Tag: Force the vote

The Fight Over the Speaker of the House

W.J. Astore

If only Progressive Democrats had fought at all when they had the chance in 2021

There is no Left in America, not in Congress, at least. Whenever the so-called Left, or Progressives, or the Squad have an opportunity to drive policy changes, they cave to the corporate centrists within the Democratic Party. Which is why I laugh, however ruefully, when Republicans warn about the “radical left” and how powerful it allegedly is in America. What “radical left”?

Two years ago, before Nancy Pelosi was yet again elected Speaker of the House, so called Progressives (perhaps we should call them PINOs, or progressives in name only) had a rare opportunity to drive change by withholding their votes for Pelosi as Speaker, just as Republicans are doing now for Kevin McCarthy as Speaker. Like today’s Republicans, the PINOs could have extracted concessions from Pelosi, including a House vote on Medicare for all, for a $15 federal minimum wage, and similar policies the PINOs claim are at the top of their agenda. They chose to do nothing. They got no concessions. They drove no change. And thus the centrist/corporate Democrats continue to ride roughshod over them.

Remember this, Democrats? Force the vote was a rare opportunity to drive change, but the PINOs caved to Pelosi and got nothing in return

Which is why I salute the Republicans who are holding up McCarthy’s appointment as Speaker. They have convictions and are willing to fight for them. They are extracting concessions from McCarthy. Meanwhile, all the PINOs are doing is posing for selfies while poking fun at alleged Republican disorder.

No, you PINOs. This is what true democracy looks like. It’s messy. It involves in-fighting. You have to be willing to get bloodied, at least figuratively speaking. And if you’re unwilling to fight, to “bring the ruckus” to your own party, as AOC claimed she wanted to do, party rulers like Pelosi and current House Minority Leader Hakeem Jeffries will diss, dominate, and demote you, as they did and do. 

Let’s take a quick look at the new House Minority Leader.  CNN praised Jeffries as “the first Black lawmaker to lead a party in Congress.” That’s truly what matters, right? Diversity. More Black faces in high places. Or more women at the top. Or more LGBTQ+ and so on.

But what if “diversity” results in no meaningful policy changes? What if diversity, as my wife puts it, is mainly an optical illusion?

Jeffries, as Sabby Sabs of RBN (the Revolutionary Blackout Network) notes here, is just another corporate Democrat who’s especially skilled at fundraising for the Party. He’s against Medicare for all, he despises the Squad, he’s a fervid supporter of Israel (the “sixth borough of New York City,” he quipped), and his resume includes Georgetown University and (of course) a law degree.

Hakeem Jeffries, House Minority Leader

Can we expect progressive policies from Jeffries? Is he a radical leftist? Of course not! He’s a younger version of Pelosi, a corporate shill who’s sold as a change agent because he’s the first Black party leader in Congress, just as Pelosi was praised for the “change” she represented as the first Madam Speaker.

Don’t get me wrong. It’s generally a good thing when more women, more BIPOC, and other traditionally underrepresented groups attain positions of power. But if their ideas, policies, commitments, and practices are basically the same as those old white fat tomcats who preceded them, where’s the progress? Where’s the change?

In so many ways, today’s Democrats are yesterday’s Republicans. They are pro-war, pro-military, pro-business, and thoroughly corporate. Their alleged diversity is mostly optical. Meanwhile, the Republicans, whatever else they may be, are showing true diversity of views, as manifested by Kevin McCarthy’s messy fight for votes from his own party.

All those corporate Democrats and PINOs in Congress should take a very long look in a truth-telling mirror before crowing about how dysfunctional the Republicans allegedly are. If dysfunction means fighting for change that’s consistent with your principles and campaign promises, the Democrats could truly use some of that “dysfunction.” So too could America.

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.