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capitalism
As Trump Pushes Privatization, Mexico's Sheinbaum Embraces Healthcare as a Human Right
Healthcare is neither a commodity nor the exclusive privilege of the wealthy—it is a human right. Far from “outrageous,” guaranteeing healthcare to all is about ensuring that everyone can live a rich and fulfilling life.
Apr 15, 2026
On April 6, the Trump administration announced it will increase payments to privately-run Medicare Advantage, or MA, plans by 2.48% in 2027—this will result in more than $13 billion in additional payments to companies like UnitedHealth, CVS Health, and Humana. Unsurprisingly, following this announcement, shares of those companies rose by more than 9%.
MA plans have been a significant source of growth and profit for insurance companies. As the Medicare Rights Center reports, this profitability is driven by enormous overpayments, including from fraudulent billing practices such as “upcoding.” This involves submitting billing codes that make patients appear sicker than they really are to secure higher government payments than are warranted. Despite this, the Trump administration is currently considering a policy that would automatically enroll seniors into MA plans as the “default enrollment option”—a proposal outlined in the Heritage Foundation’s extremist Project 2025.
The Center for American Progress estimates that making MA the default option would generate nearly $2 trillion in overpayments over 10 years, while significantly jeopardizing traditional Medicare’s financial stability. It would give for-profit corporations more control to restrict patient choices and deny doctor-recommended care.
Instead of more privatization that puts profits over people, we should embrace Medicare For All (M4A). Yet, President Donald Trump contends that paying for our current safety nets is already too much for the wealthiest nation on Earth. He remarks: “It’s not possible for us to take care of day care, Medicaid, Medicare, all these individual things. They can do it on a state basis. You can’t do it on a federal. We have to take care of one thing: military protection. We have to guard the country.”
Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.
For Trump, spending billions in an illegal war takes precedence over providing healthcare for Americans. His 2027 budget calls for a 10% reduction in all nondefense spending, including reducing funding to the Department of Health and Human Services by $15.8 billion. This, at the same time, that a measles outbreak sweeps the nation, uninsured rates continue to climb, and the prevalence of children with chronic conditions grows to unprecedented levels.
While Trump prioritizes death and destruction, Mexican President Claudia Sheinbaum offers a different vision. On April 7, she issued a presidential decree establishing the Universal Health Service (Servicio Universal de Salud), which will allow patients from across Mexico to seek free care at any public health institution. Universal access will be rolled out in phases starting with emergency care and continuity of care in early 2027. Radiotherapy, laboratory tests, imaging studies, and other specialized services will be added later that year. Finally, in 2028, universal prescription fulfillment and hospitalization will be consolidated. For Sheinbaum, “The goal is that when we leave the government [in 2030], any Mexican man or woman can go to any health institution for treatment for any ailment and be received.”
The transition to universal healthcare began on April 13 when Mexicans aged 85 and older were eligible to register for their new Universal Health Credential. As Deputy Health Minister Eduardo Clark notes, these new credentials are “the guarantee of the right to healthcare” for Mexican citizens and eligible foreign residents.
This is the fundamental difference. In Mexico, healthcare is recognized as a human right enshrined in their Constitution. In 2023, then-Secretary of Foreign Affairs Alicia Bárcena said before the United Nations General Assembly, “In Mexico, we believe that coverage must be universal, public and free, starting with the most marginalized areas and prioritizing, as always, the poorest.” She continued: “It is unacceptable to profit from illness. In Mexico, we know that public health is not for sale. It is a public and universal good, and we defend it."
By contrast, for Trump, healthcare is a privilege meant solely for those who deserve it. During his first presidential campaign, he remarked: “Where I come from, you have to prove your worth. You have some guy with no college degree working a minimum wage job; no ambition, no goals, nothing to show for it. Yet for some reason, the current [Obama] administration believes he—and millions of people like him, should have access to health insurance. It’s outrageous.” While Mexico starts with “the poorest,” Trump finds it “outrageous” to provide healthcare to minimum wage workers.
Trump’s position is immoral and vile. Healthcare is neither a commodity nor the exclusive privilege of the wealthy—it is a human right. Far from “outrageous,” guaranteeing healthcare to all is about ensuring that everyone can live a rich and fulfilling life.
For most (if not everyone), lacking healthcare will prevent them from living the kind of life they desire. Those suffering from untreated illness may struggle to spend time with their loved ones, pursue the opportunities they desire, and exercise their political rights. Since, at some point, everyone will eventually get sick, healthcare is a universal good that benefits each of us. Moreover, as the Covid-19 pandemic made clear, our individual health is not solely a personal issue. My health impacts the lives of others around me just as their health impacts mine. Healthcare is thus a collective and communal good.
Still, one might object that even if healthcare is not a commodity, the market is still the best mechanism to allocate scarce resources; Trump’s push toward privatization will be better than Sheinbaum’s universal care.
Such blind faith in the market is misguided. Despite spending far more than other countries with universal coverage, more than a quarter of Americans report skipping consultations, tests, treatments and follow-ups because of costs. Roughly 21% report skipping medication for the same reason. Studies consistently find that universal care provides more access, better quality, and lower costs than privatized healthcare.
Ironically, Trump once understood this. In his 2000 The America We Deserve, he writes, “We must have universal healthcare. Just imagine the improved quality of life for our society as a whole if the issue of access to healthcare were dealt with imaginatively. With more than 40 million Americans living day to day in the fear that an illness or injury will wipe out their savings or drag them into bankruptcy, how can we truly engage in the ‘pursuit of happiness’ as our Founders intended?”
Trump was right. What we need is not more privatization that exploits the sick and dying, but rather a politic that works to radically defend life, liberty, and pursuit of happiness. What is needed is the imagination to rethink how we use (and misuse) our country’s wealth and resources. Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.
A better future is possible—already, in the US, support for M4A continues to grow, and several 2026 midterm candidates have made it an explicit part of their platforms. Together, by embracing life and rejecting capitalism, we can make America great.
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'All You Had to Do Was Pay Us Enough to Live,' Said Alleged California Warehouse Arsonist
"Expect to see more of this as people struggle to survive under our decaying capitalist system," warned one observer.
Apr 11, 2026
The 29-year-old employee accused of burning down a paper products warehouse in southern California was allegedly furious over pay and working conditions at the facility and compared himself Luigi Mangione, the anti-capitalist folk hero to many Americans who allegedly assassinated a health insurance CEO.
Chamel Abdulkarim is facing federal and state felony charges in connection with a blaze that tore through the 1.2 million square-foot Kimberly-Clark warehouse in Ontario, San Bernardino County, shortly after 12:30 am on Tuesday. The Los Angeles Times reported that 20 other people were working in the facility, which is roughly the size of 11 city blocks, at the time. There are no reports of any injuries.
According to the US Department of Justice (DOJ), Abdulkarim uploaded videos to Facebook showing him setting fires in the warehouse and saying, “If you’re not going to pay us enough to fucking live or afford to live, at least pay us enough not to do this shit."
Abdulkarim allegedly said in texts and phone calls that he cost Kimberly-Clark "billions," adding, "All you had to do was pay us enough to live."
"All you had to do was pay us enough to live".On April 7, 2026, a 29-year-old worker named Chamel Abdulkarim was arrested on arson-related charges after a massive, six-alarm fire destroyed a 1.2-million-square-foot Kimberly-Clark warehouse in Ontario, California.
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— Raider (@iwillnotbesilenced.bsky.social) April 8, 2026 at 6:33 PM
The DOJ said the blaze caused "approximately $500 million in damage."
Prosecutors said that after starting the fires, Abdulkarim called a friend and said that “a lot of people are going to understand” what he did, just like when “Luigi popped that mutherfucker,” a reference to Mangione's alleged murder of UnitedHealthcare CEO Brian Thompson in New York in 2024.
Shareholders of Kimberly-Clark—which makes products including Kleenex tissues, Scott and Cottonelle toilet paper, Huggies diapers, and Kotex feminine care products—enjoyed profits topping $2.0 billion last year. Company chairman and CEO Michael Hsu made about $15.3 in compensation. That's more than 300 times as much as the average Kimberly-Clark employee earned, according to the AFL-CIO.
Critics of capitalism have long argued that the yawning chasm between rich and poor in the United States is a recipe for disaster that could far exceed individual acts of resistance, if the crisis is not soon addressed. However, under President Donald Trump and the Republican-controlled Congress, wealth inequality continues to increase at what many experts argue is an unsustainable rate.
Many leftists took to social media to praise the blaze, with some, like the Rev. Oliver Dean Snow of Mothman Ministries, comparing the arson attack to historical acts of radical resistance like the 1884 New Straitsville Mine Fire, in which striking union miners in Ohio pushed burning coal cars deep into a mine, causing an underground inferno that not only permanently shut down operations, but is believed to still be burning to this day, 141 years later.
Idk why Chamel Abdulkarim isn’t being hailed the same way Luigi Mangione was. Especially by Appalachians. Bro did something based and literally hurt NO ONE. Only thing that got hurt was same toilet paper. Some of yalls ancestors would be ashamed of you.ohiomemory.ohiohistory.org/archives/216
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— Preacher from the Black Lagoon (@revpoppop.bsky.social) April 10, 2026 at 12:46 PM
"Expect to see more of this as people struggle to survive under our decaying capitalist system," said one popular socialist account on X.
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Esencia No Va: Protesting Neocolonial Capitalist Development in Puerto Rico
A movement is forming to defend the community and island against a project that would turn over a significant piece of Puerto Rico’s land to foreign billionaires, to serve their needs, not the needs of the Puerto Rican people.
Apr 08, 2026
On Saturday, March 28—No Kings Day in the US—an estimated 50,000 people marched in the streets of Old San Juan, Puerto Rico to protest plans for “Esencia,” a proposed huge, gated, luxury ocean-side development in Cabo Rojo, Puerto Rico. The protest was spear-headed by Defiende a Cabo Rojo, a coalition of community, scientific, and cultural organizations, and was joined by 66 co-sponsoring groups from all over the island. A retired US professor of (radical) economics, I attended the protest with my friend Dimaris Acosta-Mercado, an activist in the anti-Esencia movement and professor of ecology at the University of Puerto Rico-Mayaguez.
The $2.5 billion Esencia project, first proposed in May 2024, is a quintessential example of neocolonial capitalist development. It would create a tropical enclave for super-rich foreigners on 2,000 acres of land along a 3-mile stretch of beach in the southwest of the island, including 1,200 homes, 500 hotel accommodations, two golf courses, its own school, and an airport. Although it does not yet have building permits, the proposed project has already received generous tax credits and exemptions.
The Movement to Stop Esencia
The movement to stop Esencia views this issue in both class and territorial terms. Its goal is to defend the community and island against a project that would turn over a significant piece of Puerto Rico’s land to foreign billionaires, to serve their needs, not the needs of the Puerto Rican people. It builds on a history of successful struggles against previous development projects such as the Northern Corridor, mining in Adjuntas, and beachside construction in Rincon.
One of the movement’s core critiques of Esencia is the loss of public access to the beaches, which has happened with previous developments such as Dorado Beach and Palmas del Mar. Bad Bunny’s song, “What Happened to Hawaii,” has become a theme song for the movement, with its powerful chorus:
Thеy want to take my river and my beach too
They want my neighborhood and grandma to leave
No, don't let go of the flag nor forget the lelolai
'Cause I don't want them to do to you what happened to Hawaii
A second set of criticisms of the project focus on its negative ecological and environmental impact. As part of a team of academic researchers involved in the movement, my friend Dimaris’ critique focuses on the harm Esencia will do to endangered species, including birds, reptiles, snails, and plants that exist only in Puerto Rico, and to the critical habitat system that supports them. Other movement researchers predict that Esencia will cause shortages in the region’s water, already in short supply. A third critique emphasizes the area’s importance as an archaeological site.
The March Against Esencia: A Celebration of Life and Love
The march began at El Escambron, another public beach threatened with privatization. From there we marched along the coast of Old San Juan, stopping to rally at the Capitol Building, where the Puerto Rican Senate and House of Representatives meet, and then marched to the Governor’s mansion, La Fortaleza, for more protesting.
It is hard to capture in words the powerful anti-Esencia presence and statement that the march created. At the front of the protest were huge flags of Puerto Rico and Cabo Rojo. Soon after came a large paper mache model of a guabairo, a rare bird endangered by the project, carried overhead for the length of the protest, wings flapping. Marchers carried and wore a variety of printed and homemade posters denouncing the proposed project. Percussion—including drums, folding fans, kitchen pots, guiros—was omnipresent. The call and response chant of “Esencia No Va… Que No Va, Que No Va” (Esencia is a no-go, it shouldn’t go, it shouldn’t go) echoed throughout the march. Continual rhythmic chanting, drumming, singing, and dancing made the protest come alive as a potent force opposing the project. As a North American, I was touched to join in the familiar “El Pueblo Unido Jamas Sera Vencido” chant and to sing “No Nos Pararon” (“they won’t stop us”) to the tune of “We shall not be moved.”
If we in the US and elsewhere are to use social strikes to retake control of our governments... we have much to learn from the joyful, creative protests of our Puerto Rican comrades.
Puerto Rican peoples are a mixture of African, Indigenous, and European heritage, and, as Dimaris put it, “It’s as if all our ancestry (was) coming alive and making peace in this land to protect it.” Indigenous heritage took center stage when the march stopped in front of the Capitol building, with the blowing of conch shells, chanting, calling in the directions, and leading an areito dance. And Afro-Puerto Rican ancestry was omni-present in the bombas and drumming.
One group wore purple T-shirts announcing “anti-patriarchal, feminista, lesbiana, trans, Caribena, Latinoamericana.” Another T-shirt depicted a plant and the words “sembrando rebeldias” (planting rebellions). Gay protesters snapped fans for percussion (one of their signature acts). The Puerto Rico Sierra Club was there, along with Para la Naturaleza, and AFSCME, and many other groups.
The protest had something I hadn’t experienced in the many many US demonstrations I have participated in since the 1960s: It was fun! It was actually a party, with masses of people dancing, drumming, chanting, singing, and reveling in the streets. It was a celebration of life—not only of Puerto Rico and being Puerto Rican, but also of standing up for Mother Earth, an affirmation of love, cooperation, art, and beauty by a diverse community organizing in self-defense and defense of nature, against the greed, displacement, ecological destruction, and extreme wealth inequality that Esencia embodies. Dimaris later told me that the protest resembled the spirit of Verano 2019, the 15-day protest strike which used creativity, art, and fun to topple Gov. “Ricky” Rosello, including evening dance parties in front of the governor’s mansion. If we in the US and elsewhere are to use social strikes to retake control of our governments, as Jeremy Brecher suggests, we have much to learn from the joyful, creative protests of our Puerto Rican comrades.
A final note. The Solidarity Economy movement uses the motto, “Resist and Build.” Movements such as the one opposing Esencia, which resist the take-over of our lands and lives, are key. Equally important are a growing number of efforts to build non-capitalist, community-based alternatives, which are sprouting up all around the world, such as Casa Pueblo and Plenitud in Puerto Rico, or, in the US, land development projects such as those of the Peoples’ Network for Land and Liberation.
In these dark times, here’s to inspiring one another as we resist and build, and to having fun as we do so! Esencia No Va!!!!!!
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