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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.
"Trump’s numbers on the economy are radioactive."
As President Donald Trump's unconstitutional Iran war drags on into its fourth week, fresh polling analysis shows the president and his Republican Party are politically at their weakest point ever in the eyes of the American public.
Writing in The Argument on Monday, polling analyst Lakshya Jain made the case that Trump has created an "apocalyptic wasteland" for the GOP by combining "a cost-of-living crisis with an unpopular war and tariff policies from the 1930s."
Jain noted that Trump's approval rating in The Argument's latest monthly survey had fallen to 40%, while his disapproval rating has soared to 58%, resulting in the lowest net approval for the president so far in his second term.
What should be particularly disturbing to the president, Jain said, is that disapproval of Trump is being driven by dissatisfaction with the state of the economy, the only area in which he was rated positively by voters throughout most of his first term.
"Trump’s numbers on the economy are radioactive," Jain explained. "Every major demographic group of voters disapproves of his economic stewardship, including supermajorities of young and nonwhite voters. He's even underwater on this issue with white, non-college voters, a group he won in 2024 by more than 20 percentage points."
Voters are increasingly pessimistic about the future as well, as 50% of voters believe the economy will get worse over the next year, while just 37% say it will get better.
To top it all off, Jain said, Trump's wounds on the economy are self-inflicted, including his tariff policies that have raised prices for consumer goods and his war on Iran that has sent energy prices skyrocketing.
"Trump is doing the exact opposite of what people asked for," Jain said. "Tariffs have resulted in global economic upheaval. The war in Iran—which began before the fielding of this survey—resulted in an oil shock that has sent gas prices soaring. And Trump’s actions on immigration have shrunk the labor pool, leading voters to partially blame the administration’s immigration policies for exacerbating the cost of living crisis."
Jain wasn't the only polling analyst to find Trump's public standing at a record low, as Real Clear Politics revealed on Monday that the president's job approval in its average of polls had hit a second-term low of 41.6%.
Trump's net approval also reached its lowest level ever in polling analyst Nate Silver's polling average, and Silver said that it could go even lower in the coming days as gas prices continue to rise.
"Still going to be some lagging effects as polls catch up, but gas has increased from $2.93 per gallon to $3.94 over the past month," Silver commented on Sunday, "and Americans aren't liking that."
Cuba's Deputy Foreign Minister Carlos Fernandez de Cossio said he hoped the people of the United States would ask, "Why does our government treat the whole population of Cuba this way?"
More than 96,000 Cubans, including 11,000 children, are "waiting for surgery" due to a fuel shortage caused by the American blockade, the country's deputy foreign minister, Carlos Fernandez de Cossio, said on Sunday.
The numbers cited by the minister on NBC's "Meet the Press" on Sunday were first reported earlier this month by Cuban Minister of Public Health José Ángel Portal Miranda, who explained that President Donald Trump's policy of “energy asphyxiation," using tariffs to threaten countries out of importing fuel to Cuba, has devastated its National Health Service.
The policy has left Cuba unable to import oil from abroad for more than three months, reducing its fuel supply by about 90% and leading to periodic blackouts and strict energy rationing.
Using the severely limited electricity at its disposal, Cuba's health system has been forced to prioritize continuing cancer treatments and other lifesaving procedures, putting those awaiting non-urgent surgeries on the sidelines.
Last month, a specialist at a hospital in Holguín told Diario de Cuba that the surgeries canceled included "uncomplicated hernias, cataract surgeries, some non-urgent gynecological procedures, and scheduled orthopedic surgeries."
Other healthcare professionals said that nobody was being admitted to the hospital for tests and that it was running low on basic supplies like syringes, IV tubing, and antibiotics, which could not be delivered due to fuel shortages. Most of those that have been used had to be donated by family members or purchased for exorbitant prices on the black market.
Jorge Barrera, a reporter for CBC News, spoke with patients and employees at Havana’s National Institute of Cardiology and Cardiovascular Surgery this weekend and found it to be at about half capacity, and that nonessential care has been virtually all suspended.
"Even though the health system is a point of pride for Cuba... something that they export to the rest of the world," Barrera explained, "because of this crisis, because of the impact it's had on the skyrocketing prices, it's just not enough for them to make ends meet. So people are quitting... to find other ways to make money to feed their families."
Experts with the United Nations have condemned the blockade of Cuba as "a serious violation of international law." Condemnations have grown louder over the past week as Trump said he believed he'd have "the honor of taking Cuba" after it collapsed.
De Cossio said he hoped the people of the United States would ask "Why does our government treat the whole population of Cuba this way?" and that they'd "understand that it's not correct to treat another nation the way the US is doing simply to try to achieve political goals."
The US blockade of Cuba is largely unpopular with the American public. A poll published last week by YouGov found that just 28% of adult US citizens said they approved of the US blocking oil shipments to the country, while 46% said they opposed it.
Asked by anchor Kristen Welker about suggestions from Trump that Cuba would collapse "on its own" without the need for the US to intervene militarily, De Cossio retorted, "What does 'on its own' mean when it’s being forced by the United States?"
Prior to Trump's further measures to isolate Cuba in January, the US had placed Cuba under an economic embargo for more than 60 years, which severely hampered the country's economic development and has cost Cuba trillions of dollars since it began, according to the UN.
"It’s a very bizarre statement, and it’s claimed by most US politicians repeatedly that Cuba will collapse on its own," De Cossio said. "Then why does the US government need to employ so many resources, so much political capital, so many human resources to try to destroy the economy of another country? Evidently, it implies that the country does not have the characteristics to collapse on its own."
Reports of 1-year-old Karim Abu Nassar being burned with a cigarette and pierced with a nail followed the publication of a United Nations analysis detailing Israel's "systematic" torture of Palestinians since October 2023.
Israeli soldiers in Gaza allegedly tortured an 18-month-old Palestinian toddler in an effort to force a confession from his father, local and international media outlets reported Monday.
According to Al Jazeera, Karim Abu Nassar was with his father, Osama Abu Nassar, near the al-Maghazi refugee camp in central Gaza on Saturday when they came under Israel Defense Forces fire. Eyewitnesses told Palestine TV that IDF troops ordered the man to leave the child on the ground and advance to a nearby checkpoint, where he was stripped naked and searched.
Witnesses said IDF soldiers then tortured Karim in front of his father to pressure him to confess to something. Journalist Osama Al-Kahlout interviewed the child's mother, who said the toddler suffered a cigarette burn to one leg and a nail puncture to the other. Al-Kahlout's video shows wounds on the child's legs—injuries reportedly confirmed by an unspecified medical authority.
Karim was reportedly released to relatives via the International Committee of the Red Cross after 10 hours of detention. The ICRC has not issued a statement regarding the matter and rarely does so absent an investigation.
The Palestine Chronicle reported that Osama Abu Nassar remains in custody, in a system rife with torture—sometimes deadly—and other abuse.
The IDF has not commented on the alleged incident.
In the United States, the story is being amplified by prominent figures including Congresswoman Rashida Tlaib (D-Mich.) and the Council for American Islamic Relations (CAIR), which issued a statement calling the accusations "revolting."
“Israel’s use of a nail and cigarette burns to torture a 1-year-old child and force a confession from his father is a revolting moral outrage that demands immediate action from Congress," the group said. "No child, anywhere in the world, should be subjected to such cruelty, especially with American taxpayer dollars. These actions constitute grave violations of international law and basic human decency."
“Our nation must end its complicity in these crimes," CAIR added. "Congress has a responsibility to ensure that American taxpayer dollars are not used to support the torture or slaughter of more children. Every lawmaker with a conscience must vote to end military aid for the out-of-control Israeli regime.”
The US has given Israel hundreds of billions of inflation-adjusted dollars in aid to Israel since the country was established in 1948, including more than $20 billion since October 2023.
A new report published by UN Palestine expert Francesca Albanese examines the "systematic use by Israel of torture against Palestinians," finding "practices that meet the threshold for genocide" under the Genocide Convention—the basis of the ongoing International Court of Justice (ICJ) case brought by South Africa.
A summary of the report states:
Torture has become integral to the domination of and punishment inflicted on men, women, and children—both through custodial abuse and through a relentless campaign of forced displacement, mass killings, deprivation, and the destruction of all means of life to inflict long-term collective pain and suffering. A continuous, territorially pervasive regime of psychological terror is being imposed, designed to break bodies, deprive a people of their dignity, and force them from their land. This is not incidental violence. It is the architecture of settler-colonialism, built on a foundation of dehumanization and maintained by a policy of cruelty and collective torture.
Palestinian victims—including minors—and witnesses, as well as Israeli soldiers, veterans, and medical professionals have described widespread torture and other abuses including rape and sexual assault by male and female soldiers, electrocution, mauling by dogs, beatings, denial of food and water, sleep deprivation, stress positions, and exposure to loud music and temperature extremes.
At least scores of Palestinian detainees have died or been killed in Israeli custody, including one who died after allegedly being sodomized with an electric baton. Many bodies of former Palestinian prisoners returned by Israel have shown signs of torture, execution, and mutilation.
Since the Hamas-led attack of October 2023, Israeli forces have killed or wounded at least 250,000 Palestinians, including more than 65,000 children. Israeli troops have been accused by Palestinians, Western medical volunteers, and their own colleagues of deliberately targeting children with sniper fire and executing them along with their adult relatives during massacres.
In addition to facing the ICJ genocide case, Israeli Prime Minister Benjamin Netanyahu and his former defense minister, Yoav Gallant, are fugitives from the International Criminal Court, where they are wanted for alleged crimes against humanity and war crimes in Gaza, including murder and forced starvation.