November, 16 2010, 04:36pm EDT
![Public Citizen](https://assets.rbl.ms/32012683/origin.png)
HHS Report Is a Wake-Up Call to Fix National Patient Safety Crisis
Statement of David Arkush, Director, Public Citizen’s Congress Watch Division
WASHINGTON
More than a decade ago, the Institute of Medicine (IOM) alerted the
nation to a crisis of medical errors in hospitals. Today, we learn that
nothing has changed and that patients are suffering needless injuries
and deaths from preventable medical mistakes. The Inspector General's
office of the Department of Health and Human Services (HHS) has
reconfirmed what has been reported repeatedly over the years: that the
country is in a patient safety crisis, and that medical professionals,
lawmakers and regulators must do significantly more to avert it.
The IOM's 1999 landmark report, "To Err is Human," dropped the first
bombshell, reporting that between 44,000 and 98,000 Americans die in
hospitals each year from medical mistakes, costing an estimated $17
billion to $29 billion annually. HHS' new finding that medical mistakes
kill 15,000 Medicare patients a month equates to 180,000 Medicare deaths
per year - more than the IOM's estimate, which attempted to cover all
patients in the United States. That means that the annual death toll in
this country caused by mistakes in hospitals is well over 250,000 deaths
a year! But perhaps the most startling finding by HHS is that a
significant number of patients suffered injuries or died needlessly, as
44 percent of the medical errors were preventable.
We can no longer turn a blind eye to the patient safety emergency
facing us as the lives and national health care costs rack up on a daily
basis. Given that 1.6 million Medicare patients suffer injuries every
year from medical mistakes with an annual taxpayer price tag of at least
$4.4 billion, the National Commission on Fiscal Responsibility and
Reform should consider ways to reduce the federal budget deficit by
preventing medical errors.
The president's deficit commission should focus on patient safety
rather than the dangerous "tort reform" proposals offered last week by
its co-chairs Erskine Bowles and Alan Simpson. Making health care safer
would be a far more effective and just means of saving money than
curtailing the rights of malpractice victims or insulating doctors from
accountability for wrongdoing. Shielding doctors from liability for
their errors only exacerbates the patient safety crisis and promotes
higher health care costs. Malpractice payments are at the lowest they
have ever been since they were first recorded in 1990, which means that
despite the epidemic of medical errors, fewer victims are receiving
compensation for their injuries and fewer medical providers are being
held accountable for the harm they cause. In fact, there are nearly 10
times as many injuries caused by medical negligence as there are
malpractice claims.
The only workable solution to preventing unnecessary deaths and
injuries is to combine much more patient-protective hospital protocols
with much better scrutiny by hospitals of physicians and other health
care providers, and to appropriately discipline those whose performance
results in preventable patient harm.
Congress and the federal agencies should treat the HHS report as a
wake-up call. Instead of flirting with ways to eliminate patients' legal
rights, they must save costs and lives by taking affirmative steps to
help patients.
Note: For Public Citizen's 2009 report on how to save 85,000 lives and $35 billion in health care delivery, go to https://www.citizen.org/documents/BackToBasics.pdf.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000LATEST NEWS
Critics Warn Manchin-Barrasso Permitting Bill 'Is Taken Straight From Project 2025'
"You thought Project 2025 was just a threat after the election? It's actually happening *right now,*" said one climate campaigner.
Jul 26, 2024
Climate and environmental defenders on this week implored U.S. senators to block a permitting reform bill introduced this week by Sens. Joe Manchin and John Barrasso that one campaigner linked to Project 2025, a conservative coalition's agenda for a far-right overhaul of the federal government.
Common Dreamsreported Monday that Manchin (I-W.Va.) and Barrasso (R-Wyo.)—respectively the chair and ranking member of the Senate Energy and Natural Resources Committee—introduced the Energy Permitting Reform Act of 2024.
The Natural Resources Defense Council (NRDC) noted that although the proposal "includes several positive reforms for the accelerated development of transmission projects," it also advocates "limiting opportunities for communities to challenge projects, loosening oversight for drilling and mining projects, extending drilling permits and fast-tracking [liquified natural gas] permits, and several other provisions friendly to fossil fuel giants."
"This dangerous bill doesn't deserve a floor vote."
These are nearly identical policies to what's proposed in Project 2025's Mandate for Leadership. The plan, which was spearheaded by the Heritage Foundation, calls for "unleashing all of America's energy resources," including by ending federal restrictions on fossil fuel drilling on public lands; limiting investments in renewable energy; and rolling back environmental permitting restrictions for new oil, gas, and coal projects, including power plants.
While Manchin has been trying—and failing—to pass fossil fuel-friendly permitting reform legislation for years, Brett Hartl, director of public affairs at the Center for Biological Diversity, said that his "Frankenstein legislation is taken straight from Project 2025, and it's the biggest giveaway in decades to the fossil fuel industry."
Hartl said the bill "deprives communities of the power to defend themselves and gives that power to Big Oil by making it harder for communities to challenge polluting projects in court," and "prioritizes the profits of coal barons over public health."
"And it mandates oil and gas extraction in our oceans," he continued. "The insignificant crumbs thrown at renewable energy do nothing to address the climate emergency."
"Monday was the hottest day in recorded history," Hartl noted. "It's shocking that as the climate emergency continues to break records around us, the Senate continues to fast-track the fossil fuel expansion that is killing us. This dangerous bill doesn't deserve a floor vote."
Hartl added that "to preserve a livable planet," Senate Majority Leader Chuck Schumer (D-N.Y.) "must squash this legislation now."
Manchin—who has said this will be his last term in office—has been a steadfast supporter of the fossil fuel industry, partly because his family owns a coal company. The senator says his permitting reform bill "will advance American energy once again to bring down prices, create domestic jobs, and allow us to continue in our role as a global energy leader."
However, Allie Rosenbluth, Oil Change International's U.S. manager, warned Thursday that "this bill is yet another dangerous attempt by Sen. Manchin to line the pockets of his fossil fuel donors, sacrificing communities and our climate along the way."
"Don't be fooled: The Energy Permitting Reform Act is another dirty deal to fast-track fossil fuels above all else," she continued. "It would unleash more drilling on federal lands and waters, unnecessarily rush the review of proposed oil and gas export projects, and lift the Biden administration's pause on new LNG exports."
"We urge Congress to reject this proposal and commit to action that protects frontline communities from the impacts of fossil fuel development and the climate crisis," Rosenbluth added.
"Don't be fooled: The Energy Permitting Reform Act is another dirty deal to fast-track fossil fuels above all else."
NRDC managing director of government affairs Alexandra Adams said Wednesday that "this bill is a giveaway for the oil and gas industry that will ramp up drilling and environmental destruction at a time when we need to be putting a hard stop to fossil fuels."
"We cannot afford to roll back so many of our bedrock environmental and community legal protections and offer a blank check to the oil and gas industry," she stressed. "We need new solutions for permitting if we are going to meet our clean energy potential and address the climate challenge. But this is not it."
"This bill would altogether be a leap backward on climate, health, and justice if passed into law," Adams added. "The Senate should reject it and look toward alternative solutions already being considered."
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'Nothing To Eat': War-Torn Sudan Faces Mass Famine as Military Delays Aid
Both parties in Sudan's civil war are to blame for a looming mass famine, experts say, and the military's blocking of U.N. aid at a border crossing with Chad exacerbates the problem.
Jul 26, 2024
Sudan's military is blocking United Nations aid trucks from entering at a key border crossing, causing severe disruptions in aid in a country that experts fear may be on the brink of one of the worst famines the world has seen in decades, The New York Timesreported Friday.
The border city of Adré in eastern Chad is the main international crossing into the Darfur region of Sudan, but the Sudanese Armed Forces (SAF), the state's official military, which is engaged in a civil war with a paramilitary group called the Rapid Support Forces (RSF), has refused to issue permits for U.N. trucks to enter there, as it's an RSF-controlled area.
U.S. and international officials have issued increasingly alarmed calls for steady aid access to help feed the millions of severely malnourished people in Darfur and other areas of Sudan.
Last week, Linda Thomas-Greenfield, the United States ambassador to the U.N., said that the SAF's obstruction of the border was "completely unacceptable."
Both warring parties in Sudan continue to perpetrate brazen atrocities, including starvation of civilians as a method of warfare. This piece focuses on the SAF's ongoing obstruction of essential aid. The situation is catastrophic. The policy is criminal. https://t.co/FKhqQh3EI9.
— Tom Dannenbaum (@tomdannenbaum) July 26, 2024
The Sudanese who've made it out of the country and into Adré reported dire and unsafe conditions in their home country.
"We had nothing to eat," Bahja Muhakar, a Sudenese mother of three, told the Times after she crossed into Chad, following a harrowing six-day journey from Al-Fashir, a major city in Darfur. She said the family often had to live off of one shared pancake per day.
Another mother, Dahabaya Ibet, said that her 20-month-old boy had to bear witness to his grandfather being shot and killed in front of his eyes when the family home in Darfur was attacked by gunmen late last year.
Now the mothers and their families are refugees in Adré, where 200,000 Sudanese are living in an overcrowded, under-resourced transit camp.
In addition to those that have made it out of the country, there are 11 million people internally displaced within Sudan, most of whom have become displaced since the civil war began in April 2023.
An unnamed senior American official told the Times that the looming famine in Sudan could be as bad as the 2011 famine in Somalia or even the great Ethiopian famine of the 1980s.
In April, Reutersreported that people in Sudan were eating soil and leaves to survive, and The Washington Postcalled it a nation in "chaos," reporting that World Food Program trucks had been "blocked, hijacked, attacked, looted, and detained."
In late June, a coalition of U.N. agencies, aid groups, and governments warned that 755,000 people in Sudan faced famine in the coming months.
The U.S. last week announced $203 million in additional aid to Sudan—part of a $2.1 billion pledge that world leaders made in April, which some countries have not yet delivered on.
Some officials including Thomas-Greenfield, who has dubbed the situation in Sudan "the worst humanitarian crisis in the world," have called for the U.N. Security Council to allow aid delivery into the country even in the absence of SAF approval; it's believed that Russia would veto such a measure.
Sudan's civil war has seen a great deal of international interference. Amnesty International on Thursday published an investigatory briefing showing that weapons from Russia, China, Serbia, Turkey, Yemen, and the United Arab Emirates (UAE) had been identified in the country. And The Guardian on Friday reported that the passports of Emirati citizens had been found among wreckage in Sudan, indicating the UAE may have troops or intelligence officers on the ground, though the UAE denied the accusation.
The International Service for Human Rights on Friday warned that both the SAF and RSF were engaged in wrongful killings and arrests, especially targeted at lawyers, doctors, and activists. The group called for an immediate cease-fire.
The SAF and Sudanese government figures have cast doubt on international experts' claims about famine in the country.
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JD Vance Doubles Down on Attack on 'Childless Cat Ladies'
Vance "meant no disrespect to cats, but he did mean to demean women and still holds the view in 2024 that they should be punished for not having children."
Jul 26, 2024
After days of condemnation from critics including actress Jennifer Aniston and Transportation Secretary Pete Buttigieg, U.S. Sen. JD Vance was given the opportunity on Thursday to clarify his remarks from 2021 in which he said the Democratic Party was run by "childless cat ladies."
Instead, the Ohio Republican and running mate of former President Donald Trump assured SiriusXM host Megyn Kelly on "The Megyn Kelly Show" that while he has "nothing against cats," he meant what he said in terms of "the substance" of his argument.
Vance made it clear, said Aaron Fritschner, deputy chief of staff for Rep. Don Beyer (D-Va.), "that he meant no disrespect to cats, but he did mean to demean women and still holds the view in 2024 that they should be punished for not having children."
The comments in question were made by Vance to then-Fox News host Tucker Carlson when Vance was running for the Senate.
Calling out Buttigieg—who, the secretary disclosed this week, was struggling at the time to adopt a child with his husband—and Vice President Kamala Harris, a stepmother of two and the Democratic Party's presumptive presidential nominee, Vance said people without biological children "don't really have a direct stake in" the future of the country and therefore shouldn't hold higher office.
In separate remarks that same year, Vance said parents should "have more power" at the voting booth and that "if you don't have as much of an investment in the future of this country, maybe you shouldn't get nearly the same voice."
He also specifically categorized people who don't have children as "bad" in an interview in 2021, saying the government should "reward the things that we think are good" and "punish the things that we think are bad," with people taxed at a lower rate if they have children.
While a spokesperson for Vance told ABC News that the senator's taxation proposal was "basically no different" than the child tax credit supported by the Democratic Party, Democrats who have pushed for the credit have heralded its proven ability to slash child poverty rates and help families afford groceries, childcare, and other essentials, rather than viewing the tax savings as a way to reward people for procreating.
In his interview with Kelly on Thursday, Vance attempted to pivot away from his own comments, saying his point was to criticize "the Democratic Party for becoming anti-family and anti-child" and claiming without evidence that the Harris campaign had "come out against the child tax credit"—a signature policy of the Biden-Harris administration.
"I'm proud to stand for parents and I hope that parents out there recognize that I'm a guy who wants to fight for you," said Vance. "The Democrats, in the past five, 10 years, Megyn, they have become anti-family. It's built into their policy, it's built into the way they talk about parents and children. I don't think we should back down from it, I think we should be honest about the problem."
Vance and Kelly went on to lament the anxiety "hardcore environmentalists" and progressive lawmakers such as Rep. Alexandria Ocasio-Cortez (D-N.Y.) have expressed about the damage fossil fuel extraction is doing the planet, accusing them of pushing people to forgo having families—but said nothing about Republican policies that have made child-rearing less accessible.
In recent years, the entire Republican caucus in Congress was joined by conservative then-Democratic Sen. Joe Manchin of West Virginia in blocking the extension of the enhanced child tax credit, which had been credited with cutting the national child poverty rate in half. Republicans also allowed a pandemic-era universal school meal program to expire, while several Democratic-led states have passed state-level programs to ensure all children can have meals at school, regardless of their family's income.
Under Republican abortion bans, numerous stories have cropped up of pregnant people who have been forced to carry pregnancies to term despite finding out that their fetuses had fatal abnormalities and would die soon after birth—as have stories of children who were forced to give birth or had to cross state lines in order to get abortion care.
As with his position that nonparents should be "punished" for not having children, "who else does 'pro-child/family' Vance think should 'face consequences and reality' by way of curtailing choices, rights, and freedoms?" asked writer Alheli Picazo. "Women and girls who become pregnant through rape/incest."
University of North Carolina law professor Carissa Byrne Hessick said that one could test "empirically" Vance's claim that Democratic policies are anti-family.
"But I haven't heard the GOP talk much about things that would help my family and my kids," she said, "like reducing childcare and tuition costs."
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