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A woman named Mary holds a sign in support of Luigi Mangione outside the Criminal Court building in lower Manhattan as Luigi Mangione, the suspect in the United Healthcare CEO killing, waived extradition to New York on December 19, 2024.
To honor Brian Thompson, and to ensure his death is not in vain, we can engage in the needed conversation about the extreme depravity of our healthcare system which his death revitalized.
Early this month Luigi Mangione, 26, University of Pennsylvania graduate, allegedly gunned down CEO of UnitedHealthcare, Brian Thompson, 50. The public response has been varied, with many supporting Mangione. Some fear the positive regard of Mangione is indicative of a shift into a new era where violence is glorified and humanity is lost. As a sociology professor who teaches Poverty, Wealth, and Privilege, I disagree. This failure of subsets of the public to broadly denounce the actions of Mangione does not herald a cultural shift in appreciation of violence.
Instead this unusual display of class consciousness reflects two things. First, the reaction is due to the shift in who bore the cost of violence. Class under-resourced; Black, Indigenous, Latinx and people of color; women; and queer and trans people are the normal recipients of societal violence. Wealthy, cishet, white men in positions of power are not. Wealthy, white communities are conditioned to expect protection, and the revocation of that sheltering is rare.
Second, the working classes are weary from surviving an unnecessarily violent and unjust society. We live amid staggering class, race, and gender-based stratification and life and death stakes everyday. The ruling class profits from our blood, sweat, and tears. And yet, when one of the elite passes, they want us to give them more. They ask us to give them our love. Yet, they remain calloused to our pain and ignore our pleas for fairness.
We, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth?
We all deserve the same sanctity of life given to wealthy insiders. However, when it comes to many of our social systems, such as healthcare, respect and care are not institutionalized; instead, harm is normalized. We see “out-sized returns” to private equity investors.
Recently, a magician performed at a kid’s birthday party. Magic tricks work through deception. A magician distracts the audience to hide what else they are doing. Similar dynamics play out in our public life. The wealth gap continues to grow, yet we voted in a billionaire to be president. The public is shamed for failing to appropriately sympathize with Brian Thompson and his family, yet everyday targeted attacks and systemic neglect accumulate to harm and render disposable historically and strategically marginalized communities, such as class under-resourced, BIPOC, women, and trans and queer people.
Let us stop this charade. Our healthcare system is not pro-health. The World Health Organization (WHO) names universal healthcare as a worldwide goal. The United States has not complied. Most Americans are insured through private companies. Many Americans struggle to pay for healthcare, they postpone receiving care, and are in medical debt. The healthcare system has practices, such as using AI to deny a high number of healthcare claims, which put profits over people. There is something deeply inhumane and harmful about this disregard for health in a healthcare system. It may not be illegal, but it is savage.
The elite and their apologists ask, “How could they not be appalled by Thompson’s murder?” Instead we, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth? Decades ago, Larry Summers, currently on the board of directors of OpenAI, famously wrote that people who produce less are more expendable. This classist ideology pervades our healthcare system.
To honor Brian Thompson, and to ensure his death is not in vain, we can engage in the needed conversation about the extreme depravity of our healthcare system which his death revitalized. A path forward that reforms a calloused healthcare system can provide benefits to all of us. Those among us who deeply mourn Brian’s death can take solace that it can impart a legacy of positive, sustainable, and overdue social change. Those among us who view Mangione’s action as predictable, if not understandable, can appreciate the same reform.
To be sure, there are people who claim that human fallibility is a predestined curse that we cannot overcome, that we are born sinners and that we cannot do better than prioritize greed over care of each other, even within our healthcare system. There will be those of us who feel that disproportionate wealth is a triumph and that our healthcare should reflect the position we hold in our socioeconomic system. However, 73 countries have universal healthcare, including China, Russia, Mexico and Canada. Us Americans are also worthy.
Wealthy and powerful people are the most protected against societal harms, and they also have disproportionate control over them. We need the CEOs, billionaires, and other power elites to do better. The system does not have a great way to hold those in charge accountable for bad behavior. Can they figure out a way to hold themselves accountable? Can they reorganize to prioritize care, a virtue, over greed, a vice, in our healthcare system? If they are immune to this self-correcting recovery, we need to organize around collective action, such as voting, for example for single-payer healthcare, because our lives depend on it. We don’t want anyone dying in the street. We also don’t want anyone dying or in pain due to a broken so-called healthcare system.
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Early this month Luigi Mangione, 26, University of Pennsylvania graduate, allegedly gunned down CEO of UnitedHealthcare, Brian Thompson, 50. The public response has been varied, with many supporting Mangione. Some fear the positive regard of Mangione is indicative of a shift into a new era where violence is glorified and humanity is lost. As a sociology professor who teaches Poverty, Wealth, and Privilege, I disagree. This failure of subsets of the public to broadly denounce the actions of Mangione does not herald a cultural shift in appreciation of violence.
Instead this unusual display of class consciousness reflects two things. First, the reaction is due to the shift in who bore the cost of violence. Class under-resourced; Black, Indigenous, Latinx and people of color; women; and queer and trans people are the normal recipients of societal violence. Wealthy, cishet, white men in positions of power are not. Wealthy, white communities are conditioned to expect protection, and the revocation of that sheltering is rare.
Second, the working classes are weary from surviving an unnecessarily violent and unjust society. We live amid staggering class, race, and gender-based stratification and life and death stakes everyday. The ruling class profits from our blood, sweat, and tears. And yet, when one of the elite passes, they want us to give them more. They ask us to give them our love. Yet, they remain calloused to our pain and ignore our pleas for fairness.
We, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth?
We all deserve the same sanctity of life given to wealthy insiders. However, when it comes to many of our social systems, such as healthcare, respect and care are not institutionalized; instead, harm is normalized. We see “out-sized returns” to private equity investors.
Recently, a magician performed at a kid’s birthday party. Magic tricks work through deception. A magician distracts the audience to hide what else they are doing. Similar dynamics play out in our public life. The wealth gap continues to grow, yet we voted in a billionaire to be president. The public is shamed for failing to appropriately sympathize with Brian Thompson and his family, yet everyday targeted attacks and systemic neglect accumulate to harm and render disposable historically and strategically marginalized communities, such as class under-resourced, BIPOC, women, and trans and queer people.
Let us stop this charade. Our healthcare system is not pro-health. The World Health Organization (WHO) names universal healthcare as a worldwide goal. The United States has not complied. Most Americans are insured through private companies. Many Americans struggle to pay for healthcare, they postpone receiving care, and are in medical debt. The healthcare system has practices, such as using AI to deny a high number of healthcare claims, which put profits over people. There is something deeply inhumane and harmful about this disregard for health in a healthcare system. It may not be illegal, but it is savage.
The elite and their apologists ask, “How could they not be appalled by Thompson’s murder?” Instead we, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth? Decades ago, Larry Summers, currently on the board of directors of OpenAI, famously wrote that people who produce less are more expendable. This classist ideology pervades our healthcare system.
To honor Brian Thompson, and to ensure his death is not in vain, we can engage in the needed conversation about the extreme depravity of our healthcare system which his death revitalized. A path forward that reforms a calloused healthcare system can provide benefits to all of us. Those among us who deeply mourn Brian’s death can take solace that it can impart a legacy of positive, sustainable, and overdue social change. Those among us who view Mangione’s action as predictable, if not understandable, can appreciate the same reform.
To be sure, there are people who claim that human fallibility is a predestined curse that we cannot overcome, that we are born sinners and that we cannot do better than prioritize greed over care of each other, even within our healthcare system. There will be those of us who feel that disproportionate wealth is a triumph and that our healthcare should reflect the position we hold in our socioeconomic system. However, 73 countries have universal healthcare, including China, Russia, Mexico and Canada. Us Americans are also worthy.
Wealthy and powerful people are the most protected against societal harms, and they also have disproportionate control over them. We need the CEOs, billionaires, and other power elites to do better. The system does not have a great way to hold those in charge accountable for bad behavior. Can they figure out a way to hold themselves accountable? Can they reorganize to prioritize care, a virtue, over greed, a vice, in our healthcare system? If they are immune to this self-correcting recovery, we need to organize around collective action, such as voting, for example for single-payer healthcare, because our lives depend on it. We don’t want anyone dying in the street. We also don’t want anyone dying or in pain due to a broken so-called healthcare system.
Early this month Luigi Mangione, 26, University of Pennsylvania graduate, allegedly gunned down CEO of UnitedHealthcare, Brian Thompson, 50. The public response has been varied, with many supporting Mangione. Some fear the positive regard of Mangione is indicative of a shift into a new era where violence is glorified and humanity is lost. As a sociology professor who teaches Poverty, Wealth, and Privilege, I disagree. This failure of subsets of the public to broadly denounce the actions of Mangione does not herald a cultural shift in appreciation of violence.
Instead this unusual display of class consciousness reflects two things. First, the reaction is due to the shift in who bore the cost of violence. Class under-resourced; Black, Indigenous, Latinx and people of color; women; and queer and trans people are the normal recipients of societal violence. Wealthy, cishet, white men in positions of power are not. Wealthy, white communities are conditioned to expect protection, and the revocation of that sheltering is rare.
Second, the working classes are weary from surviving an unnecessarily violent and unjust society. We live amid staggering class, race, and gender-based stratification and life and death stakes everyday. The ruling class profits from our blood, sweat, and tears. And yet, when one of the elite passes, they want us to give them more. They ask us to give them our love. Yet, they remain calloused to our pain and ignore our pleas for fairness.
We, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth?
We all deserve the same sanctity of life given to wealthy insiders. However, when it comes to many of our social systems, such as healthcare, respect and care are not institutionalized; instead, harm is normalized. We see “out-sized returns” to private equity investors.
Recently, a magician performed at a kid’s birthday party. Magic tricks work through deception. A magician distracts the audience to hide what else they are doing. Similar dynamics play out in our public life. The wealth gap continues to grow, yet we voted in a billionaire to be president. The public is shamed for failing to appropriately sympathize with Brian Thompson and his family, yet everyday targeted attacks and systemic neglect accumulate to harm and render disposable historically and strategically marginalized communities, such as class under-resourced, BIPOC, women, and trans and queer people.
Let us stop this charade. Our healthcare system is not pro-health. The World Health Organization (WHO) names universal healthcare as a worldwide goal. The United States has not complied. Most Americans are insured through private companies. Many Americans struggle to pay for healthcare, they postpone receiving care, and are in medical debt. The healthcare system has practices, such as using AI to deny a high number of healthcare claims, which put profits over people. There is something deeply inhumane and harmful about this disregard for health in a healthcare system. It may not be illegal, but it is savage.
The elite and their apologists ask, “How could they not be appalled by Thompson’s murder?” Instead we, as a community, might ask, how are the elite and their apologists not appalled by a harm-rich system that normalizes the idea that humans are only as valuable as their economic worth? Decades ago, Larry Summers, currently on the board of directors of OpenAI, famously wrote that people who produce less are more expendable. This classist ideology pervades our healthcare system.
To honor Brian Thompson, and to ensure his death is not in vain, we can engage in the needed conversation about the extreme depravity of our healthcare system which his death revitalized. A path forward that reforms a calloused healthcare system can provide benefits to all of us. Those among us who deeply mourn Brian’s death can take solace that it can impart a legacy of positive, sustainable, and overdue social change. Those among us who view Mangione’s action as predictable, if not understandable, can appreciate the same reform.
To be sure, there are people who claim that human fallibility is a predestined curse that we cannot overcome, that we are born sinners and that we cannot do better than prioritize greed over care of each other, even within our healthcare system. There will be those of us who feel that disproportionate wealth is a triumph and that our healthcare should reflect the position we hold in our socioeconomic system. However, 73 countries have universal healthcare, including China, Russia, Mexico and Canada. Us Americans are also worthy.
Wealthy and powerful people are the most protected against societal harms, and they also have disproportionate control over them. We need the CEOs, billionaires, and other power elites to do better. The system does not have a great way to hold those in charge accountable for bad behavior. Can they figure out a way to hold themselves accountable? Can they reorganize to prioritize care, a virtue, over greed, a vice, in our healthcare system? If they are immune to this self-correcting recovery, we need to organize around collective action, such as voting, for example for single-payer healthcare, because our lives depend on it. We don’t want anyone dying in the street. We also don’t want anyone dying or in pain due to a broken so-called healthcare system.
"They're now using the failed War on Drugs to justify their egregious violation of international law," the Minnesota progressive said of the Trump administration.
Congresswomen Ilhan Omar and Delia Ramirez on Thursday strongly condemned the Trump administration's deadly attack on a boat allegedly trafficking cocaine off the coast of Venezuela as "lawless and reckless," while urging the White House to respect lawmakers' "clear constitutional authority on matters of war and peace."
"Congress has not declared war on Venezuela, or Tren de Aragua, and the mere designation of a group as a terrorist organization does not give any president carte blanche," said Omar (D-Minn.), referring to President Donald Trump's day one executive order designating drug cartels including the Venezuela-based group as foreign terrorist organizations.
Trump—who reportedly signed a secret order directing the Pentagon to use military force to combat cartels abroad—said that Tuesday's US strike in international waters killed 11 people. The attack sparked fears of renewed US aggression in a region that has endured well over 100 US interventions over the past 200 years, and against a country that has suffered US meddling since the late 19th century.
"It appears that US forces that were recently sent to the region in an escalatory and provocative manner were under no threat from the boat they attacked," Omar cotended. "There is no conceivable legal justification for this use of force. Unless compelling evidence emerges that they were acting in self-defense, that makes the strike a clear violation of international law."
Omar continued:
They're now using the failed War on Drugs to justify their egregious violation of international law. The US posture towards the eradication of drugs has caused immeasurable damage across our hemisphere. It has led to massive forced displacement, environmental devastation, violence, and human rights violations. What it has not done is any damage whatsoever to narcotrafficking or to the cartels. It has been a dramatic, profound failure at every level. In Latin America, even right-wing presidents acknowledge this is true.
The congresswoman's remarks came on the same day that US Secretary of State Marco Rubio designated a pair of Ecuadorean drug gangs as terrorist organizations while visiting the South American nation. This, after Rubio said that US attacks on suspected drug traffickers "will happen again."
"Trump and Rubio's apparent solution" to the failed drug war, said Omar, is "to make it even more militarized," an effort that "is doomed to fail."
"Worse, it risks spiraling into the exact type of endless, pointless conflict that Trump supposedly opposes," she added.
Echoing critics including former Human Rights Watch director Kenneth Roth, who called Tuesday's strike a "summary execution," Ramirez (D-Ill.) said Thursday on social media that "Trump and the Pentagon executed 11 people in the Caribbean, 1,500 miles away from the United States, without a legal rationale."
"From Iran to Venezuela, to DC, LA, and Chicago, Trump continues to abuse our military power, undermine the rule of law, and erode our constitutional boundaries in political spectacles," Ramirez added, referring to the president's ordering of strikes on Iran and National Guard deployments to Los Angeles, the nation's capital, and likely beyond.
"Presidents don't bomb first and ask questions later," Ramirez added. "Wannabe dictators do that."
"The fact that a facility embedded in so much pain is allowed to reopen is absolutely disheartening!" said Florida Immigrant Coalition's deputy director.
Two judges appointed to the US Court of Appeals for the 11th Circuit by President Donald Trump issued a Thursday decision that allows a newly established but already notorious immigrant detention center in Florida, dubbed Alligator Alcatraz, to stay open.
Friends of the Everglades, the Center for Biological Diversity, and the Miccosukee Tribe of Indians of Florida sought "to halt the unlawful construction" of the site. Last month, Judge Kathleen Williams—appointed by former President Barack Obama to the U.S. District Court for the Southern District of Florida—ordered the closure of the facility within 60 days.
However, on Thursday, Circuit Judges Elizabeth Branch and Barbara Lagoa blocked Williams' decision, concluding that "the balance of the harms and our consideration of the public interest favor a stay of the preliminary injunction."
Judge Adalberto Jordan, an Obama appointee, issued a brief but scathing dissent. He wrote that the majority "essentially ignores the burden borne by the defendants, pays only lip service to the abuse of discretion standard, engages in its own factfinding, declines to consider the district court's determination on irreparable harm, and performs its own balancing of the equities."
The 11th Circuit's ruling was cheered by the US Department of Homeland Security, Republican Florida Attorney General James Uthmeier, and Gov. Ron DeSantis, who declared in a video that "Alligator Alcatraz is, in fact, like we've always said, open for business."
Uthmeier's communications director, Jeremy Redfern, collected responses to the initial ruling by state and federal Democrats, and urged them to weigh in on social media. Florida state Sen. Shevrin "Shev" Jones (D-34) did, stressing that "cruelty is still cruelty."
In a Thursday statement, Florida Immigrant Coalition deputy director Renata Bozzetto said that "the 11th Circuit is allowing atrocities to happen by reversing the injunction that helped to paralyze something that has been functioning as an extrajudicial site in our own state! The Everglades Detention Camp isn't just an environmental threat; it is also a huge human rights crisis."
"Housing thousands of men in tents in the middle of a fragile ecosystem puts immense strain on Florida's source environment, but even more troublesome, it disregards human rights and our constitutional commitments," Bozzetto continued. "This is a place where hundreds of our neighbors were illegally held, were made invisible within government systems, and were subjected to inhumane heat and unbearable treatment. The fact that a facility embedded in so much pain is allowed to reopen is absolutely disheartening! The only just solution is to shut this facility down and ensure that no facility like this opens in our state!"
"Lastly, it is imperative that we as a nation uphold the balance of powers that this country was founded on," she added. "That is what makes this country special! Calling judges who rule against you 'activists' flies in the face of our democracy. It is a huge tell that AG Uthmeier expressed this as a 'win for President Trump's agenda,' as if the courts were to serve as political weapons. This demonstrates the clear partisan games they are playing with people's lives and with our democracy."
While Alligator Alcatraz has drawn widespread criticism for the conditions in which detainees are held, the suit is based on the government's failure to follow a law that requires an environmental review, given the facility's proximity to surrounding wetlands.
In response to the ruling, Elise Bennett, a senior attorney at the Center for Biological Diversity, told The Associated Press that "this is a heartbreaking blow to America's Everglades and every living creature there, but the case isn't even close to over."
The report found that seven of America's biggest healthcare companies have collectively dodged $34 billion in taxes as a result of Trump's 2017 tax law while making patient care worse.
President Donald Trump's tax policies have allowed the healthcare industry to rake in "sick profits" by avoiding tens of billions of dollars in taxes and lowering the quality of care for patients, according to a report out Wednesday.
The report, by the advocacy groups Americans for Tax Fairness and Community Catalyst, found that "seven of America's biggest healthcare corporations have dodged over $34 billion in collective taxes since the enactment of the 2017 Trump-GOP tax law that Republicans recently succeeded in extending."
The study examined four health insurance companies—Centene, Cigna, Elevance (formerly Anthem), and Humana; two for-profit hospital chains—HCA Holdings and Universal Health Services; and the CVS Healthcare pharmacy conglomerate.
It found that these companies' average profits increased by 75%, from around $21 billion before the tax bill to about $35 billion afterward, and yet their federal tax rate was about the same.
This was primarily due to the 2017 law's slashing of the corporate tax rate from 35% to 21%, a change that was cheered on by the healthcare industry and continued with this year's GOP tax legislation. The legislation also loosened many tax loopholes and made it easier to move profits to offshore tax shelters.
The report found that Cigna, for instance, saved an estimated $181 million in taxes on the $2.5 billion it held in offshore accounts before the law took effect.
The law's supporters, including those in the healthcare industry, argued that lowering corporate taxes would allow companies to increase wages and provide better services to patients. But the report found that "healthcare corporations failed to use their tax savings to lower costs for customers or meaningfully boost worker pay."
Instead, they used those windfalls primarily to increase shareholder payouts through stock buybacks and dividends and to give fat bonuses to their top executives.
Stock buybacks increased by 42% after the law passed, with Centene purchasing an astonishing average of 20 times more of its own shares in the years following its enactment than in the years before. During the first seven years of the law, dividends for shareholders increased by 133% to an average of $5.6 billion.
Pay for the seven companies' half-dozen top executives increased by a combined $100 million, 42%, on average. This is compared to the $14,000 pay increase that the average employee at these companies received over the same period, which is a much more modest increase of 24%.
And contrary to claims that lower taxes would allow companies to improve coverage or patient care, the opposite has occurred.
While data is scarce, the rate of denied insurance claims is believed to have risen since the law went into effect.
The four major insurers' Medicare Advantage plans were found to frequently deny claims improperly. In the case of Centene, 93% of its denials for prior authorizations were overturned once patients appealed them, which indicates that they may have been improper. The others were not much better: 86% of Cigna's denials were overturned, along with 71% for Elevance/Anthem, and 65% for Humana.
The report said that such high rates of denials being overturned raise "questions about whether Medicare Advantage plans are complying with their coverage obligations or just reflexively saying 'no' in the hopes there will be no appeal."
Salespeople for the Cigna-owned company EviCore, which insurers hire to review claims, have even boasted that they help companies reduce their costs by increasing denials by 15%, part of a model that ProPublica has called the "denials for dollars business." Their investigation in 2024 found that insurers have used EviCore to evaluate whether to pay for coverage for over 100 million people.
And while paying tens of millions to their executives, both HCA and Universal Health Services—which each saved around $5.5 billion from Trump's tax law—have been repeatedly accused of overbilling patients while treating them in horrendous conditions.
"Congress should demand both more in tax revenue and better patient care from these highly profitable corporations," Americans for Tax Fairness said in a statement. "Healthcare corporation profitability should not come before quality of patient care. In healthcare, more than almost any other industry, the search for ever higher earnings threatens the wellbeing and lives of the American people."