Tag: Covid-19

Medicare for All: Force the Vote

It’s time! Commonwealth for the common health. Medicare for All!

W.J. Astore

The comedian and activist Jimmy Dore has inspired a movement for a vote in the House on Medicare for All early in January 2021. (Here’s Jimmy Dore talking to Cornel West on this issue.) Go to forcethevote.org and sign the petition to put pressure on Progressive Democrats to withhold their vote for Nancy Pelosi for Speaker unless she brings Medicare for All (M4A) to the floor of the House for a vote. If not now, during a global pandemic that has killed more than 300,000 Americans and caused nearly 15 million Americans to lose their employer-based health insurance, when are we going to consider M4A?

I rarely sign petitions. But my wife and I instantly signed this one. Americans supposedly live in the richest country in the world, yet we allegedly can’t afford to fund health care for everyone. It’s absurd. Not only that, it’s a crime against our common humanity. Which of you, if a friend or even a stranger came to you sick and asking for help, would seek to profit off this? Which of you, if a friend or even a stranger came to you seeking a diagnostic test to see if that lump was possibly cancerous, would seek to deny such a test as “not needed” or “not covered”?

It’s obscene that America’s health care system is based on the profit motive and the exploitation of the sick and dying. That it drives families into bankruptcy. That people sometimes die because they’re afraid to go to a doctor or the emergency room because it will cost too much.

Progressives say they want Medicare for All. A majority of registered Republicans and nearly 90% of registered Democrats say they want M4A. Why can’t Nancy Pelosi hold a vote on it? She claims to represent the people. That she even “feeds” them. Why isn’t she working to give the American people health care during a deadly pandemic that may cost as many as 600,000 Americans their lives? Is it because she doesn’t really represent us?

It’s not just about holding a “performative” vote on M4A. It’s about forcing the hand of Congress and seeing who the phonies are. Who wants to deny Americans M4A at this awful time? I’d like to know. I’m sure all Americans would like to know. And if Joe Biden is willing to veto M4A, as he’s said he will, I’d like to see that veto and his rationale for denying Americans the health care they so desperately need.

Again, if not now, when? If Progressives aren’t willing to force a vote on M4A during a deadly pandemic, when there’s deep suffering in America, when will they be willing to act?

We need to force them to act. Sign the petition, call your Member of Congress, and spread the word.

Update (12/26/20): In the comments section below, JPA made a strong argument for institutionalized corruption within America’s privatized medical system. With his permission, I’ve added his comment here so that more people will see it:

When people lump “doctors” into a homogeneous group that is a mistake because “doctors” are no more homogeneous than “cops” or “blacks” or “gays”. Most doctors want to deliver good patient care. Most of these hate the [American medical for-profit] system. However, a significant minority of doctors is quite happy with the current system and oppresses doctors who speak out against it. I work with a lot of healthcare professionals who are driven to depression or suicidal despair because they are trapped in a system which abuses them and their patients.

It is very likely that the tests ordered by the doctors who treated Maine’s brother were mandated to do so by the hospital’s electronic health record (EHR). EHR’s are mandated by law in large healthcare organizations ostensibly to improve patient care. In reality these make patient care more difficult and their real purpose is to run algorithms to determine the way to maximize the billed charges.

Doctors who work in hospitals are employees who are pressured to admit patients, do procedures, and run tests. If they don’t they can be fired, and their contracts usually contain non-compete clauses that prohibit them from working in the area. When someone has a family, and large student loan payments, then one is at the mercy of the employer. Very few people have the courage to stand up to that kind of pressure. Those who do often risk bankruptcy or divorce when the spouse realizes that they are not going to have the lifestyle they planned upon.

Or the hospital labels the physician as “disruptive” and other physicians who act as stooges for the hospital fabricate complaints that get the “disruptive” physician in trouble with their state medical board.

Here are the main things I hear from healthcare providers:

  • It is not possible to practice good medicine in the current environment
  • The pressure to meet corporate demands for revenue generation is contrary to good medical practice
  • Clinical guidelines are set by people/organizations with conflicts of interest
  • Upcoding, excessive testing, unnecessary procedures/screening/testing are expected and demanded
  • For-profit medicine does not work

Individual corruption occurs when a person behaves unethically. That is not the problem in American medicine. The problem in American medicine is institutional corruption.

1) Institutional corruption occurs when the laws, policies, and guidelines of a system are structured to enforce a set of values that is antithetical to the values the system is ethically obligated to express and uphold.

2) Health care professionals are obligated to place a higher value on patient care than on making profit.

3) The laws, policies, and guidelines of the American healthcare system are set up to prioritize making profit over providing patient care.

4) From 1, 2, and 3 above, the American medical system is institutionally corrupt.

This system is supported and maintained by a corrupt system of government. For further reading on this I recommend On Corruption in America by Sarah Cheyes.

Biden’s Motto: Same As It Ever Was

Biden: A scold with no vision and no new ideas

W.J. Astore

An old friend and faithful reader sent me this query: Biden’s Defense/National Security Team looks like a tired Obama 2.0 retread. Iran nuclear deal back? Middle East entanglements/deployments suddenly fashionable again? Drone strikes? Russia fixation? Averting eyes from China?

He’s right about the retread. As Biden himself promised to his corporate sponsors, nothing would fundamentally change under his administration. Think about that for a moment. He’s been running for president off and on for 30+ years, and yet when he finally wins, he’s got no vision. None. He just wants to occupy the Oval Office and change nothing.

What’s the point of running for president and being a leader if you want to do nothing? I don’t see the point, but I understand Biden’s corporate sponsors who profit from the status quo. They like America and the way rich people are gaining even more money and power — why change a good thing?

We see this with America’s military-industrial-Congressional complex. A retired general who works for Raytheon is announced as the next “civilian” defense secretary. Men who were for the Iraq war, a disastrous decision that you’d think would be disqualifying, are those who get high positions as national security advisers or as secretary of state. Not a single progressive or skeptical voice against war gets hired, even though the last 20 years of endless wars have been disastrous.

The “defense” budget at $740 billion remains untouchable. It recently passed with strong, veto-proof, bipartisan support in Congress. The main American enemy of the moment is Covid-19 and the collateral damage of deaths, loss of jobs, bankruptcies, and forthcoming evictions and foreclosures, yet Congress can’t pass a stimulus bill to help the working classes. Yet a stimulus bill for weapons makers is easily passed — we just happen to call it the NDAA, or the national defense authorization act.

Remember when there were serious Congressional debates about guns and butter? We settled those in favor of the guns. Domestic issues take a back seat to the need to fund the Pentagon and its global network of bases and installations. We’re so busy exporting money and violence that we don’t even see how we’ve become our own worst enemies.

Biden didn’t have much of a slogan when he ran for president. It was something like “build back better.” It really should have been “same as it ever was,” as in the same “legalized” corruption, the same misguided priorities, and the same stale ideas.

Imagine running for president with no new ideas … forgive me for repeating myself, but how sad is that?

Joe Biden Wins!

United, but for what causes?

W,J. Astore

I’ll admit it: I never saw Joe Biden as president. Not when I remembered his abortive presidential run in 1988, when he lied about his college record and plagiarized speeches of Bobby Kennedy and Neil Kinnock.

He made an effective vice president for Barack Obama, mainly at first because he reassured White America that the Black guy was OK. Being vice president is an “It must have been cold there in my shadow” kind of job, but Joe handled it pretty well, and even catastrophically deferred to Hillary Clinton as Obama’s rightful successor in 2016.

After that debacle, Joe persisted, and in the campaign of 2020 he found a Democratic establishment that loved his pro-business and pro-banking record, his strong support of high military spending and overseas wars, and his past calls for cuts to Social Security as well as his steadfast opposition to Medicare for all. Our kind of Democrat, the owners and donors said, and with a big push from Obama, Biden found himself anointed as the candidate to defeat the Orange Ogre.

But Biden didn’t defeat Trump; Trump defeated Trump. Trump’s response to Covid-19 was so incompetent, so reckless, and so tone-deaf to lives lost that even the usual spin about fake news and alternative facts didn’t work. Indeed, Trump first said the pandemic would magically disappear, then tried to blame it all on China, then said the media was covering it only because it hurt his chances for reelection, then persisted in holding rallies that turned into super-spreader events for the virus.

Despite all of Trump’s flaws, despite all of his lies, he still almost defeated Biden, a stunning achievement when you really think about it. To my mind, the closeness of this election, the narrowness of Biden’s victory, is as much a reflection of the weaknesses of Joe Biden as it is the strength of the Trump cult.

What kind of president can we expect Biden to be? He won’t be anything like Trump, which in some ways is a bad thing. What I mean is this: Trump turned the narrowest of victories over Hillary Clinton into mandate-level deeds. He got the big tax cut Republicans covet. He got to pick three Supreme Court justices and to redefine lower-level courts for a generation. He served his base and made no apologies.

What is the likelihood that Biden adopts a progressive agenda? That he takes no prisoners, that he rides roughshod over Republicans, that he calls them traitors and dictates terms to them? Unlikely indeed. Even if Democrats win a majority in the Senate, which we won’t know until January and runoff elections in Georgia, Biden will likely position himself as a centrist, i.e. a moderate Republican, a man willing to reach across the aisle for bipartisan accord.

It’s likely Biden will even appoint Republicans to his cabinet. I’m betting we’ll see more Republicans in his cabinet than progressive Democrats.

I won’t shed any tears when Trump departs, perhaps into a new self-named media empire. Because for Trump it’s Trump now, Trump tomorrow, Trump forever. Biden, unlike Trump, has at least some experience with public service, and that can’t be a bad thing.

The question is: Which publics will Joe Biden serve with the most passion?

Four Big Reasons Not to Vote for Trump

Trump, keeping his promise about American carnage

W.J. Astore

Back in May of 2016, I wrote an article on two big reasons not to vote for Donald Trump. Those reasons, his denial of climate change and his cavalier approach to nuclear weapons, remain valid. But I’d like to add two more that we were unaware of in 2016: his total inability to bring people together, i.e. his divide and rule approach to everything; and his murderously incompetent response to Covid-19.

If there are any lukewarm Trump supporters reading this, I hope you join me in voting your conscience, which in my case meant rejecting both Trump and Biden for candidates I believe in (in my case, Tulsi Gabbard and Bernie Sanders).

Don’t vote for a man-child, Donald Trump, who’s golfing and tweeting while the planet burns; who has no idea what nuclear weapons can do, but who threatens to use them while bragging about the size of his nuclear button; who dismisses Covid-19 as just another virus that will magically disappear; and who is so eager to divide us in the cause of enriching himself and his family.

Here’s what I wrote in May of 2016:

Nuclear proliferation and global warming are two big issues that Donald Trump is wrong about.  They’re also the two biggest threats to our planet. Nuclear war followed by nuclear winter could end most life on earth within a matter of weeks or months.  Global warming/climate change, though not as immediate a threat as nuclear war and its fallout, is inexorably leading to a more dangerous and less hospitable planet for our children and their children.

What does “The Donald” believe?  On nuclear proliferation, which only makes nuclear war more likely, Trump is essentially agnostic and even in favor of other nations joining the nuclear club, nations like Japan, South Korea, even Saudi Arabia.  When all countries should be earnestly working to reduce and then eliminate nuclear stockpiles, Trump is advocating their expansion.  (An aside: recall in a previous debate that Trump had no idea what America’s nuclear triad is; add intellectual sloth to his many sins.)

On global warming, Trump is essentially a skeptic on whether it exists (“hoax” and “con job” are expressions of choice), even as he seeks to protect his resorts from its effects. Along with this rank hypocrisy, Trump is advocating an energy plan that is vintage 1980, calling for more burning of fossil fuels, more drilling and digging, more pipelines, as if fossil fuel consumption was totally benign to the environment and to human health.

Along with his tyrannical and fascist tendencies, Trump is wrong on two of the biggest issues facing our planet today.  His ignorance and recklessness render him totally unfit to be president.

Monday Musings, October Surprise Edition

My vote for 2020 is in …

W.J. Astore

The real October surprise is that there is no surprise. Trump or Biden will win, meaning Wall Street, Big Finance, and the Military-Industrial Complex win. (Biden is on record as saying he would increase defense spending!) All you “little people,” whether you’re for Trump or Biden: you lose.

My dad, born in 1917 and a survivor of the Great Depression, used to remind me you need three things in life: A roof over your head, three square meals, and clothes to keep you warm. (Nowadays, given the high cost of getting sick, I’d add health care coverage.) How sad is it that America may soon face a massive eviction crisis, and is already seeing people hungry in the streets, even as Wall Street booms? (Yes, I know America has had trouble housing and feeding people for decades — and it’s only getting worse.)

Amy Coney Barrett was picked for one reason, and one reason alone: Her mentors and handlers know how she will vote in the future. So much for judicial independence.

When you think about it, there shouldn’t be “liberal” or “conservative” justices. Each justice should interpret the law based on her understanding of it informed by her conscience. If this were true, justices would be more or less unpredictable in their rulings. But the justices are hopelessly politicized, rendering “justice” politicized as well.

Speaking of justice, Amy Coney Barrett is a friend of corporations; she’s also uncertain whether global warming even exists. Does this sound like a person with a strong conscience, someone who will fight for equality under the law?

What does it mean that the U.S. military is still at war in Afghanistan and elsewhere, but that few Members of Congress even attempt to exercise oversight of the same, let alone make an attempt to end these wars?

I got my ballot this weekend. Faced with a choice of voting for Biden and Harris versus Trump and Pence, I wrote in Tulsi Gabbard and Bernie Sanders, in that order. It’s the only way I couldn’t waste my vote.

Tulsi would make a great president. Young, insightful, smart, she’s taken a critical stance against the military-industrial complex and wants to end America’s awful regime-change wars. Bernie would make a terrific vice president. Seasoned, dedicated, he could focus on domestic policy while Tulsi remakes U.S. foreign policy. Imagine if Bernie really could advance his essential policies: Medicare for all, a $15 minimum wage, free college education, relief of student debt, and so on. Gabbard and Sanders are the closest candidates to my positions, so I voted for them.

There are still plenty of good people in the USA, but callousness and cruelty are on the rise. Who knew that as the Covid-19 death toll soars past 200,000 to approach possibly as high as 400,000 by the new year, so many people would just shrug collectively and then consider voting for a man who so disastrously mismanaged the pandemic response? Trump — what a loser!

Speaking of Trump, is he even our president? As near as I can tell, he’s spent most of his presidential days golfing, tweeting, attending rallies, signing statements and holding them up like a child, and traveling to and from his various resorts. America’s next authoritarian autocrat will be far less lazy and spoiled — and far more dangerous to the world.

Nature Cannot Be Fooled — Nor Conned

W.J. Astore

News that President Trump has COVID-19 and must be hospitalized highlights Richard Feynman’s famous observation that, whether you’re dealing with technology or science or medicine, reality must take precedence over public relations, for nature cannot be fooled. Many Republicans have been proud to act carelessly, refusing to wear masks or even claiming the virus is a hoax. Trump, for example, enjoyed making fun of Joe Biden and his propensity for mask-wearing; he further claimed the virus would simply disappear.

Trump’s illness is a sobering reminder — and we shouldn’t have needed one — to take medical warnings seriously.

Here’s what I wrote back in March:

The Coronavirus Is Immune to Lies

richard-feynman-1
Richard Feynman

W.J. Astore

Investigating the Space Shuttle Challenger explosion, physicist Richard Feynman reached a famous conclusion: “For a successful technology, reality must take precedence over public relations, for Nature cannot be fooled.”

The COVID-19 virus is not going to be fooled with lies.  It’s not going to be fooled by a denial of medical science.  You can’t “spin” the virus away with false information and happy talk.  And this is precisely why President Trump (and indeed many other politicians) is uniquely unqualified to handle this crisis.

Trump is the man who sold us a fake university.  Trump is the man who’s lied roughly 13 times a day since becoming president.  Trump is a fantasist, a fabulist, a con man, a used car salesman, a huckster, an entertainer, take your pick.  And he’s good at it.  It’s a skill that got him to the White House.  But it’s not a skill that works against the coronavirus.

The other day, I was listening to an interview with Noam Chomsky, and he made the point that Trump is a master propagandist.  His skill is his shamelessness and sheer extent of his lying.  Trump floods the market with lies, so much so that many people, and especially those sympathetic to him, lose the ability to tell truth from lies, fact from fiction.  Politically, this helps Trump; but in meeting this medical crisis, it’s a skill that may cost America tens of thousands of lives, and, in worst-case scenarios, perhaps a million or more.

Living by the light of lies is a surefire way to get burned.  Last night, I was reading Norman Mailer and came across this invaluable insight:

“Fascism is not a way of life but a murderous mode of deadening reality by smothering it with lies.”

The more lies we tell, the more we open ourselves to fascism.  Mailer uses the word meretricious, which combines vulgarity with falseness and insincerity, and he proceeds to denounce our culture, our art, as sickening us because of its ugly dishonesty.  (And Mailer was saying this in the early 1960s!)

Again, lies will not defeat COVID-19; they will only speed its spread through America.  Lies will only kill us while smothering democracy.

Feynman was right: “Nature cannot be fooled.”  So too was Mailer: As a leader, if you think you can deaden the reality of a pandemic with lies, you’re not thinking at all.  You’re acting murderously instead.

Update (3/25): Our Dear Leader has decreed America will be open for business again by Easter. Don’t worry: the final decision will be based “on facts.”

They really felt they needed to add that coda: based on facts. And they did, because most of the Trump presidency has been based on lies.

Maybe my title should have been “The Coronavirus Feeds on Lies.” And we are giving it plenty to feed on.

The Superpower As Super-Spreader, and Other Snippets

US Navy aircraft carrier
I need one of these to protect me from Covid-19.  And it will stimulate the economy!

W.J. Astore

Item: After reading an interesting story about Joseph McCarthy’s rise and fall in the 1950s, I came across this headline today at NBC News: “‘I’m not a communist’: Potential Biden running mate Rep. Bass reassures Cuban American voters.”

Explains Congresswoman Bass of California:  “I’m not a socialist. I’m not a communist. I’ve belonged to one party my entire life and that’s the Democratic Party and I’m a Christian,” Bass told NBC News.

Isn’t that reassuring?  She’s a Christian and a Democrat.  And she has to deny strongly that she’s a communist, as if 2020 was really 1952 at the height of McCarthyism.

Why today are we supposed to be so scared of the commie wolf?  I thought America won the Cold War thirty years ago.

Item: Speaking of the big bad commie wolf, a friend who’s privy to senior U.S. military thinking (ha!) tells me that this is the “New Era of Great Power Competition,” i.e. a new cold war.  How else can you justify rapidly expanding “defense” budgets?  Another concept — or opportunistic notion — being kicked around is “unbounded strategic uncertainty.”  For the military-industrial complex, this sounds like a very useful concept indeed.  In these unbounded, uncertain times, shouldn’t America’s “defense” budget also be unbounded?  Who knows what will be the next threat?  We must dominate everything!

This reminds me of the story of mask shortages among troops in the U.S. military.  The military’s solution, at least in the short-term, was to encourage troops and their families to make their own protective masks for the Covid-19 outbreak.  A trillion-dollar military complex can’t afford to outfit troops with protective masks that cost pennies on the dollar.  But of course we can fund more F-35s, more aircraft carriers … It’s like the satirical Onion said: Each American should get an aircraft carrier as a stimulus.  What better way to protect ourselves while stimulating the economy?

Item: Andrea Mazzarino, a Navy spouse, has a great new article at TomDispatch.com that brings together two subjects that are rarely connected: the U.S. has a global empire with bases in 80 countries, even as Covid-19 cases spike in the “homeland” and affect (and infect) U.S. troops.  It’s conceivable that infected U.S. troops, in their worldwide deployments, will emerge as super-spreaders of a sort, especially given the out-of-control nature of Covid-19 cases in the American South, where so many U.S. troops are stationed.

We Americans fancy ourselves as the world’s sole superpower.  Will we emerge as the world’s viral super-spreader as well?  Yet another example of full spectrum dominance!

And that’s enough items to ponder today.  Readers, what say you?

Wear the Mask! Wear the Mask!

 

660594ab-c019-4810-b23c-a52f946cddff_750x422
Why was this so much easier in 1918? (Georgia Tech game, 1918, courtesy of Andy McNeil)

W.J. Astore

I keep seeing headlines like this one from Alternet today: Trump ‘patriots’ ready to die for freedom shout down county commissioners because they don’t want to wear face masks.

How do you convince such “patriots” that wearing a face mask is not an assault on their freedom?

Perhaps by telling them that the Covid virus is much like those bad people invading us from the south.  You know: those “rapists” and “killers” and other viral elements poring through our border, as Trump warned us about in his first speech as a candidate in 2015.  A “threat” we can stop with a chant: “Build the wall!  Build the wall!”

Think of all those Covid viral droplets as unwanted and dangerous invaders — but we can stop them before they ruin America.  How?  Wear the mask!  Wear the mask!

Just think of the mask as a wall between you and the bad people out to ruin America.  There — don’t you feel like a patriot now, wearing your “wall” mask?  You can even get masks with American flags on them.  Wear with pride!

John Bolton’s “Revelations”

bolton

W.J. Astore

Former National Security Advisor John Bolton, the Walrus Man, is back with “revelations” about Donald Trump.  Yet, unless you’ve been a MAGA man or under a rock for the last four years, these are hardly as revelatory as media mouthpieces are making them out to be.  Some examples:

Trump cares most of all about getting reelected in 2020.  To this end, he’ll make deals with China to shore up his domestic support.

Trump sympathizes with authoritarian dictators and promises to intercede on their behalf in various investigations.

Trump is ignorant of the most basic facts, e.g. he didn’t know the UK has nuclear weapons; he didn’t know Finland was not part of Russia; etc.

Trump is mocked behind his back by some of his most ardent supporters, e.g. Mike Pompeo.

Trump said Venezuela is “really part of the United States.”

And so on.  That last one is especially funny.  Trump must mean their oil, for he hasn’t exactly been clamoring for more people south of the border to be put on a path to U.S. citizenship.

Earlier today, Bolton gave an interview in which he said Trump is unfit to be president.  Surprise!  I was saying that in March of 2016, and I was hardly the only one.

Look: I’m no Trump fan, but none of this is news.  As a narcissist and egotist, of course Trump places his reelection above all else.  As an authoritarian ruler (at least in a wannabe sense), of course Trump relishes striking deals with other dictator-types.  Clearly, Trump doesn’t have a democratic bone in his body.  He’s incurious and apparently doesn’t read (not even the Bible, it seems), so he doesn’t know some of the most basic facts about geography and foreign policy.  Indeed, in this sense he’s the prototypical American.  We only learn geography after we invade a country.

It’s not hard to predict the reaction of Trump’s base to these “revelations”: they couldn’t care less.  But, hey, if it helps Bolton to sell books, then he’s taken a page from Trump’s own playbook.  Lots of hype, “alternative facts,” and controversy are good ways to move copy; don’t some people say there’s no such thing as bad publicity?

Meanwhile, Trump’s true feelings for his base are revealed in his decision to press ahead with a mass rally in an indoor arena this weekend.  Never mind the deadly danger of Covid-19: Trump says its fading away.

Now there’s a true “alternative fact” that may prove a killer for far too many, true believers and otherwise.

The New American Motto: Choose Death!

-Clint-Eastwood-clint-eastwood-24780712-1024-768
Clint Eastwood as the Outlaw Josey Wales

W.J. Astore

As some Americans party hearty this Memorial Day weekend, I just happened to catch this snippet via The Washington Post:

Gov. Asa Hutchinson (R) [of Arkansas] said a recent high school swim party contributed to the state’s “second peak” of infections but still encouraged residents to venture out. “We take the virus very seriously, the governor told Fox News. “It’s a risk, it causes death, but you can’t cloister yourself at home, that is just contrary to the American spirit.”

Don’t you love the false choice?  Apparently, the only two choices available to Americans are 1) Cloister yourself at home; 2) Get out there, throw caution to the winds, and celebrate your “American spirit.”

What about a third choice?  Get outside, be responsible with social distancing, wear a mask when necessary, and be prudent while thinking of others and their health and safety.

Again, no one said you had to cloister yourself like a nun, but at least you’re not harming anyone if you do.  Far, far worse is an attitude of total irresponsibility, as the Post reported here from the Ozarks: A nearby bar and grill advertised a pool party for hundreds of people called “Zero Ducks Given.”

Ah, yes, how clever.  Or, as I like to say, “Live free and die.”

But let’s remember what the Outlaw Josey Wales said about this: “Dyin’ ain’t much of a living, boy.”  Just so.