" and started to kick me in the knees. At that moment, the judge declared the preliminary trial closed. The trial lasted less than 15 minutes!
It was very cold on November 9, 1987, my trial day. In the morning, the interrogators repeated their warning, "You better be careful what you say in court or your husband and son will be in serious trouble. Remember that!" (I did not know that my husband, in fact, had already been exiled internally!) However, I was firmly determined to do what I could to prove my innocence to the party officials and my husband. I was still so naive and excited by the idea of meeting my husband and telling him loudly, in the court room, all about my sufferings.
After the preliminary trial which lasted less than 15 minutes, I was detained at the police cell for the formal trial until five o'clock in the afternoon. I was given no water and food. The interrogators persistently harassed me with the same threat, "What about your husband and son? If you accept the charge in court, they will be safe. Otherwise, you know what's going to happen to them."
At court in the afternoon, I had to say yes when the judge asked me, "Do you accept the charges against you?" There was no evidence produced nor any witnesses against me. The judge made no reference to the absence of evidence and witnesses and committed me to a 13 year imprisonment in violation of the government commercial policy and state property embezzlement. The lawyer remained silent throughout the entire court proceeding. The mere formality to send me to prison was thus over under the pretext of a trial.
Underground Emergency Execution Chamber
Near the prison gate, there is a huge iron gate that leads to the underground tunnels. Guards often remind the prisoners that their lives are considered disposable and that they can be collectively annihilated at any time in the underground tunnels. The tunnels, of course, can be blasted at any time, leaving no traces of massacre. It is said that the underground space is so large that it can accommodate several thousand prisoners at one time. The male prisoners' sector has a huge underground factory for the production of ammunition and weapons. I have never been to the underground weapon factory myself but I have frequently heard prison officials talking about it. I do not know whether the underground tunnels in the women's sector are connected to the men's underground factory.
I often saw fumes coming from a distant chimney atop a nearby hill. I was told that the chimney is one of the ventilators of the underground tunnels.
Meals for Prisoners
100 grams of broken corn, full meal
80 grams of broken corn, reduced for punishment
60 grams of broken corn, reduced for punishment
Prisoners' Sleeping Conditions
Some eighty to ninety prisoners sleep in a flea infested chamber about six meters long by five meters wide (about 19 feet by 16 feet). Some eighty percent of the prisoners are housewives. The prison chamber is so congested that sleeping there is itself a torture. Prisoners sleep on the floor, squeezed together, head and feet alternating. So, prisoners sleep with the stinking feet of other prisoners right under their nose. They roll up their clothes for pillows.
During the winter, prisoners share body heat against the cold wind coming under the floor. However, during the summer, it is so stuffy with the sweat and stink of the prisoners that they prefer sleeping at the work site even though it means more work.
Two prisoners must stand on night duty for one hour shifts. The following morning, prisoners on night duty must report to the prison authorities all the details of their duty including the sleep talking of other prisoners. They get their duty hour extended if caught sleeping.
Evening Roll Call
The prisoners are divided into units and teams and must always act collectively by group under the slogan, "All Actions by Unit and Team!" Prisoners get up, line up for roll call, proceed to work, take meals, go to the toilet, finish work and go to bed collectively and at the mercy of the prison authorities.
At the end of the day's grueling work, the prisoners are so tired and exhausted that many of them experience physical problems returning to the prison chamber promptly. This means that the other prisoners in the same unit have to wait and sleep less. Every night, it is a hellish experience that lasts for an hour or even longer: the calling of prisoners for others, or repeated roll calls, and prisoners desperate to go to sleep as soon as possible.
The Kaechon Women's Prison comprises the following eleven work units: miscellaneous factory, export factory, shoe making factory, leather/rubber factory, clothing factory, fabric cutting factory, work preparation unit, maintenance unit, drop out punishment unit, farm unit and kitchen unit.
The prisoners must always keep their heads down at work and avoid other movement unnecessary for work. More than half of the female prisoners have lumps on their head or shoulders and are hunchbacks or crippled. Most female prisoners working in the shoe factory are baldheaded.
The entire unit is responsible for the mistakes of any one prisoner in the team. As a result, newcomers are not welcome because the entire unit will have to work more and go to bed later because of the newcomer's failure to move and work fast enough.
Prisoners and Prison Guards
At all the factories, there are glass boxes for prison guards to sit in while supervising prisoners at work. The glass walls enable them to watch the prisoners at work while avoiding their terrible stench. In addition, the prison guards always wear masks and keep some distance from the prisoners because of the bad smell.
As standard practice, a prisoner must run to the official and sit down on her knees with her head down whenever she is called. The prisoner can only answer the questions asked and cannot say anything else. Prisoners are very often kicked in the face or breast for slow answers or movement. The prisoners are severely punished for raising their heads or stretching their bodies.
Punishment Cells, Chambers of Death
The punishment cell is one of the most dreaded punishments for all prisoners. The cells are usually 60 cm wide and 110 cm high. Therefore, the prisoners have no room to stand up, stretch their legs or lie down. They cannot even lean against the walls because they are too jagged. There are twenty such cells for female prisoners and 58 cells for male prisoners. They are usually detained for seven to ten days as punishment for certain offenses, such as leaving an oily mark on clothes, failing to memorize the president's New Year message or repeated failure to meet work quotas.
When the prisoners are released from the cells, their legs are badly bent, with frostbite in the winter, and so they can hardly walk. Many victims are permanently crippled from the lack of adequate exercise and eventually died as a result of the work resumed immediately after the release. The prisoners call the punishment cell "Chilsong Chamber," meaning a black angel's chamber of death.
In November 1989, I was detained in the punishment cell for a week for attempting to cover up a faulty piece of shirt made by a 20 yearold girl. The young girl was sent to the torture chamber and never seen again. Among other things, the freezing cold wind from the toilet hole made the experience extremely painful. During the summer, the prisoners struggle to brush thousands of maggots back into the toilet hole.
After being released, I had problems walking for 15 days but I was able to recover because my job gave me the needed opportunity to walk to all corners of the prison with work instructions.
They say it is a day of great fortune if a prisoner finds a rat creeping up from the bottom of the toilet hole. The prisoners catch it with their bare hands and devour it raw, as rats are the only source of meat in the prison. They say the wonderful taste of a raw rat is unforgettable. If they are caught eating a rat, however, the punishment is extended. So they have to be very careful when catching and eating a rat.
Prisoners Can Use Communal Toilets Only Twice a Day
There is one collective toilet, one meter wide and two meters long, for every 300 prisoners. Five or six prisoners use the toilet together at the same time. The first group leaves work for the toilet with a wooden pass. Then, they return to work with the pass. The next group is then allowed to visit the toilet collectively with the pass. In this way, the prisoners use the toilet only twice a day in group shifts, not when they need to. The prisoners squat on a slope and evacuate onto a sloped floor. There is only one hole at the end of the toilet.
Please note the toilet duty prisoner holding a wooden pass in the above drawing. The prisoner on toilet duty must stay inside the toilet for 17 18 hours a day. They are normally old and crippled women who are not fit to work. They look horrible with faces swollen and yellow from the stench. Some prisoners prefer the job because of the guarantee of a full ration meal, but they normally die within a year.
Prisoners Die After Spending Time in Punishment Cell
Hun sik Kim was the principal of Pyongyang Light Engineering College. She was sentenced to a 5 year imprisonment for suggesting to the City Education Board that her students' labor responsibility be reduced so that they could spend more time studying.
In prison, she was assigned the work of measuring fabric to produce jackets, which were to be given as gifts to workers outside by the President on his birthday. One time, she miscalculated the imported nylon fabric but immediately corrected the error and no fabric was wasted. However, she was detained in the punishment cell for ten days for "attempting sabotage." She was crippled and partly paralyzed when she was released from the punishment cell. On a very hot summer day in August, the camp doctors burned her bottom with heated stones to see if she could feel pain. Just before she died a few weeks later, she whispered to me, with a twittered tongue and tears in her eyes, "I want to see the blue sky. You know my children are waiting for me."
When she was released from the punishment cell, she needed two prisoners to help her walk to the work site and back. The camp officials claimed that she was feigning injury, and yelled,
"You bitch! Who do you think you are fooling?"
She was kicked around like a soccer ball by the guards but withstood the insults and beatings for about a month. She suffered injuries all over her body while pulling herself up. The sores began to badly suppurate from the infections. She often fainted. She was sent to the sick room but she had to continue her work in the sick room. I was in the same room because I was a paratyphoid patient. One day in August, the camp doctors burned her with heated stones to see if she could feel pain. I could smell flesh burning, and felt like vomiting and fainting. I remembered what the camp official told me when I first arrived at the camp, "You must give up all your rights as a human!" She never felt any pain when her flesh was burning.
From that day on, she could not control urination and evacuation. I was suffering from a high fever myself but tried my best to caress her burnt wounds with the dirty cloth the doctors gave me. She said to me, with a twittered tongue and tears in her eyes,
"I want to see the blue sky. You know my children are waiting for me."
The next few days, I felt very sick and was unconscious myself, so nobody looked after her as she kept moaning.
A few days later, I came to myself, crawled to her and removed the cloth from her wound. I was shocked to see the wound full of maggots! She died that night. I shouted to a guard through the small door hole,
"Sir, somebody died here."
The reply was,
"So what? You bitch! Don't panic. Wait until morning!"
I found the floor full of maggots the following morning. I had to brush the floor with my bare hands and pick up the maggots into a vinyl bag. I told myself, "You must not die like this. You must survive and tell the whole world about it."
Patients Left to Die under Quarantine
I was sequestered in a patient room and left there to die twice, in 1989 and 1992. Paratyphoid spread among the prisoners in May 1989. Many prisoners complained of pain in the abdomen and high fever before fainting. The prison doctor ordered them quarantined in a small room. Some fifty patients were put into a tiny room, so small that patients were placed on top of one another. Those who were conscious reached out their hands for help; those who were unconscious simply remained underneath and died.
Yong hi, a 19 year old girl, was brought to the prison with her mother. She called her mom in a feeble voice for an apple and a little water before she died under the other patients. Her mother was working at the miscellaneous factory and did not know that her daughter perished there.
One day, I woke up to hear the voice of Shin ok Kim, the prisoner/nurse. "How is it that you are still alive? Everybody else died. Get out from there." I was among the few lucky patients who survived the ordeal. When I somehow recovered from the disease, I was sent to report to the medical room. On this occasion, I witnessed the killing of babies in the medical room.
So Much Punishment and Loss of Life to Meet Export Deadline
To meet the deadlines for export, the prisoners often worked until one o'clock in the morning or, for many months, the prisoners slept two to four hours at the work site. They ate, worked and slept in the same place. The standard export items all year around were clothing and different kinds of brushes. They were for markets in Europe, Japan and Hong Kong.
On an ad hoc basis, prisoners produced rose decorations of various colors, each prisoner producing 60 pieces an hour or 1,000 pieces a day, for export to France (September 1990 to February, 1991). They produced some 900,000 pieces of brassieres for export to Russia for $2 a piece (May to November 1988), and countless pieces of sweaters to Japan (February to August, 1991).
There were big water pans for the prisoners to wash their hands clean frequently. Each prisoner was given a piece of white cloth to cover their dirty laps and keep the products clean. The finished products were beautifully packed and shipped for export.
The prisoners often fall asleep while working and wake up when their fingers are injured by the sewing machine. They apply sewing machine oil on the wound and continue to work. They have to hide their bleeding fingers for fear of punishment for sleeping. So much punishment and loss of life for the sake of meeting the export deadline! I was informed that the foreign exchange earned was spent to supply imported television sets and refrigerators for the security and police officers.
Dead Prisoners Buried under Fruit trees
Many prisoners died from hard work, poor treatment, and beatings. The dead bodies were often buried under the fruit trees in the prison orchard. The fruits (apples, pears, peaches, and plums) from the Kaechon orchard have earned a reputation for their large size and sweet taste. They are reserved for senior party and police officials.
On one occasion, 150 corpses were rolled up in straw mats and buried under the fruit trees. The families were never informed and the bodies can no longer be identified.
I remember some of the victims who disappeared under the trees. Kwang ok Cho, a 62 year old housewife from Shinuiju city, who was arrested for trying to obtain a blanket in the black market for her daughter's wedding gift; In suk Kim, a middle aged housewife whose husband died in a mine accident and who often cried out in her dreams the names of her three children left behind at home; Dok sun Kim, a middle aged housewife from Chongjin city who was terribly worried about her old parents; Sa won Kim, a housewife from Kosong kun, whose handicapped husband badly needed her; Jong shim Lee, a 19 year old girl. Once, a group of dead prisoners were buried collectively at a location near the chestnut forest outside the prison.
One winter night in 1987 when I was under investigation at the Chongjin Police Station, the interrogator yelled, "Bitch! You've been spoiled by the warmth in the interrogation room. I'm gonna teach you a lesson!" He made me sit outside wearing my underclothes only. It was freezing cold outside. I was showered with a bucket of cold water and left on my knees for an hour. It was here where I saw other prisoners for the first time. There were some ten prisoners on their knees before me on the ground looking like grotesque boulders. The freezing torture was repeated every night throughout the winter. Six prisoners died from this torture.
There were some ten prisoners on their knees before me on the ground. I was told to sit in the front. I walked through the other prisoners to the front. It was so cold that the guard went right back into the office. I heard a low voice, "Hey, Comrade Soon ok, it's me here!" It was Younghwan Choi, the Supply Manager of Hweryung District! Soon, I was able to recognize the familiar faces of five former colleagues. They had all been arrested under the same false charges that I was. They all realized that if they died from the torture, they would be perishing under false charges. So they all displayed strong will power to overcome the torture and survive.
However, I witnessed a total of 6 prisoners die from this freezing torture during the winter. The cold was very painful on my hands, legs and ears for the first 20 to 30 minutes. But after that, I felt nothing at all. When we were told after one hour to get up, we were literally frozen and could not stand up. We all fell several times before we somehow managed to rise and stumble back into our cold cells.
Soon, I had large swollen ears. My feet were so swollen that I could not put on my shoes. Water was running from the sores in my swollen legs. When I finally left the interrogation center and arrived at the prison, a prison official told me to apply pine resin from the shoe making factory. The resin melted all my flesh and I could see some of the bones in my feet. However, because of the resin, fresh flesh began to cover the bones and, after six months, I had normal feet again. I cannot remember when my swollen ears recovered.
One day in early March 1997, I was taken into a torture chamber that I had never been in before. I saw a big kettle on a small table and a low wooden table with straps, about 20 centimeters high. By surprise, one of the two interrogators tripped me with his leg. They strapped me on to the table and forced the kettle spout into my mouth. The spout was made so that it forced my throat wide open and I could not control the water running into my body. Close to suffocation, I had to breathe through my nose. My mouth was full of water and it overflowed from my nose. As I began to faint from the pain and suffocation, I could not see anything but felt sort of afloat in the air. I had been through all kinds of torture, such as whippings, beatings with rubber bands or hard sticks, or hand twisting with wooden sticks between my ten fingers, but this was worse.
I do not remember how long it lasted but when I woke up I felt two interrogators jumping on a board which was laid on my swollen stomach to force water back out of my body. I suddenly vomited and kept vomiting with terrible pain.
I had no idea how much water ran into my body but I felt like the cells in my body were full of water and water was running out of my body through my mouth, nose, anus and vagina.
I faintly heard somebody saying, "Why doesn't this bitch wake up. Did she die?" I could not get up so I was dragged to my cell that day. From that day on, I suffered from high fever and often fainted. My whole body was so swollen that I could not open my eyes. I could only urinate a few drops of milk like liquid with blood and felt a severe pain in my bladder. I was able to get up and walk again in about two week's time.
I can not explain how I could have survived such an ordeal. I would have died if that had happened to me in my ordinary life. I must have developed a mysterious super power to sustain myself under an emergency situation.
School Principal, a Torture Victim
In 1987, a school principal in Chongjin city found two female teachers murdered the previous night in the night duty chamber of the school. He immediately reported the murders to the police. When the police made little progress in the investigation, they arrested him for murder. He was subject to all kinds of severe torture for two years and forced into confessing the murder.
When I saw him in the police jail, both his ears were gone with only ear holes in their place. I have no idea how it happened but his fingers were cut short and clustered together. He was badly crippled, one leg shorter than the other, and unable to walk. His mouth was slanted and he could not control his lips, which made it very difficult to understand what he said. He was a tall and handsome person before he was arrested but became as short as a ten year old boy in the two years in the police jail.
He was the principal of Subok Girls' high school in Chongjin City, North Hamkyong Province. He devoted his entire life to education as a career teacher.
He pleaded innocent throughout the severe tortures. Two years later, two criminals were arrested for robbery and confessed that they had snuck into the school to steal an organ, found two women teachers, and murdered them after an unsuccessful attempt at rape.
Nobody was punished or held responsible for arresting the wrong person. There was no apology. Rather, the provincial police forced him to sign a statement that he would never disclose that he had been tortured. He was completely disabled and received no compensation. He died shortly after his release.
This incident shows how incompetent the normal North Korean police investigators are and, as a result, how they commonly torture innocent victims to extract false confessions.
Prisoners Beaten Cruelly
One common form of torture was to tie a prisoner against iron bars, spread eagle by hands and legs and beat him all over the body with a rubber or cow skin whip. Just the pain from hanging by your body weight makes the ordeal unbearable. From the beatings, the skin becomes torn all over, blood splashes and the prisoners begin to feel that their skin isn't human any more. When a prisoner is released from the iron bar, his whole body is so swollen that he cannot bend his back or knees. The prisoner must evacuate and urinate standing.
In the Nongpo Police Detention Center, there were three torture chambers and all kinds of torture were routinely practiced on inmates. I was 39 years old at that time. They subjected me to all kinds of torture there.
Once I resisted when they tried to undress me. One of the torturers punched me in my face so hard that I fainted to the floor. Sometime later, I woke up to find my mouth full of something. They were my broken teeth. Obviously, I bled terribly because the floor was full of my blood. My face was so badly swollen that I could hardly open my eyes. I spit out the broken teeth only after holding up my lips with my fingers. Four teeth from the upper jaw were gone. I began to feel terrible pain in my other teeth. Usually, I was taken to the torture chamber at five o'clock in the morning and remained there until midnight.
Tearing Off the Ears of a Prisoner
The Comptroller of the Seamen's Club of Chongjin City was an old man, 60 years old. He could no longer withstand the tortures that continued daily. When the investigators tore off one of his ears and began tearing off the other, he decided to please the investigators by claiming to be a big thief the bigger the better. So, he told them that he stole a locomotive from the city railway station. He acquired the nickname, "locomotive head" from the police investigators and officers.
Prisoners Used for Martial Art Practice
A prisoner in the police jails becomes a different person, skin and bone, from starvation and torture. Male prisoners appear to become undernourished and confused sooner than female prisoners. The jail guards commonly use inmates as martial arts target. They punch and kick prisoners during martial arts practice. The prisoners fall bleeding at the first blow and remain motionless for a while on the cement floor until they are kicked back into the cells.
The guards often bring fish and grill it on their stove, sending a wonderful aroma to the prisoners. This is as painful as any form of torture could be for the starving inmates.
Christians Killed for Refusing to Convert
The cast iron factory was considered the most difficult place to work in the entire prison. Christians were usually sent there to work. One Christian working at the cast iron factory was killed by hanging in a public execution in December 1988 for hiding a friend at his house before he was arrested.
In the spring of 1990, I was carrying a work order to the cast iron factory in the male prison. Five or six elderly Christians were lined up and forced to deny their Christianity and accept the Juche Ideology of the State. The selected prisoners all remained silent at the repeated command for conversion. The security officers became furious by this and killed them by pouring molten iron on them one by one.
A North Korean Miner's Wife
Jong ok Kim, about 45, wife of a minor, Hweryong district, was arrested for stealing some 20 liters of corn from a nearby cooperative farm when her children were starving at home in the spring of 1987. During the trial, the judge scolded her for stealing. There was a microphone in front of her but she did not know what it was. She murmured in a very low voice, "Of course, I know stealing is bad. Why would I steal if food ration had continued? How awful this country is." Her complaint reached the judge through the microphone. He was furious and committed her to 15year hard labor in prison for "criticizing the party policy." She died in the autumn of 1992 of undernourishment and diarrhea, after five years in prison.
She was detained at the cell next to me during the police investigation but we did not see each other at that time because the movement of prisoners was always so strictly controlled that prisoners do not meet each other. The guards in the jails, however, always felt bored when on duty for hours and they would normally ask inmates for all kinds of questions, "Hey you! What's your name? Where are you from? What's the Charge? etc." I overheard their conversations with other inmates and knew about them and, in the same way, the other inmates knew about me even though we did not meet.
One day in prison in 1988, I was carrying work instructions as usual when a prisoner suddenly stopped me by pulling my clothes and whispered to me, "Aren't you the Supply Manager from Onsong District?" Speaking each other was against the prison regulation. I was scared and I moved off without a word. The next day, when there was no prison guard around, I asked her, "How did you know about me?" This is how we met in the prison.
She worked at the leather factory in prison. She had been in prison for about 5 years when, one day in the autumn of 1992, she became too weak to meet her work quota. She received reduced meal for punishment and began to be weaker with less food. She also had serious loose bowels and felt so thirsty but there was no water for prisoners. She was so desperate that she drank the dirty water from the bucket where floor mops had been washed several times. The next day, she dropped to the floor while trying to make a leather bag. She did not move when prison guards kicked her hard. She was dead. They had her dead body wrapped in a straw mat and carried away.
One day in 1994, while I was hiding in China waiting for an opportunity to come to Seoul, I was listening to a mid night radio broadcast from Seoul which announced arrival in Seoul of two young brothers from North Korea. Their names rang my ears. When I was undergoing intelligence clearance in South Korea, I was able to confirm that the two brothers were indeed the sons of Sung Ok Choi.
When I was expecting to see her sons in Seoul, the intelligence officers advised me not to tell them about their mother's death because the boys are in a very fragile condition emotionally. So, I did not tell them about their mother's death when I first met them. One day in April, 1998, they visited me and told me that they had heard from their relatives in China that their mother had died. Then, I had to confirm the information. They are in South Korea now and visit me regularly.
Typical Scene of Prisoners at Work
Officially, the purpose of the prison is to reform the ideology of the prisoners. In reality, however, the purpose of the prison is to exploit slave labor. The prisoners work 1618 hours every day without wages. Cow leather whips are always ready on the walls and women are whipped, kicked, or punched daily for no reason. The prisoners are not allowed to talk, laugh or take a rest. In addition, the prisoners must always keep their heads down and only repeat the same motion for work. As a result, more than half of the women have lumps on their heads or shoulders, are hunchbacks, or are crippled. The camp officers and guards always wear masks because they cannot tolerate the prisoners' stench! The prisoners often urinate or defecate while working because they cannot wait.
The prisoners are allowed to take showers only twice a year. Therefore, all the prisoners naturally stink. The entire prison is full of the awful smell of sweat and the stench of the prisoners enters your lungs the moment you are inside the prison.
The prison officials and guards are there by life appointment. North Korean authorities never transfer them to other posts for fear that their crimes may leak to the outside world.
Have You Heard About the Human Motor?
The power supply in North Korea was erratic and almost every other day prisoners worked without electricity during the daytime. However, the prison rule was that the daily quota had to be met whether there was electric power or not. So, female prisoners were whipped to keep the motor running manually for the power se wing machines.
There were about 100 sewing machines in the sewing factory, operated by one electric motor. The women were forced, ten in each team, to pull the belt on their shoulders and operate 100 sewing machines, for one hour each. The hardship of the prisoners was beyond description. The production officers mercilessly whipped the prisoners to maintain their productivity.
The female prisoners must meet their work quota to get the standard meal of 100 grams. Each shoe manufactured requires a countless number of small nails to be hammered and so each prisoner has to hammer so many nails every day.
Their fingers are all bent and deformed with hard skin. Three hundred prisoners produce 1,000 pairs of boots daily, working 1618 hours daily to meet the work quota. Often they are forced to work until morning to meet the quota, under collective punishment for the failure of other prisoners to meet the quota.
Myong suk Kim was a very competent and skillful worker and produced the best quality boots for senior officers. The machines were German, but they were imported in the sixties and started to give problems as they aged. One day, she could not meet the quota due to equipment failure. The guards kicked her and shouted,
"You swine, you better fix your machine quickly."
When it became clear one day that she could not meet the quota, she drank hydrochloric acid that was kept there for repairing the machine and killed herself. That was in January, 1992.
The prison authorities conducted ideology classes for all prisoners, everyday, to prevent this "ideological corruption" from recurring. It was very tiring to stop work for one hour everyday and stand listening to a nonsense speech before going to bed an hour late.
Women Prisoners Carrying Dung
The prisoners who are old, slow at work or caught looking at their reflections in a window glass are sent to the "drop out team" for 3 months, 6 months or one year for punishment. Their main job is to collect dung from the prison toilet tanks and dump it into a large dung pool everyday for supply to the farming teams working at the prison farm outside the wall. Teams of five prisoners must pull a metal tank weighing 800 kilograms.
Two women wade knee deep at the bottom of the toilet arid fill a 20 liter rubber bucket with dung using their bare hands. Three other women pull up the rubber bucket from above and then pour the contents into a transport tank.
Sometimes, the prisoners pulling up the bucket are so weak, they fall into the toilet tank because of the weight of the bucket. When the heavy tank is full, they haul it up to a very large and deep dung pool on the hill.
One rainy day in 1991, a housewife from Pyongyang name Ok tan Lee had been carrying dung all day long and was ready to transfer the dung to the huge pool. However, the lid of the tank on the wheel somehow got stuck and would not open. When she climbed on the tank to push the door open, she slipped from the rain wet surface and plunged into the ground dung pool. It was so deep that she disappeared into the dung. A guard some distance away (they always keep their distance because of the stink from the prisoners) shouted, "Stop it! Let her die there unless you want to die the same way yourself!" She was left to drown there in the dung.
Female Prisoners at a Rubber Factory
The prison rubber factory was one of the most dangerous and difficult places for women to work. They had to mix used rubber scraps with granular rubber, carry the resulting rubber substance, mix it with rubber glue that came from a big tank which produced poisonous fumes, and knead it in a big round tank. I remember one female prisoner whose head got covered by the rubber glue while she was cleaning the tall rubber glue tank. She suffocated.
Because air creates foam in the rubber, the whole factory is tightly sealed all year round. In addition, the factory is always full of hot steam for molding shoe soles. Therefore, it's always stuffy and suffocating! The sticky mixture in the tank often overflows and women must push it back into the tank. This was very difficult work for hungry and weak women, and so the sticky mixtures often dragged women into the tank and killed them. So many female prisoners were killed and injured that the prison authorities finally ordered the factory to be operated only by male prisoners in 1989, two years after my arrival at the prison.
Babies Born and Killed
When I miraculously survived paratyphoid in 1989, I was sent to the medical room to report. When I arrived at the medical room, I noticed six pregnant women awaiting delivery. I was told to wait for my supervisor to come and take me over. While I was there, three women delivered babies on the cement floor without any blankets. It was horrible to watch the prison doctor kicking the pregnant women with his boots. When a baby was born, the doctor shouted, "Kill it quickly. How can a criminal in the prison expect to have a baby? Kill it." The women covered their faces with their hands and wept. Even though the deliveries were forced by injection, the babies were still alive when born. The prisoner/nurses, with trembling hands, squeezed the babies' necks to kill them. The babies, when killed, were wrapped in a dirty cloth, put into a bucket and taken outside through a backdoor. I was so shocked with that scene that I still see the mothers weeping for their babies in my nightmares. I saw the baby killing twice while I was in the prison.
When I went back to the medical room for routine duty a few days later, Shin Ok Kim and Mi Ok Cho, the prisoner/nurses working in the medical room, were sobbing and one of them told me, "Accountant, we are devils worse than beasts. They say that the dead babies are used to make new medicine for experiments." I was so afraid that I closed her mouth with my finger and said, "I never heard you say this." I hurried to leave from their presence.
I was sent to the same medical room once again when I recovered from pleurisy in 1992. This time, there were some ten pregnant women in the small medical room. They were all injected to induce forced delivery and suffering from pain for many hours. A woman, so undernourished and weak, could not endure the delivery and died during labor. The prisoner/nurse there whispered to me that it is more difficult to deliver a dead baby than a living baby.
The other pregnant women looked so pale from the pain, and they had sweat on their faces. If they groanned from the pain, the doctor mercilessly kicked their belly hard and shouted, "Shut up! Don't feign pain!" I was waiting for my supervisor to take charge of me from the doctor at the corridor outside. I heard the crying voice of Byung Ok Kim, 32 years old, and peeped into the room through the half open door. She had just delivered a baby and cried, "Sir, please save the baby. My parents in law are anxiously waiting for the baby. Please, please save the baby." She was out of her mind with sorrow. All the other women remained quiet and she was the only woman crying and begging loudly. The doctor was taken momentarily by surprise. But soon, he regained himself and shouted, "You want to die, eh? Kill the baby!" He kicked her hard.
Then, the Chief Medical Officer came in and said, "Who was it yelling like that? Put her in the punishment cell!" The Chief Medical Officer kicked her hard several times and had her dragged to the punishment cell because she could not hold herself up. This is one of the scenes that I will never forget. She died shortly after she was released from the cell.
Public Execution in Prison
Public executions are standard practice in and outside prisons in North Korea. In 1988, seven men and one woman were publicly executed in the Kaechon prison without trial. At each public execution, all the prisoners, some six thousand (1,8002,000 women and 4,000 men), are crammed into the prison square to watch.
The victims are always gagged so they cannot protest. They are tied to a pole in three parts; chest, sides and knees. Six guards fire three bullets each into the chest for a total of 18 bullets. With the top ropes having been cut by the bullets, the upper part of the body hangs down bleeding, like a rotten log broken in half, still tied to the pole by the lower ropes. Then, all the prisoners are forced to march around the dead body and watch.
Prisoners Go Insane from Watching Public Executions
The execution victims include those who pleaded for death during torture, stole food, or simply wept over the fate of two small children left home alone. The charge was lack of confidence in the mother party. Also included are those who are branded as "anti party elements" or "reactionaries."
The public execution ground is so crammed with prisoners that the women in the front watch the killing from a distance of only a meter or so and often get blood splashed on them. Some women prisoners are so shocked that they vomit, faint, or develop mental illness (e.g., sudden singing or laughing hysterically). They are sent to punishment cells for being "weak in ideology" and "showing sympathy to the people's enemy." Those who become completely insane simply disappear and nobody knows what happens to them.
Hi suk Choi and Young ok Choi, housewives from Kimchaek City, were punished for singing at the site and later died of shock during electric torture. The Kaechon Prison has twenty punishment cells that are always full of "ideologically weak" prisoners on the days of public executions.
Prisoners Killed in Temperature regulated Compression Chamber
There are executioners in the Interrogation Department of the Provincial Security Headquarters. Here, they execute the prisoners that they are embarrassed to execute publicly. They always execute prisoners at midnight without trial and bury the corpses in a nearby valley.
There is also a temperature regulated compression chamber used for torturing or killing. The chamber is 60 square centimeters and the height is adjustable according to the prisoner's height. A prisoner is pushed into a rice straw bag first, and then into the chamber with his head pushed down between his knees. These acts usually occur between one and two o'clock in the morning. Freezing temperatures are used in the winter and hot temperatures in the summer.
A 17 year old boy, the son of a welder in Kimchaek Steel Factory, was brought here sometime in October 1987. He was arrested for organizing gang fighting in school. Gang fighting is considered a very serious crime leading to subversion in North Korea. He was killed in the chamber by freezing in the midnight. I heard this from Yong ho, a guard, who proudly told us, "You bitches better obey unless you want to be killed like the boy, frozen and compressed." In fact, other guards repeated similar threats.
A young man became lunatic as a result of continuing torture. He complained one day, "Great Leader? What has he done for me?" He was frozen to death in the chamber that night.
The chamber was next to my cell at the end of the corridor. The cries of a prisoner resisting and angry voices of guards trying to push him into a rice straw bag and into the chamber always woke me up. I always found executioners in uniform and with a star on their shoulders on such occasions. During the 14 months I was there, I remember five or six killings in the chamber.
Male Prisoners Shot to Death for Attempting to Get "Edible Clay" from Women Prisoners
At the end of February 1990, we were carrying edible clay in bags. Some male prisoners on the other side of the river must have seen us eating the clay. They looked like skeletons with skulls and bright eyes. They gestured to us begging for some clay. None of us responded for fear of punishment. Desperately, three of them came to our side of the river to get some clay.
Suddenly, we heard shooting. It was a horrible scene when the shooting ended. We were all so scared. The intestines of one of the male prisoners were protruding. But he was still alive because we heard his feeble voice whispering, "Help!" The second prisoner had his leg broken and bleeding. The third prisoner was dead instantly. Soon a truck arrived and an officer said, "Put them all onto the truck, dead or alive." We were told to resume our work. That night, some twenty women complained of pain and died as a result of having eaten too much clay.
At the end of February 1990, we were bringing fresh soil from a nearby mountain to the prison farm. It was very tiring to climb up the mountain to bring fresh soil all the way down to the farm. Because it was February and still cold, we could not find any plants to eat in the mountain, no matter how desperately we looked. It was too early in the season.
One day, I saw some prisoners eating clay. As always, we were exhausted, hungry and thirsty. One of them said to me, "Accountant, you want some? This is good and tasty. Try it." I wasted no time and ate it. It was clay and, indeed, starchy and tasted good. I ate half the size of my fist that day and I felt somewhat full and even felt some strength, too. Our unit moved our burrow to a riverside location when the killing of three male prisoners took place.
Prisoners Shot to Death for Falling on a Steep Slope
In February, 1988, while carrying a 20 kilogram bag of top soil from a mountain to the prison farm, an exhausted female prisoner slipped and fell on the slope, causing two other prisoners also to fall from the path. Although they could have been helped up to rejoin the line, they were immediately shot and killed. The prison guards shouted at the rest of the women, "Did you see what happened? This will happen to you if you fall!"
Every February, all the prisoners are mobilized to carry top soil from Kaechon Mountain to the prison farm. The mountain is outside the prison, 600 meters high, very rugged and slippery when climbing up and down the steep slope.
Each female prisoner must carry a 20 kg bag of topsoil on her back all the way down to the farmland. Prisoners are kicked and beaten for any bag that weighs less than 20 kilograms. 300 prison guards and 350 policemen line up on the path with rifles pointing at the prisoners. The prisoners are ordered to make three trips in the morning and three more trips in the afternoon. Climbing up and down a 600 meter mountain six times a day is like torture. The prisoners were warned that if they strayed from the path by even a step they would be shot to death instantly.
Prisoners Killed for Eating Pig Slops
There is no wasted food in the prison kitchen. The kitchen prisoners always give the leftover food from outside to the pigs. So, the pigs are always well fed and fat for the security officers. The prisoners envy the pigs for the good food and leisure. The dung carrying team is also responsible for cleaning the pigsty. The prisoners carrying dung are always so hungry that many of them risk their lives to steal the pig slops as they pass by. When caught eating the pigs' feed, they are shot and killed.
The prisoners on the dung carrying team look forward to cleaning the pigsty because they can eat the leftovers from the slops with their hands still filthy with dung. The prisoners on the pig raising team supply pig slops when the prisoners come to clean the pigsties so that the cleaning prisoners can enjoy the chance to have a "good meal" with the pigs.
Kum bok Kim was from Kanggye town, Jagang Province. She was pretty and a very kind hearted woman. Once, she was caught giving the pigs their feed when other prisoners were around cleaning. She was badly beaten by a prison official and kicked until she fainted. She was forced to confess her crime in writing and was sent for further investigation. She died under torture during the investigation.
Prisoners Shot for Stealing Corn
All prisoners are mobilized once a year for harvest work in the prison farm. Some 400 guards watch while the prisoners work outside the prison. In September 1990, five male prisoners could not resist the temptation of eating raw corn during work and so they stole some ears and hurried to eat them. I was delivering a work order to a unit nearby at that time. The five prisoners were shot instantly by the guards without warning. In the prison, few trials or investigations were ever held for punishing or killing prisoners. Punishing and killing prisoners without trial or investigation were within the power of the prison superintendent.
Guards Killing Prisoners for Fun
A couple of times, I saw guards stop a group of male prisoners for fun. "Hey, you and you, come here. If you cross the barbed wire, I will let you go home." With these words, the prison guards tempted prisoners to cross the electrified barbed wire. The prisoners were so desperate and confused that, without hesitation, they jumped to their death with the faint hope of going home. This shows how prisoners are considered disposable and easily replaced. This is not an isolated incident. I have heard about it several times and have myself seen it happen twice during the five years I was in prison.
Prisoners Killed During the Testing of a New Chemical Poison
One day in February, 1990, I was doing routine paper work at the staff operation office at around 10:00 0' clock in the morning when, to my surprise, the prison superintendent, vice superintendent, intelligence chief and three other unidentified officials walked into the room. One of them pointed to something outside my window. I was very terrified at their unusual appearance. Then, I overheard them saying, "Look! How powerful. What a great scientist Dr. Sung ki Lee is, indeed! Well, from now on, its chemical warfare." Shortly afterwards, as I was walking to the other side of the room to deliver some papers to my guard, I saw them seriously watching something outside the window. On my way back to my desk, I took a quick glance outside. I saw many prisoners lying on the slope of a hill, bleeding from their mouths and motionless, enveloped by strange fumes and surrounded by scores of guards in the gas masks I delivered to the Chief Guard earlier in the morning.
In February, 1990, I was asked by the Chief Guard to follow him to an administration warehouse at 05:30 in the morning. He ordered me to check out six bundles (five pairs in each bundle) of gas masks with rubber gowns, which looked like a sea diver's kit. When I returned to my prison chamber, a total of 150 prisoners, several from each unit, were selected and separated from the other prisoners. The selected prisoners were mostly crippled and weak women who had less labor value.
I had to issue instructions for lunch with the same usual number for the male prisoners but 150 meals less for women. The prisoners started to exchange nervous looks with each other when the 150 prisoners did not return to work. An air of unusual tension and fear spread among the prisoners.
Normally, when a prisoner is sent to a punishment cell, an announcement is always made about why the prisoner is being punished to warn others. But that night, so many prisoners were sent to punishment cells for whispering, looking around nervously and exchanging signs of tension without the usual announcement. That night, the punishment cells were all full with a long list of prisoners awaiting the punishment. Obviously, the prison authorities attempted to cover up the killings.
Around October, 1990, an engineer supervisor was sent here from the defense chemistry factory in Hamhung. He was responsible for an explosion in the factory there and was secretly executed at an underground cell in about a month. At that time, I was told to reduce the number of meals by one in the kitchen. Later, I was confidentially informed about the killing by a prisoner/nurse who was involved in getting rid of the corpse.
At that time, 500 female prisoners were sent from here to the Hwachon area for some kind of expansion work of a chemical factory. The prisoners returned in about a month's time. One of the prisoners told me that there was a special chemical research institute in Hwsachon.
Prisoners Killed During a Biological Test
One day in May 1988, I had been in the prison for only six months and I was still trying to get accustomed to the prison conditions. I was working on the second floor of the export factory moving half finished products from one table to another for assembly. Dung lunch time, I saw a pile of fresh cabbages at the kitchen entrance through the windows. This was the only time I saw cabbages in such good shape at the prison. I was so hungry that I began to wonder who would be the lucky people to eat them.
A little later when I came back to the same spot, I saw some fifty women prisoners eating the cabbage from a bowl with their fingers. The cabbages appeared somehow steamed. Soon, I saw the prisoners vomiting, bleeding from their mouths and moaning on the ground. I could not stay to watch more.
However, when I came back to the same spot again after a little while, I saw camp guards loading the dead prisoners onto a truck.
There were several strangers in white gowns around the dying prisoners. This was very strange because the political prison was under such strict control that no strangers were allowed inside. Then, I remembered that some fifty women had been told to come outside earlier, a few from each work unit.
Later, it was announced that they died from food poisoning. The prisoners knew what happened and they started to inform each other through their eyes. The prison officials were very nervous trying to keep the prisoners quiet. Why were the prison officials so nervous over the food poisoning when its mention was not a subject for punishment on other occasions? Unusually, many prisoners were sent to punishment cells that night for whispering or looking nervous."
Try keeping a job without a reliable car.. well, you'll have to.. as it would be too large of an asset..
Public transportation is extremely unreliable, but its all you may be able to use.. you might spend two hours traveling each way, two busses and a train each way, four to five hours a day total.. try doing that for years..
you better beleive that they will seek repayment of the loans from anybody who can pay (by their definition)
It will be like student loans, your wages will be garnished and your assets will be seized if you default.
God forbid that somebody has one of these actions going on and then gets sick again, my guess is that the experience will be so terrible that people will avoid doctors and hospitals, creating a new class of illegal immigrant like citizen underclass of financial targets.. people who if they have a job, will have their income taken.. some of these hospital bills are huge, six figures..
the bottom line is that the upper middle class has NO idea of what is fair or possible any more for the working people of America..
and Obama, etc, to tell us where the money is going to come from out of thin air, when even his own head economist called him out on this last year, admitting that the money for subsidies IS NOT THERE.. ive been calling Senators trying to get a feeling for what is emerging and NO WAY are there going to be subsidies for the middle class, so expect the cost of "public option" insurance to be similar to those of guaranteed issue high risk pools in the states, which is to say so expensive as to be almost irrelevant in the day to day affordability of health insurance for 90% of us.
There is one of those public options in my state, I can't afford the one that I would need. Its well over $2000/month
Why the lies? because they don't want Single Payer to win on its merits. Its merits?
1.) Single Payer will make healthcare affordable for all, Public Option MAKES affordability optional (and unlikely) for most. (the very poor and perhaps some other groups like those who have children and those over 55 or 60 who can't get insurance at any price and can prove it, might get subsidies but its almost certain that most of the people who seem to expect help from it wont be helped, it will represent a better quality kind of insurance, but it also could easily start out or become much more expensive than current private insurance because of the added burden of insuring unprofitable sick people, something the Obama administration is lying about.
2.) Public Option makes unaffordability MANDATORY, single payer makes AFFORDABILITY mandatory
3.) Public Option keeps healthcare tied to vanishing jobs.
4.) Single Payer will stimulate the economy better than any trickle down stimulus ever could.
5.) Public Option is designed to fail in a "deat spiral" type cost cascade, giving "universal healthcare" a bad name.
6.) Public Option is the SAME EXACT strategy that was used by a cabal of Democratic and Republican legislators to kill universal healthcare in 1993. 15 years ago.
7.) Would you trust politicians vague promises on something so important that its literally a life or death matter for millions of Americans, or would you trust the proven track record of over a dozen other developed nations, all of which deliver better healthcare to their citizens at a fraction of the cost that we do, now.
8.) Both Canada and the UK and a number of other countries tried private public "public options" and separately all came to the conclusion that they were inefficient and fundamentally not capable of saving enough money, a earning process that took THEM years. Now, knowing ALL that, the US healthcare industry is spending millions of dollars a day on a massive PR campaign trying to fool us into having the USA make the same mistake with their "designed to fail" public option.
Why not just save ourselves decades and probably hundreds of thousands of unnecessary deaths and adopt the strategy we know will work, rather than the strategy we KNOW won't work.
Lets assume that for most Americans who don't work for the insurance industry, and even many who do, their ultimate goal is not preserving the insurance industry alongside whatever healthcare system we end up with, no, ALMOST ALL AMERICANS GOAL IS HEALTH CARE ACCESS THEY CAN AFFORD WHENEVER AND HOWEVER THEY NEED IT.
In speaking with a number of Senate staffers last week, I got a very strong feeling that many of them and we are not on the same wavelength on single payer, but we do mutually understand a lot of things.. Unpleasant things that the average American is in denial about. Money and health care and what Obama isn't telling us about the cost - because it makes it overwhelmingly clear that we only have one 'option' if we want affordable healthcare and that is SINGLE PAYER. (There isn't another 'option' that works. SORRY.)
LET ME EXPLAIN WHY.. FIRST - peel away the hype..
Sick people aren't profitable!
I know, I am one of the people whose healthcare costs probably exceed the premiums paid. People should not believe the people saying that they can save enough to make a difference. WHY ARE THEY SAYING THAT? because THEY HAVE TO TO MAKE YOU SWALLOW A PUBLIC OPTION THAT MEANS YOU WONT GET THE CARE YOU NEED SO THAT SOMEBODY ELSE CAN KEEP TAKING FAR TOO MUCH OF OUR MONEY.
(The truth is that its going to lose money as healthy people leave because its going to be too expensive. Having two separate billing systems side by side is going to mean something approaching 40% of each healthcare dollar will end up being spent on paperwork! MORE THAN NOW!)
Please, realize these things about this vague "public option" (a term that really is classic Obama in that it means all things to all people..and doesn't commit to anything EXCEPT that we CAN'T within its constraint -that anything "public" must remain optional)
Its based on a reality distortion field that boggles the imagination!
That entire complicated, expensive illusion HAS BEEN BUILT FOR ONE PURPOSE AND ONE PURPOSE ALONE, TO DECEIVE YOU...
To deceive you into ACTING AGAINST YOUR OWN BEST INTERESTS..
To prevent Americans from doing the ONE thing that GUARANTEES AFFORDABLE HEALTHCARE FOR ALL, which is move to ONE SINGLE, single payer structure that saves literally a third of every health care dollar (the HUGE amount of money that we currently spend on PAPERWORK..)
Just as you can't 'be a vegetarian' and eat meat..we can't save that large amount of money we need to make healthcare affordable without single payer..You can't have public optional and eat from the plate of savings, which is IMPROVED HEALTHCARE QUALITY FOR LESS MONEY, no if we drink the Kool Aid of public option we will be enjoying FAR LESS health care quality because we will be spending that money on an expensive luxury, BILLING COMPLEXITY..
Just like we are "spending" a lot of our hard earned "capital" on something else, a flashy new President who speaks circles around us...
Wow... he's a lawyer!
Per haps we should have picked the slightly older, but reliable model?
now we have to work with what we've got..
If we drink the Kool Aid of public optional and affordability optional, the unproven medical procedure. the new public plan that insures those who need it the most IF THEY CAN PAY THE PREMIUM - we will have to work with the increased COST.
SO, we will STILL eventually need massive subsidies (subsidies we've already been told aren't coming)
The luxury we are spending so much on , what is it?
Its that OPTIONAL.. its that PUBLIC PLAN remains OPTIONAL, without SINGLE (not multiple) payer..
Still with me? I'm telling you, Senate staffers do understand this far.. and they agree..this is whats coming..
ITS NOT GOING TO BE CHEAP LIKE PEOPLE THINK IT IS GOING TO BE... IT WILL OFFER MORE THAN HMOS DO NOW< AND IT WILL ALSO COST MORE.
SO, we are being asked to CHOOSE, we can choose to make "public" optional, but in doing that we also GUARANTEE that the healthcare we get probably wont be affordable for most of us, in fact, my impression from Senate staff is that IF subsidies are available, they will go to the poor first, then parents of kids, then maybe the people who are over 55-60 who can't buy any new public insurance because of the cost and can't buy for profit insurance because their health issues make them unprofitable..
Which brings me to an unpleasant subject, one I hate to harp on, but I see again and again that people DONT GET THIS..
Sick people are unprofitable. People like me who have chronic health issues are unprofitable and no amount of health IT or "improved efficiency" is going to change that.
Any public plan is (I hope) going to be available to peope like me who can't buy private insurance.. (isn;t that part of the point!?)
BUT, the politicians are lying about something big.. They are saying that they can make the public option sustainable without subsidies..
The insurance companies are lying about something BIGGER.. They are saying they dont want public option (its actually their savior and the way they plan to kill universal healthcare once and for all) They are also lying when they say that they are at a disadvantage compared to public option, they are lying when they claim that public option has an unfair advantage..
They are laughing at all of us because its all so ridiculously obvious to anybody who knows even the smallest thing about insurance..
A public insurance plan has a huge disadvantage, financially speaking, in that it would presumably be hoped that it would accept the people who cannot get private insurance, the chronically ill and their families..
However, if they do do that, the first thing that will happen is that they will have to apply a different kind of pricing model, one which charges everybody slightly more.. pricing by one's community, or simply, pricing by age or pricing by some other criteria.. (the BEST would be what almost all other countrues do, SLIDING SCALE based on income.. If only we had a chance of that here in AMERICA, home of the obscenely, criminally expensive..in my dreams! )
No, what will probably happen is that we will get a public option that is fine tuned to not attract any profitable customers from insurers, so it will be too expensive, and the subsidies will be limited. For the medically indigent who find themselves in the hospital we may have an expanded medicaid loan program. Loans, not grants, not affordable insurance, loans, like student loans.. loans where the government goes after people for repayment)
But let me get back to the public option and why we should watch out..
If they use the non risk pricing model, then some right wingers will claim, as Obama did at the end of the campaign, thst THAT is "universal healthcare" SO, IF IT FAILS, we will be said to have TRIED UNIVERSAL HEALTH CARE..
Public option will be extremely unprofitable, and will not get the subsidies it needs to even be affordable.. That will drive the healthy away and the sick will be all that is left in the plan, and they will need to have it. as its the only health isnurance they will be able to get.
The plan will bleed to death in something known in insurance circles as a "death spiral"
The right will gloat, decades will pass, millions will die for preventable causes, and America will become a nation of sick, poor people, ALL SO HEALTH AFFORDABILITY CAN BE OPTIONAL....
In insurance lingo, a death spiral occurs when a health plan starts attracting sicker patients, which causes the price of premiums to go up, which causes more healthy people (who have other options) to leave the plan, which causes the remaining pool to be proportionately sicker, which causes the price of premiums to increase even more, eventually resulting in the plan going bankrupt-in other words, dying.
Back during the Democratic primary campaign, Mr. Obama argued that the Clintons had failed in their 1993 attempt to reform health care because they had been insufficiently inclusive. He promised instead to gather all the stakeholders, including the insurance companies, around a "big table." And that May 11 event was, of course, intended precisely to show this big-table strategy in action.
But what if interest groups showed up at the big table, then blocked reform? Back then, Mr. Obama assured voters that he would get tough: "If those insurance companies and drug companies start trying to run ads with Harry and Louise, I'll run my own ads as president. I'll get on television and say `Harry and Louise are lying.' "
The question now is whether he really meant it.
The medical-industrial complex has called the president's bluff. It polished its image by showing up at the big table and promising cooperation, then promptly went back to doing all it can to block real change. The insurers and the drug companies are, in effect, betting that Mr. Obama will be afraid to call them out on their duplicity.