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It may be true that as Michael Balter writes :"we live under capitalism 
and not socialism and that is likely to be our lot for the foreseeable 
future."  But it does not logically follow that that we should adapt our 
strategy and tactics to "our lot for the foreseeable future."  Rather we 
must choose strategies and tactics that enable people to learn through 
their own political experience that the system itself is the primary 
reason that effective drugs are obscenely expensive, that drugs like 
Oxycontin are marketed by lying about their true qualities and that some 
of the drugs most needed by the non-affluent aren't even on the research 
agenda.  Band-aids will perpetuate the system.  Through struggle people 
learn what the enemy is and what class represents it.  Capitalism is 
going to be around until the majority of the people recognize that it is 
the source of their pain and of the destruction of the planet.  
"Foreseeable" is precisely how long it takes to hasten that day of 
massive anti-capitalism.  Our job, if we have any respect for our 
children is to make that "foreseeable" as short as possible.  Indeed 
that includes reform struggles, but only reform struggles that increase 
the number of people who recognize that the enemy is the capitalist 
system and strengthen people's confidence that they can change it.
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