Showing posts with label Healthcare. Show all posts
Showing posts with label Healthcare. Show all posts

Saturday, August 31, 2024

Bobby's Bounce: RFK Jr’s Lesser-Evilism

 

Oops. I didn’t see that one coming.

So, let’s talk about RFK Jr.’s decision to help Donald Trump win the presidential election.

Because, to be clear, Bobby is not just—excuse me, not even dropping out of the race. He could have done that, correctly denouncing the Democratic party’s anti-democratic legal and electoral tactics that made it impossible for his campaign to compete within the party or as a third party, and, indeed, denouncing the whole duopoly-enforced structure of American electoral politics that makes it impossible for any non-duopoly candidate to succeed. If he were really interested in building the possibility of a progressive third party, he could have stuck with his very recent critique of how  “President Biden[/Harris], President Trump offer no solutions” and ended his campaign without transferring allegiance to either of the duopoly parties or candidates. He could have approached Jill Stein—as he apparently did both Kamala and Trump—and tried to negotiate agreements on highlighting issues that were important to him in return for urging his supporters to vote for her.

Instead, he is re-positioning himself and his campaign as supporting elements of the campaign of one of the extant duopoly parties—the Trump-Republican Party campaign. He will take himself off the ballot in battleground states, in order not to “likely hand the election to the Democrats,” and he’ll stay on the ballot in “safe” red or blue states where it won’t make any difference. This mirrors the “safe states” strategy of previous “left” third-party candidates, and it defines him as an auxiliary Republican, just as it defined those candidates as auxiliary Democrats. Whether he or they want to admit it, it’s an abdication of any effective third-party building, and a capitulation to one of the two duopoly parties and to duopoly politics tout court.

So, why is RFK Jr. doing this? Why is he abandoning a third-party building effort and any pretense of duopoly non-partisanship, and instead—in an astounding turn for a Kennedy—dedicating himself to the defeat of Kamala and the Democrats, and the victory of Trump and the Republicans? Here’s his campaign-suspending address, with his three reasons highlighted:

Wednesday, April 29, 2020

Loud & Clear DIscussion of Diversionary Personalization of Coronavirus Debate (4/22/2020)

Beyond Republican vs. Democrat: The need for systemic change in U.S. healthcare

The U.S. government at all levels is consumed by infighting over how to respond to the Coronavirus pandemic. A right wing mobilization supported by President Trump is demanding that the economy reopen against the guidance of public health experts, but is the Democratic Party’s single-minded focus on the personality of Donald Trump drawing attention away from the systemic changes needed to save lives? Jim Kavanagh, the editor of thepolemicist.net, whose latest article in The Polemicist and forthcoming on CounterPunch is “Joe or No,” joins the show.

Listen to "Beyond Republican vs. Democrat: The need for systemic change in U.S. healthcare" on Spreaker.

Loud & Clear is a daily program of news, commentary, and political analysis on Radio Sputnik, hosted by Brian Becker and John Kiriakou, featuring independent experts, activists, and political writers. (Introduction above is theirs, with related articles of mine referenced in brackets.)

Thursday, September 21, 2017

Fool Me Twice: Trojan Horse Democrats Pile Into the House of Single-Payer



Duplicitous Democrats are trying to sabotage single-payer, again.

It’s great that more than a third of Democratic senators have signed on to co-sponsor Bernie Sanders’s Medicare-for-All bill. It’s a potentially strong bill that’s been welcomed by single-payer activist organizations like Physicians for a National Health Program (PNHP) and National Nurses United (NNU), and it represents a victory for the tireless work of single-payer activists and the popular pressure they stoked. It is also, we must recognize, only possible because of Bernie’s insistent promotion of healthcare as a right, in a campaign that widened the field of American political discourse.

Above all, it is a result of continuing disgust with American for-profit health insurance system. It marks the exasperation with Obamacare’s half-assed attempt to patch up that system, and the rejection of the even crueler Republican schemes. 

At the very least, this bill puts single-payer “on the table” of legislative action and public discussion. The “public discussion” part is perhaps the most important. People will now hear about single-payer, and its advocates will not be completely shut out of media coverage from Fox to PBS, as they are now. Even the Democratic Party will have to talk about it.

But please, please, do not be fooled. It does not mean that most, or any, of those co-sponsoring Democratic senators actually support single-payer. Most of those Democrats have signed on because they felt politically forced to, because they knew they could not face their constituents if they didn’t. But many of them do not support single-payer, have no intention of actually working to make it happen, and will, in fact, do their best to undermine and prevent it.

Monday, June 26, 2017

California Scheming: Single-Payer Betrayed By The Democrats Again


Nothing better illustrates the political bankruptcy of the Democratic Party—for all progressive intents and purposes—than California State Assembly Speaker Anthony Rendon’s announcement on Friday afternoon that he was going to put a “hold” on the single-payer health care bill (SB 562) for the state, effectively killing its passage for at least the year.

The Democratic Party finds itself in a bind in California. They hold the governorship and a supermajority in both houses of the legislature, so they can pass any bill they want. SB 562 had passed the Senate 23-14.

There was enormous enthusiasm among California progressive activists, who, with organizations like Campaign for a Healthy California (CHC,) and the National Nurses United (NNU,) and the California Nurses Association (CNA) were working tirelessly, and hopeful of success.  After all, Bernie’s people were taking over the California party from the bottom since the election. I recall a night of drinking last year with an old friend who has been spearheading that effort, as he rebuffed my skepticism, and insisted that this time there would be a really progressive takeover of the California party, and single-payer would prove it. After all, once enough progressive pressure was been put on the legislators, the bill would be going to super-progressive Democratic Governor, Jerry Brown, who had made advocacy of single-payer a centerpiece of his run for President in 1992, saying: “We treat health care not as a commodity to be played with for profit but rather the right of every American citizen when they’re born.” Bernie foretold.

Unfortunately, today that Governor is, according to Paul Song, co-chair of the CHC, “doing everything he can to make sure this never gets on his desk.” And it won’t. Unfortunately, all the Democrats like Rendon, who “claims to be a personal supporter of single-payer,” will make sure that their most progressive governor is not put in the embarrassing position of having to reject what he’s been ostensibly arguing for for twenty-five years, of demonstrating so blatantly what a fraud his, and his party’s, progressive pretensions are.

Friday, August 19, 2016

The Obamacare Death Spiral


Obamacare is in big trouble. Major insurers—Aetna, Humana, and United Health (the nation’s largest)—are pulling out of most exchanges. Remaining companies are seeking double-digit premium increases (at least 25% in 20 different states, some over 60%), while increasingly offering only “narrow network” plans that severely restrict available doctors and hospitals. With these developments, the scam of Obamacare, and its inevitable failure, are becoming too obvious for even the mainstream media to ignore.

The scam of Obamacare was that its main purpose was to ensure, or at least “move toward” healthcare coverage for everyone. Its real primary purpose, however, was to protect and extend the healthcare “market”—the for-profit private health insurance industry and its co-dependent for-profit health delivery system.

Obamacare was not designed to, and does not, provide healthcare to anyone. The subsidies it pays go to health insurance companies; not to doctors or patients. It does not, and cannot, ensure universal healthcare coverage. It can only enhance “access” to healthcare—which means actually forcing everyone to purchase whatever profitable insurance plans the private companies decide to provide, at whatever price they decide to charge.

Tuesday, November 4, 2014

Ripley Was Right: Ebola, Science, and the Precautionary Principle

In my previous post on the Ebola outbreak, I focused on how the treatment of Ebola patients highlights the shortcomings of private healthcare in the US, and the need for a comprehensive public system.  I also mentioned that American media coverage has been limited, as we might expect, to a spectrum running from Republican/Fox fear-mongering to Democratic/MSNBC ass-covering. I avoided, and had formed no opinion about, the question of how dangerous this strain of Ebola is, or of any question about what preventive measures are called for.

Since that post, the subsequent brouhahas about who should and shouldn’t be quarantined have only exacerbated the ridiculous media paradigm in which what’s really at stake in Ebola is Obama’s presidential reputation or Chris Christie’s presidential prospects or which party will win the mid-term elections. At the same time, a lot of evidence has become available regarding the lethality and transmissibility of the Ebola strain we are dealing with. In this post, I want to look at some of that evidence, teasing out the issues of scientific knowledge and ethico-political authority that are raised by the Ebola crisis, and which are confused by the impulse to read them through the lens of American liberal/conservative categories, with which they have nothing to do.


Superbug

How lethal and how transmissible is the current (Zaire) strain of the Ebola virus?

Here’s a two-minute clip of Dr. Michael Osterholm, head of the Center for Infectious Disease Research and Policy at the University of Minnesota, speaking at Johns Hopkins:

(2 minutes)

And here’s Peter Jahrling, chief scientist at the National Institute of Allergy and Infectious Diseases, who’s been studying hemorrhagic fevers for 25 years, and helped discover the Reston strain of Ebola, in an interview with Vox:
We are using tests now that [we] weren't using in the past, but there seems to be a belief that the virus load is higher in these patients [today] than what we have seen before. If true, that's a very different bug. …
JB (Vox): A higher viral load means this Ebola virus can spread faster and further? 
PJ: Yes. I have a field team in Monrovia. They are running [tests]. They are telling me that viral loads are coming up very quickly and really high, higher than they are used to seeing.
As Vox points out (using statistics that have already been surpassed), the current Ebola outbreak is “remarkable” because “the virus has spread to six countries in Africa plus America, and has already infected more than 13,000 people. It has killed nearly 5,000 people. That is more than six times the sum total of all previous outbreaks combined.” It has a 50-70% mortality rate.

In short, unprecedented lethality:


Monday, October 20, 2014

The Irish Widow and the Liberian Fiancé:
Ebola, CEO Disease, and the Public Good




Outbreak

The Ebola crisis highlights the absurdity of pretending that a private, for-profit health system can do what a real public healthcare system must.

Remember the deadly-Ebola-like-virus movie where Dustin Hoffman and Renee Russo and Morgan Freeman and a whole state-of-the-art medical team, along with a small army (There’s always an army!) swoops in to quarantine the sick, catch the monkey, whip up a vaccine, and save the country?

Keep dreaming. That’s a fantasy. In reality, there is no public healthcare system. There is no serious publicly-funded and publicly-managed infrastructure, institution, or set of resources devoted to healthcare as a public good.

As the Washington Post said: “The hospital that treated Ebola victim Thomas Eric Duncan had to learn on the fly how to control the deadly virus.” The CDC? It runs a web site and holds press conferences. The medical professionals are all in private hospitals, now mostly folded into large private healthcare conglomerates, that do whatever the MBAs who manage them dictate—which is what the MBAs who manage the private for-profit health insurance companies are willing to pay for. As Rob Urie points out: “Missing from this ‘process’ that now finds Mr. Duncan dead, two nurses who attended him with Ebola themselves, the American health care system revealed as wholly unprepared to deal with what at present seems a moderately communicable disease, is any notion of a public interest.”

Here’s Juan González, talking to Karen Higgins, to co-president of National Nurses United:
The executive director of your union, RoseAnn DeMoro …, specifically raised the fact the CDC has no control over these individual hospitals, that in the privatized hospital system that we operate in here in the United States, the CDC can only offer guidelines, and it’s up to individual hospitals whether they’re going to enforce those guidelines, practice those guidelines. And, in fact, the CDC said yesterday…that they have no plans to investigate what happened at Texas Health Presbyterian, that that’s the responsibility of the local Department of Health in Texas. 
Karen Higgins: I think, you know—unfortunately, I think she’s right, as far as what powers the CDC has. … And what happens is then CDC makes recommendations, guidelines, and then it falls apart, because what you do with it as an individual hospital, because every hospital is pretty much individual, is where it starts to fall apart.

Monday, January 13, 2014

Who’s the Boss? The Obamacare Deception



"Of all the forms of inequality, injustice in health care is the most shocking and inhuman."
attributed to Dr. Martin Luther King, Jr.


Is it not painfully obvious to everyone now that the Affordable Care Act (ACA) is a complicated failure of a contraption, from a healthcare and a political point of view? Answer: Yes!  Even Michael Moore now admits that “Obamacare is awful.”

Indeed, I contend that:
  • Obamacare is not a public program, but a government-assisted private boondoggle. Its main purpose is not to ensure public health, but to insure the profitability of private health insurance companies and the private pharmaceutical and hospital industries.
  • It is the product of a now thoroughly corrupt political culture in which capital openly buys politicians, elections, and laws.
  • It is failing politically at every level, and is even likely to fail in its actual socio-economic goal of perpetuating the profitability of the private health insurance industry.
  • It cannot be “tweaked” into becoming a real public healthcare program, and every syllable of every argument for fine-tuning it does nothing but waste time and stand in the way of ever getting the single-payer, universal coverage, Medicare-for-all that we need.


Unfortunately, it was Democratic Obama cheerleaders like Moore – who refused four years ago to oppose the program and insist, as they should have (and promised they would!), on a public system – who helped to create the terrible situation we now have. (And Moore still seems to think Obamacare is “a godsend” that can be tweaked into perfection.  See Shamus Cooke’s wonderful takedown of Moore’s weaseling.)

As Norman Solomon put it, with their “disingenuous sales pitches four years ago, President Obama and his Democratic acolytes did a lot to create the current political mess engulfing Obamacare — exaggerating its virtues while pulling out the stops to normalize denial about its real drawbacks. That was a bad approach in 2009. It remains a bad approach today.”

The result has been a situation in which healthcare has become more thoroughly privatized, and the possibility of a single-payer Medicare-for-all system – the cheaper, more effective, already-proven and undeniably popular (favored by two-thirds of the public in 2009) solution – has become deferred even further, and made harder even to see or discuss.

Support My Work

If you like my work, you can support me by subscribing to my Substack or by making a one-time donation via Buy Me A Coffee, PayPal, Venmo, Cash Appor Zelle (preferred, no fee). Thanks for your support!

Featured Post From The Archive:

Can The World Abide Israel?

  Can The World Abide Israel? Jim Kavanagh https://x.com/RamAbdu/status/1926666490893201875 There is no intellectually honest denial...