May, 30 2018, 12:00am EDT

For Immediate Release
Contact:
Kari Jones 510-433-2759 or Chuck Idelson, 510-273-2246
WASHINGTON
National Nurses United (NNU), the nation's largest union of registered nurses, further condemned the U.S. government's slow and inadequate response in Puerto Rico after Hurricane Maria--given the results of a new Harvard study published Tuesday in the New England Journal of Medicine placing the death toll from the storm at 4,645, in extreme excess of the official federal count of 64.
"This new study only confirms what our volunteer nurses on the ground in Puerto Rico saw firsthand: The people of Puerto Rico were left to die by an administration that failed its own American citizens," said NNU Executive Director Bonnie Castillo, RN, pointing out that the time period of the Harvard study, the first few months post-hurricane, is just a window in a longer-term public health crisis for Puerto Ricans--including a continued loss of skilled workers to the mainland, a growing mental health crisis, and a lingering lack of functioning infrastructure, including an island-wide blackout in April.
NNU's disaster relief project, the RN Response Network (RNRN), deployed 50 nurses to Puerto Rico in October, 2017, and the RNs returned sounding the alarm on the deadly lack of food, water and shelter they witnessed. NNU/RNRN released a report to Congress on the deadly conditions, and several RNs held a press conference with members Congress in late October and testified to Congress in early November, urging the federal government to take immediate action to prevent further illness and death.
"Nurses on the ground saw that people were dying. Our volunteer RNs came back to the U.S. and said again and again, 'The people of Puerto Rico are dying. Do something!' This new study proves that inaction by this administration and inept contractors cost thousands of lives," said Castillo. "And we can see that even today, over eight months since Hurricane Maria struck, the people of Puerto Rico have not been given the aid they need to fully recover, while we are headed right back into another hurricane season."
"The RN Response Network has sent volunteer nurses on disaster relief deployments for over a decade, including to areas impacted by hurricanes Katrina, Rita, Sandy and Harvey, and we have never before seen anything like the slow, grossly inadequate response of our federal government in Puerto Rico," said NNU Vice President and lead nurse for the October deployment, Cathy Kennedy, RN. "It is no surprise to any of our volunteer nurses, who were able to assess firsthand the precariousness of the situation, that according to the Harvard study, the hurricane-Maria-related death count is in the thousands."
While the federal government claimed, in the aftermath of Hurricane Maria, that everything was going well in Puerto Rico, nurses described a FEMA presence on the island that was sparse at best, even weeks after the hurricane, and many times, ineffective. People were often standing in line for hours in blistering heat waiting for desperately needed water and food, only to finally see federal disaster officials with paperwork "to collect data," rather than handing out critical supplies.
During the October deployment, nurses reported Puerto Ricans still living in roofless houses with soaked interiors, where dangerous black mold created respiratory distress and illness -- and also reported outbreaks of leptospirosis, a deadly bacterial disease. According to the nurses, many Puerto Ricans were drinking untreated water from streams, while nurses moved from municipality to municipality, desperately trying to do public health education on how to disinfect the water.
RNs Witnessed Deadly Disaster Profiteering
In late January, the RN Response Network sent a second deployment of nurses to Puerto Rico, in partnership with the International Medical Corps. RNRN volunteers on that deployment still saw closed roads, downed power lines--even months after the storm. Nurses also witnessed negative public health impacts that were now systemic, as corporations used the disaster as an opportunity to capitalize on the privatization of public resources.
According to RNRN volunteers, while organizations like the International Medical Corps and its local partners were stepping up and providing robust healthcare in Puerto Rico, the accessibility to care was eroding due to a longer-term move, on an island that had guaranteed universal healthcare in its constitution, to private health insurance.
"The acute disaster is over, now it's a manmade disaster," said volunteer RN Amy Tidd, after returning from the January deployment. "The hurricane has been used as an excuse to take the opportunity to privatize resources and implement austerity policies, just like it did after Katrina in New Orleans."
RNRN volunteer nurse Maria Rojas, who deployed to Puerto Rico in both October and January, said that while the January volunteer mission gave her the sense that Puerto Ricans have access to the care they need, their coverage for that care was changing.
"The health care corporations that we worked with are on the front lines and they are seeing the changes being implemented: increases in insurance costs, changes in medications and what is being covered and not covered, costs are being cut. They now have to chase down funding sources including grants to do their work," said Rojas, who worked with MedCentro in Ponce, on the south side of the island during the January deployment.
RNRN volunteer nurses have also criticized FEMA's awarding of contracts to ill-equipped companies, out to make a profit, at the expense of human lives.
"Nurses look at a humanitarian crisis, and we get to work putting the general public back into a state of health. Banks, corporations and private contractors see that same disaster as an opportunity to make money," said Kennedy, citing a widely publicized example of Tribute Contracting, LLC, a company with no previous disaster relief experience, which was awarded a FEMA contract for 30 million meals for Puerto Rico. By the time 18.5 million meals were due, Tribute had only delivered 50,000, and the meals--sent to patients with no power--were not self-heating.
"Our volunteer nurses' weeks of scrambling to find food, water and other supplies for the people of Puerto Rico--were directly connected to the failure of government agencies and contractors who should have been responsible for providing that aid," said Kennedy.
"This new study, putting the death toll over 4,500 should be a badge of shame on our government and on those who failed to do their job, while looking at Hurricane Maria as an opportunity to make a buck," said Castillo.
RNRN has been monitoring the situation on the ground in Puerto Rico, sending supplies and speaking out to legislators and in the media, as the 2018 hurricane season rapidly approaches. Nurses say with the recent study backing up their firsthand account of deadly conditions, they will fight to ensure such a grossly inadequate response never happens again.
"This is the era of climate related disasters," said Castillo. "Storms will only continue to increase in frequency and severity, and nurses know that we must raise our voices loud and hold our elected officials accountable for caring as much as nurses do about the health of everyday people. It's unacceptable for the richest country on earth to be denying aid to its own citizens."
National Nurses United, with close to 185,000 members in every state, is the largest union and professional association of registered nurses in US history.
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'We Cannot Be Silent': Tlaib Leads 19 US Lawmakers Demanding Israel Stop Starving Gaza
"This current blockade is starving Palestinian civilians in violation of international law, and the militarization of food will not help."
Jun 30, 2025
As the death toll from Israel's forced starvation of Palestinians continues to rise amid the ongoing U.S.-backed genocidal assault and siege of the Gaza Strip, Rep. Rashida Tlaib on Monday led 18 congressional colleagues in a letter demanding that the Trump administration push for an immediate cease-fire, an end to the Israeli blockade, and a resumption of humanitarian aid into the embattled coastal enclave.
"We are outraged at the weaponization of humanitarian aid and escalating use of starvation as a weapon of war by the Israeli government against the Palestinian people in Gaza," Tlaib (D-Mich.)—the only Palestinian American member of Congress—and the other lawmakers wrote in their letter to U.S. Secretary of State Marco Rubio. "For over three months, Israeli authorities have blocked nearly all humanitarian aid from entering Gaza, fueling mass starvation and suffering among over 2 million people. This follows over 600 days of bombardment, destruction, and forced displacement, and nearly two decades of siege."
"According to experts, 100% of the population is now at risk of famine, and nearly half a million civilians, most of them children, are facing 'catastrophic' conditions of 'starvation, death, destitution, and extremely critical acute malnutrition levels,'" the legislators noted. "These actions are a direct violation of both U.S. and international humanitarian law, with devastating human consequences."
Gaza officials have reported that hundreds of Palestinians—including at least 66 children—have died in Gaza from malnutrition and lack of medicine since Israel ratcheted up its siege in early March. Earlier this month, the United Nations Children's Fund warned that childhood malnutrition was "rising at an alarming rate," with 5,119 children under the age of 5 treated for the life-threatening condition in May alone. Of those treated children, 636 were diagnosed with severe acute malnutrition, the most lethal form of the condition.
Meanwhile, nearly 600 Palestinians have been killed and more than 4,000 others have been injured as Israeli occupation forces carry out near-daily massacres of desperate people seeking food and other humanitarian aid at or near distribution sites run by the U.S.-backed Gaza Humanitarian Foundation (GHF). Israel Defense Forces officers and troops have said that they were ordered to shoot and shell aid-seeking Gazans, even when they posed no threat.
"This is not aid," the lawmakers' letter argues. "UNRWA Commissioner-General Philippe Lazzarini has warned that, under the GHF, 'aid distribution has become a death trap.' We cannot allow this to continue."
"We strongly oppose any efforts to dismantle the existing U.N.-led humanitarian coordination system in Gaza, which is ready to resume operations immediately once the blockade is lifted," the legislators wrote. "Replacing this system with the GHF further restricts lifesaving aid and undermines the work of long-standing, trusted humanitarian organizations. The result of this policy will be continued starvation and famine."
"We cannot be silent. This current blockade is starving Palestinian civilians in violation of international law, and the militarization of food will not help," the lawmakers added. "We demand an immediate end to the blockade, an immediate resumption of unfettered humanitarian aid entry into Gaza, the restoration of U.S. funding to UNRWA, and an immediate and lasting cease-fire. Any other path forward is a path toward greater hunger, famine, and death."
Since launching the retaliatory annihilation of Gaza in response to the Hamas-led October 7, 2023 attack on Israel, Israeli forces have killed at least 56,531 Palestinians and wounded more than 133,600 others, according to the Gaza Health Ministry, which also says over 14,000 people are missing and presumed dead and buried beneath rubble. Upward of 2 million Gazans have been forcibly displaced, often more than once.
On Sunday, U.S. President Donald Trump reiterated a call for a cease-fire deal that would secure the release of the remaining 22 living Israeli and other hostages held by Hamas.
In addition to Tlaib, the letter to Rubio was signed by Sen. Bernie Sanders (I-Vt.) and Democratic Reps. Greg Casar (Texas), Jesús "Chuy" García (Ill.), Al Green (Texas), Jonathan Jackson (Ill.), Pramila Jayapal (Wash.), Henry "Hank"Johnson (Ga.), Summer Lee (Pa.), Jim McGovern (Mass.), Alexandria Ocasio-Cortez (N.Y.), Ilhan Omar (Minn.), Chellie Pingree (Maine), Mark Pocan (Wisc.), Ayanna Pressley (Mass.), Delia Ramirez (Ill.), Paul Tonko (N.Y.), Nydia Velázquez (N.Y.), and Bonnie Watson Coleman (N.J.).
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Biden National Security Adviser Among Those Crafting 'Project 2029' Policy Agenda for Democrats
"Jake Sullivan's been a critical decision-maker in every Democratic catastrophe of the last decade," said one observer. "Why is he still in the inner circle?"
Jun 30, 2025
Amid the latest battle over the direction the Democratic Party should move in, a number of strategists and political advisers from across the center-left's ideological spectrum are assembling a committee to determine the policy agenda they hope will be taken up by a Democratic successor to President Donald Trump.
Some of the names on the list of people crafting the agenda—named Project 2029, an echo of the far-right Project 2025 blueprint Trump is currently enacting—left progressives with deepened concerns that party insiders have "learnt nothing" and "forgotten nothing" from the president's electoral victories against centrist Democratic candidates over the past decade, as one economist said.
The project is being assembled by former Democratic speechwriter Andrei Cherny, now co-founder of the policy journal Democracy: A Journal of Ideas, and includes Jake Sullivan, a former national security adviser under the Biden administration; Jim Kessler, founder of the centrist think tank Third Way; and Neera Tanden, president of the Center for American Progress and longtime adviser to former Secretary of State Hillary Clinton.
Progressives on the advisory board for the project include economist Justin Wolfers and former Roosevelt Institute president Felicia Wong, but antitrust expert Hal Singer said any policy agenda aimed at securing a Democratic victory in the 2028 election "needs way more progressives."
As The New York Times noted in its reporting on Project 2029, the panel is being convened amid extensive infighting regarding how the Democratic Party can win back control of the White House and Congress.
After democratic socialist and state Assemblymember Zohran Mamdani's (D-36) surprise win against former New York Gov. Andrew Cuomo last week in New York City's mayoral primary election—following a campaign with a clear-eyed focus on making childcare, rent, public transit, and groceries more affordable—New York City has emerged as a battleground in the fight. Influential Democrats including House Minority Leader Hakeem Jeffries (D-N.Y.) and Sen. Kirsten Gillibrand (D-N.Y.) have so far refused to endorse him and attacked him for his unequivocal support for Palestinian rights.
Progressives have called on party leaders to back Mamdani, pointing to his popularity with young voters, and accept that his clear message about making life more affordable for working families resonated with Democratic constituents.
But speaking to the Times, Democratic pollster Celinda Lake exemplified how many of the party's strategists have insisted that candidates only need to package their messages to voters differently—not change the messages to match the political priorities of Mamdani and other popular progressives like Sen. Bernie Sanders (I-Vt.) and Rep. Alexandria Ocasio-Cortez (D-N.Y.).
"We didn't lack policies," Lake told the Times of recent national elections. "But we lacked a functioning narrative to communicate those policies."
Sanders and Ocasio-Cortez have drawn crowds of thousands in red districts this year at Sanders' Fighting Oligarchy rallies—another sign, progressives say, that voters are responding to politicians who focus on billionaires' outsized control over the U.S. political system and on economic justice.
Project 2029's inclusion of strategists like Kessler, who declared economic populism "a dead end for Democrats" in 2013, demonstrates "the whole problem [with Democratic leadership] in a nutshell," said Jonathan Cohn of Progressive Mass—as does Sullivan's seat on the advisory board.
As national security adviser to President Joe Biden, Sullivan played a key role in the administration's defense and funding of Israel's assault on Gaza, which international experts and human rights groups have said is a genocide.
"Jake Sullivan's been a critical decision-maker in every Democratic catastrophe of the last decade: Hillary Clinton's 2016 campaign, the withdrawal from Afghanistan, the Israel/Gaza War, and the 2024 Joe Biden campaign," said Nick Field of the Pennsylvania Capital-Star. "Why is he still in the inner circle?"
"Jake Sullivan is shaping domestic policy for the next Democratic administration," he added. "Who is happy with the Biden foreign policy legacy?"
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Rick Scott Pushes Amendment to GOP Budget Bill That Could Kick Millions More Off Medicaid
Scott's proposal for more draconian cuts has renewed scrutiny regarding his past as a hospital executive, where he oversaw the "largest government fraud settlement ever," which included stealing from Medicaid.
Jun 30, 2025
Sen. Rick Scott has introduced an amendment to the Republican budget bill that would slash another $313 million from Medicaid and kick off millions more recipients.
The latest analysis by the Congressional Budget Office (CBO) found that 17 million people could lose their health insurance by 2034 as the result of the bill as it already exists.
According to a preliminary estimate by the Democrats on the Joint Congressional Economic Committee, that number could balloon up to anywhere from 20 to 29 million if Scott's (R-Fla.) amendment passes.
The amendment will be voted on as part of the Senate's vote-a-rama, which is expected to run deep into Monday night and possibly into Tuesday morning.
"If Sen. Rick Scott's amendment gets put forward, this would be a self-inflicted healthcare crisis," said Tahra Hoops, director of economic analysis at Chamber of Progress.
The existing GOP reconciliation package contains onerous new restrictions, including new work requirements and administrative hurdles, that will make it harder for poor recipients to claim Medicaid benefits.
Scott's amendment targets funding for the program by ending the federal government's 90% cost sharing for recipients who join Medicaid after 2030. Those who enroll after that date would have their medical care reimbursed by the federal government at a lower rate of 50%.
The Affordable Care Act (ACA) introduced the increased rate in 2010 to incentivize states to expand Medicaid, allowing more people to be covered.
Scott has said his program would "grandfather" in those who had already been receiving the 90% reimbursement rate.
However, Medicaid is run through the states, which will have to spend more money to keep covering those who need the program after 2030.
The Center on Budget and Policy Priorities estimated that this provision "would shift an additional $93 billion in federal Medicaid funding to states from 2031 through 2034 on top of the cuts already in the Senate bill."
This will almost certainly result in states having to cut back, by introducing their stricter requirements or paperwork hurdles.
Additionally, nine states have "trigger laws" that are set to end the program immediately if the federal matching rate is reduced: Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia.
The Joint Congressional Economic Committee estimated Tuesday that around 2.5 million more people will lose their insurance as a result of those cuts.
If all the states with statutory Medicaid expansion ended it as a result of Scott's cuts, as many as 12.5 million could lose their insurance. Combined with the rest of the bill, that's potentially 29 million people losing health insurance coverage, the committee said.
A chart shows how many people are estimated to lose healthcare coverage with each possible version of the GOP bill.(Chart: Congressional Joint Economic Committee Democrats)
There are enough Republicans in the Senate to pass the bill with Scott's amendment. However, they can afford no more than three defections. According to Politico, Sens. Rand Paul (R-Ky.) and Thom Tillis (R-N.C.) have signaled they will vote against the amendment.
Sen. Jim Justice (R-W.V.) also said he'd "have a hard time" voting yes on the bill if Scott's amendment passed. His state of West Virginia has the second-highest rate of people using federal medical assistance of any state in the country, behind only Mississippi.
Critics have called out Scott for lying to justify this line of cuts. In a recent Fox News appearance, Scott claimed that his new restrictions were necessary to stop Democrats who want to "give illegal aliens Medicaid benefits," even though they are not eligible for the program.
Scott's proposal has also brought renewed scrutiny to his past as a healthcare executive.
"Ironically enough, some of the claims against Scott's old hospital company revolved around exploiting Medicaid, and billing for services that patients didn't need," wrote Andrew Perez in Rolling Stone Monday.
In 2000, Scott's hospital company, HCA, was forced to pay $840 million in fines, penalties, and damages to resolve claims of unlawful billing practices in what was called the "largest government fraud settlement ever." Among the charges were that during Scott's tenure, the company overbilled Medicare and Medicaid by pretending patients were sicker than they actually were.
The company entered an additional settlement in 2003, paying out another $631 million to compensate for the money stolen from these and other government programs.
Scott himself was never criminally charged, but resigned in 1997 as the Department of Justice began to probe his company's activities. Despite the scandal, Scott not only became a U.S. senator, but is the wealthiest man in Congress, with a net worth of more than half a billion dollars.
The irony of this was not lost on Perez, who wrote: "A few decades later, Scott is now trying to extract a huge amount of money from state Medicaid funds to help finance Trump's latest round of tax cuts for the rich."
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