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As the Trump administration’s crusade against democracy and our nation’s public health and healthcare systems continue, we can learn from the lives of Denise Oliver-Velez and Walt Odets.
Two recent deaths highlighted the importance of earlier activist leaders to struggles for health and social justice. Denise Oliver-Velez, who died on July 15, was a founder of the Young Lords Party in New York, a group that mobilized Puerto Rican and other communities to fight for their health and dignity. She also helped set the stage for alignments between movements for the rights of people of color and those focused on the rights of women.
Walt Odets, a psychologist, died on July 5th in Berkeley where he had provided therapy for gay men for decades. His activism had focused on how best to prevent AIDS and ending the stigma that this country imposes on LGBTQI people.
Their stories remind us of the important role activists play in combating injustice and reversing cruel and harmful policies. As the Trump administration’s crusade against democracy and our nation’s public health and healthcare systems continue, we can learn from these two lives lessons for today’s activists who can bring the values and passions of Oliver-Velez and Odets into the present period.
Through the campaigns she helped to organize, Oliver-Velez brought to life an alternative vision of a healthcare system that put serving people first. In 1970, the Young Lords occupied Lincoln Hospital, an underfunded, understaffed public hospital with decaying facilities and low quality of care, known in the community as the Butcher Shop. The Young Lords sent members into the hospital lobby to collect complaints from patients, which they then presented to hospital administrators. When conditions did not improve, the group occupied the hospital, winning an agreement to hire more Puerto Rican doctors committed to serving their community and to support the Lords to set up new community health and substance use programs. At a time when the city was closing public hospitals to save money, Lincoln was rebuilt and a new modern hospital was opened, in part due to persistent pressure from the Young Lords and their healthcare worker allies.
Between them, these two very different activist leaders demonstrated some of the qualities today’s activists most need to fight current threats to health and social justice.
Oliver-Velez was attracted to the Lords because they were “a puente,” a “bridge between groups, the cultural/nationalists, the Marxists, the whites, the Black and the Asians.” She also wanted to overcome the machismo that divided so many radical groups. She wrote that she and other women in the Lords “made it very clear that we were not going to be just secretaries, that we were warriors too.” Oliver, Iris Morales, and other women leaders in the Young Lords organized a Women’s Caucus which moved the Young Lords Party to adopt feminist principles as central to their political agenda.
These women led campaigns on reproductive justice; against sterilization abuse; for safe, legal abortion; and raised awareness about the institutional oppression of women. Much of their work focused on health—breakfast programs for school children, a campaign to force the city to combat lead poisoning more aggressively, and the fights to improve Lincoln Hospital. Decades before “health for all” became an international rallying call, the Young Lords showed how ordinary people can force government to translate this aspiration into action.
Odets’ practice and tactics were different. He criticized the gay movement’s approach to AIDS prevention, arguing that its guidance on safe sex was ambiguous and failed to prevent infection. He insisted movements had to tell the truth about evidence. He also championed the needs of HIV-negative men, arguing that a movement seeking health for the gay community as a whole at had to consider the needs of these men, even if their lives were not in as imminent peril as those who were HIV+.
“For gay lives,” Odets wrote “the granting of legal rights and authentic acceptance are two different issues in a society steeped in phobic aversion to real diversity.” Odets distinguished between the legal fight for societal recognition, i.e., gay marriage, and the psychological fight for self-acceptance and the rejection of social stigma. He hoped to engage the gay community in addressing both the political and emotional requirement for building solidarity and to prepare gay men to both fight for their rights and insist on their self-worth. Rather than separating these two domains, he strove to integrate them.
Between them, these two very different activist leaders demonstrated some of the qualities today’s activists most need to fight current threats to health and social justice. Both found ways to connect their personal experience to their political beliefs, a prerequisite for authenticity in organizing others.
Oliver-Velez showed the power of bringing people together across the racial-ethnic and gender divides that characterize our society and enable those in power to divide us. Odets emphasized the importance of paying attention to both the political and the psychological dimensions of activism. Activists who appeal to the mind and the heart are more likely to build the long-term support needed to change policies and systems.
Both were willing to acknowledge differences among activists, then look for ways to bridge these divides . Neither Oliver-Velez nor Odets feared conflict, but they did not demonize fellow travelers who disagreed with them, leaving the door open to build bridges.
I have been studying, teaching, writing about, and participating in health activism for more than 50 years. Never have the threats to human and planetary health seemed starker. Never has the responsibility of government to protect health been under such concerted attack. Fortunately, thousands of young and old activists are organizing to combat today’s threats, showing the possibility of an alternative to the dark and cruel view of well-being coming from leaders in Washington. By applying the lessons learned from Oliver-Velez and Odets to today’s battles, we pay tribute to them by strengthening the fights for a healthier, more just world.
"We can’t even raise the minimum wage. Do Republicans really think this stuff is going to happen?"
Republican fearmongering that communism is on its way to the United States is a perennial feature of US political discourse—despite the fact that their warnings proved wrong in the 1930s when President Franklin Roosevelt passed Social Security and other New Deal programs and recently when Mayor Zohran Mamdani neglected to usher in a communist era in New York City, even as he moved forward with plans for universal childcare and a network of city-run grocery stores.
On Thursday, progressive Rep. Alexandria Ocasio-Cortez (D-NY) mocked the GOP's latest claims that Democratic politicians who support Medicare for All and other broadly popular universal proposals are putting the US on what House Speaker Mike Johnson (R-La.) recently called a "dark road of death to communism."
"We can’t even raise the minimum wage. Do Republicans really think this stuff is going to happen?" Ocasio-Cortez told a reporter on Capitol Hill after they'd asked whether the recent victories of democratic socialists and other progressives could end up "as full-blown communism."
Reporter: Isn’t there concern that this slippery slope to socialism inevitably ends up as full-blown communism?
AOC: I mean, no. I think that’s very silly. We can’t even raise the minimum wage. Do they really think communism is going to happen? No. They’re trying to scare people… pic.twitter.com/RiFhqpwd6T
— Acyn (@Acyn) July 23, 2026
With 78% of Democratic voters supporting an expansion of the Medicare program to everyone in the US—which would end healthcare's treatment as a for-profit endeavor in the US and put the medical system on equal footing with those in other wealthy countries—a number of Democratic House candidates who support the proposal have won primary races in recent months, including Melat Kiros in Colorado, Claire Valdez in New York, and Adam Hamawy in New Jersey. In Michigan, US Senate candidate Abdul El-Sayed, a Medicare for All advocate, has polled ahead of his centrist opponent Rep. Haley Stevens in numerous recent surveys.
As Republicans aim to maintain control of the Senate and House in the midterm elections—having ripped nutrition assistance and Medicaid away from millions of Americans, driven up healthcare costs for people who have insurance through the Affordable Care Act, supported the invasion of Iran as it has sent gas prices soaring, backed billions of dollars in Pentagon spending and military aid for Israel as Americans struggle to afford essentials, and supported a president who says he doesn't "think about Americans’ financial situation"—they've attempted to revive old claims that the new crop of progressive Democrats "are a danger to you and your family," as Johnson said this week.
The House speaker called the progressive primary winners "crazy little mini-Mamdanis who are popping up all around the country," while House Republican Conference Chair Lisa McClain (R-Mich.) warned that "the radical left feels they need to hide what their policies are... Let’s call it what it is: It’s communism.”
Ocasio-Cortez, who is said to be a potential 2028 presidential or Senate candidate, called the warnings "very silly" and suggested they came from lawmakers who are dead-set against healthcare being treated as a right in the US instead of a profit-making business.
"They’re trying to scare people because they don’t want us talking about the fact that we all have a right to healthcare," said the congresswoman. "So they want to call everything they don’t like communist because if people actually wake up to the fact that their elected officials are screwing them over when they get here, then they’re going to realize they deserve better and that healthcare as a right isn’t crazy, it isn't pie-in-the-sky."
"They want to call this stuff communist because they don’t want us to realize that the rest of the developed world has guaranteed healthcare," she added. "So they want to call it communist because they don’t want you to know that Germany, Italy, the UK, Canada—everybody else—has it better than us, and we spend the most money for the worst care in the modern, developed world."
In another interview Thursday, Ocasio-Cortez expanded on her condemnation of Republicans' healthcare policies.
"This administration is killing Americans," she said. "They are killing people by taking away their healthcare. They are killing women by having them bleed out in parking lots. They are killing seniors by imposing cuts to Medicaid and to Medicare recipients... The fact of the matter is they are for UnitedHealth. They are for Big Pharma. They are for these corporations, and they are cutting your healthcare."
One advocate warned that new Medicaid rules issued by the Trump administration would have "disastrous impacts on individuals and healthcare systems."
The Trump administration earlier this week unveiled a new rule that advocates said would make it harder for states to fund their Medicaid programs, compounding damage caused by expanded work requirements and other changes enacted under the 2025 Republican budget law.
The law bars states from creating new provider taxes—levies on hospitals and other healthcare providers—and limits existing ones. The new Centers for Medicare and Medicaid Services (CMS) rule, which is open for public comment until September, would codify the GOP law's changes.
Anthony Wright, executive director of Families USA, said Wednesday that the CMS rule "goes beyond the harsh restrictions already imposed by Congress to further narrow the options that states have to fund Medicaid services and providers."
"Along with Congress’ other restrictions on taxing healthcare providers—restrictions that gut Medicaid funding in all states—CMS estimates this new proposed rule will cut $198.7 billion in state Medicaid funding over 10 years," Wright noted. "This rule comes at a time when states are already under significant budgetary pressure to foot the bill for the cost of implementing complex and unnecessary work reporting requirements; in tandem with a proposed rule that slashes Medicaid provider payments and further eliminates state flexibility."
“Taken together," Wright warned, "these three rules serve as a coordinated dismantling of the Medicaid program, including its eligibility systems, payment structures and financing mechanisms, with disastrous impacts on individuals and healthcare systems."
The Republican budget measure, which President Donald Trump signed into law last summer, includes roughly $900 billion in Medicaid cuts over the next decade. Millions of Americans have lost Medicaid coverage since the GOP law took effect.
Earlier this week, the entire House Democratic caucus implored CMS to "reconsider" its recently published Medicaid work requirement rule, warning it "will create an undue burden for beneficiaries with serious healthcare needs and put people at risk of losing coverage, while also creating significant implementation challenges for states."
"This rule will require beneficiaries to frequently prove and verify their exemptions in order to maintain coverage, which will cause confusion, create bureaucratic burdens for patients seeking care, and, as a result, will lock patients out of lifesaving treatments," the lawmakers wrote. "Forcing vulnerable patients to exhaustively document their symptoms simply to maintain access to basic
healthcare is both imprudent and inconsistent with federal law."
When everybody has guaranteed access to high-quality care without financial barriers, physicians can focus solely on their patients’ needs and patients can trust that our recommendations are based on science.
The following remarks were delivered as testimony to the Congressional Progressive Caucus, Medicare for All Shadow Hearing on July 22, 2026.
Thank you for the opportunity to speak about our urgent need for Medicare for All. My name is Dr. Diljeet Singh, and as a practicing gynecologic oncologist, I do not exaggerate when I say our healthcare system is in dire straits. Every day in my clinic, I see patients struggling with the cost of healthcare: a woman on chemotherapy who cannot afford her anti-nausea prescription, or a patient forced to choose between an MRI copay and groceries for her family. If you walked through my clinic, you would know that this is no time to be tinkering with unproven reforms or complex regulations. It is long past time for Medicare for All.
I care for a part-time elementary school teacher whose health plan did not cover routine preventive care. Instead of getting regular Pap smears over the years, she arrived in my office with advanced cervical cancer. She underwent radical surgery followed by chemotherapy and radiation that fundamentally changed her body and her life—and she still has no guarantee of a cure.
Or consider another patient of mine who works two part-time jobs, with no health insurance. She ignored severe abdominal pain until it doubled her over. In the emergency room, she was told she had a potentially cancerous mass. She came to me for care, and thankfully, it turned out to be a non-cancerous ovarian cyst, cured by surgery. Yet, even in this best-case medical scenario, she still owes thousands of dollars. A treatable, curable medical problem absorbed her children’s college savings and her retirement money.
When the drive for profit outweighs patient health, professionals and patients alike are betrayed.
I am speaking to you today as president of Physicians for a National Health Program (PNHP), an organization of more than 25,000 health professionals nationwide. We are working to achieve universal single-payer healthcare—free from corporate middlemen, copays, deductibles, prior authorization, and the risk of medical debt. Similar countries around the world provide care to all while spending only half of what we spend—yet we die younger, face higher maternal mortality, and lose more newborns. We already spend enough money, but at least 35 cents of every healthcare dollar is wasted on insurance administration and corporate profit instead of patient care.
The root cause of this failure is the corporate takeover of healthcare, where financial interests take precedence over the sacred oath we swore as physicians—to prioritize our patients’ health and make evidence-based, patient-centered decisions free from third-party interference.
At PNHP, we conducted a two-year research project speaking with doctors about working in a profit-driven system where financial goals dictate clinical care. We found that doctors, like nurses, suffer from profound “moral injury”—the acute psychological harm caused by systemic barriers that prevent us from providing compassionate, evidence-based care. When the drive for profit outweighs patient health, professionals and patients alike are betrayed, driving clinicians out of medicine in increasing numbers.
Reversing this crisis requires recentering healthcare on patients and aligning with its true mission. The most commonsense solution is single-payer Medicare for All. When everybody has guaranteed access to high-quality care without financial barriers, physicians can focus solely on their patients’ needs and patients can trust that our recommendations are based on science and their healthcare needs—not corporate bottom lines.
Doctors, nurses, and patients understand that we need Medicare for All. Now we need Congress to understand the same thing—and to act with all of the urgency that this moment requires.
"Tariffs of this magnitude could have enormous consequences—raising costs, worsening shortages, and putting access to lifesaving medicines at risk."
While President Donald Trump has repeatedly claimed that he is working to lower the cost of prescription drugs, advocates for patients on Wednesday expressed alarm over the Republican's plan to impose significant tariffs on imported generic medication.
"Effective August 1st, 2026, all Generic Drugs being brought into the United States will continue to have a TARIFF of ZERO PERCENT for a two year period of time, after which the TARIFF will be raised to 100% for a one year period of time, and 200% thereafter," Trump wrote on his Truth Social platform late Tuesday.
"This is done in order to RESHORE Generic Pharmaceutical Production into America, with a penalty to those Companies that decide not to build Plant and Equipment within the stated period of time given to them," he continued. "The objective of this Policy is to protect the people of the United States."
A White House official told Politico that the administration intends to use Section 232 of the Trade Expansion Act of 1962 to impose the threatened tariffs. Although the president has not yet issued an order for his new announcement regarding generics, it's already causing concern.
"If imposed, the duty risks upending a global supply chain that keeps generic medicines affordable for Americans," the Los Angeles Times reported. "These off-patent drugs run the gamut from everyday painkillers and antibiotics to cholesterol and cancer drugs, and they're mostly produced at factories in India, Europe, and China."
Merith Basey, CEO of the advocacy organization Patients for Affordable Drugs, argued that "if the administration intends to lower prescription drug prices, it should not pursue policies that threaten to raise them. Imposing massive tariffs on generic medicines risks making lower-cost generic drugs millions of Americans rely on more expensive and harder to access."
"Generic drugs account for approximately 90% of prescriptions filled in the United States and are one of the few areas where Americans pay relatively low prices compared with other countries," she noted. "Tariffs of this magnitude could have enormous consequences—raising costs, worsening shortages, and putting access to lifesaving medicines at risk."
Basey stressed that "at a time when Americans are already struggling to afford healthcare, groceries, housing, and other basic needs, the last thing they need is another additional expense. Seniors, people with chronic conditions, and patients who rely on multiple prescriptions could be particularly hard hit."
"We urge the administration to focus its efforts on brand-name drug companies who abuse their monopoly power to block competition—not jeopardize the lower-cost medicines Americans depend on," she concluded.
The watchdog Public Citizen was also critical, warning that imposing tariffs on generics risks supply chain shocks, shortages, and treatment rationing; prioritizes supply restrictions over flexible supply from multiple sources; and undermines US manufacturing and workers, given the unlikelihood that drugmakers would invest billions to relocate to the United States.
"This reckless and impetuous move will drive up price, force rationing of key medicines, and needlessly create scarcity problems," said Peter Maybarduk, Public Citizen's Access to Medicines director, in a statement.
"The sole respite from Trump's reckless pharma tariff plans has been that they so far do not apply to generics, which are vulnerable to supply disruptions that risk people’s access to medicine," he added. "Now, Trump has erased even that modest protection, and set a destructive course that could cause, rather than prevent, scarcity and rationing."
The president's potential levies on generics would follow a similar—and similarly criticized—policy targeting brand-name drugs, which Trump announced in April, on the one-year anniversary of his so-called Liberation Day and after an investigation by the US Department of Commerce.
The April tariffs were aimed at pressuring pharmaceutical companies to negotiate onshoring plans as part of most favored nation (MFN) pricing agreements. However, as Basey pointed out at the time, "the current MFN deals remain opaque and voluntary, and have not delivered meaningful savings for the vast majority of American patients."
A couple of weeks later, the administration announced its 17th MFN agreement, with Regeneron. The other companies that have struck deals are AbbVie, Amgen, AstraZeneca, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, EMD Serono, Genentech, Gilead Sciences, GSK, Johnson & Johnson, Merck, Novartis, Novo Nordisk, Pfizer, and Sanofi.
Trump claimed Tuesday that "the Policy on Patented, Branded, or Innovative Drugs, which has been so successful, will remain as is. Pharmaceutical Facilities are being built, at a level never seen before, all over the United States of America."
One US author called the staggering surge a "reproductive genocide that Western feminists can't be allowed to ignore."
A senior medical official in the Gaza Strip sounded the alarm on Tuesday over a dramatic rise in miscarriages in the Palestinian exclave, with nearly 4,000 cases reported during the first half of 2026 amid Israel's ongoing genocide.
Gaza Medical Relief Director Bassam Zaqout said that 3,958 miscarriages were recorded in Gaza during the first half of this year—an increase the doctor called "unprecedented," and a serious risk to the health of pregnant women and their unborn fetuses.
Zaqout cited the soaring miscarriage rate to factors in Israel's genocidal assault on Gaza, including the destruction of the strip's infrastructure, unsanitary living conditions in camps for forcibly displaced Palestinians—where numerous babies have died of hypothermia—lack of hot water and hygiene supplies, and relentless terror caused by Israel Defense Forces bombing.
The Gaza Health Ministry documented 921 miscarriages and 2,004 live births in April. This staggering ratio—460 miscarriages for every 1,000 live births—is more than double that in neighboring nations Israel and Egypt.
Live births have also dropped dramatically in Gaza this year, from 5,210 in January, to 3,433 in February, 3,233 in March, 2,004 in April, and just 1,701 in May 2026, according to the ministry.
Last month, the Gaza Center for Human Rights said that the alarming rise in miscarriages is due to the systematic destruction of Gaza’s healthcare system, repeated attacks on hospitals, and widespread deprivation of food, medicine, and essential medical services amid 33 months of what United Nations experts and others have described as a genocide.
The Gaza Center for Human Rights said the following factors are the most significant drivers of the miscarriage crisis:
The center also noted that Article II of the Genocide Convention—the legal basis for the South Africa-led genocide case against Israel currently before the International Court of Justice—includes “imposing measures intended to prevent births within the group” in its definition of the crime.
United Nations officials and other experts have accused Israel of “systematically” using reproductive, sexual, and other forms of gender-based violence against Palestinians in Gaza and committing “genocidal acts” by deliberately destroying reproductive and healthcare facilities in the strip.
There has also been a documented surge in birth defects among Gaza newborns. According to the Gaza Health Ministry, congenital anomalies doubled in 2025 compared with 2022.
Successive medical warnings of a long-term health catastrophe in the Gaza Strip, with a notable increase in fetal deformities and miscarriages resulting from the harsh conditions of war. pic.twitter.com/T2rN6XQec6
— Eye on Palestine (@EyeonPalestine) June 25, 2026
Experts attribute the increase to many of the same factors driving miscarriages, pointing to contaminated water and widespread malnutrition, including the former famine that killed at least hundreds of Palestinians in Gaza, many of them children and infants.
Zaqout warned that Gaza’s health crisis is worsening as severe shortages of medicines, equipment, diagnostic tools, and laboratory supplies persist amid the strip's heavily damaged healthcare infrastructure and ongoing siege. He also noted the epidemics of diseases such as chickenpox, waterborne illnesses, and respiratory infections.
Numerous Palestinian women have lost their pregnancies due to direct acute trauma inflicted by Israeli bombs and bullets, which have often also killed would-be mothers. Israeli invaders have also ordered the evacuation of Gaza's hospitals, forcing staff to leave prematurely born babies to die and decompose in incubators.
A United Nations commission of inquiry reported last month that approximately 30% of the more than 73,000 Palestinians killed during Israel's 33-month war on Gaza were children—many of whom were deliberately targeted. Israeli forces have killed more than 21,500 Gazan children, including 1,022 babies, since the October 7, 2023 Hamas-led attack, according to the Gaza Government Media Office.
The United Nations Children's Fund has called Gaza "the most dangerous place in the world to be a child."
As politicians debate “universal healthcare,” we need those two words to be much more than a campaign slogan or an empty promise. Healthcare must be a true human right, easily exercised by every single person in America.
As a Maryland pediatrician, I serve patients and communities who struggle at the broken edges of the American healthcare “system.” My patients are from families working three or four jobs with no benefits, just barely getting by. With more grace than I could ever summon, these families diligently follow the protocols to determine their children’s “eligibility” for healthcare. The American healthcare system scrutinizes a family’s pay stubs, bank statements, and employment status—a process called means testing—to determine if they are eligible for Medicaid or a pittance of help to purchase a private insurance plan. It is not enough to be a human being. Our healthcare system must determine where you are on the spectrum of worthy to unworthy before you can get any medical care.
My pediatric patients whose parents get health insurance through their employment are not doing much better. An inhaler that helps an asthmatic breathe easier is covered by the insurance corporation one year, but not the next. Similarly, a specialist who has masterfully managed a patient’s seizures for several years is suddenly “out of network.” Never mind that the patient’s parents are paying premiums from every single paycheck to that multibillion-dollar insurance corporation. Playing by the corporate greed machine’s rules does not protect patients from arbitrary decisions that are supposedly good for business.
Over the course of my 20 years working in healthcare, I have seen more and more patients with supposedly good insurance avoid necessary medical care because the out-of-pocket costs keep increasing. In the richest country in the world, families are stuck between the false choices of paying for rent, groceries, utilities, or healthcare. Choosing healthcare can cost anywhere from feeding your family to putting a roof over their head.
All of us are trapped in this infuriating maze of puzzles and peril. Looking at this cruel mess of a system, we have politicians saying a “public option” is enough to fix things. There are think tanks describing a system of “universal healthcare” where the expensive (and yet, worthless) plans from private insurance corporations, the 50 shades of Medicaid, and a public option somehow achieve a magical harmony. To make things even more complicated, it is unclear what exactly a public option could look like. It could mean patients have the option of buying into Medicare or Medicaid. Or it could mean a separate public insurance plan at the federal level, possibly available to everyone or possibly just the ones deemed needy enough.
Medicare For All is true universal healthcare, where patients and families have peace of mind whenever and wherever they need medical help.
We need to be clear about what “universal healthcare” ought to mean. Everybody getting expensive-but-worthless plans from insurance corporations is universal financial stress, not universal healthcare. Similarly, adding any kind of “public option” fragment to a ridiculously fragmented system is universal confusion, not universal healthcare.
Insurance corporations have a long track record of deploying lobbyists and misinformation to undermine provisions of the Affordable Care Act. It is foolish to think these greed machines will become good-faith partners in our healthcare, competing fair and square with any kind of public option. Corporate lobbyists will see to it that any public option uses complicated means testing to determine which members of the public are worthy or unworthy of the care. These corporations will also manipulate their own plans to shut out patients who need healthcare the most, leaving them to a public option struggling to pay doctors and hospitals. Insurance greed machines do not want competition, and will undermine a public option any way they can.
Rather than tinker with a corporate-driven healthcare system determined to put profits before patients, let’s build universal healthcare through Medicare For All. Because healthcare is a human right, Medicare For All guarantees every single person living in America is eligible. We can save billions of dollars when we stop scrutinizing who is worthy or unworthy. Medicare For All provides the kind of coverage that stays with people from cradle to grave. It is mobile coverage, staying with patients from state to state, or job to job. Hospitals and clinics will remain open and properly staffed because Medicare For All puts patients first, not profits. Because all 342 million of us are covered, Medicare For All will have powerful leverage to negotiate with Big Pharma about the cost of prescriptions. Medicare For All is true universal healthcare, where patients and families have peace of mind whenever and wherever they need medical help.
We have tolerated an intolerable healthcare system for far too long. In the coming years, as politicians debate “universal healthcare,” we need those two words to be much more than a campaign slogan or an empty promise. Healthcare must be a true human right, easily exercised by every single person in America. We can and we will make that right a reality with Medicare For All.
"Let's Give Gabe the Boot!"
On behalf of those Colorado Congressional District 8 constituents who rely on Medicaid benefits to access healthcare, your neighbors who are part of the Mountain West team for Social Security Works want to help you give Trumpublican (trum-pub-li-kin) Rep. Gabe Evans the boot. Gabe voted for your benefits to be slashed because of his deep devotion to his own well-being, not yours. Gabe thinks cutting your access to healthcare is “cost cutting,” or so he claims as his reasoning behind voting for what his boss, Donald Trump, required his Trumpublican minions to do. Gabe chose your suffering to appease people in DC, and he did not give a second (or even first) thought to what might happen if he cut healthcare access for as much as 28% of his constituents (and up to 43% of the children in CD8) who depend on Medicaid. We must give Gabe Evans the boot this fall.
Gabe is not a true representative who ought to find his glory in the US House of Representatives (aka the People’s House). “We could write shame on you, Gabe,” but we don’t think a person who sees his constituents lose healthcare access and calls it cost cutting can be easily shamed. Do you? While the people in CD8 in Colorado barely elected Gabe in 2024, now they have a much more accurate sense of his loyalties.
Let’s look at what Gabe says about himself on his campaign webpage: “Congressman Gabe Evans is a conservative leader who has spent his entire life running toward challenge. He represents Colorado's 8th Congressional District, where he is fighting to secure the border, strengthen public safety, and make life more affordable for hardworking Coloradans.”
Is he writing about the Utah border or maybe that scary Four Corners part of Colorado where folks from all sorts of other states might creep in, or is he referring to The Southern Border way south of Colorado (between Texas and Mexico) that his boss, Trump, wants him to highlight as very, very dangerous to the people of his own district? So, this, then, was one of the things that was his reasoning for cutting Medicaid benefits? To have enough funds to protect CD8 from the scary border and the scary people who might come to CD8 from the scary border, Gabe cut healthcare access.
Gabe needs to get the boot. Those of us fighting to protect the social safety net not only for future generations but for our own neighbors, friends, and families right now are a much larger group than those who would harm us. The Mountain West Team of Social Security Works invites you to learn more about CD8 in Colorado.
So, who can we vote for as a smart alternative to the cruelty and misguided loyalty Gabe offers CD8? Manny Rutinel is the Democratic candidate for the CD8 seat. Manny could use strategists who know and share the outrage of his future constituents about the healthcare mess this nation is in, and it’s way past time for him to advance a sane and clear healthcare message. During a recent primary election debate televised throughout the Front Range of Colorado, Manny stumbled a bit on his healthcare policy ideals, like many politicians do when they fear attacks from the powerful health industry. Yet even in that debate, Manny did not say cutting healthcare access would be his plan.
Manny Rutinel is a young Colorado state legislator raised by a single-immigrant mom who has all the appropriate tools for success in politics. Yet he responded inelegantly to a debate question about his previous position during his college years in support of single-payer, Medicare for All financing for healthcare. Most of us can point to our college-aged opinions and ideas as subject to modification as we aged and as we gather more information upon which to base those positions. It’s not selling out; it’s maturing. Manny believes in access to healthcare—period.
Offending or alarming any healthcare industry interests in his district could spell disaster for him, and Manny knew that. I waited for him to formulate an answer like President Barack Obama once said about single-payer. Obama said that if we were starting from scratch, there is no question that single-payer (not government control of healthcare – just one public pool for insuring everyone) would be the best system to design.
But we are well beyond that, Manny might have said. He needed to clarify and broaden his position – but instead he panicked and denied any lingering support for single-payer, and that will haunt him until he clarifies his intentions to truly represent his district. We know he will represent people in CD8, and he is not a Trumpublican. Manny intends to fight not only to restore lost Medicaid funding but also look to a better, more equitable and less volatile healthcare system going forward, and he looks forward to a rich conversation with the healthcare industry leaders, doctors, nurses, caregivers, and patients in CD8.
Might a CD8 community of healthcare interests support a form of single-payer like Medicaid or Medicare or the VA with modifications and improvements? Sure, and might it be something we haven’t even mapped out yet? Of course it could. Even in nations around the world with universal health programs for their residents, healthcare programs vary greatly—but Manny supports making sure everyone can access healthcare when they are in need, and he should say that every chance he gets. There is still time, and Manny will win on this issue by a margin at least equal to the number of people Gabe decided could be sacrificed to the Trumpublican alter—and that will be a marvelous win.
So, in this piece, I want my Common Dreams readers to meet Manny and offer him support, courage and stamina to follow a courageous path upon which so many lives depend. In this political moment, we all understand the enemy. Now we need to surround one another with grace and courage as we lift imperfect Americans, imperfect politicians, and imperfect humans with our effort. Lives depend on it. Our democracy does too. So, let’s “Give Gabe the Boot.”
“Yesterday, we were reminded who the Republicans are: a group of millionaires working for billionaires who will rip healthcare away from those who need it most," said one campaigner.
In what critics called a troubling sign of where US healthcare policy is headed, Senate Republicans on Thursday torpedoed an effort by their Democratic colleagues to block a Trump administration pilot program under which private companies will use artificial intelligence to review—and possibly deny—healthcare to patients seeking certain Medicare services.
Senators voted 50-46 along party lines against a Congressional Review Act resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.). The resolution was aimed at overturning the Trump administration's final rule establishing the US Centers for Medicare and Medicaid Services’ (CMS) so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
"Yesterday, I voted to block [President Donald] Trump’s plan to let AI decide whether Medicare will approve or deny your medical care. Every Senate Republican supported Trump’s scheme," Sen. Ed Markey (D-Mass.) said Friday on social media. "Doctors should be deciding what care seniors need—not a computer program."
The AFL-CIO, the nation's largest labor union federation, said on X: "No senior should have to wait weeks to see a doctor because a flawed AI system won’t authorize it. The Trump [administration's] WISeR program is delaying treatment for Medicare patients and putting tech companies’ interests first. Congress must end it."
Alex Jacquez, senior vice president of policy, advocacy, and research at the Groundwork Collaborative, highlighted the "horrendous" WISeR rollout, which, according to KFF, "has created confusion, errors, long wait times, and stress" and has left many patients "ensnared in the same red tape as those with private insurance."
CMS claims WISeR “helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services.”
However, critics warn that AI will make it easier and faster to deny or delay care and have raised concerns that AI would likely be used as a cost-cutting tool to fulfill financial incentives.
“Yesterday, we were reminded who the Republicans are: a group of millionaires working for billionaires who will rip healthcare away from those who need it most," Alex Lawson, executive director of the advocacy group Social Security Works, told Common Dreams on Friday.
"The White House leaned on the Republican senators and they folded like the cheap suits they are," he continued. "Cowards to a person."
Singling out Sen. Josh Hawley, Lawson said the Missouri Republican "pretends he would oppose Medicare delays and denials by algorithm or AI, but when the vote is called dutifully dances to the tune his master calls."
"Their goal is to destroy Medicare, to destroy guaranteed healthcare, to ensure that every facet of the 'healthcare system' serves only one purpose, profit," Lawson said of Republican lawmakers.
Private Medicare Advantage healthcare profiteers have been using AI to deny care for years. Consumers are aware of—and outraged by—the practice.
“I don’t know any senior, Republican or Democrat, who asked President Trump to let AI decide if their doctor-recommended treatment was necessary," Sen. Patty Murray (D-Wash.) said on Thursday.
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," said one campaigner.
Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.
Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."
What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.
Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.
"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."
"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.