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

Sunday, January 16, 2011

Open Letter to WW Readers from Leslie Feinberg


The following letter was written on Jan. 6.

The reason readers haven’t seen my byline in Workers World newspaper for several years is that I am ill and disabled from late-stage, long-untreated tick-borne infectious diseases.

Since I began working on the newspaper in 1974, I wrote, proofread, edited and did other labor on Workers World during more than 30-plus years of undiagnosed cyclical illnesses and disabilities. However, I became acutely ill and disabled in October 2007, and I have been unable to recover my health.

I am proud to remain on the masthead of Workers World newspaper as a Managing Editor; however I must add this fact: I am on protracted medical leave.

I regret that I am so seriously ill now, and so disabled as a result, that I am no longer able to answer online inquiries to the newspaper about previous articles.

A partial bibliography of articles that I wrote in Workers World from 1974 to 2002 was compiled by M. R. Cook, a working-class undergraduate student. Cook’s enormous contribution of bibliographic labor can be found at transgenderwarrior.org/references.html

Bylined articles I wrote between 2002 and 2007 are accessible through keyword search at workers.org.

As I began to understand how ill I was becoming, I tried to reference information from my library and online research in the series “Lavender & Red.” (workers.org)

The books I used are referenced in the series, and other facts can be found via online web research with keyword phrases.

I regret not having been able to endnote and develop a bibliography for more of the entire Lavender & Red series. As I was becoming increasingly ill, however, I was able — with a lot of comradely help — to apply book-standard referencing to about a quarter of the L&R series — the articles compiled into the book entitled “Rainbow Solidarity in Defense of Cuba.” (leftbooks.com)

I believe the following four articles, which I wrote for Workers World, best flesh out the overall concluding political trajectory of the Lavender & Red series:

“What’s behind anti-gay pogrom in Russia?” (June 2, 2006) www.workers.org/2006/world/russia-0608/

“LGBT liberation: An essential working-class struggle” (June 24, 2006) www.workers.org/2006/us/lfeinberg-0629/

“Struggle over Middle East reaches into world LGBT movements” (July 27, 2006) www.workers.org/2006/world/mideast-lgbt-0803/

“Death of trans immigrant in detention forges united protests” (Sept. 8, 2007) www.workers.org/2007/us/trans-0913/

All my writing has been strengthened by the labor of others, as I have contributed my labor to the writing of others. The strengths of my written work — as part of my adult lifetime of political activism — are based on collective labor and the lessons of collective struggle. The weaknesses and errors are my own as an individual.

Today, it is very painful, slow and difficult for me to read and write — and even to speak. But when I read, I make sure to read Workers World newspaper.
Articles copyright 1995-2011 Workers World. Verbatim copying and distribution of this entire article is permitted in any medium without royalty provided this notice is preserved.

Friday, January 14, 2011

How Cuba Does It?

By Cheryl LaBash
Published Jan 13, 2011 8:14 PM


“Cuba has the lowest [infant] mortality rate in the Americas, in spite of the economic blockade imposed against it by the U.S. for more than five decades,” announced Granma newspaper on Jan. 3.

Before Cuba’s 1959 revolution ousted the racist, corrupt, U.S.-puppet Batista regime, infant deaths, when recorded, exceeded 60 per 1,000 live births. In 2010, the rate of infant mortality was only 4.5 per 1,000 live births — overall a better and more equally distributed outcome than in the much wealthier U.S.

This is a stark contrast to the huge disparities in infant mortality rates in the U.S.; for example, there are 14.7 deaths per 1,000 live births among African Americans in Mississippi, as reported in the “2010 Mississippi Infant Mortality Report.” (msdh.ms.gov)

According to Granma, some contributing factors to Cuba’s success are “the political will of the revolutionary government, the high education levels of its population, the vaccination program against 13 diseases, and a free universal health system for everyone.”

Ray Suarez reported on PBS Newshour that Cuba’s health achievement also includes a higher life expectancy than the U.S. and costs less — a lot less! “According to the World Health Organization ... the average Cuban lives to the age of 78. That’s slightly longer than the life span of the average [U.S. resident]. The cost of health care in Cuba is less than $400 a year per person. In the U.S., the annual tab is almost 20 times higher.” (Dec. 21)

According to the Centers for Medicare and Medicaid Services, U.S. health care spending amounts to $8,086 per person or 17.6 percent of its Gross Domestic Product. (www.cms.gov)

The PBS report points to Cuba’s large number of doctors, its emphasis on preventive care, the growing biotech industry that develops new vaccines and medicines, and free universal education including medical school. But there is more.

Cuba’s socialist economic system eliminates the profit motive that shapes and distorts every aspect of health care in the capitalist U.S. The education of doctors and the distribution of health facilities are planned and organized to meet human needs, not left to the “invisible hand of the market.”

Confronted with $200,000 to $300,000 in education debt, many U.S. medical students must steer toward higher income specialties, making career decisions that — subtly or not — avoid treating uninsured, poor or rural patients where doctors earn less.

Decisions over every aspect of capitalist health care from direct patient care, insurance and hospitals to pharmaceuticals, lab work, research and high-tech tests are all geared to maximizing profits, even increasing the use of these goods or services, whether warranted or not. Medication, surgeries and procedures are even advertised directly to the public to promote sales.

Yet 50 million U.S. residents have no insurance and even insurance doesn’t guarantee affordable, quality or preventive care. (The Kaiser Family Foundation, Sept. 2010)

The U.S. health care cost and outcome crisis can be solved. Cuba has proved it.
Articles copyright 1995-2011 Workers World. Verbatim copying and distribution of this entire article is permitted in any medium without royalty provided this notice is preserved.

Sunday, January 2, 2011

Healthcare in North Korea



From: Proletarian Magazine of the Communist Party of Great Britain (Marxist-Leninist)

Imperialist sanctions have failed to derail the DPRK’s people-centred socialist medical system.

Since its independence, the Democratic People’s Republic of Korea (DPRK) has experienced several stages of development, including post-war reconstruction and industrialisation. The country has achieved many successes, including free education, 100 percent literacy, free medical services and a relatively long life expectancy.

In the early decades of the country’s existence, remarkable economic growth was achieved. Health indicators such as life expectancy and infant and maternal mortality were previously among the best in the region. Unfortunately, from the early 1990s, these indicators were seen to decline, due to successive natural disasters, compounded by the loss of markets, trade, aid and investment following the dissolution of the former Soviet Union and the demise of the European socialist countries, and the intensification of the six-decade long regime of US economic sanctions.

Disaster and recovery

The DPRK is the northern part of a peninsular nation, in which mountains and uplands cover nearly 85 percent of its total area, leaving just 15 percent for cultivable plains and lowlands. In recent years, the country has been affected by unprecedented natural disasters, and is exposed to frequent occurrence of floods, landslides, tidal waves, typhoons, droughts, waves/surges and other types of natural disasters such as wind storms. [1]

Following these disasters, this period saw a rise in malnutrition, communicable diseases and mortality; the US blockade and the collapse of the USSR meant that there was a shortage of necessary drugs, vaccines, medical equipment and surgical supplies, as a result of which aid from international bodies such as the World Health Organisation (WHO) was sought.

However, the infrastructure established during the early years of socialist construction has played an important role in expediting the recent rapid recovery seen in the DPRK’s health services. In 2001, the then director-general of the WHO, Dr Gro Harlem Brundtland, said that the DPRK’s health system was in near collapse. This is in stark contrast to the impression made on the current director-general, Dr Margaret Chan, who visited the country in April 2010 and described the healthcare system as something that most other developing countries would envy. [2]

In particular, Dr Chan highlighted the impressive ratio of doctors to population, the elaborate healthcare infrastructure (centred around the house doctor system), universal coverage, the establishment of telemedicine, 90 percent childhood immunisation, the effective implementation of maternal, newborn and child health interventions, very good directly observed treatment coverage for tuberculosis and success in controlling a recent resurgence of malaria.

Dr Chan was struck by what had been achieved under very difficult conditions. The most up-to-date population statistics for the country include an infant mortality rate of 50.15 deaths per 1,000 live births (51st in world). [3]

Focusing on public health


The DPRK has an extensive and comprehensive healthcare system infrastructure, and all services are free to the people. [4] Under the management of the ministry of public health, the core of public health policy has always been preventive medicine and the promotion of good health.

Policies focusing on preventative medicine were adopted on a wide scale during the period of socialist construction in the 1950s, with a focus on health education, hygiene at home and at work, preventing environmental pollution, immunisation against childhood and communicable diseases, and daily exercise.

Achievements in public health have been attained by developing widespread support for public health, conducting public health work as a mass movement, and avoiding the implementation of policies that may have a negative effect on the health of population. In 2003-2004, 23.3. percent of the national budget was allocated to economic development and 40.5 percent to public health, education, social insurance and social security. [5]

The DPRK’s health infrastructure


The healthcare infrastructure is geographically divided into nine provinces and one municipality of the capital. There are 210 counties, further subdivided in small administrative units called Ri (rural areas) and Dong (urban areas). There is a vast and equitably distributed network of more than 800 general and specialised hospitals at central, provincial and county levels, and about 1,000 hospitals and 6,500 polyclinics at Ri and Dong level, with an estimated staff of around 300,000.

The heart of the infrastructure is the household doctor system. A household doctor is also known as a section or family doctor and is in charge of 150 households. This doctor is qualified to deliver health services (curative, promotive, rehabilitative, and preventative) directly to the households under his charge, but is supported by a referral system to higher levels of care.

The gap in the provision of health services in urban and rural areas, in the plains and mountainous regions has been actively addressed through the appropriate allocation of health workers. This example of centralised planning has resulted in an almost non-existent gap between urban and rural areas in terms of the numbers of household doctors and nurses per household – something almost unheard of in the capitalist world.

Ri hospitals and polyclinics are set up to serve households within a 30-minute walking distance. City, district and county hospitals where specialised care is provided are distributed within one hour travel by car.

The opening of a telemedicine facility in 2008/09 has been a very important development and makes use of information and communication technology to extend access to health care and improve its quality, especially to remote regions. It has also improved training of healthcare staff and allowed better disease surveillance

The DPRK government has given priority to training healthcare staff despite recent adverse economic conditions. There are 100 training institutions for healthcare providers, including medical universities, re-education universities, nursing schools, midwifery schools and schools for dentistry, massage therapy and radiography.

A mixture of western and traditional medical practice has been adopted, but every year, doctors, researchers, post-graduates, and trainees are sent to several countries to be kept abreast of current evidenced-based best practice. In addition, hundreds of healthcare workers go abroad every year to give assistance to other developing countries.

In 2003, the number of doctors in north Korea was 74,597, with 87,330 nurses and 6,084 midwives, equating to 32 doctors, 37 nurses and three midwives per 10,000 population.5

The health of women and children in the DPRK has been systematically improved since the republic was established six decades ago. Family planning services have been available since the mid 1970s. Paediatric and maternity units and specialist hospitals have been reconstructed and enlarged and mobile teams set up for remote areas.

In 2002, 98 percent of pregnant women registered their pregnancies and had deliveries supervised by obstetrically trained healthcare workers. In the past decade, both infant and maternal mortality have shown signs of recovery. Infant mortality which was 21 per 1,000 live births in 2002, [5] had fallen to 19 per 1,000 live births in 2008. [6] Likewise, maternity mortality, which was at 97 per 100,000 births in 2002, [5] had fallen to 77 per 100,000 births in 2008. [6]

The state is currently putting effort into producing essential drugs as well as traditional and preventative medicines. Licensed drugs are distributed through a well-organised system of supply stations set up at central, provincial, city and county levels. In 2003, 100 percent of the urban population and 97.1 percent of the rural population had access to essential drugs within a 5 mile radius. [5]

Challenges


The healthcare system in the DPRK continues to face many challenges. Shortfalls in food (and subsequent chronic malnutrition and malnutrition related diseases), drugs and medical equipment in recent years continue to have repercussions on the health of the population, which are exacerbated by the continuing blockade. Difficulties in accessing fuel also impacts access to higher levels of health services. These are issues highlighted in an extremely critical Amnesty International report on the DPRK’s health system published in 2010.[7]

However, without access to the country, the methodology used in producing this report largely depended on interviewing 40 north Koreans who had settled abroad between 2004-09 and of whom the majority were originally from the extremely poor and remote region of North Hamgyong province.

The Amnesty report pointed the finger of blame at north Korea’s economic model and seemingly provides dramatic support for the western consensus that the DPRK is a ‘failed’ state and, by extension, that a Marxist-Leninist form of government does not work. However, while passing comments were made about the effect of famine, no mention was made of the successive natural disasters the country has been subjected to, the loss of trade and support from the Soviet Union, and the reduction in food aid from south Korea and elsewhere.[8,9] Most glaring was the complete omission of any discussion on the impact that sanctions have had on the country.

The United Nations Committee on Economic, Social and Cultural Rights recognised in 1997 that sanctions “often cause significant disruptions in the distribution of food, pharmaceuticals and sanitation supplies, jeopardise the quality of food and the availability of clean drinking water, severely interfere with the functioning of basic health and educational systems, and undermine the right to work. ”[10]

Former US President George W Bush boasted that north Korea was “the most sanctioned nation in the world”.[11] Sixty years of crippling US sanctions have included limits on the export licensing of food and medicine to the DPRK, a ban on government financing of food and medicine exports, a ban on so-called ‘dual-use’ exports (civilian goods deemed adaptablemilitary purposes) and blocking of any loan or funding through international financial institutions to mention just a few.12

While dual-use sanctions may appear to be targeted, just about any item required for the provision of basic healthcare, sanitation, and educational rights – chlorine, syringes, x-ray equipment, medical isotopes, blood transfusion bags, even graphite for pencils – can be construed to have military uses and therefore banned for export to north Korea.[12]

The implementation of dual-use sanctions played a significant role in destroying the healthcare system in Iraq in the 1990s. Needless to say, failure to discuss the impact of sanctions on the current state of DPRK’s healthcare system is testament to the fact that Amnesty operates within the framework of western propaganda. This, in addition to its shaky methodology, leaves us with a report that has almost no scientific, economic or humanitarian value.

In fact, what is remarkable about the DPRK is not that there are problems, but the incredible advances made in the teeth of a sanctions regime that has been designed to cripple the nation’s healthcare services. The difference between Iraq, where the sanctions regime was successful in destroying an advanced healthcare system, and north Korea, where it has failed to do so, is the socialist system of production and distribution. In north Korea, despite initial reverses, resources have been targeted and all sorts of complex challenges faced down because workers’ well-being, rather than corporate profit, is the main priority of the state.

This is corroborated by eye-witness accounts of the DPRK’s healthcare system, including that of the current director-general of WHO and members of the recent delegation of the CPGB-ML, of whom two were doctors with a total of 16 years of work experience in the UK national health service. These witnesses’ reports reveal a healthcare system that is making active advances, despite the adverse conditions.

Hospitals visited by recent CPGB-ML delegates,13 were impressive in their size, layout, cleanliness and staff commitment to improving services. Although there were shortfalls in cutting-edge medical technology, essential medical equipment such as x-ray machines, ultrasound machines, neonatal incubators, ECG machines and endoscopes were well maintained and clearly available to patients.

In addition to minor procedures, the skill and technology is in place to perform advanced surgery such as cardiac bypasses and valve replacements. The establishment of telemedicine is not only testament to the availability of computing and information technology but also of the commitment shown by the government to improve services further.

Far from crumbling, the health system in the DPRK is making significant achievements and is something that north Koreans are quite rightly proud of.



Notes


1 searo.who.int/Section 3131/Section 1518_6795.html

2 Transcript of press briefing at WHO headquarters, Geneva, 30 April 2010

3 The World Factbook 2010, CIA Publications, cia.gov/library/publications/the-world-factbook/geos/kn.html

4 ‘Emergency and Humanitarian Action Country Report 2008’, EHA in the WHO South-East Asia Region

5 ‘Democratic People’s Republic of Korea: National health system profile’, searo.who.int/LinkFiles/DPR_Korea_CHP-DPRK.pdf

6 ‘2008 census of population of DPRK key findings’, United Nations Statistics Divison, unstats.un.org/unsd/demographic/sources/census/2010_PHC/North_Korea/DPRK%20Final%202008%20Census%20Key%20Findings.doc

7 ‘The crumbling state of healthcare in North Korea’, Amnesty international publications 2010

8 The Los Angeles Times, 25 October 2006

9 The Washington Post, 16 May 2008

10 ’The relationship between economic sanctions and respect for economic, social and cultural rights’, United Nations Economic and Social Council, 12 December 1997

11 ‘Sanctions of mass destruction’ by John Mueller and Karl Mueller, Foreign Affairs, Volume 78, Number 3, May 1999

12 gowans.wordpress.com/2010/07/20/amnesty-international-botches-blame-for-north-korea%E2%80%99s-crumbling-healthcare/

12 CPGB-ML delegation to DPRK, September 2010, youtube.com/user/ProletarianCPGBML

Thursday, December 23, 2010

PBS Highlights Cuba's Medical System


From: PBS News Hour

Ray Suarez wraps up his series on Cuba with a look at its medical diplomacy efforts around the world.

HAVANA, Cuba | In an old naval academy on Havana's western shore, thousands of low-income students from around the world -- including 100 from the United States -- are getting a free medical education thanks the Cuban government.

The Latin American Medical School, "ELAM" in Spanish, was conceived by former President Fidel Castro following Hurricanes George and Mitch, which devastated parts of Central America and the Caribbean in 1998. After sending 1,000 doctors to hard-hit communities, Cuba decided to offer long-term help by providing medical training to students in those countries. Soon, thousands were accepted from around the world.

Students must pass an entry test, and have at least a high-school diploma and a solid academic record. Preference is given to low-income applicants. In return for receiving a free medical education, students make a non-binding pledge to practice medicine in underserved communities.

The Cuban government foots the bill for each student -- around $10,000 to $15,000 a year -- according to the school's Vice Rector Maritza Gonzalez Bravo.

Gonzalez says hundreds of thousands of doctors are urgently needed around the world, and the goal is to increase those ranks as quickly as possible.

"In any country, regardless of its wealth, if we know that its people are in need of health services, and there are young who feel the need to change the reality in their hometowns, we open our arms to them, to train them so they can change the situations in their communities," said Gonzalez.

Some 50 U.S. students have graduated from ELAM. Those graduates must pass the same licensing exams as U.S. medical students and apply for residency programs at American hospitals. But unlike in the United States, students at ELAM spend up to a year learning Spanish, Cuban history and culture, and then dive into a curriculum that is focused on preventative health. And because many medical supplies, like advanced diagnostic equipment, are in short supply, students learn medicine the old-fashioned way: listening closely to a stethoscope, relying on their hands to feel for abnormalities.

The school, like most things in Cuba, is not without controversy. Some critics say the school is simply a propaganda tool for the Castro government. But during the NewsHour's visit, we spoke with a number of students who seemed genuinely grateful to the Cuban government and eager to help out their communities after graduation.

sol.jpgFirst-year student Anniver Maegaasia, 22, is from the Solomon Islands. When asked why she was studying medicine in Cuba, Maegaasia replied, "In my country, there is no medical school."

She says most people in the Solomon Islands are very poor, including her own family, so she jumped at the opportunity to get a free medical education in Cuba.

Her own family's lack of access to quality medical care prompted her to become a doctor. Her mother is battling cancer and her younger sister died of the disease at age 13.

"Her lab tests were sent to Australia and it took months to get the results back," explained Maegaasia. "In Cuba, one doctor looks after the whole family. Back home, the government doesn't care as much about health care. Here it is about prevention."

Maegaasia says the campus environment at ELAM is fairly strict, but she appreciates being able to focus on her studies without "distractions" such as the Internet or cell phones.

emily.jpgEmily Brown, 25, says she came to Cuba so she can give back in her home state of Pennsylvania.

"This school is going to allow me to become the doctor I want to be," said Brown. "I won't be paying back a huge debt when I graduate, so I'll be able to work at a free clinic or volunteer in communities that need me most."

tucker.jpgNew Orleans native Tia Tucker, 28, says her training in a resource-poor country like Cuba will help her when she starts a practice in rural Louisiana. "We did a workshop in New Orleans this summer and people were psyched about what we are learning here. They said, 'Yeah, I want to live in a community where the doctor can come to my house.'"

In addition to free tuition, pretty much everything the students need at school is given to them: lab coats, shoes, text books and a bag of toiletries once a month. They also get a 100 pesos monthly stipend, about $4, which they say is enough to buy snacks and to get around the city. But students admit the conditions at the school are not luxurious.

cas.jpgCassandra Curbelo, from Miami, is one of the older students on campus at age 32. "For a lot of us who are here, versus what your typical U.S. med student looks like, we don't have a lot of perks at home," she explained. "But if you live in a building that is too hot during the summer and too cold during the winter, then you are going to understand better what your patients' lives are like."

Monday, December 20, 2010

Wiki-leaks Proves "Sicko" Not Banned in Cuba

by Film-maker Michael Moore


Yesterday WikiLeaks did an amazing thing and released a classified State Department cable that dealt, in part, with me and my film, 'Sicko.' It is a stunning look at the Orwellian nature of how bureaucrats for the State spin their lies and try to recreate reality (I assume to placate their bosses and tell them what they want to hear).
The date is January 31, 2008. It is just days after 'Sicko' has been nominated for an Oscar as Best Documentary. This must have sent someone reeling in Bush's State Department (his Treasury Department had already notified me they were investigating what laws I might have broken in taking three 9/11 first responders to Cuba to get them the health care they had been denied in the United States).
Former health insurance executive Wendell Potter recently revealed that the insurance industry -- which had decided to spend millions to go after me and, if necessary, "push Michael Moore off a cliff" -- had begun working with anti-Castro Cubans in Miami in order to have them speak out and smear my film.
So, on January 31, 2008, a State Department official stationed in Havana took a made up story and sent it back to his HQ in Washington. Here's what they concocted:

XXXXXXXXXXXX stated that Cuban authorities have banned Michael Moore's documentary, "Sicko," as being subversive. Although the film's intent is to discredit the U.S. healthcare system by highlighting the excellence of the Cuban system, he said the regime knows the film is a myth and does not want to risk a popular backlash by showing to Cubans facilities that are clearly not available to the vast majority of them.

Sounds convincing, eh?! There's only one problem -- 'Sicko' had just been playing in Cuban theaters. Then the entire nation of Cuba was shown the film on national television on April 25, 2008! The Cubans embraced the film so much so it became one of those rare American movies that received a theatrical distribution in Cuba. I personally ensured that a 35mm print got to the Film Institute in Havana. Screenings of 'Sicko' were set up in towns all across the country.
But the secret cable said Cubans were banned from seeing my movie. Hmmm.
We also know from another secret U.S. document that "the disenchantment of the masses [in Cuba] has spread through all the provinces," and that "all of Oriente Province is seething with hate" for the Castro regime. There's a huge active underground rebellion, and "workers there readily give all the support they can," with everyone involved in "subtle sabotage" against the government. Morale is terrible throughout all the branches of the armed forces, and in the event of war the army "will not fight." Wow -- this cable is hot!
Of course, this secret U.S. cable is from March 31, 1961, three weeks before Cuba kicked our asses at the Bay of Pigs.
The U.S. government has been passing around these "secret" documents to itself for the past fifty years, explaining in painstaking detail how horrible things are in Cuba and how Cubans are quietly aching for us to come back and take over. I don't know why we write these cables, I guess it just makes us feel better about ourselves. (Anyone curious can find an entire museum of U.S. wish fulfillment cables on the website of the National Security Archive.)
So what do you do with about a false "secret" cable, especially one that involves you and your movie? Well, you wait for a responsible newspaper to investigate and shout what it discovers from the rooftops.
But yesterday WikiLeaks gave the 'Sicko' Cuba cable to the media -- and what did they do with it? They ran it as if it were true! Here's the headline in the Guardian:

WikiLeaks: Cuba banned Sicko for depicting 'mythical' healthcare system
Authorities feared footage of gleaming hospital in Michael Moore's Oscar-nominated film would provoke a popular backlash

And not one scintilla of digging to see if Cuba had actually banned the movie! In fact, just the opposite. The right wing press started to have a field day reporting a lie (Andy Levy of Fox -- twice -- Reason Magazine, Spectator and Hot Air, plus a slew of blogs). Sadly, even BoingBoing and my friends at the Nation wrote about it without skepticism. So here you have WikiLeaks, who have put themselves on the line to find and release these cables to the press -- and traditional journalists are once again just too lazy to lift a finger, point and click their mouse to log into Nexis or search via Google, and look to see if Cuba really did "ban the film." Had just ONE reporter done that, here's they would have found:

June 16, 2007 Saturday 1:41 AM GMT [that's 7 months before the false cable]
HEADLINE: Cuban health minister says Moore's 'Sicko' shows 'human values' of communist system
BYLINE: By ANDREA RODRIGUEZ, Associated Press Writer
DATELINE: HAVANA
Cuba's health minister Jose Ramon Balaguer said Friday that American filmmaker Michael Moore's documentary 'Sicko' highlights the human values of the island's communist-run government... "There can be no doubt this documentary by a personality like Mr. Michael Moore helps promote the profoundly human principles of Cuban society."

Or, how 'bout this little April 25, 2008 notice from CubaSi.Cu (translation by Google):

Sicko premiere in Cuba 25/04/2008
The documentary Sicko, the U.S. filmmaker Michael Moore, which deals about the deplorable state of American health care system will be released today at 5:50 pm, for the space Cubavision Roundtable and the Education Channel.

Then there's this from Juventudrebelde.cu (translation by Google). Or this Cuban editorial (translation by Google). There's even a long clip of the Cuba section of 'Sicko' on the homepage of Media Roundtable on the CubaSi.cu website!
OK, so we know the media is lazy and sucks most of the time. But the bigger issue here is how our government seemed to be colluding with the health insurance industry to destroy a film that might have a hand in bringing about what the Cubans already have in their poverty-ridden third world country: free, universal health care. And because they have it and we don't, Cuba has a better infant mortality rate than we do, their life expectancy is just 7 months shorter than ours, and, according to the WHO, they rank just two places behind the richest country on earth in terms of the quality of their health care.
That's the story, mainstream media and right-wing haters.
Now that you've been presented with the facts, what are you going to do about it? Are you gonna attack me for having my movie played on Cuban state television? Or are you gonna attack me for not having my movie played on Cuban state television?
You have to choose one, it can't be both.
And since the facts show that the movie played on state TV and in theaters, I think you're better off attacking me for having my films played in Cuba.
¡Viva WikiLeaks!

Friday, December 17, 2010

Crisis in Healthcare: Alberta's Five Year Plan


From: The Marxist-Leninist Daily, Daily Newspaper of the Communist Party of Canada (Marxist-Leninist)

- Peggy Morton -

Everyone agrees that the crisis in health care is deepening. Many of the symptoms are clear: overcrowded emergency rooms, long waits to access care at many levels and failure to provide care for frail seniors. The burn-out and exhaustion of health care workers is being recognized. But whenever discussion goes beyond symptoms to the cause of the malady and the treatment required, it becomes clear that the rich and their governments are living in a different world. Health care workers and their collectives, seniors organizations and citizens groups are identifying immediate problems which require solutions and making proposals on that basis. Governments, the monopoly media, the think tanks of the rich and the monopolies who want to expand their "market" are working overtime to overwhelm people and convince them that health care is not a right and this right cannot be provided with a guarantee. The rich and their governments are the block which people face in providing solutions on the basis that Health Care is a Right!

For example, the Globe and Mail says that the problem is that Canadians are just plain stubborn and cling to the "lofty principle" that everyone should receive care regardless of ability to pay. Hard choices have to be made, the rich say. Health care is eating up too much of provincial budgets, and the only source of additional funding for health care is to take it from other social programs such as education, they claim. The assault on the rights which people have as humans seems endless.

The Alberta government has responded to the tsunami from Albertans demanding the government provide the necessary resources to ensure people receive the highest quality care when needed by producing a "five-year health action plan." The plan sets out targets for everything under the sun, from emergency room wait times, wait times for primary care, surgery, consultation with a specialist and so on. When it comes to how it is going to deliver on these targets, there is nothing in the document which even remotely resembles a concrete plan.

Why is this the case? Is the government just stupid? Or does it recognize a different problem than the problem the people of Alberta have identified? According to the government, people are the problem. What to do about all these people who have health problems? What to do about all these angry Albertans who are speaking out. What to do about doctors, nurses, and support staff who refuse to be silenced? What about the physician in their own caucus who refused to abandon his responsibilities as a physician and persisted in speaking out on behalf of health care workers and the health care needs of Albertans? What to do about the seniors who refuse to be marginalized? The short-term fix is a PR job to convince people that the government is doing something. Fire the CEO of the health superboard. Empty the overflowing emergency unit by sending patients to other units which are already full and where patients will end up in hallways or as the third patient in a two-bed room. Produce a glossy plan full of targets and empty promises.

The targets are a way of claiming that something is being done. But they are also a means to force hospitals to meet the targets at the expense of patient care. If a patient is waiting longer than the "target" in emergency, skip the test and send the patient home. Discharge patients early from in-patient wards. Do whatever is "necessary." In the absence of additional resources and staff, wait time targets become a means to force compromised care. Together with "benchmarking," activity-based funding and other such measures, the health superboard becomes a giant U.S.-style health management organization.

As for the long-term solutions, here too the government says that people are the problem. Canadians consider it an achievement of the society that people are living longer and healthier lives. But the rich and their governments speak in apocalyptic terms of the spectre of all these aging baby boomers overwhelming the system, making it "unsustainable." They repeat endlessly that the publicly funded and delivered system is inefficient. It has to be made more efficient, more "business-like" -- in other words, less health care and more profits. The same mantra about making the monopolies competitive so that they can be global champions is to be applied to the health care "market."

Expanding the Public Health Care Workforce


Health care workers and their collectives point out that the first priority is to increase the training and hiring of health care staff. This is necessary to address the burn-out and stress staff experience trying to provide care with inadequate staff. Then additional staff are needed to add more services.

In response to Alberta Health's "solution" to emergency overcrowding, the United Nurses of Alberta (UNA) has pointed out that moving patients out of emergency to other nursing units, to hallways or putting three people in a two-person room cannot be called a solution.

"Unless appropriate staffing and support is provided in each and every environment, we are simply shoving the problem out of the emergency departments and hiding it across the continuum," UNA President Heather Smith said.

"We don't agree with 'pushing' more patients in to overcrowded or inappropriate beds or conditions. This is like the Tokyo subway system where they hire big men with white gloves to push more people into train cars. It is just that wrong," says Heather Smith. "Real expansion of capacity, opening significant numbers of beds and ending the constant squeeze and reduction of our public health system, is the only real solution to the problems.

"We've got to expand the health workforce, you can build buildings and buy beds, but if you can't staff them, you're never going to deal with the real emergency issue."

This is not what the government is doing. According to government calculations, more than 3,000 nurses currently working in Alberta will be over the age of 65 by 2015. It projects that Alberta will be short 6,500 nurses by 2016. Despite this it has committed only to hiring 70 per cent of nursing graduates in Alberta, even though hiring all nursing graduates would not fill the gap. Today's hospitals have shortages of housekeepers, clerical staff, support staff who maintain the buildings, sterilize surgical instruments and perform many other important services in hospitals. Yet there is no plan to hire more staff.

In 1995, after the Alberta government had closed half the beds in the province, there were 6,500 acute care beds (not including mental health beds in stand-alone psychiatric hospitals) for a population of 2.6 million people. Fifteen years later, there are 7,800 acute care beds for a population which has grown to 3.7 million. This means there is now one acute care bed for every 460 people, while in 1995, after half the beds were closed, there was one bed for every 400 people.

The five-year plan states that 360 new acute care beds will be opened in the first two years of the plan; no new beds are planned for the last three years. This means that the government plans to open fewer new beds over the next five years than were opened on average over the past 15 years. To put it another way, one new bed will be opened for each 10,000 people in Alberta. This is not even taking into account population increase, making it likely that bed/population ratios will fall ever further.
Dignity for Seniors

As for the government's "commitment" to open 5,300 continuing care spaces over the next five years, its announcement should get an award for the most brazen attempt at deception in the whole "plan." "New" terminology for "continuing care" includes expressions like the home stream, the supportive living stream and the facility living stream. This means if a senior is receiving some home care services, their bedroom can be counted as a "continuing care space." So too a room in a lodge where room and board are provided but there are no health care staff on site. A continuing care space can mean almost anything, as long as the senior is not in an acute care hospital.

It appears that most of the "spaces" referred to will be in private, for-profit assisted living facilities being built with government handouts. There is no change to the plan to cap the number of publicly-funded long-term care beds at the current 14,500. Seniors will be forced to pay for more and more of their care. Funding will be diverted from care for seniors and decent wages and living conditions for health care workers into the hands of the private health care monopolies.

When delivery of home care services is contracted out to private companies, the home care workers are paid less than half the hourly rate the private companies charge. The private operators profit from each and every service provided. Eliminating for-profit care would immediately improve living and working conditions for health care workers and provide more funding for patient care.

Funding must be directed to providing care and services so as to provide the right to health care with a guarantee. Out-of-hospital care must not be turned over to private, for-profit health care corporations, and monopolies. This must be reversed and the monopolies restricted. Organizations like the Public Interest Alberta Seniors' Task Force have put forward a concrete plan for action. The government must provide expanded publicly delivered home care services. The conversion of long-term care facilities to for-profit assisted living facilities must stop. High quality, affordable long term care facilities must be built as required to eliminate waiting lists and plan for the future. Every seniors care facility should have an advisory council to ensure that residents and their families have a democratic say in how these facilities are run.

Friday, November 26, 2010

What the capitalist class fears the most... FROM THEIR OWN LIPS!

"Our worst fear is a sustained populist movement..." - Wendell Porter, former Capitalist Healthcare Propagandist

Thursday, July 29, 2010

The Real Story on the DPRK, Its Healthcare


By Stephen Gowans
Reprinted From the Zimbabwe Herald

THE United States has announced that it is adding a new tranche to the
Himalaya of sanctions it has built up since 1950 against North Korea,
sanctions I outlined in my last article ‘‘Amnesty International
botches blame for North Korea’s crumbling healthcare’’.

Calling the new sanctions "measures" — perhaps to escape the disfavour
the word has fallen into after sanctions wiped out the lives of half a
million Iraqi children in the 1990s — US secretary of state Hillary
Clinton purred reassuringly that the new "measures are not directed at
the people of North Korea."

She didn’t predict, however, whether they would add to the misery the
previous umpteenth round of sanctions has already visited upon the
lives of North Koreans, even if she says they aren’t directed at them,
but we can be pretty sure they will.

At the same time preparations were underway to launch Operation
Invincible Spirit, a four day joint US-South Korea military exercise
to take place in the Sea of Japan, involving 8000 troops, 200
warplanes and an armada of warships led by the aircraft carrier USS
George Washington.

The point of the exercise, according to the US commander in the
Pacific, Robert Willard, is to "send a strong signal to Pyongyang and
Kim Jong-il regarding the provocation that Cheonan represented" (the
Cheonan being the South Korean warship that sunk in disputed waters in
May.)

Inasmuch as the Cheonan’s sinking appears to be a replay of the Gulf
of Tonkin incident — the alleged attack on a US Navy destroyer by
North Vietnamese patrol boats used by US president Lyndon Johnson as a
pretext to step up war on Vietnam — the military exercises represent
the second stage of what looks like a plan to increase pressure on
Pyongyang, with a view to producing what US policy has been trying to
produce north of the 38th parallel for the last 60 years: the collapse
of the anti-imperialist governments led by Kim Il-sung and now Kim
Jong-il.

The first part of the plan was to blame North Korea for the Cheonan’s sinking.

The second part is to launch military exercises using the pretext of the first.

China calls the exercises, scheduled to begin this Sunday, provocative.

And University of Chicago historian Bruce Cumings points out that the
North Koreans become agitated whenever the United States and South
Korea carry out joint military exercises, because they "see them as a
prelude to a possible attack."

Indeed, since it is impossible to distinguish troops, warships and
warplanes massing on one’s borders for the purposes of conducting war
games from troops, warships and warplanes massing on one’s borders for
the purposes of an invasion, it is hardly surprising that the North
Koreans are agitated. And that’s the point: keep the DPRK on a
continual war-footing, so that it diverts its sanctions-starved
economy into military preparedness and away from productive
investments and provision of healthcare, education, housing and so on.
Joint US-South Korea military exercises aren’t just a sometimes thing.

They happen every year, and Operation Invincible Spirit adds another
provocation to the annual cycle.

Forcing its ideological opponents to spend heavily on defence — when
they always start off poorer and weaker than the United States and can
therefore ill-afford to do so if they’re ever going to progress — is a
tactic Washington has been using for decades to contain, cripple and
ultimately defeat countries that offer a humane and progressive
alternative to integration into a worldwide capitalist system of
imperial relations.

On top of the advantages of this tactic abroad, at home the defence
spending needed to threaten target countries transfers wealth upwards,
from working Americans through their taxes to the investors and
businesspeople in the armaments industry who benefit in two ways:
first, from the profits they reap from arms contracts and second from
interest on the bonds they buy to finance US defence spending.

The tab is picked up by US taxpayers with their labour and, if a war
is waged against their country, by foreigners with their lives, or
with crippled standards of living, if their governments are forced to
skimp on civilian spending to build a credible defensive force to
deter the threat of US military intervention.

As the dues-payers for the US warfare economy along with its foreign
victims, US citizens have more in common with the citizens of official
enemy countries than they think.

Who’s the real enemy?

The tactic of spending ideological opponents into bankruptcy has two
dimensions: a physical one, of suffocating an alternative economy
until it either breaks down or is left staggering under the weight of
economic warfare and the costs of preparing to repel the unrelenting
ominous threat of military intervention, and an ideological one, of
attributing the break-down to the inherent characteristics of the
alternative system itself.

In this way a warning is sent on two levels: a surface one aimed at
ordinary people, which says, while this alternative may seem like a
good idea, it doesn’t work and only leads to disaster. To work, this
necessitates the cover up of the real causes of the break down.

At the demilitarised zone separating the two Koreas on July 20, both
Clinton and US secretary of war Robert Gates, played up the message
that North Korea’s dire straits are endogenous, and not the product of
a systematic campaign of breaking the country’s back. Gates said:

"It is stunning to see how little has changed up there (in the North)
and yet how much South Korea continues to grow and prosper. The North
by contrast, stagnates in isolation and deprivation."

Clinton said much the same. Of course, neither mentioned that
sanctions, and the continual harassment of North Korea by US forces,
might have something to do with North Korea’s isolation and
stagnation.

On a deeper level, a warning is sent to would-be leaders of oppressed
classes and peoples: try to break free from the US imperial orbit, and
this will happen to you, too.

Forty years ago, Felix Greene outlined how Washington had used this
tactic against China and Cuba, but his description also fits North
Korea today.

"The United States imposed a 100 percent embargo on trade with these
countries; she employs great pressure to prevent her allies from
trading with them; she arms and finances their enemies; she harasses
their shipping; she threatens them with atomic missiles which she
announces are pre-targeted and pre-programmed to destroy their major
cities; her spy ships prowl just beyond these countries’ legal
territorial waters; her reconnaissance planes fly constantly over
their territory. And having done all in their power to disrupt these
countries’ efforts to rebuild their societies by means of blockades to
prevent essential goods from reaching them, any temporary difficulties
and setbacks these countries may encounter are magnified and
exaggerated and presented as proof that a socialist revolutionary
government is ‘unworkable’."

Author William Blum, who writes an Anti-Empire Report monthly,
elaborates on Greene’s point:

" . . . every socialist experiment of any significance in the
twentieth century — without exception — was either overthrown,
invaded, corrupted, perverted, subverted, destabilised, or otherwise
had life made impossible for it, by the United States and its allies.

"Not one socialist government or movement — from the Russian
Revolution to the Sandinistas in Nicaragua, from Communist China to
the FMLN in El Salvador — not one was permitted to rise or fall solely
on its own merits; not one was left secure enough to drop its guard
against the all-powerful enemy abroad and freely and fully relax
control at home.

"It’s as if the Wright brothers’ first experiments with flying
machines all failed because the automobile interests sabotaged each
test flight. And then the good and god-fearing folk of the world
looked upon these catastrophes, nodded their heads wisely, and intoned
solemnly: Humankind shall never fly."

Cumings offered insight into the context surrounding the Cheonan
affair in a May 27, Democracy Now interview.

The incident, Cummings observed: "happened very close to the North
Korean border, we’ve had incidents like this, somewhat different ones,
but with large loss of life, going back more than 10 years.

"In 1999, a North Korean ship went down with 30 sailors lost and maybe
70 wounded.

"That’s a larger total of casualties than this one. And last November,
a North Korean ship went down in flames. We don’t know how many people
died in that.

"This is a no man’s land, or waters, off the west coast of Korea that
both North and South claim. And the Cheonan ship was sailing in those
waters . . . "

The hypocrisy need not be pointed out.

When North Korean ships are sunk, there’s no provocation, except to
North Koreans, who, in the view of Western governments and the
propaganda apparatus of private-sector mass media, don’t matter (in
the same way Israeli soldier Gilad Shalit, who was kidnapped by Hamas,
matters to Western governments and Western mass media while the
countless Palestinians who have been kidnapped by Israeli soldiers in
the West Bank and Gaza and have since disappeared into the bowels of
Israeli prisons are invisible.)

But when a South Korean ship is sunk in the same disputed waters,
North Korea is immediately blamed (by the politicians of South Korea’s
ruling Grand National Party, though not by the South Korean military,
which for weeks, said it had no evidence of North Korean involvement.)

And the sinking is used to justify more sanctions and more military
exercises to ratchet up the pressure.

Cumings went on to explain that the waters in which the South Korean
warship went down in May "is a no man’s land, where the US and South
Korea demarcated a so-called Northern limit line unilaterally. The
North has never accepted it.

"The North says that this area is under the joint jurisdiction of the
North and South Korean militaries. So you have an incident waiting to
happen."

Into this cauldron of roiling waters waiting for an incident to happen
will soon be tossed Operation Invincible Spirit.

While the Western media lighted on Amnesty International’s portrayal
of North Korea’s healthcare system as a horror show with the eagerness
of flies on road-kill, the World Health Organisation had a more sober
assessment of the rights organisation’s Cold War-era hatchet job.

WHO spokesman Paul Garwood faulted the report for being "mainly
anecdotal, with stories dating back to 2001, and not up to the UN
agency’s scientific approach to evaluating healthcare."

"All the facts are from people who aren’t in the country," Garwood
said. "There’s no science in the research."

In contrast, WHO Chief Margaret Chan visited North Korea in April and
returned with an assessment that makes Amnesty’s report look like it
was written to cater to US foreign policy propaganda requirements.

Chan noted that: "The health system requires further strengthening in
order to sustain the government policy of universal coverage and, of
course, to improve the quality of services. More investments are
required to upgrade infrastructure and equipment and to ensure
adequate supplies of medicines and other commodities, and to address
the correct skill mix of the health workforce."

All of this is consistent, in a way, with what Amnesty says.

Of course, the ability of the government to invest in infrastructure,
upgrade equipment, and secure adequate supplies of medicines, is
severely hampered by the US-led campaign of economic warfare and by
Pyongyang’s need to raid its civilian budget to secure its borders
against incessant US military harassment.

Lifting sanctions and removing the military sword of Damocles that
dangles menacingly above North Koreans’ collective heads (I wonder
whether the US nuclear missiles targeted on Pyongyang are, as Clinton
claims with sanctions, not directed at the North Korean people) would
go far to improving the provision of healthcare in North Korea.

Which is one big reason it will never happen.

The point of sanctions and unremitting military threat is to destroy
what the US government calls North Korea’s Marxist-Leninist system
(inaccurately) and its non-market economy, not to make life better,
healthier and happier for North Koreans.

Despite these challenges, DPR Korea appears to have secured what Chan
describes as "advantages over other developing countries," including:

--No shortage of doctors and nurses.

--No brain drain of healthcare professionals (a particularly acute
problem in Africa.)

--An elaborate health infrastructure and a developed network of
primary health care physicians. [14]

Chan also noted that "the government has done a good job in areas such
as immunisation coverage, effective implementation of maternal,
newborn and child interventions, in providing effective tuberculosis
treatment and in successfully reducing malaria cases."

Perhaps, the real story about North Korean healthcare isn’t the
challenges it faces, or the systematic efforts of the United States to
make it collapse, but the fact that it hasn’t collapsed despite these
challenges, and has managed to earn the praise of the WHO as the envy
of many developing nations.

Stephen Gowans is a Canadian writer and political activist resident in
Ottawa. This article is reproduced from http://gowans.wordpress.com
-----------------------------------------------------------
Distributed By: THE PAN-AFRICAN RESEARCH AND DOCUMENTATION PROJECT--
E MAIL: panafnewswire@gmail.com

Sunday, March 28, 2010

The Healthcare Bill: What It Means For Workers


By Fred Goldstein
Published Mar 24, 2010 3:52 PM

Tens of millions of people in this country were hoping to be delivered from the clutches of the ruthless profiteers who control the health care system and were hoping for universal health care. But the very opposite has happened.

The latest so-called health care reform bill, signed into law by President Barack Obama on March 23, has consolidated and legalized the position of the health care profiteers as the central force in the system of health care — under minimal supervision and regulation by the capitalist state.

Furthermore, this bill has been passed by bargaining away women’s reproductive rights and the rights of undocumented and documented immigrants. Its effect is to destroy solidarity while it turns its back on millions of mostly poor women and immigrants.

A statement by Terry O’Neill, president of the National Organization for Women, explained that one of the bill’s effects is to make public funding of abortion impossible and private funding almost impossible. She wrote that the bill “imposes a bizarre requirement on insurance plan enrollees who buy coverage through the health insurance exchanges to write two monthly checks (one for an abortion care rider and one for all other health care). Even employers will have to write two separate checks for each of their employees requesting the abortion rider.”

O’Neill also wrote that the “bill imposes harsh restrictions on the ability of immigrants to access health care, imposing a five-year waiting period on permanent, legal residents before they are eligible for assistance such as Medicaid, and prohibiting undocumented workers even to use their own money to purchase health insurance through an exchange. These provisions ... are there because of ugly anti-immigrant sentiment, and must be eliminated.”

Those who stubbornly and valiantly fought for some form of universal national health care were shunted aside by the Democratic Party leadership and the Obama administration. Single payer was pushed off the agenda and substituted with the miniscule provision for a “public option.” This was mainly a sop in order to change the subject. The Obama administration had early on negotiated with the health care industry and agreed that there would not be a public option.

Thus health care is still to be sold as a commodity on the capitalist market for profit, instead of being the right that it should be. It is in stark contrast to the socialized health care in Cuba, for example, where despite a U.S. blockade that has impoverished the country for decades, health care is free and accessible to everyone. This is because Cuba’s socialist system means people’s needs are a priority, not profits like under capitalism.

One of the features of this bill is that the masses have been kept in the dark about the process and the bill itself from the beginning to the end. Only the politicians and the lobbyists from the various health care industries and medical professions were able to follow the inner course of the negotiations. Now that it is over, various bourgeois experts have surfaced to “explain” the bill.

Workers to wait until 2014 while 45,000 a year die


The details that are buried in the bill will only come out over time, if ever. Here are some of the major features of the bill that have come out.

To begin with, even the most optimistic estimates project that 23 million people will still be uninsured in 2014.

The bill imposes onerous conditions on millions of uninsured who, starting in 2014, would be forced to buy health insurance from an insurance company or face a fine. This is the bill’s version of giving wider coverage. It was the result of a deal cut with the insurance companies to widen their diminishing customer base, which has suffered during the economic crisis as millions lost their jobs and their insurance, and to ensure future billions in profit.

In 2014 workers and the middle class are to be thrust into one of 50 state-run exchanges. This further atomizes the working class by leaving the burden on the individual to find “affordable” insurance on the Internet. Even when insurance premiums are affordable, the co-payments and deductibles can be in the thousands of dollars and make it unaffordable to actually use the insurance.

Medicare Advantage, home care and hospital payments are to be cut by $200 billion. This is a threat to seniors and the disabled, despite assurances that nothing will be cut. Cuts will be made in the reimbursement to the private insurance companies that work through Medicare Advantage; they will surely reduce services.

Adults with pre-existing conditions will have to wait until 2014, when they can no longer be denied coverage. Poor families of four earning less than $29,327 — 16 million people — will have to wait five years to be covered by Medicaid. Meanwhile 45,000 preventable deaths take place every year because of lack of insurance, according to Harvard Medical School. Half of all bankruptcies are due to medical costs.

The bill, of course, has some positive elements that cover the most outrageous and universally hated practices of the insurance companies. Any positive elements should be closely studied by the workers and taken full advantage of. Many of the practices to be eliminated were exposed in Michael Moore’s popular and widely viewed film, “Sicko.”

In the short run, the insurance companies will no longer be able to deny coverage if you are sick. They will not be able to put a lifetime cap on coverage. And they cannot deny children access because of a pre-existing condition. Youth up to 26 years old can stay on their parents’ insurance plan, although there may be an additional premium.

But millions of workers will still have to rely on their bosses to get their health care. If you lose your job, you still lose your health care. In this era of layoffs, mass unemployment and underemployment, there is an epidemic of people losing their employer-based coverage. And if you are allowed to keep your health care after you are laid off, few can afford to pay a group rate, let alone an individual rate.

Most important is that the insurance companies will be in charge of the immediate review process. The Department of Health and Human Services will eventually have a higher level of review. But the companies are expert at lying, manipulating and, in the long run, suffering fines in order to avoid giving coverage that is more expensive than the fines. It is a case of the fox retaining the right to guard the chicken coop.

Social Security and Medicare

The conventional wisdom being touted by the Democratic Party leadership is that this health care bill is in the tradition of the establishment of Social Security and Medicare.

In fact, the opposite is true. Marxists must try to understand the difference, not just in terms of personalities or parties, but in seeing the objective circumstances in which these different pieces of legislation were passed and what the class differences are. The most important factor is to view the relationship of class forces that existed then and that exist now.

The Social Security bill was passed in 1935 as part of the Franklin Roosevelt “New Deal.” But it was passed only after a period of mass struggle against unemployment, the famous veterans’ Bonus March in Washington, D.C., and the break up of the veterans’ encampment by federal troops in a pitched battle. It followed the general strikes in San Francisco, Minneapolis, Minn., and Toledo, Ohio, in 1934.

Even at that, it was a compromise in which the bosses wound up having to pay only half of Social Security, with workers paying the other half. But it became a working-class right. The money was held by the government for the workers and paid out every month by the government.

Medicaid and Medicare were signed into law on July 30, 1965, as part of President Lyndon Johnson’s “Great Society” program. These bills were not passed because the capitalist government suddenly became socially conscious. They came after 10 years of the Civil Rights movement, massive rebellions in the streets of Harlem, N.Y., and Los Angeles, and a growing national liberation movement right here in the U.S.

Just like Social Security, Medicare and Medicaid became a legal and political right of the working class and the poor. They were not turned over to private companies and put on the capitalist market as commodities.

The present health care bill reflects the fact that the working class movement, including the movement of the oppressed, has been on the defensive for a long time and has not yet begun to fight back.

Consequently, the fate of the health care bill was really fought out by different factions within the ruling class and their two political parties without any significant intervention by the masses. Secret deals were made with the pharmaceutical and hospital lobbies as well as with elements in the health insurance industry. When these deals became known, there was no mass response. The bosses had their way, relatively unobstructed by any threat from below. The labor movement leadership restricted itself to minuscule protests and lobbying. And the communities and the political movement were unable to mobilize, despite militant attempts by various single-payer groups.

Fight racist, right-wing counterattacks


But this should lead into the next phase of the struggle. The great problem for the workers’ movement is that the health care bill, as minimal as it is, has been fought tooth-and-nail by the Republicans and the extreme right-wing Tea Party movement, which encompasses outright fascists. The Republicans and the corporations have in fact worked with the Tea Party movement to fan the flames of racism and anti-gay and anti-immigrant sentiment.

There was a fascist-like display at the Capitol building in Washington, D.C., the day the bill was passed, when a mob shouted racist epithets at African-American representative and former civil rights leader John Lewis of Georgia and spat on another Black legislator. The mob then accosted Rep. Barney Frank of Massachusetts, who is gay, and hurled anti-gay slurs at him. It is notable that this mob was allowed by the Capitol police to get right up in the faces of the lawmakers.

The right wing tried to bring down the Obama presidency over the health care bill. There is already talk among the Republicans of trying to overturn the bill and start up a new town-hall-style, ultra-rightist mobilization.

This fact does not make the bill any better. But it does mean that the workers’ movement, the progressive and revolutionary movement, must work together to assertively combat any reactionary and racist counterattack by the right while at the same time demanding real universal health care.

It is not known at this time if right-wing elements will succeed. But the progressive movement was taken aback during the town hall campaign last fall, when the first right-wing assaults were launched against the health care bill while whipping up a racist campaign against Obama.

Forewarned is forearmed. The fight for health care can be carried into the struggle against the right without having to abandon a working-class, progressive position. Fighting the racists and getting in their face while demanding universal quality health care and Medicare for all can and must be done. “Health care is a right!” should become the battle cry of the movement, along with pro-immigrant, pro-abortion rights, anti-racist slogans and so on. This is the way to resist any right-wing, racist mobilization based on opposition to the health care bill.

The Democratic Party leadership has given in all along the line. The workers, oppressed communities, students and youth all have a stake in this struggle. It can be united with the struggle for jobs, against the budget cuts and foreclosures, and to save public education. All these fronts in the class struggle form the basis to come together in People’s Assemblies or other organs of popular power to unite to launch a powerful, anti-capitalist movement.

Articles copyright 1995-2010 Workers World. Verbatim copying and distribution of this entire article is permitted in any medium without royalty provided this notice is preserved.

Saturday, January 30, 2010

San Francisco Hotel Workers Keep Up The Fight!


By Joan Marquardt
San Francisco
Published Jan 23, 2010 8:42 AM

A few hundred San Francisco hotel workers, many employed at the Westin St. Francis hotel, bordering the west side of Union Square, were joined by community and universal health care activists at a picket in front of the hotel on Jan. 13.

The Westin St. Francis is one of seven upscale hotels the workers in Unite Here Local 2 are urging the public to boycott while the entire union membership continues to demand a new contract with the hotel owners. The union distributed a leaflet about the boycott at the Starwood-Corporation-operated Westin St. Francis. It stated, “This hotel earned over $11 million for its owners in the first nine months of 2009 (a ‘down’ year!).”

Regarding the big J.P. Morgan Healthcare Conference taking place inside the hotel, the union’s leaflet said: “Shame on J.P. Morgan! ... J.P. Morgan has decided to side with a corporation trying to make health care unaffordable to working people like us. ... Be part of the solution, not part of the problem. We are asking you not to patronize this hotel. Please do not attend the J.P. Morgan Healthcare Conference ... and please don’t use the Westin St. Francis until Starwood management respects the hardworking people who keep this industry going.”

More actions by the hotel workers and their allies are expected as the union fights to keep reasonable health care benefits included in a new contract.

For more information, go to www.unitehere2.org.

Articles copyright 1995-2010 Workers World. Verbatim copying and distribution of this entire article is permitted in any medium without royalty provided this notice is preserved.

Tuesday, January 26, 2010

"We Send Doctors, Not Soldiers" Reflection from Fidel Castro



IN my "Reflection" of January 14, two days after the disaster in Haiti that destroyed that neighboring sister nation, I wrote: "In the field of healthcare and other areas, Cuba – despite being a poor and blockaded country – has been cooperating with the Haitian people for many years. Around 400 doctors and healthcare experts are offering their services free of charge to the Haitian people. Our doctors are working every day in 227 of the country’s 337 communes. On the other hand, at least 400 young Haitians have trained as doctors in our homeland. They will now be working with the reinforcement brigade which traveled there yesterday to save lives in this critical situation. Thus, without any special effort being made, up to 1,000 doctors and healthcare experts can be mobilized, almost all of whom are already there and willing to cooperate with any other state that wishes to save the lives of the Haitian people and rehabilitate the injured."

"The head of our medical brigade reported: "The situation is difficult, but we have already started saving lives."

Hour after hour, day and night, Cuban healthcare professionals began working nonstop in the few facilities left standing, in tents, parks or other open spaces, given that the population feared further aftershocks.

The situation was far more serious than was originally thought. Tens of thousands of injured people were clamoring for help on the streets of Port-au-Prince, and an incalculable number of people lay, dead or alive, beneath the rubble of clay and adobe with which the homes of the vast majority of the population were constructed. Even the most solid buildings collapsed. It was also necessary to locate the Haitian doctors who had graduated from the Latin American School of Medicine in the midst of destroyed neighborhoods, many of whom were affected, either directly or indirectly, by the tragedy.

United Nations officials were trapped inside their buildings and dozens of lives were lost, including those of several high-ranking officials of MINUSTAH– a United Nations contingent – and the fate of hundreds of other members of its personnel was unknown.

Haiti’s presidential palace collapsed. Many public buildings, including several hospitals, were left in ruins.

The disaster has shocked the world. People have been able to follow the situation via footage broadcast by the principal international TV channels. Governments from around the world announced the dispatch of rescue teams, food, medicines, equipment and other resources.

In accordance with the position publicly stated by Cuba, medical personnel from other nations – including Spain, Mexico and Colombia, among others – worked very hard alongside our doctors in facilities that they themselves had improvised. Organizations such as the PAHO, friendly countries such as Venezuela, and other nations supplied medicines and other resources. A total absence of egotism and chauvinism characterized the impeccable behavior of the Cuban professionals and their leaders.

As it has done in similar situations – like when Hurricane Katrina caused massive devastation in the city of New Orleans and placed the lives of thousands of U.S. citizens in danger – Cuba offered to send a full medical brigade to cooperate with the people of the United States, a country that, as is well-known, possesses vast resources but, at that moment, needed doctors trained and equipped to save lives. Because of its geographical location, the 1,000-plus doctors from the "Henry Reeve" Brigade were mobilized, with the necessary medicines and equipment, to leave at once for that U.S. city. It never crossed our minds that the president of that nation would reject the offer and allow a number of Americans who could have been saved to lose their lives. The error of that government was perhaps its inability to understand that the people of Cuba do not see the U.S. people as an enemy; nor do they blame them for the aggression our homeland has suffered.

Neither was that government capable of understanding that our country does not need to beg favors or pardons from those who, for half a century, have tried in vain to bring us to our knees.

Likewise in the case of Haiti, our country immediately responded to applications from the United States authorities to fly over eastern Cuba and other facilities that they needed to provide assistance as swiftly as possible to U.S. and Haitian citizens affected by the earthquake.

These practices have characterized the ethical conduct of our people and, together with their equanimity and determination, have been the constant features of our foreign policy. All those who have been our adversaries in the international arena know that only too well.

Cuba will firmly defend the opinion that the tragedy that has taken place in Haiti, the poorest nation in the Western hemisphere, represents a challenge for the richest and most powerful countries in the international community.

Haiti is a net product of the colonial, capitalist and imperialist system imposed on the world. Both slavery in Haiti and its subsequent poverty were imposed from abroad. The terrible earthquake came in the wake of the Copenhagen Summit, where the most elemental rights of the 192 member states of the United Nations were trampled over.

In the aftermath of the tragedy, a competition is underway in Haiti for the precipitate and illegal adoption of boys and girls, which has obliged UNICEF to adopt preventative measures against the uprooting of a large number of children, thus depriving close relatives of such rights.

The number of fatalities is already in excess of 100,000. An elevated number of citizens have lost arms or legs, or have suffered fractures that will require rehabilitation for tem to work or manage their lives independently.

Around 80% of the country will have to be rebuilt and a sufficiently-developed economy needs to be created in order to satisfy needs according to its productive capacity. The reconstruction of Europe or Japan on the basis of their productive capacity and the technical level of their populations, was a relatively simple task in comparison to the efforts that will have to be made in Haiti. There, as well as a large part of Africa and other areas of the Third World, it is essential to create the conditions for sustainable development. In only 40 years’ time, humanity will be comprised of more than nine billion inhabitants and will have to confront the challenge of climate change, which scientists accept as an inevitable reality.

In the midst of the Haitian tragedy, without anyone knowing how and why, thousands of U.S. marines, 82nd Airborne Division troops and other military forces have occupied Haitian territory. Worse still, neither the United Nations nor the U.S. government has offered any explanation to the world regarding this deployment of forces.

Various governments have complained that their aircraft have not been able to land and deliver the human and technical resources that have been sent to Haiti.

For their part, a number of countries are announcing the additional dispatch of soldiers and military equipment. From my point of view, such actions would contribute to creating chaos and complicating international cooperation, which, in itself, is complex. It is vital to seriously discuss this issue and entrust the UN with the leading role that corresponds to it in this delicate matter.

Our country is fulfilling a strictly humanitarian mission. To the extent of its possibilities, it will contribute the human and material resources at its disposal. The will of our people, proud their doctors and cooperative workers on vital services, is great and will rise to the occasion.

Any significant cooperation offered to our country will not be rejected, but its acceptance will be entirely subordinated to the importance and significance of the assistance required of the human resources of our homeland.

It is only fair to confirm that, to date, our modest aircraft and the important human resources that Cuba has placed at the disposal of the Haitian people have arrived at their destination without any difficulty whatsoever.

We are sending doctors, not soldiers!

Tuesday, December 29, 2009

Working People's Blood For Sale - Prices Lower Than Ever!

By Caleb T. Maupin
Published Dec 19, 2009 5:36 PM

The United States is one of a small number of countries that allow the sale of human blood plasma for profits. Across the country, countless workers are selling the yellowy substance found in their blood to the pharmaceutical giants of Wall Street.

Just as automobile capitalists seek to drive down the wages of U.S. autoworkers by forcing them to compete with workers in other parts of the world, now the blood profiteers of the pharmaceutical industry have moved their area of exploitation to near the Mexico-U.S. border, where workers are transported from Mexico to sell their plasma.

Esmeralda Delgado is one of these workers. She makes a mere $60 a week for having large amounts of her blood removed, then stripped of plasma and pumped back into her veins. It returns to her body chilled from having been filtered. (New York Times, Dec. 6)

As Delgado sits on a bed at a plasma collection facility in Eagle Pass, Texas, letting her blood slowly fill up a bag, she and her fellow workers/donors can look up at a banner that reads, “Save Lives. Earn Money. Feel Good.”

To Delgado and her fellow immigrant workers, “feeling good” probably means not starving to death, not being evicted from their homes, not seeing their children go to work as child laborers, and the rest of the “perks” derived from selling a natural human substance for the profit of corporate capitalists.

And the corporations get to “feel good” with the profits they make as part of a $12 billion business. The compensation that the workers/donors receive, officially for their “time” and not their blood plasma, is often a mere 10 percent of the value of the products manufactured from this essential part of human anatomy.

It is doubtful that workers like Delgado can afford to receive health care from the medical corporations that happily suck out their blood on a weekly basis. However, corporations that buy human plasma from desperate workers also have other means of making profits. Baxter International, for example, was recently prosecuted for jacking up prices for intravenous solutions. Kentucky Attorney General Jack Conway said the company “published inflated average prices for its IV solutions, at times exceeding 1,300 percent more than the real price, which caused Kentucky Medicaid to pay substantially more than it should have.” The company reached a $2 million settlement with the state in July. (Business First of Louisville, July 2)

The plasma center in Eagle Pass, near the Mexican border, owned by Talecris Biotherapeutics — a wing of Cerberus and employer of former Vice President Dan Quayle — recently cut the compensation for its worker/donors from $80 to $60. More working people are desperate for money, so, like “the reserve army of labor” that forces down wages, a reserve army of plasma donors is created as jobs fade away, homelessness soars and desperation becomes part of everyday life in the age of crumbling capitalism.

At least 15 plasma centers are located in border cities in Texas and Arizona. Talecris’ four newest plasma centers have also been built along the U.S./Mexico border, where workers are willing to sell their blood plasma at much lower costs.

Karl Marx long ago identified the proletariat, or working class, as a group of people with “nothing to sell but their labor power.” It seems now that jobs are fading away and workers are suffering horribly, the capitalists can still pull more profits out of the misery and toil of those they oppress. It seems that human blood, like all else within the capitalist system, is not only a commodity, but one that can cheapen and diminish in value, as the profits of the rich soar ever higher.

The Black revolutionary Malcolm X seems to have been literally correct when he said, “Show me a capitalist. I’ll show you a bloodsucker.”

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