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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.
"We will continue this fight in both immigration and federal courts for as long as it takes, not only for Leqaa but for the freedom of all people facing unjust retaliation for speaking out against genocide," said one lawyer.
Leqaa Kordia, along with her family and legal team, celebrated on Monday when the 33-year-old Palestinian was released from US Immigration and Customs Enforcement after over a year in detention—but they also pointed to the battles ahead as President Donald Trump's administration continues to crack down on immigrants and critics.
"We are elated and relieved that Leqaa can finally return home to her family in New Jersey after a long year in ICE detention," said Sarah Sherman-Stokes, supervising attorney with the Boston University School of Law Immigrants Rights Clinic, in a statement.
"This is an important step in restoring Leqaa's rights as she continues to be unlawfully targeted by the government for her advocacy for Palestinian rights," Sherman-Stokes said. "We will continue this fight in both immigration and federal courts for as long as it takes, not only for Leqaa but for the freedom of all people facing unjust retaliation for speaking out against genocide."
Kordia is one of several immigrant advocates of Palestinian rights targeted by the Trump administration. The New Jersey resident was arrested during an ICE check-in last March and swiftly transferred to Prairieland Detention Center in Texas.
An immigration judge ordered Kordia's release a third time last Friday, on the one-year mark of her detention, as various advocacy groups including Amnesty International USA and Defending Rights & Dissent renewed calls for her freedom.
"We are overwhelmed with relief and gratitude at the release of our beloved Leqaa Kordia," her cousin Hamzah Abushaban said Monday. "This past year has taken an unimaginable toll on Leqaa and our entire family. We are grateful to our community that stood beside us every step of the way, and for the countless prayers offered during this past Ramadan—those moments of sincerity and hope carried us through some of our darkest days."
"While today marks a powerful and emotional milestone, we recognize that this is only the beginning," Abushaban continued. "Leqaa's voice, her resilience, and her story will continue to echo as we push for justice in a system that too often relies on unjust tactics, separating families, and inflicting lasting harm, as they have done to ours for over a year. We remain committed to advocating for every person who has been unjustly detained. No family should have to endure what ours has experienced. Today, we celebrate Leqaa's return home. Tomorrow, we continue the fight for justice."
Amal Thabateh, staff attorney with Creating Law Enforcement Accountability & Responsibility (CLEAR), one of the organizations representing Kordia, stressed that "Leqaa should not have spent a single moment in ICE detention, let alone an entire year."
"Leqaa, like others, was punished for speaking out in defense of Palestinians, including her own family," Thabateh said. "While it took too many months and too many bond hearings for Leqaa to be released, a just result is finally here. We will continue to defend Leqaa's and others' rights to speak out for Palestinian liberation."
According to her Kordia's legal team, she lost nearly 200 relatives in the US-backed Israeli assault on the Gaza Strip, which has continued to kill Palestinians in the territory despite an October ceasefire deal.
"It is an enormous relief that Leqaa is finally liberated from surviving one year of retaliatory and arbitrary immigration confinement for daring to speak her truth and protest against the genocide in Gaza," said Sadaf Hasan, staff attorney at Muslim Advocates. "It's outrageous that it took the government this long to comply with an immigration judge's repeated orders to release her."
While Kordia can now return to her family, the Trump administration may continue to target her. The Associated Press reported Monday that "an attorney for the Department of Homeland Security, Anastasia Norcross, said the government opposed the release of Kordia, regardless of the bond. She did not say at the time whether it would appeal for a third time."
Hasan said that Kordia walking free, at least for now, "is a long-overdue reminder that the government can't silence the movement for Palestinian liberation," but also is "about calling for an end to an immigration system that profits daily by subjecting tens of thousands of people to the abuses and indignities that Leqaa suffered."
As Trump has aimed to round up immigrants across various US cities, often by sending in hordes of masked federal agents, the number of people in ICE detention has climbed to nearly 70,000, as of last month. Despite the administration's claims that it is working to deport "the worst of the worst," data have repeatedly shown that most detainees lack criminal convictions.
Agents roaming streets in cities including Chicago and Minneapolis have also openly violated the rights of protesters and legal observers, even fatally shooting US citizens Renee Good and Alex Pretti in the latter city earlier this year.
Travis Fife, staff attorney with the Texas Civil Rights Project, said Monday that "Leqaa going home today is the bare minimum. We must continue to assert the fundamental First Amendment principle that the government cannot abuse power to punish people for using their voice."
One physician and public health expert called the ruling "a much-needed victory for a sane approach to federal vaccine policy that relies on science, not misinformation and conspiracy theories."
In what advocates called a major victory for public health, a federal judge on Monday temporarily blocked US Health and Human Services Secretary Robert F. Kennedy Jr. from implementing a series of moves that critics have warned would weaken childhood immunization efforts and increase the likelihood of serious disease outbreaks.
US District Judge Brian E. Murphy of Massachusetts, an appointee of former President Joe Biden, invalidated Kennedy's reorganized Advisory Committee on Immunization Practices (ACIP) panel, which was set to meet later this week.
Kennedy—who was confirmed by the Senate last year over the objections of tens of thousands experts and despite being a purveyor of vaccine misinformation—replaced ACIP members with several people with ties to the anti-vaccine movement.
Murphy also blocked the committee's unprecedented changes to US immunization recommendations, writing that the "arbitrary and capricious" move stands in stark contrast with the long established decision-making process he called "a method scientific in nature and codified into law through procedural requirements."
“Unfortunately, the government has disregarded those methods and thereby undermined the integrity of its actions," the judge said.
The Department of Health and Human Services (HHS) under Kennedy revised the Center for Disease Control and Prevention's (CDC) childhood immunization schedule so that fewer vaccines are now universally recommended for all children. The agency also reclassified vaccines that were previously endorsed for all children into categories in which vaccination depends on designated risk groups and consultations with medical professionals, among other changes.
Twenty-nine states and the District of Columbia have announced that they would not follow the new CDC immunization recommendations.
Lookie Here! As of now, 29 states + DC, have announced that they are no longer going to follow CDC's recommendations for some or all childhood vaccines.Kennedy is not restoring public trust in science as he said he would. 🧪 www.kff.org/other-health...
[image or embed]
— Princess Vimentin PhD | Cancer Biologist (@princess-vimentin.bsky.social) March 12, 2026 at 11:47 AM
Plaintiffs' attorney Richard Huges IV said in a statement that "this ruling is a momentous step toward restoring science-based vaccine policymaking."
"The judge recognized that the actions of Secretary Kennedy and the Advisory Committee on Immunization Practices are not grounded in science and that they are destructive," he added. "We are thrilled that the court has discarded the baseless vaccine schedule changes made by Secretary Kennedy and is blocking the Advisory Committee on Immunization Practices from doing further damage to vaccine policy."
Dr. Robert Steinbrook, Health Research Group director at Public Citizen, said in response to the ruling that "Judge Murphy’s decision is a much-needed victory for a sane approach to federal vaccine policy that relies on science, not misinformation and conspiracy theories."
"Kennedy’s hand-picked ACIP has been a national embarrassment, thoroughly lacking in the ability to make careful fact-based decisions," he added. "The judge’s ruling offers a responsible path forward for public health and evidence-based federal vaccine policy.”
RFK Jr. fired all of the legitimate scientific experts on the Advisory Committee on Immunization Practices and replaced them with unqualified political appointees.A judge just ruled that the new members were not appropriately appointed, so ACIP cannot meet this week to spread more misinformation.
— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) March 16, 2026 at 1:38 PM
Anthony Wright, executive director of the advocacy group Families USA, said in a statement: "When politics override science, our children pay the price. Today’s decision helps ensure that medical evidence—not ideology—guides how we protect kids from preventable diseases."
Wright continued:
Secretary Kennedy’s attempt to remove universal recommendations for routine vaccinations only increased confusion among medical providers and families. The routine vaccines being questioned by HHS are the product of centuries of rigorous science and medicine and are why children today don’t die from measles or suffer the lifelong consequences of diseases we long ago learned to prevent. For a country as large, diverse, and mobile as ours, universal vaccine recommendations are the safest and most effective way to stop outbreaks before they start.
Amid several recent outbreaks, public health officials warned late last year that the United States is close to following Canada in losing its measles elimination status, a deadly and preventable setback many experts attribute to HHS' vaccine-averse policies and practices under Kennedy.
"We commend the court for this ruling, but families should not have to depend on litigation to ensure their child can receive a routine vaccine," Wright said. "Evidence-based medicine keeps children alive and in school. Preventing disease should be the foundation of any healthcare system serious about confronting the next disease outbreak or finding the next cure."
The group Protect Our Care called the decision "a major step in the right direction for children’s health after many setbacks under this administration."
“Most Americans, most states, and now a federal court have rejected the [President Donald] Trump-RFK Jr. scheme to make preventable disease great again among American children while exploding health costs across the country," Protect Our Care president Brad Woodhouse said. "While this ruling is a reprieve from harmful anti-vaccine policy based on nothing but junk science and discredited conspiracies, it’s clear the Trump administration is determined to resuscitate their agenda in a higher court because they care more about their anti-science agenda than keeping kids healthy.”
Indeed, HHS spokesperson Andrew Nixon said the agency "looks forward to this judge’s decision being overturned just like his other attempts to keep the Trump administration from governing.”
Public health advocates noted the limitations of judicial rulings.
"The courts can only do so much without Congress, which must fulfill its oversight responsibility and rein in an executive branch that is taking an axe to core public health protections," Wright said. "Transparency and scientific integrity are not optional, especially when children’s lives are at stake. Families deserve vaccine policy grounded in evidence and expert guidance—not ideology or personal bias—with the goal of making sure every child in America can grow up healthy.”
"While we're busy destroying the Gulf, our side project is implementing a total siege on the island of Cuba," said one progressive critic. "Unbelievably cruel."
Cuba faced an island-wide blackout on Monday amid an energy crisis resulting from President Donald Trump's decision to ramp up the United States' decadeslong and legally contested blockade of the Caribbean country by cutting off shipments of Venezuelan oil.
"A total disconnection" of the island's electrical system had occurred, but "the causes are being investigated, and protocols for restoration are beginning to be activated," the Cuban Ministry of Energy and Mines said on social media. It later added that "no faults" were reported in the units operating when the grid collapsed, and "the restoration process continues."
While Cuba has endured power outages in recent years that officials and experts have blamed on both the condition of the country's system and US sanctions, there have been multiple major blackouts in recent months, since Trump sent soldiers to abduct Venezuelan President Nicolás Maduro and seized control of Venezuela's nationalized oil industry.
"Officials in the US [government] must be feeling very happy by the harm caused to every Cuban family," Cuban Deputy Foreign Minister Carlos Fernández de Cossío told CNN of the latest outage. The network noted that it had reached out to the White House for comment.
Blasting the blackout as "a direct consequence of Trump's economic warfare," Manolo De Los Santos of The People's Forum in New York City said on social media Monday that "the US has deliberately cut off fuel, spare parts, and equipment, crippling an already fragile grid. It's a genocidal siege, designed to starve and break the Cuban people into submission."
Similarly highlighting how "decades of US sanctions have made it harder for Cuba to access the fuel, equipment, and financing needed to maintain its energy grid," New York state Sen. Jabari Brisport (D-25), a democratic socialist, declared that "it's time to end the blockade and pursue diplomacy."
The blackout on the island of nearly 11 million people came after Cuban President Miguel Díaz-Canel publicly confirmed on Friday that his government recently held "sensitive" talks with the Trump administration "to determine the willingness of both parties to take concrete actions for the benefit of the people of both countries."
Specifically, according to The Associated Press, US Secretary of State Marco Rubio—the son of Cuban immigrants and longtime supporter of regime change on the island—and top aides met with Raúl Guillermo Rodriguez Castro on the sidelines of a Caribbean Community leaders meeting in St. Kitts and Nevis last month.
During his Friday remarks to reporters, Díaz-Canel also emphasized the impacts of Cuba not receiving oil shipments for over three months, including disruptions to communications, education, healthcare, and transportation across the island.
While Trump was speaking with reporters on Monday, he called Cuba a "failed nation," and claimed that "Cuba also wants to make a deal, and I think we will pretty soon, either make a deal or do whatever we have to do." He also signaled that any such action would come after the illegal war his administration and Israel are waging on Iran.
Although Sen. John Fetterman (D-Pa.) recently helped Senate Republicans block Sen. Tim Kaine's (D-Va.) war powers resolution intended to halt Trump's assault on Iran, Kaine has now partnered with Sens. Adam Schiff (D-Calif.) and Ruben Gallego (D-Ariz.) for a similar measure on Cuba.
Meanwhile, Sen. Ed Markey (D-Mass.) took to social media on Monday to weigh in on the grid collapse: "Cuba has gone dark. Trump's vindictive oil embargo—along with a sanctions regime that has starved Cuba of opportunities to develop its solar and wind—is depriving innocent Cuban citizens of basic necessities and creating a humanitarian crisis. Trump must end the embargo."
Markey and two other Massachusetts Democrats, Sen. Elizabeth Warren and Rep. Jim McGovern, had previously written to Trump in February to call for an end to the oil embargo, stressing that "Cuba poses no credible national security threat to the United States," and "the overt strategy of choking off oil imports to the island is inflicting severe hardship on the Cuban people, who rely on imported fuel for electricity, transportation, healthcare, and clean water."
"Taking action that sparks a humanitarian crisis as a means of leverage is not a strategy that results in long-term success or reflects who we are as Americans," they argued. "Policies that intensify fuel shortages, cripple essential services, and deepen economic desperation risk destabilizing not only Cuba, but the broader Caribbean region."