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Garrett Adams, M.D., president, PNHP
Margaret Flowers, M.D., congressional fellow, PNHP
David Himmelstein, M.D., co-founder, PNHP
Quentin Young, M.D., national coordinator, PNHP
Mark Almberg, PNHP, (312) 782-6006, email@example.com
A nationwide organization of doctors who favor a single-payer health care system today rejected calls by Republican leaders to repeal the new health law, noting that the law contains modest benefits for patients that should not be spurned.
At the same time, the doctors said that the enactment of a single-payer, Medicare-for-all program is the only way to assure high quality, comprehensive care to all Americans and the only way to rein in skyrocketing health care costs.
"We reject the call by Republican leaders to repeal the Patient Protection and Affordable Care Act (PPACA), even as we recognize the new law is incapable of resolving our health care morass," said Dr. Garrett Adams, president of the 18,000-member Physicians for a National Health Program.
"The health law is flawed because it continues our nation's reliance on an inefficient and wasteful private-insurance-based model of financing care - a rickety structure that denies health care access to millions, bankrupts patients, ratchets up costs and frustrates efforts to improve quality," he said.
"That's why we need to move to a single-payer system," he said. "In doing so, we'll save about $400 billion annually by cutting out the unnecessary paperwork and bureaucracy inflicted on us by the private insurers. We'll also gain the one-system bargaining power we need to negotiate lower prices for pharmaceutical drugs and medical supplies."
Adams said the "modest" benefits in the administration's health law include greater funding of community health centers, the expansion of Medicaid coverage, and "measures to restrict some of the most outrageous practices of the private health insurance companies like denying coverage because of pre-existing conditions or rescinding coverage when people get sick."
"These beneficial measures could have been enacted separately," Adams said. "But now that they're part of the law, we cannot in good conscience support the repeal of any provisions that might conceivably benefit our patients."
Adams said Republican leaders' call to repeal PPACA is especially objectionable, given that they have no serious alternative to offer by way of health care reform.
"The GOP and conservatives urge greater reliance on the private sector and 'free market' mechanisms, including less regulation of the insurance industry," Adams said. "Such measures include allowing people to purchase insurance across state lines, which would lead them to buy junk insurance policies from companies in states where consumer protections have been all but eviscerated. It would mean a race to the bottom to even skimpier insurance policies than people have now."
He also dismissed claims by the Republican leadership that tort reform will significantly affect the U.S. health care scene, noting that research has shown malpractice suits have a marginal impact on the costs of medical care.
"The proposals emanating from the GOP leaders would do nothing to control costs or reduce the enormous administrative waste in our current health care system," he said. "They would do nothing to reduce the number of uninsured. In fact, the number of uninsured, now at 51 million, would likely rise much higher - worsening an already catastrophic situation."
Adams, a pediatric infectious disease specialist who resides in Louisville, Ky., said that, in his opinion, Republican leaders who are vowing to repeal the new health law are not really aiming to do so.
"Despite their bluster, GOP lawmakers don't really want to repeal the law because some of their chief financial backers, the health insurance companies, like its basic provisions," he said. "The insurers especially like PPACA's requirement that millions of people buy insurance from them and that at least $447 billion in federal subsidies will be coming their way over the next 10 years as part of this arrangement.
"We reject such political posturing at the expense of human suffering and human lives," Adams said. "We call for a real, sustainable solution to our health care woes. PPACA should be superseded by a comprehensive health reform that provides quality, affordable care to everyone - single-payer national health insurance, an improved Medicare for all."
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.
Facing criticism over recent air travel issues, the U.S. Transportation Department is reportedly investigating whether three airlines have scheduled flights they know they can't staff.
Three unidentified U.S. airlines are under federal investigation for potentially scheduling flights the companies know they ultimately will not be able to fly—a revelation The New York Timesreported Friday, just two days after United Airlines' CEO suggested competitors are doing just that.
The Times focused largely on how air travel issues—including mass cancellations from a winter storm during the holidays last month and a Federal Aviation Administration (FAA) system outage that grounded air traffic across the country last week—have put Pete Buttigieg, the head of the U.S. Department of Transporation (DOT), "in the hot seat."
"Unfortunately, the Department of Transportation has been hesitant to hold the airlines accountable," John Breyault, the vice president for public policy at the National Consumers League (NCL), told the newspaper. "While Secretary Buttigieg has talked a tough talk, particularly over the past few months, we have yet to see that really translate into action."
"Imagine any other industry taking money for products it can't deliver."
In an interview, Buttigieg defended his record—which has included a proposed rule on refunds, an online dashboard of airlines' commitments, and nearly $16 million in fines—saying that "in terms of what we've done and in terms of what we're doing, I would stack up our work in this area against anybody who’s taken this on at the federal level."
According to the report, "The department is also investigating three U.S. airlines over whether they scheduled flights that they did not have enough staff to support, a spokeswoman for the agency said, though she declined to identify the airlines."
That reporting came after United CEO Scott Kirby said Wednesday during an earnings call with investors that "there are a number of airlines who cannot fly their schedules. The customers are paying the price. They're canceling a lot of flights. But they simply can't fly the schedules today."
\u201cThe CEO of United Airlines accused his rivals of committing fraud by selling tickets on flights they know they can't service. This statement by an airline CEO about the industry's problems is so much harsher than anything Pete Buttigieg has said or done. https://t.co/dW7SAt6Ji8\u201d— Matt Stoller (@Matt Stoller) 1674141074
"What happened over the holidays wasn't a one-time event caused by the weather, and it wasn't just at one airline. One airline got the bulk of the media coverage, but the weather was the straw that broke the camel's back for several," Kirby said—presumably referring to Southwest Airlines, which faced intense scrutiny for canceling nearly 17,000 flights partly due to issues with its personnel management system that employees and other critics claim could have been avoided with technological upgrades.
United has recognized "the new reality and the new math for all airlines," Kirby asserted, while warning that "our industry has been changed profoundly by the pandemic and you can't run your airline like it's 2019 or you will fail."
"We believe any airline that tries to run at the same staffing levels that it had pre-pandemic is bound to fail and likely to tip over to meltdown anytime there are weather or air traffic control stresses in the system," the CEO said, highlighting the need for investments in not only staff but also technology and infrastructure.
Kirby's comments about competitors' alleged scheduling practices caught the attention of the anti-monopoly think tank American Economic Liberties Project (AELP), which described them as "the airlines' open admission of fraud."
\u201cAnd yet, crickets from @USDOT.\n\nJust one more reason why we need to eliminate federal preemption and allow state AGs, courts, and consumers to crack down on the airlines themselves.\nhttps://t.co/4f3hHswTyR\u201d— American Economic Liberties Project (@American Economic Liberties Project) 1674146197
"What an extraordinary admission," William McGee, senior fellow for aviation and travel at AELP and author of the airline industry exposé Attention All Passengers, tweeted Thursday.
For months, the AELP has asked the DOT "to investigate IF airlines were accepting bookings (and $!) for flights they couldn't operate," he said. "Now United's CEO confirmed it. Imagine any other industry taking money for products it can't deliver."
"Ironically, we're learning more about canceled flights from the airlines than we are from the Department of Transportation," McGee toldThe Lever, while also pointing out that the DOT's "complaint database showed that United was by far the worst offender on unpaid refunds dating back to the earliest days of Covid in 2020."
As The Lever reported Friday:
Complaints against the major U.S. airlines, including United, more than tripled in the first year of the Covid-19 pandemic, as companies routinely sold tickets for flights they could not adequately staff, canceled the flights at the last minute, and slow-walked or withheld refunds while collecting billions in taxpayer bailout dollars.
The behavior prompted 34 attorneys general to write to Buttigieg on December 16 asking his agency to "require airlines to advertise and sell only flights that they have adequate personnel to fly and support, and perform regular audits of airlines to ensure compliance and impose fines on airlines that do not comply."
The letter, submitted as part of the rulemaking process for a still-delayed consumer protection proposal at Buttigieg's agency, also noted that the proposed rule "includes no provision that would correct this practice and that would prevent airlines from advertising and selling tickets for flights that they cannot reasonably provide."
In an opinion piece published by the Times last week in the wake of the FAA outage, the AELP's McGee traced U.S. air travel troubles back much further than the ongoing pandemic, explaining that although "the airlines were initially regulated in the 1930s for many reasons, some of which should be familiar to us in 2023," Congress passed the Airline Deregulation Act (ADA) in 1978.
"One could envision a wholesale return to the pre-1978 era, with route-setting and price-setting brought back into public hands entirely," he wrote, noting that the AELP "has proposed more FAA funding and eliminating federal preemption, which would allow consumers and state officials to sue airlines over consumer and safety rules."
"My colleagues and I are, however, eager to take part in a national conversation about regulating the industry more comprehensively," McGee added. "We haven't had a national discussion for 44 years about the state of air travel. It's time to have that discussion, rather than playing whack-a-mole with each crisis as it arises."
Buttigieg "has taken a tougher line than most of his predecessors" at the DOT, the NCL's Breyault tweeted Friday, while sharing his critical remarks to the Times. "But he is hamstrung by the ADA, which gives airlines far too much power. To truly protect passengers, Congress needs to act."
"As long as the Biden administration continues to deploy tools like the Espionage Act to imprison those who dare to expose war crimes, no publisher and no journalist will be safe," said one of the tribunal's co-chairs.
As Julian Assange awaits the final appeal of his looming extradition to the United States while languishing behind bars in London's notorious Belmarsh Prison, leading left luminaries and free press advocates gathered in Washington, D.C. on Friday for the fourth sitting of the Belmarsh Tribunal, where they called on U.S. President Joe Biden to drop all charges against the WikiLeaks publisher.
"From Ankara to Manila to Budapest to right here in the United States, state actors are cracking down on journalists, their sources, and their publishers in a globally coordinated campaign to disrupt the public's access to information," co-chair and Democracy Now! host Amy Goodman said during her opening remarks at the National Press Club.
"The Belmarsh Tribunal... pursues justice for journalists who are imprisoned or persecuted [and] publishers and whistleblowers who dare to reveal the crimes of our governments," she continued.
"Assange's case is the first time in history that a publisher has been indicted under the Espionage Act," Goodman added. "Recently, it was revealed that the CIA had been spying illegally on Julian, his lawyers, and some members of this very tribunal. The CIA even plotted his assassination at the Ecuadorean Embassy under [former U.S. President Donald] Trump."
\u201cWatch the Belmarsh Tribunal LIVE from Washington, D.C. today at 2 pm ET. \n\nIncluding Amy Goodman, @HorvatSrecko, Daniel Ellsberg, Noam Chomsky, @khrafnsson, @jeremycorbyn, Betty Medsger & @SMaurizi.\n\nFreedom for Assange and journalism are at stake. \n\nhttps://t.co/BsTWi02Xct\u201d— Progressive International (@Progressive International) 1674225186
Assange—who suffers from physical and mental health problems including heart and respiratory issues—could be imprisoned for 175 years if fully convicted of Espionage Act violations. Among the classified materials published by WikiLeaks—many provided by whistleblower Chelsea Manning—are the infamous "Collateral Murder" video showing a U.S. Army helicopter crew killing a group of Iraqi civilians, the Afghan War Diary, and the Iraq War Logs, which revealed American and allied war crimes.
According to the United Nations Working Group on Arbitrary Detention, Assange has been arbitrarily deprived of his freedom since he was arrested on December 7, 2010. Since then he has been held under house arrest, confined for seven years in the Ecuadorean Embassy in London while he was protected by the administration of former Ecuadorean President Rafael Correa, and jailed in Belmarsh Prison, for which the tribunal is named.
Human rights, journalistic, peace, and other groups have condemned Assange's impending extradition and the U.S. government's targeting of a journalist who exposed American war crimes.
\u201c"That the extradition proceedings against Assange are an unexpected legal outcome \u2014 is a lie. Based on my experience as Ecuador's foreign minister...the British government wanted to extradite him all along." \u2014 @GuillaumeLong\n\nAttend the Belmarsh Tribunal. https://t.co/1au3neo8FD\u201d— Progressive International (@Progressive International) 1674143897
In a statement ahead of Friday's tribunal, co-chair and Croatian philosopher Srećko Horvat said:
The First Amendment, freedom of the press, and the life of Julian Assange are at stake. That's why the Belmarsh Tribunal is landing literally just two blocks away from the White House. As long as the Biden administration continues to deploy tools like the Espionage Act to imprison those who dare to expose war crimes, no publisher and no journalist will be safe. Our tribunal is gathering courageous voices of dissent to demand justice for those crimes and to demand President Biden to drop the charges against Assange immediately.
Belmarsh Tribunal participants include Pentagon Papers whistleblower Daniel Ellsberg, U.S. academic Noam Chomsky, British parliamentarian Jeremy Corbyn, former Assange lawyer Renata Ávila, human rights attorney Steven Donziger, and WikiLeaks editor-in-chief Kristinn Hrafnsson.
Assange's father, John Shipton, and the whistleblower's wife and lawyer Stella Assange, are also members, as are Shadowproof editor Kevin Gosztola, Chip Gibbons of Defending Rights, Selay Ghaffar of the Solidarity Party of Afghanistan, investigative journalist Stefania Maurizi, The Nation publisher Katrina vanden Heuvel, and ACLU attorney Ben Wizner.
\u201cFormer U.K. Labour Party leader @jeremycorbyn is in Washington for the Belmarsh Tribunal to advocate for Julian Assange's freedom as he fights extradition from Britain to the United States.\n\n"We're standing up for the right to know. We're standing up for journalism," Corbyn says.\u201d— Democracy Now! (@Democracy Now!) 1674220962
"One of the foundation stones of our form of government here in the United States... is our First Amendment to the Constitution," Ellsberg—whom the Richard Nixon administration tried to jail for up to 115 years under the Espionage Act, but due to government misconduct was never imprisoned—said in a recorded message played at the tribunal.
"Up until Assange's indictment, the act had never been used... against a journalist like Assange," Ellsberg added. "If you're going to use the act against a journalist in a blatant violation of the First Amendment... the First Amendment is essentially gone."
Ávila said before Thursday's event that "the Espionage Act is one of the most dangerous pieces of legislation in the world: an existential threat against international investigative journalism."
"If applied, it will deprive us of one of our must powerful tools towards de-escalation of conflicts, diplomacy, and peace," she added. "The Belmarsh Tribunal convenes in Washington to present evidence of this chilling threat, and to unite lawmakers next door to dismantle the legal architecture that undermines the basic right of all peoples to know what their governments do in their name."
The Belmarsh Tribunal, first convened in London in 2021, is inspired by the Russell Tribunal, a 1966 event organized by philosophers Bertrand Russell and Jean-Paul Sartre to hold the U.S. accountable for its escalating war crimes in Vietnam.
"As the previous administration violated legal and ethical norms at every turn, Attorney General Merrick Garland's choice of continuity with the Trump DOJ's positions erodes the integrity of the very institution he is determined to protect," said one researcher.
Two years after President Joe Biden was inaugurated, his administration continues to advance Trump-era legal positions in dozens of court cases, a progressive watchdog group revealed Friday.
Former President Donald Trump's Department of Justice (DOJ) "consistently made a mockery of the law throughout his four years in power," the Revolving Door Project (RDP) noted in the latest release of its long-running litigation tracker.
Even though "their laughable reasoning and indefensible positions were struck down at a historic rate, many cases were still waiting for Biden," RDP wrote. "Two years into Biden's presidency, an alarming number remain, either in some form of pause or advancing forward with the Biden administration adopting Trump's position."
RDP's litigation tracker, a noncomprehensive database updated Friday to include additional cases and developments, breaks down legal actions across more than a dozen categories. A selection of the Biden administration's moves follows:
"Fidelity to Trump-era positions takes many forms," RDP pointed out. "Biden's DOJ successfully defended Trump-era warrantless searches of travelers' phones; in 2022, the public learned that customs officials maintain a huge database of travelers' copied phone data. The DOJ continued to prosecute an Indigenous woman arrested while praying on sacred grounds disrupted by Trump's border wall construction. They successfully defended the 17-year allowance Trump's EPA granted to Montana to fail to meet clean water standards for nutrient pollution."
In addition, the Biden White House persists "in siding with the pork industry against California and animal rights groups in a high-profile Supreme Court case, despite dozens of Democratic lawmakers urging a change of course," RDP continued. "National Pork Producers Council v. Ross is not the only animal farming case in which the Biden-Garland Justice Department continues to maintain Trump administration positions. The latest update to the litigation tracker shows the Justice Department continuing to defend multiple Trump-era Department of Agriculture decisions that excuse or enable the cruel treatment of poultry, lab-kept primates, and pigs in slaughterhouses."
In a statement, RDP researcher Ananya Kalahasti said that "as the previous administration violated legal and ethical norms at every turn, Attorney General Merrick Garland's choice of continuity with the Trump DOJ's positions erodes the integrity of the very institution he is determined to protect."
"While the Justice Department makes concerted strides towards a more just application of the law in many cases," Kalahasti added, "it pulls backward in others, muddling the legacy and body of precedent it is shaping in real-time."
RDP researcher Hannah Story Brown observed that although "the Justice Department has chosen continuity with its Trump-era position in amicus filings before the Supreme Court in National Pork Producers Council v. Ross... the Biden administration still has a potent opportunity to chart a better course, withother ongoing cases like Suncor v. Boulder County Commissioners, a climate damages case in which the Supreme Court has solicited the Justice Department's opinion."
Brown made clear that RDP is "watching closely to see whether the Justice Department chooses to break from or maintain the position it first adopted under disgraced former DOJ environmental attorney Jeffrey Clark in related state-level climate cases."
Under normal circumstances, maintaining the previous administration's positions "would be relatively routine," RDP argued. "Even if the White House is shifting from one party to another, it is not generally assumed that all of the federal government's litigation positions will change. Instead of a blanket reversal, each case tends to receive a thorough review before the new administration decides to stay the course or reverse."
"But these are not normal circumstances," the group continued. "At every turn and in every corner of the federal government, the Trump administration gleefully trampled the law. In fact, loyalty to the president's person—which plainly required a willingness to ignore legal constraints—was a nonnegotiable condition of employment. In the wake of such an attack, normal deference is not warranted."
"The Biden administration must move quickly to drop, reverse, or settle the cases that Trump left behind," RDP stressed. "And—we would have thought this wouldn't need to be said—the administration should adopt Trump's positions about as often as a stopped clock is accurate."