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Mark Almberg, PNHP, (312) 782-6006,
mark@pnhp.org
Rising
to President Obama's challenge to others in his State of the Union
address that they come up with a better approach to health care reform
than his own, physicians who advocate for a single-payer program
stepped forward this morning to again make the case for their
alternative, which they say has solid public support.
Among them is Dr. Margaret Flowers, a pediatrician and congressional
fellow for Physicians for a National Health Program, an organization of
17,000 physicians who support a single-payer system, who is traveling
to the White House today to deliver an open letter to the president calling on him to meet with her and other Medicare-for-All advocates.
Also speaking out today are Drs. Steffie Woolhandler and David
Himmelstein, co-founders of PNHP, primary care physicians in Cambridge,
Mass., and professors at Harvard Medical School, who provided commentary in a blog in today's New York Times.
In her letter to Obama, Flowers notes how surprised she and others were
when single-payer advocates were excluded from the early stages of the
discussions on health reform. Flowers was one of several physicians,
nurses and reform advocates who were arrested at Senate Finance
Committee hearings last spring for standing up and asking in a
dignified way why the Medicare-for-All option was "off the table."
Flowers writes: "I am asking you to meet with me because the solution
is simple. Remove all of the industries who profit off of the American
health care catastrophe from the table. Replace them with those who are
knowledgeable in designing health systems and who are without ties to
the for-profit medical industries. And then allow them to design an
improved Medicare-for-All national health system."
Flowers then itemizes the advantages of adopting such a system, saying
that it would cover everyone, save thousands of lives, relieve medical
debt, control costs, help the economy, and restore the
physician-patient relationship. Obama himself is on record noting only
a single-payer plan would provide universal coverage: "The truth is
unless you have what's called a single-payer system in which everyone's
automatically covered, you're probably not going to reach every single
individual."
The full text of Flowers' letter, and the blog commentary by Woolhandler and Himmelstein, appear below.
All three, plus several other physicians, are available for comment on the president's speech last night.
There is still time for real reform, listen to the American people
By Margaret Flowers, M.D.
An Open Letter to President Obama on Health Care Reform
January 28, 2010
President Barack Obama|
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear President Obama,
I was overjoyed to hear you say in your State of the Union address last night:
"But if anyone from either party has a better approach that will bring
down premiums, bring down the deficit, cover the uninsured, strengthen
Medicare for seniors, and stop insurance company abuses, let me know."
My colleagues, fellow health advocates and I have been trying to meet
with you for over a year now because we have an approach which will
meet all of your goals and more.
I am a pediatrician who, like many of my primary care colleagues, left
practice because it is nearly impossible to deliver high quality health
care in this environment. I have been volunteering for Physicians for a
National Health Program ever since. For over a year now, I have been
working with the Leadership Conference for Guaranteed Health Care/
National Single Payer Alliance. This alliance represents over 20
million people nationwide from doctors to nurses to labor, faith and
community groups who advocate on behalf of the majority of Americans,
including doctors, who favor a national Medicare-for-All health system.
I felt very optimistic when Congress took up health care reform last
January because I remember when you spoke to the Illinois AFL-CIO in
June, 2003 and said:
"I happen to be a proponent of a single-payer universal health care
program." [applause] "I see no reason why the United States of America,
the wealthiest country in the history of the world, spending 14 percent
of its Gross National Product on health care cannot provide basic
health insurance to everybody. And that's what Jim is talking about
when he says everybody in, nobody out. A single-payer health care plan,
a universal health care plan. And that's what I'd like to see. But as
all of you know, we may not get there immediately. Because first we
have to take back the White House, we have to take back the Senate, and
we have to take back the House."
And that is why I was so surprised when the voices of those who support
a national single-payer plan/Medicare for All were excluded in place of
the voices of the very health insurance and pharmaceutical industries
which profit off the current health care situation.
There was an opportunity this past year to create universal and
financially sustainable health care reform rather than expensive health
insurance reform. As you well know, the United States spends the most
per capita on health care in the world yet leaves millions of people
out and receives poor return on those health care dollars in terms of
health outcomes and efficiency. This poor value for our health care
dollar is due to the waste of having so many insurance companies. At
least a third of our health care dollars go towards activities that
have nothing to do with health care such as marketing, administration
and high executive salaries and bonuses. This represents over $400
billion per year which could be used to pay for health care for all of
those Americans who are suffering and dying from preventable causes.
The good news is that it doesn't have to be this way. You said that you
wanted to "keep what works" and that would be Medicare. Medicare is an
American legacy of which we can feel proud. It has guaranteed health
security to all who have it. Medicare has lifted senior citizens out of
poverty. Health disparities, which are rising in this nation, begin to
disappear as soon as patients reach 65 years of age. And patients and
doctors prefer Medicare to private insurance. Why, our Medicare has
even been used as a model by other nations which have developed and
implemented universal health systems.
Mr. President, we wanted to meet with you because we have the solution
to health care reform. The United States has enough money already and
we have the resources, including esteemed experts in public health,
health policy and health financing. Our very own Dr. William Hsiao at
Harvard has designed health systems in five other countries.
I am asking you to meet with me because the solution is simple. Remove
all of the industries who profit off of the American health care
catastrophe from the table. Replace them with those who are
knowledgeable in designing health systems and who are without ties to
the for-profit medical industries. And then allow them to design an
improved Medicare-for-All national health system. We can implement it
within a year of designing such a system.
What are the benefits of doing this?
* It will save tens of thousands (perhaps hundreds of thousands) of
American lives each year, not to mention the prevention of unnecessary
suffering.
* It will relieve families of medical debt, which is the number one
cause of bankruptcy and foreclosure despite the fact that most of those
who experienced bankruptcy had health insurance.
* It will relieve businesses of the growing burden of skyrocketing
health insurance premiums so that they can invest in innovation,
hiring, increased wages and other benefits and so they can compete in
the global market.
* It will control health care costs in a rational way through global
budgeting and negotiation for fair prices for pharmaceuticals and
services.
* It will allow patients the freedom to choose wherever they want to go
for health care and will allow patients and their caregivers to
determine which care is best without denials by insurance
administrators.
* It will restore the physician-patient relationship and bring
satisfaction back to the practice of medicine so that more doctors will
stay in or return to practice.
* It will allow our people in our nation to be healthy and productive and able to support themselves and their families.
* It will create a legacy for your administration that may someday
elevate you to the same hero status as Tommy Douglas has in Canada.
Mr. President, there are more benefits, but I believe you get the
point. I look forward to meeting with you and am so pleased that you
are open to our ideas. The Medicare-for-All campaign is growing rapidly
and is ready to support you as we move forward on health care reform
that will provide America with one of the best health systems in the
world. And that is something of which all Americans can be proud.
With great anticipation and deep respect,
Margaret Flowers, M.D.
Congressional Fellow, Physicians for a National Health Program
[This article originally appeared in OpEd News: https://www.opednews.com/articles/There-is-Still-Time-For-Re-by-Margaret-Flowers--100127-703.html ]
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
"I’m here because these Olympics are unsustainable—economically, socially, and environmentally," said one elderly protester.
Around 10,000 demonstrators rallied in Milan Saturday to protest the economic, social, and environmental impacts of the Milano-Cortina Winter Olympics, the presence of US Immigration and Customs Enforcement agents at the games, genocidal Israel's participation, and other issues.
The union and activist network Comitato Insostenibili Olimpiadi, or Unsustainable Olympics Committee, organized the demonstration, which it called "a popular gathering of social opposition, bringing together grassroots and community sports organizations, civic and environmental movements, territorial committees and student collectives."
The coalition said it is "fighting for the right to housing and for militant trade unions, movements that have stood alongside the Palestinian people, and the Global Sumud Flotilla," the seaborne campaign to break Israel's blockade of Gaza.
Protesters also decried Decree Law 1660, which empowers police to preemptively detain people for up to 12 hours if they believe they may act disruptively, as well as "state racism against migrants and racialized people, and transfeminist anger against social and institutional patriarchy."
At the vanguard of the protest march were about 50 people carrying cardboard trees representing larches they said were cut down to construct the new bobsleigh track in Cortina d'Ampezzo. They held a banner reading, "Century-old trees, survivors of two wars, sacrificed for 90 seconds of competition on a bobsleigh track costing €124 million."
Stefano Nutini, a 71-year-old protester, told Reuters that "I’m here because these Olympics are unsustainable—economically, socially, and environmentally."
"These Olympic Games are against nature and against people." Thousands of people marched through Milan to protest housing costs and urban affordability on the first day of the Milano Cortina Winter Olympics. pic.twitter.com/iPcpXwuvQN
— USA TODAY (@USATODAY) February 7, 2026
One healthcare worker at the protest told Euronews: "It's public money that has been spent on a display window. It may be interesting to have these showcase events, but at a time when there is not enough money for essential things, it makes no sense to spend it in this way."
Another demonstrator said that the Olympics "have not brought any wealth to the city of Milan and Lombardy."
"They have taken money away from social welfare, public schools, and healthcare," he added. "This money has literally been burned, and not a single lira will go to Italian citizens, particularly those in Lombardy, so these are bogus Olympics."
Other demonstrators held signs reading "ICE Out" to protest US Immigration and Customs Enforcement's presence in Italy to provide security support for American athletes and officials. The agency is at the center of the Trump administration's deadly crackdown on unauthorized immigrants and their defenders in the US. On Friday, hundreds of protesters also rallied against ICE in Milan.
The protests took place as US Vice President JD Vance was in Milan as head of his country's Olympic delegation. Vance was loudly booed at Friday's opening ceremony in San Siro stadium.
While Saturday's demonstration was mostly peaceful, a small breakaway group reportedly threw firecrackers and other objects at police, who responded with brutal force, firing a water cannon, deploying chemical agents, and beating protesters with batons. A young woman suffered a head injury and a young man's arm was broken, according to il Manifesto, which reported six arrests.
Further afield, railway infrastructure was reportedly sabotaged around Bologna in Emilia-Romagna and Pesaro in coastal Marche.
Italian Prime Minister Giorgia Meloni—whose right-wing government was a common subject of protesters' ire—condemned the demonstration and voiced "solidarity... with the police, the city of Milan, and all those who will see their work undermined by these gangs of criminals."
More anti-Olympics protests were set to take place in Milan on Sunday.
"Bigotry has been his brand since day 1," said Congresswoman Yvette Clarke.
As President Donald Trump refuses to apologize for a now-deleted social media post in which former President Barack Obama and his wife Michelle Obama are portrayed as apes, the head of the Congressional Black Caucus on Friday blasted what she called the "bigoted and racist regime" in the White House.
“It’s very clear that there was an intent to harm people, to hurt people, with this video,” Congressional Black Caucus Chair Yvette Clarke (D-NY) said in an interview with the Associated Press. "Every week we are, as the American people, put in a position where we have to respond to something very cruel or something extremely off-putting that this administration does. It’s a part of their M.O. at this point."
After dismissing the widespread revulsion—including by some Republican lawmakers—over Trump's sharing of the racist election conspiracy video on his Truth Social network as "fake outrage," the White House subsequently claimed that an aide "erroneously made the post," which was deleted after nearly 12 hours online.
The president told reporters aboard Air Force one Friday evening, "I didn't make a mistake" and that he is the "least racist president you've had in a long time."
Trump launched his political career by amplifying the conspiracy theory that Barack Obama was not born in the United States and his 2016 presidential campaign by calling Mexicans "rapists." Since then, he has made numerous bigoted statements about racial minorities, immigrants, Muslims, women, and others.
Brushing off the administration's explanation for Trump's post, Clarke said that "they don’t tell the truth."
"If there wasn’t a climate, a toxic and racist climate within the White House, we wouldn’t see this type of behavior regardless of who it’s coming from," she contended.
"Here we are, in the year 2026, celebrating the 250th anniversary of the United States of America, the 100th anniversary of the commemoration of Black history, and this is what comes out of the White House on a Friday morning," the congresswoman added. "It’s beneath all of us."
Asked what it means that Trump—who rarely retracts anything—deleted the post, Clarke said, "I think it’s more of a political expediency than it is any moral compass."
"As my mother would say," she added, "'Too late. Mercy’s gone.'"
Civil rights groups also condemned Trump, with Color of Change posting on Facebook that "this is white supremacy expressed from the Oval Office."
"Trump resents what the Obamas represent: A Black family that is accomplished, respected, and widely admired," the group continued. "Their success contradicts the worldview he has spent years promoting. His attacks follow a clear trajectory—from birther conspiracies questioning Obama's legitimacy, to false accusations of treason, to now circulating imagery rooted in centuries of racial dehumanization used to justify slavery, lynching, and violence."
"Republican leadership has been silent," Color of Change added. "Elected officials who refuse to condemn this behavior are choosing to normalize it."
NAACP president Derrick Johnson said in a statement that "Donald Trump's video is blatantly racist, disgusting, and utterly despicable."
Johnson asserted that Trump is attempting to distract from the cost of living crisis and Jeffrey Epstein scandal.
"You know who isn't in the Epstein files? Barack Obama," he said. "You know who actually improved the economy as president? Barack Obama."
“Our concern remains centered on Liam and all children who deserve stability, safety, and the opportunity to be in school without fear," said an advocate for the family.
The Trump administration's bid to expedite deportation proceedings against 5-year-old Liam Conejo Ramos and his family faltered Friday as a judge granted them more time to plead their asylum case.
Danielle Molliver, an attorney for Ramos' family, told CNN that a judge issued a continuance in the case, meaning it is postponed to a later date.
The US Department of Homeland Security filed a motion Wednesday seeking to fast-track the Ecuadorian family's deportation. The family responded by asking the court for additional time to reply to the DHS motion.
Zena Stenvik, superintendent of the Columbia Heights Public Schools, where Ramos is a student, told CNN that Friday’s ruling “provides additional time, and with that, continued uncertainty for a child and his family."
“Our concern remains centered on Liam and all children who deserve stability, safety, and the opportunity to be in school without fear," Stenvik added. "We will continue to advocate for outcomes that prioritize children."
US Immigration and Customs Enforcement agents arrested Ramos and his father, Adrian Alexander Conejo Arias, in the driveway of their Columbia Heights home on January 20 during Operation Metro Surge, the Trump administration's ongoing deadly immigration crackdown in the Twin Cities.
They were taken to the Dilley Immigration Processing Center southwest of San Antonio, Texas. Run by ICE and private prison profiteer CoreCivic, the facility has been plagued by reports of poor health and hygiene conditions and accusations of inadequate medical care for children.
Detainees report prison-like conditions and say they’ve been served moldy food infested with worms and forced to drink putrid water. Some have described the facility as “truly a living hell.”
Ramos, who fell ill during his detention in Dilley, and his father were ordered released earlier this month on a federal judge's order, and is now back in Minnesota.
Molliver accused the Trump administration of retaliating against the family following their release. Assistant DHS Secretary Tricia McLaughlin claimed that “there is nothing retaliatory about enforcing the nation’s immigration laws."
Arias told Minnesota Public Radio Friday that he is uncertain about his family's future.
"The government is moving many pieces, it's doing everything possible to do us harm, so that they’ll probably deport us," he said. "We live with that fear too."
Congressman Joaquin Castro (D-Texas), who helped accompany Ramos and his father back to Minnesota, said at a Friday news conference that DHS "should leave Liam alone."
“His family came in legally through the asylum process,” Castro said. “And when I left the Dilley detention center, one of the ICE officers explained to me that his father was on a one-year parole in place, so they should allow that to continue.”