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Why Democrats must defend working people in the United States and not cave to Trump's authoritarianism and cruel attacks on healthcare and food assistance.
Democrats in the US Senate must stand with the working families of our country and in opposition to Donald Trump’s authoritarianism. They must not cave in to the president’s attacks on the working class during this ongoing government shutdown. If they do, the consequences will be catastrophic for our country.
This may be the most consequential moment in American history since the civil war. We have a megalomaniacal president who, consumed by his quest for more and more power, is undermining our constitution and the rule of law. Further, we have an administration that is waging war against the working class of our country and our most vulnerable people.
While Trump’s billionaire buddies become much, much richer, he is prepared to throw 15 million Americans off the healthcare they have—which could result in 50,000 unnecessary deaths each year. At a time when healthcare is already outrageously expensive, he is prepared to double premiums for more than 20 million people who rely on the Affordable Care Act. At a time when the United States has the highest rate of childhood poverty of almost any major country on earth, Trump is prepared, illegally, to withhold funding for the Supplemental Nutrition Assistance Program, or SNAP, despite a $5bn emergency fund established by Congress. That decision would threaten to push 42 million people—including 16 million children—into hunger.
And all of this is being done to provide $1tn in tax breaks to the 1%.
The choice is clear. If the Democrats stand with the American people, the American people will stand with them.
Let’s be clear: this government shutdown did not happen by accident. In the Senate, 60 votes are required to fund the federal government. Today, the Republicans have 53 members while the Democratic caucus has 47. In other words, in order to fund the government the Republican majority must negotiate with Democrats to move the budget forward. This is what has always happened—until now. Republicans, for the first time, are simply refusing to come to the table and negotiate. They are demanding that it is their way or the highway.
To make matters worse, the Republican contempt for negotiations is such that the House speaker, Mike Johnson, has given his chamber a six-week paid vacation. Unbelievably, during a government shutdown—with federal employees not getting paid, millions facing outrageous premium increases and nutrition assistance set to expire for millions more—Republicans in the House of Representatives are not in Washington, DC.
Trump is a schoolyard bully. Anyone who thinks surrendering to him now will lead to better outcomes and cooperation in the future does not understand how a power-hungry demagogue operates. This is a man who threatens to arrest and jail his political opponents, deploys the US military into Democratic cities and allows masked Immigration and Customs Enforcement agents to pick people up off the streets and throw them into vans without due process. He has sued virtually every major media outlet because he does not tolerate criticism, has extorted funds from law firms and is withholding federal funding from states that voted against him.
Day after day he shows his contempt for the constitutional role of Congress and the courts.
Given that reality, does anyone truly believe that caving in to Trump now will stop his unprecedented attacks on our democracy and working people?
Poll after poll shows that the Americans understand the need for strong opposition to Trump’s unprecedented and dangerous agenda. They understand that the Republican party is responsible for this shutdown. And, despite the Democratic party’s all-time low approval rating, independents and even a number of Republicans are now standing with the Democrats in their fight to protect the healthcare needs of the working families of our country.
What will it mean if the Democrats cave? Trump, who already holds Democrats in contempt and views them as weak and ineffectual, will utilize his victory to accelerate his movement toward authoritarianism. At a time when he already has no regard for our democratic system of checks and balances, he will be emboldened to continue decimating programs that protect elderly people, children, the sick and the poor while giving more tax breaks and other benefits to his fellow oligarchs.
If the Democrats cave now it would be a betrayal of the millions of Americans who have fought and died for democracy and our constitution. It would be a sellout of a working class that is struggling to survive in very difficult economic times. Democrats in Congress are the last remaining opposition to Trump’s quest for absolute power. To surrender now would be an historic tragedy for our country, something that history will not look kindly upon.
I understand what people across this country are going through. My Democratic colleagues and I are getting calls every day from federal employees who are angry about working without pay and Americans who are frantic about feeding their families and making ends meet. But my Democratic colleagues must also understand this: Republicans are hearing from their constituents as well. There is a reason why 15 Republican Senators are finally standing up to Trump and, along with every member of the Democratic caucus, support funding SNAP benefits.
There is a reason why 14 Republican members of the House are on record calling for the extension of tax credits for the Affordable Care Act. Understandably, Republicans do not want to go home and explain to their constituents why they voted to double or, in some cases, triple healthcare premiums. They do not want to go home and explain why they are throwing large numbers of their constituents off healthcare. They do not want to go home and explain why they are taking food off the tables of hungry families.
We are living in the most dangerous and pivotal moment in modern American history. Our children and future generations will not forget what we do now. Democrats must not turn their backs on the needs of working people and allow our already broken healthcare system to collapse even further. Democrats must not allow an authoritarian president to continue undermining our constitution and the rule of law. The choice is clear. If the Democrats stand with the American people, the American people will stand with them. If they surrender, the American people will hold them accountable.
"Does anyone truly believe that caving in to Trump now will stop his unprecedented attacks on our democracy and working people?" asked Sen. Bernie Sanders.
US Sen. Bernie Sanders over the weekend implored his Democratic colleagues in Congress not to cave to President Donald Trump and Republicans in the ongoing government shutdown fight, warning that doing so would hasten the country's descent into authoritarianism.
In an op-ed for The Guardian, Sanders (I-Vt.) called Trump a "schoolyard bully" and argued that "anyone who thinks surrendering to him now will lead to better outcomes and cooperation in the future does not understand how a power-hungry demagogue operates."
"This is a man who threatens to arrest and jail his political opponents, deploys the US military into Democratic cities, and allows masked Immigration and Customs Enforcement agents to pick people up off the streets and throw them into vans without due process," Sanders wrote. "He has sued virtually every major media outlet because he does not tolerate criticism, has extorted funds from law firms and is withholding federal funding from states that voted against him."
If Democrats capitulate, Sanders warned, Trump "will utilize his victory to accelerate his movement toward authoritarianism."
"At a time when he already has no regard for our democratic system of checks and balances," the senator wrote, "he will be emboldened to continue decimating programs that protect elderly people, children, the sick and the poor while giving more tax breaks and other benefits to his fellow oligarchs."
Sanders' op-ed came as the shutdown continued with no end in sight, with Democrats standing by their demand for an extension of Affordable Care Act (ACA) tax credits as a necessary condition for any government funding deal. Republicans have so far refused to negotiate on the ACA subsidies even as health insurance premiums skyrocket nationwide.
The Trump administration, meanwhile, is illegally withholding Supplemental Nutrition Assistance Program (SNAP) funding from tens of millions of Americans—including millions of children—despite court rulings ordering him to release the money.
In a "60 Minutes" interview that aired Sunday, Trump again urged Republicans to nuke the 60-vote filibuster in the Senate to remove the need for Democratic support to reopen the government and advance other elements of their agenda unilaterally. Under the status quo, Republicans need the support of at least seven Democratic senators to advance a government funding package.
"The Republicans have to get tougher," Trump said. "If we end the filibuster, we can do exactly what we want. We're not going to lose power."
Congressional Democrats have faced some pressure from allies, most notably the head of the American Federation of Government Employees (AFGE), to cut a deal with Republicans to end the shutdown and alleviate the suffering it has inflicted on federal workers and many others.
But Democrats appear unmoved by the AFGE president's demand, and other labor leaders have since voiced support for the minority party's effort to secure an extension of ACA subsidies.
"We're urging our Democratic friends to hold the line," said Jaime Contreras, executive vice president of the 185,000-member Service Employees International Union Local 32BJ.
In his op-ed, Sanders asked, "Does anyone truly believe that caving in to Trump now will stop his unprecedented attacks on our democracy and working people?"
"If the Democrats cave now, it would be a betrayal of the millions of Americans who have fought and died for democracy and our Constitution," the senator wrote. "It would be a sellout of a working class that is struggling to survive in very difficult economic times. Democrats in Congress are the last remaining opposition to Trump's quest for absolute power. To surrender now would be an historic tragedy for our country, something that history will not look kindly upon."
The harmful behaviors of profit-driven healthcare companies—from tax dodging to insurance denials to carelessness with patient safety—stem from the same illness: a disregard for the community they serve.
Even though most of us think of healthcare as a human right, the reality is that in the United States the provision of healthcare is big business. It places profits over people, demonstrating that priority through tax dodging, price gouging, insurance denials, and unsafe conditions for patients, as documented in a recent joint report from our two organizations, Americans for Tax Fairness and Community Catalyst.
The report, “Sick Profits,” highlights how seven healthcare corporations have together saved over $34 billion in federal taxes thanks to the 2017 Trump-GOP tax law recently extended by the current Trump administration and Republican Congress. They paid for those corporate tax breaks in part by cutting Medicaid and jeopardizing health coverage for 15 million people, and failing to preserve the enhanced premium tax credits for people buying health insurance through the Affordable Care Act (ACA) Marketplaces.
We currently have public policy that cuts taxes on corporations while ignoring nearly two-thirds of people who believe that big companies are not paying enough. Instead, healthcare corporations have each enjoyed hundreds of millions—in most cases, billions—of dollars in tax savings thanks to the Republican tax law, the most expensive part of which was a two-fifths cut in the corporate tax rate. They have also saved taxes by exploiting loopholes that the law (and its extension) failed to close, including in the accounting for stock options and the treatment of profits shifted offshore.
Not surprisingly, the companies examined in the report did not use their tax savings to lower prices, hire more providers, or improve patient care. No, the money went instead to higher executive compensation and increased payouts to shareholders through dividends and stock buybacks.
We must demand more transparency, fairer tax policy, and better oversight of these institutions.
Additionally, companies are maximizing their profits by simply not paying for care. By demanding “preauthorization” for a dizzying number of procedures then routinely denying approval, insurers can save billions at the expense of their policyholders. High percentages of initial denials are overturned on appeal, showing that “no” is simply the initial default position, taken in the hopes that patients and doctors won’t push the issue. Claim denials often result in medical debt and can also disrupt treatment for chronic medical conditions, delay or deny access to lifesaving care, and lead to avoidable complications—or even death.
Claim denials affect the health and well-being of people every day. They are people like Little John Cupp, who began feeling short of breath and experienced swelling in his feet and ankles. His doctor recommended a catheter exam to determine whether the arteries in his heart were blocked. However, the medical benefits management company EviCore (owned by Cigna) twice denied the catheter exam while eventually approving a much lower-cost stress test. The delay in diagnosis proved catastrophic. Less than two days after Mr. Cupp received the stress test, he died of cardiac arrest.
The tragedy of the end of Mr. Cupp’s life demonstrates the incredibly real risks that the first obstacle to getting care creates. Unfortunately, clearing that hurdle and receiving approval for care does not ensure quality. You could find yourself getting treatment at a facility saving money for shareholders by reducing staff and failing to maintain safe and hygienic conditions. NBC News aired a six-part investigation of hospital-operator HCA Holdings that uncovered, in the words of our report, “roaches in the operating room, leaking ceilings, essentially unmonitored vital signs, overworked nurses, overcrowded emergency rooms, closed departments, and other threats to patient health and safety.”
Or you may receive care at a facility owned or controlled by private equity interests. One cautionary tale is Prospect Medical Holdings, which operated hospitals and other health facilities in multiple states and was driven into bankruptcy after it was acquired by a private equity firm that extracted over $650 million in debt-financed dividends from the targeted company. While the private equity partners enjoyed lucrative payouts, patients suffered from unsanitary conditions, supply shortages, insufficient staffing, and shuttered departments.
Our diagnosis is simple but serious. The harmful behaviors of profit-driven healthcare companies—from tax dodging to insurance denials to carelessness with patient safety—stem from the same illness: a disregard for the community they serve. We must demand more transparency, fairer tax policy, and better oversight of these institutions. That means closing tax loopholes, raising the corporate tax rate, curbing the routine denials of coverage, and strengthening regulatory oversight of health facilities. That’s the only way to ensure that people’s needs are prioritized over corporate profits.