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The problem so far is that the United States has been trying to fund a bloated, inefficient, and overpriced medical system with scarce taxpayer funds, without capping its costs. There is only one solution, a Medicare For All system, that sits ready to solve this crisis. (Photo: Elvert Barnes/flickr/cc)
"The Canadian plan also helps Canadians live longer and healthier than Americans. . . . We need, as a nation, to reexamine the single-payer plan, as many individual states are doing." -- Donald Trump, The America We Deserve (2000)
"The Canadian plan also helps Canadians live longer and healthier than Americans. . . . We need, as a nation, to reexamine the single-payer plan, as many individual states are doing." -- Donald Trump, The America We Deserve (2000)
The new American Health Care Act has been unveiled, and critics are calling it more flawed even than the Obamacare it was meant to replace. Dubbed "Ryancare" or "Trumpcare" (over the objection of White House staff), the Republican health care bill is under attack from left and right, with even conservative leaders calling it "Obamacare Lite", "bad policy", a "warmed-over substitute," and "dead on arrival."
The problem for both administrations is that they have been trying to fund a bloated, inefficient, and overpriced medical system with scarce taxpayer funds, without capping its costs. US healthcare costs in 2016 averaged $10,345 per person, for a total of $3.35 trillion dollars, a full 18 percent of the entire economy, twice as much as in other industrialized countries.
Ross Perot, who ran for president in 1992, had the right idea: he said all we have to do is to look at other countries that have better health care at lower cost and copy them.
So which industrialized countries do it better than the US? The answer is, all of them. They all not only provide healthcare for the entire population at about half the cost, but they get better health outcomes than in the US. Their citizens have longer lifespans, fewer infant mortalities and less chronic disease.
President Trump, who is all about getting the most bang for the buck, should love that.
Hard to Argue with Success
The secret to the success of these more efficient systems is that they control medical costs. According to T. R. Reid in The Healing of America, they follow one of three models: the "Bismarck model" established in Germany, in which health providers and insurers are private but insurers are not allowed to make a profit; the "Beveridge model" adopted in Britain, where most healthcare providers work as government employees and the government acts as the single payer for all health services; and the Canadian model, a single-payer system in which the healthcare providers are mostly private.
A single government payer can negotiate much lower drug prices - about half what we pay in the US - and lower hospital prices. Single-payer is also much easier to administer. Cutting out the paperwork can save 30 percent on the cost of insurance. According to a May 2016 post by Physicians for a National Health Program:
Per capita, the U.S. spends three times as much for health care as the U.K., whose taxpayer-funded National Health Service provides health care to citizens without additional charges or co-pays. In 2013, U.S. taxpayers footed the bill for 64.3 percent of U.S. health care -- about $1.9 trillion. Yet in the U.S. nearly 30 million of our citizens still lack any form of insurance coverage.
The for-profit U.S. health care system is corrupt, dysfunctional and deadly. In Canada, only 1.5 percent of health care costs are devoted to administration of its single-payer system. In the U.S., 31 percent of health care expenditures flow to the private insurance industry. Americans pay far more for prescription drugs. Last year, CNN reported, Americans paid nearly 10 times as much for prescription Nexium as it cost in the Netherlands.
Single payer, or Medicare for All, is the system proposed in 2016 by Democratic candidate Bernie Sanders. It is also the system endorsed by Donald Trump in his book The America We Deserve. Mr. Trump confirmed his admiration for that approach in January 2015, when he said on David Letterman:
A friend of mine was in Scotland recently. He got very, very sick. They took him by ambulance and he was there for four days. He was really in trouble, and they released him and he said, 'Where do I pay?' And they said, 'There's no charge.' Not only that, he said it was like great doctors, great care. I mean we could have a great system in this country.
Contrary to the claims of its opponents, the single-payer plan of Bernie Sanders would not have been unaffordable. Rather, according to research by University of Massachusetts Amherst Professor Gerald Friedman, it would have generated substantial savings for the government:
Under the single-payer system envisioned by "The Expanded & Improved Medicare For All Act" (H.R. 676), the U.S. could save $592 billion - $476 billion by eliminating administrative waste associated with the private insurance industry and $116 billion by reducing drug prices . . . .
According to OECD health data, in 2013 the British were getting their healthcare for $3,364 per capita annually; the Germans for $4,920; the French for $4,361; and the Japanese for $3,713. The tab for Americans was $9,086, at least double the others. With single-payer at the OECD average of $3,661 and a population of 322 million, we should be able to cover all our healthcare for under $1.2 trillion annually - well under half what we are paying now.
The Problem Is Not Just the High Cost of Insurance
That is true in theory; but governments at all levels in the US already spend $1.6 trillion for healthcare, which goes mainly to Medicare and Medicaid and covers only 17 percent of the population. Where is the discrepancy?
For one thing, Medicare and Medicaid are more expensive than they need to be, because the US government has been prevented from negotiating drug and hospital costs. In January, a bill put forth by Sen. Sanders to allow the importation of cheaper prescription drugs from Canada was voted down. Sanders is now planning to introduce a bill to allow Medicare to negotiate drug prices, for which he is hoping for the support of the president. Trump indicated throughout his presidential campaign that he would support negotiating drug prices; and in January, he said that the pharmaceutical industry is "getting away with murder" because of what it charges the government. As observed by Ronnie Cummins, International Director of the Organic Consumers Association, in February 2017:
. . . [B]ig pharmaceutical companies, for-profit hospitals and health insurers are allowed to jack up their profit margins at will. . . . Simply giving everyone access to Big Pharma's overpriced drugs, and corporate hospitals' profit-at-any-cost tests and treatment, will result in little more than soaring healthcare costs, with uninsured and insured alike remaining sick or becoming even sicker.
Besides the unnecessarily high cost of drugs, the US medical system is prone to over-diagnosing and over-treating. The Congressional Budget Office says that up to 30 percent of the health care in the US is unnecessary. We use more medical technology then in other countries, including more expensive diagnostic equipment. The equipment must be used in order to recoup its costs. Unnecessary testing and treatment can create new health problems, requiring yet more treatment, further driving up medical bills.
Drug companies are driven by profit, and their market is sickness - a market they have little incentive to shrink. There is not much profit to be extracted from quick, effective cures. The money is in the drugs that have to be taken for 30 years, killing us slowly. And they are killing us. Pharmaceutical drugs taken as prescribed are the fourth leading cause of US deaths, after heart disease, cancer and stroke.
The US is the only industrialized country besides New Zealand that allows drug companies to advertise pharmaceuticals. Big Pharma spends more on lobbying than any other US industry, and it spends more than $5 billion a year on advertising. Lured by drug advertising, Americans are popping pills they don't need, with side effects that are creating problems where none existed before. Americans compose only 5 percent of the world's population, yet we consume fully 50 percent of Big Pharma's drugs and 80 percent of the world's pain pills. We not only take more drugs (measured in grams of active ingredient) than people in most other countries, but we have the highest use of new prescription drugs, which have a 1 in 5 chance of causing serious adverse reactions after they have been approved.
The US death toll from prescription drugs taken as prescribed is now 128,000 per year. As Jon Rappaport observes, with those results Big Pharma should be under criminal investigation. But the legal drug industry has grown too powerful for that. According to Dr. Marcia Angell, former editor in chief of the New England Journal of Medicine, writing in 2002:
The combined profits for the ten drug companies in the Fortune 500 ($35.9 billion) were more than the profits for all the other 490 businesses put together ($33.7 billion). Over the past two decades the pharmaceutical industry has [become] a marketing machine to sell drugs of dubious benefit, [using] its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself.
It's Just Good Business
US healthcare costs are projected to grow at 6 percent a year over the next decade. The result could be to bankrupt not only millions of consumers but the entire federal government.
Obamacare has not worked, and Ryancare is not likely to work. As demonstrated in many other industrialized countries, single-payer delivers better health care at half the cost that Americans are paying now.
Winston Churchill is said to have quipped, "You can always count on the Americans to do the right thing after they have tried everything else." We need to try a thrifty version of Medicare for all, with negotiated prices for drugs, hospitals and diagnostic equipment.
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"The Canadian plan also helps Canadians live longer and healthier than Americans. . . . We need, as a nation, to reexamine the single-payer plan, as many individual states are doing." -- Donald Trump, The America We Deserve (2000)
The new American Health Care Act has been unveiled, and critics are calling it more flawed even than the Obamacare it was meant to replace. Dubbed "Ryancare" or "Trumpcare" (over the objection of White House staff), the Republican health care bill is under attack from left and right, with even conservative leaders calling it "Obamacare Lite", "bad policy", a "warmed-over substitute," and "dead on arrival."
The problem for both administrations is that they have been trying to fund a bloated, inefficient, and overpriced medical system with scarce taxpayer funds, without capping its costs. US healthcare costs in 2016 averaged $10,345 per person, for a total of $3.35 trillion dollars, a full 18 percent of the entire economy, twice as much as in other industrialized countries.
Ross Perot, who ran for president in 1992, had the right idea: he said all we have to do is to look at other countries that have better health care at lower cost and copy them.
So which industrialized countries do it better than the US? The answer is, all of them. They all not only provide healthcare for the entire population at about half the cost, but they get better health outcomes than in the US. Their citizens have longer lifespans, fewer infant mortalities and less chronic disease.
President Trump, who is all about getting the most bang for the buck, should love that.
Hard to Argue with Success
The secret to the success of these more efficient systems is that they control medical costs. According to T. R. Reid in The Healing of America, they follow one of three models: the "Bismarck model" established in Germany, in which health providers and insurers are private but insurers are not allowed to make a profit; the "Beveridge model" adopted in Britain, where most healthcare providers work as government employees and the government acts as the single payer for all health services; and the Canadian model, a single-payer system in which the healthcare providers are mostly private.
A single government payer can negotiate much lower drug prices - about half what we pay in the US - and lower hospital prices. Single-payer is also much easier to administer. Cutting out the paperwork can save 30 percent on the cost of insurance. According to a May 2016 post by Physicians for a National Health Program:
Per capita, the U.S. spends three times as much for health care as the U.K., whose taxpayer-funded National Health Service provides health care to citizens without additional charges or co-pays. In 2013, U.S. taxpayers footed the bill for 64.3 percent of U.S. health care -- about $1.9 trillion. Yet in the U.S. nearly 30 million of our citizens still lack any form of insurance coverage.
The for-profit U.S. health care system is corrupt, dysfunctional and deadly. In Canada, only 1.5 percent of health care costs are devoted to administration of its single-payer system. In the U.S., 31 percent of health care expenditures flow to the private insurance industry. Americans pay far more for prescription drugs. Last year, CNN reported, Americans paid nearly 10 times as much for prescription Nexium as it cost in the Netherlands.
Single payer, or Medicare for All, is the system proposed in 2016 by Democratic candidate Bernie Sanders. It is also the system endorsed by Donald Trump in his book The America We Deserve. Mr. Trump confirmed his admiration for that approach in January 2015, when he said on David Letterman:
A friend of mine was in Scotland recently. He got very, very sick. They took him by ambulance and he was there for four days. He was really in trouble, and they released him and he said, 'Where do I pay?' And they said, 'There's no charge.' Not only that, he said it was like great doctors, great care. I mean we could have a great system in this country.
Contrary to the claims of its opponents, the single-payer plan of Bernie Sanders would not have been unaffordable. Rather, according to research by University of Massachusetts Amherst Professor Gerald Friedman, it would have generated substantial savings for the government:
Under the single-payer system envisioned by "The Expanded & Improved Medicare For All Act" (H.R. 676), the U.S. could save $592 billion - $476 billion by eliminating administrative waste associated with the private insurance industry and $116 billion by reducing drug prices . . . .
According to OECD health data, in 2013 the British were getting their healthcare for $3,364 per capita annually; the Germans for $4,920; the French for $4,361; and the Japanese for $3,713. The tab for Americans was $9,086, at least double the others. With single-payer at the OECD average of $3,661 and a population of 322 million, we should be able to cover all our healthcare for under $1.2 trillion annually - well under half what we are paying now.
The Problem Is Not Just the High Cost of Insurance
That is true in theory; but governments at all levels in the US already spend $1.6 trillion for healthcare, which goes mainly to Medicare and Medicaid and covers only 17 percent of the population. Where is the discrepancy?
For one thing, Medicare and Medicaid are more expensive than they need to be, because the US government has been prevented from negotiating drug and hospital costs. In January, a bill put forth by Sen. Sanders to allow the importation of cheaper prescription drugs from Canada was voted down. Sanders is now planning to introduce a bill to allow Medicare to negotiate drug prices, for which he is hoping for the support of the president. Trump indicated throughout his presidential campaign that he would support negotiating drug prices; and in January, he said that the pharmaceutical industry is "getting away with murder" because of what it charges the government. As observed by Ronnie Cummins, International Director of the Organic Consumers Association, in February 2017:
. . . [B]ig pharmaceutical companies, for-profit hospitals and health insurers are allowed to jack up their profit margins at will. . . . Simply giving everyone access to Big Pharma's overpriced drugs, and corporate hospitals' profit-at-any-cost tests and treatment, will result in little more than soaring healthcare costs, with uninsured and insured alike remaining sick or becoming even sicker.
Besides the unnecessarily high cost of drugs, the US medical system is prone to over-diagnosing and over-treating. The Congressional Budget Office says that up to 30 percent of the health care in the US is unnecessary. We use more medical technology then in other countries, including more expensive diagnostic equipment. The equipment must be used in order to recoup its costs. Unnecessary testing and treatment can create new health problems, requiring yet more treatment, further driving up medical bills.
Drug companies are driven by profit, and their market is sickness - a market they have little incentive to shrink. There is not much profit to be extracted from quick, effective cures. The money is in the drugs that have to be taken for 30 years, killing us slowly. And they are killing us. Pharmaceutical drugs taken as prescribed are the fourth leading cause of US deaths, after heart disease, cancer and stroke.
The US is the only industrialized country besides New Zealand that allows drug companies to advertise pharmaceuticals. Big Pharma spends more on lobbying than any other US industry, and it spends more than $5 billion a year on advertising. Lured by drug advertising, Americans are popping pills they don't need, with side effects that are creating problems where none existed before. Americans compose only 5 percent of the world's population, yet we consume fully 50 percent of Big Pharma's drugs and 80 percent of the world's pain pills. We not only take more drugs (measured in grams of active ingredient) than people in most other countries, but we have the highest use of new prescription drugs, which have a 1 in 5 chance of causing serious adverse reactions after they have been approved.
The US death toll from prescription drugs taken as prescribed is now 128,000 per year. As Jon Rappaport observes, with those results Big Pharma should be under criminal investigation. But the legal drug industry has grown too powerful for that. According to Dr. Marcia Angell, former editor in chief of the New England Journal of Medicine, writing in 2002:
The combined profits for the ten drug companies in the Fortune 500 ($35.9 billion) were more than the profits for all the other 490 businesses put together ($33.7 billion). Over the past two decades the pharmaceutical industry has [become] a marketing machine to sell drugs of dubious benefit, [using] its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself.
It's Just Good Business
US healthcare costs are projected to grow at 6 percent a year over the next decade. The result could be to bankrupt not only millions of consumers but the entire federal government.
Obamacare has not worked, and Ryancare is not likely to work. As demonstrated in many other industrialized countries, single-payer delivers better health care at half the cost that Americans are paying now.
Winston Churchill is said to have quipped, "You can always count on the Americans to do the right thing after they have tried everything else." We need to try a thrifty version of Medicare for all, with negotiated prices for drugs, hospitals and diagnostic equipment.
"The Canadian plan also helps Canadians live longer and healthier than Americans. . . . We need, as a nation, to reexamine the single-payer plan, as many individual states are doing." -- Donald Trump, The America We Deserve (2000)
The new American Health Care Act has been unveiled, and critics are calling it more flawed even than the Obamacare it was meant to replace. Dubbed "Ryancare" or "Trumpcare" (over the objection of White House staff), the Republican health care bill is under attack from left and right, with even conservative leaders calling it "Obamacare Lite", "bad policy", a "warmed-over substitute," and "dead on arrival."
The problem for both administrations is that they have been trying to fund a bloated, inefficient, and overpriced medical system with scarce taxpayer funds, without capping its costs. US healthcare costs in 2016 averaged $10,345 per person, for a total of $3.35 trillion dollars, a full 18 percent of the entire economy, twice as much as in other industrialized countries.
Ross Perot, who ran for president in 1992, had the right idea: he said all we have to do is to look at other countries that have better health care at lower cost and copy them.
So which industrialized countries do it better than the US? The answer is, all of them. They all not only provide healthcare for the entire population at about half the cost, but they get better health outcomes than in the US. Their citizens have longer lifespans, fewer infant mortalities and less chronic disease.
President Trump, who is all about getting the most bang for the buck, should love that.
Hard to Argue with Success
The secret to the success of these more efficient systems is that they control medical costs. According to T. R. Reid in The Healing of America, they follow one of three models: the "Bismarck model" established in Germany, in which health providers and insurers are private but insurers are not allowed to make a profit; the "Beveridge model" adopted in Britain, where most healthcare providers work as government employees and the government acts as the single payer for all health services; and the Canadian model, a single-payer system in which the healthcare providers are mostly private.
A single government payer can negotiate much lower drug prices - about half what we pay in the US - and lower hospital prices. Single-payer is also much easier to administer. Cutting out the paperwork can save 30 percent on the cost of insurance. According to a May 2016 post by Physicians for a National Health Program:
Per capita, the U.S. spends three times as much for health care as the U.K., whose taxpayer-funded National Health Service provides health care to citizens without additional charges or co-pays. In 2013, U.S. taxpayers footed the bill for 64.3 percent of U.S. health care -- about $1.9 trillion. Yet in the U.S. nearly 30 million of our citizens still lack any form of insurance coverage.
The for-profit U.S. health care system is corrupt, dysfunctional and deadly. In Canada, only 1.5 percent of health care costs are devoted to administration of its single-payer system. In the U.S., 31 percent of health care expenditures flow to the private insurance industry. Americans pay far more for prescription drugs. Last year, CNN reported, Americans paid nearly 10 times as much for prescription Nexium as it cost in the Netherlands.
Single payer, or Medicare for All, is the system proposed in 2016 by Democratic candidate Bernie Sanders. It is also the system endorsed by Donald Trump in his book The America We Deserve. Mr. Trump confirmed his admiration for that approach in January 2015, when he said on David Letterman:
A friend of mine was in Scotland recently. He got very, very sick. They took him by ambulance and he was there for four days. He was really in trouble, and they released him and he said, 'Where do I pay?' And they said, 'There's no charge.' Not only that, he said it was like great doctors, great care. I mean we could have a great system in this country.
Contrary to the claims of its opponents, the single-payer plan of Bernie Sanders would not have been unaffordable. Rather, according to research by University of Massachusetts Amherst Professor Gerald Friedman, it would have generated substantial savings for the government:
Under the single-payer system envisioned by "The Expanded & Improved Medicare For All Act" (H.R. 676), the U.S. could save $592 billion - $476 billion by eliminating administrative waste associated with the private insurance industry and $116 billion by reducing drug prices . . . .
According to OECD health data, in 2013 the British were getting their healthcare for $3,364 per capita annually; the Germans for $4,920; the French for $4,361; and the Japanese for $3,713. The tab for Americans was $9,086, at least double the others. With single-payer at the OECD average of $3,661 and a population of 322 million, we should be able to cover all our healthcare for under $1.2 trillion annually - well under half what we are paying now.
The Problem Is Not Just the High Cost of Insurance
That is true in theory; but governments at all levels in the US already spend $1.6 trillion for healthcare, which goes mainly to Medicare and Medicaid and covers only 17 percent of the population. Where is the discrepancy?
For one thing, Medicare and Medicaid are more expensive than they need to be, because the US government has been prevented from negotiating drug and hospital costs. In January, a bill put forth by Sen. Sanders to allow the importation of cheaper prescription drugs from Canada was voted down. Sanders is now planning to introduce a bill to allow Medicare to negotiate drug prices, for which he is hoping for the support of the president. Trump indicated throughout his presidential campaign that he would support negotiating drug prices; and in January, he said that the pharmaceutical industry is "getting away with murder" because of what it charges the government. As observed by Ronnie Cummins, International Director of the Organic Consumers Association, in February 2017:
. . . [B]ig pharmaceutical companies, for-profit hospitals and health insurers are allowed to jack up their profit margins at will. . . . Simply giving everyone access to Big Pharma's overpriced drugs, and corporate hospitals' profit-at-any-cost tests and treatment, will result in little more than soaring healthcare costs, with uninsured and insured alike remaining sick or becoming even sicker.
Besides the unnecessarily high cost of drugs, the US medical system is prone to over-diagnosing and over-treating. The Congressional Budget Office says that up to 30 percent of the health care in the US is unnecessary. We use more medical technology then in other countries, including more expensive diagnostic equipment. The equipment must be used in order to recoup its costs. Unnecessary testing and treatment can create new health problems, requiring yet more treatment, further driving up medical bills.
Drug companies are driven by profit, and their market is sickness - a market they have little incentive to shrink. There is not much profit to be extracted from quick, effective cures. The money is in the drugs that have to be taken for 30 years, killing us slowly. And they are killing us. Pharmaceutical drugs taken as prescribed are the fourth leading cause of US deaths, after heart disease, cancer and stroke.
The US is the only industrialized country besides New Zealand that allows drug companies to advertise pharmaceuticals. Big Pharma spends more on lobbying than any other US industry, and it spends more than $5 billion a year on advertising. Lured by drug advertising, Americans are popping pills they don't need, with side effects that are creating problems where none existed before. Americans compose only 5 percent of the world's population, yet we consume fully 50 percent of Big Pharma's drugs and 80 percent of the world's pain pills. We not only take more drugs (measured in grams of active ingredient) than people in most other countries, but we have the highest use of new prescription drugs, which have a 1 in 5 chance of causing serious adverse reactions after they have been approved.
The US death toll from prescription drugs taken as prescribed is now 128,000 per year. As Jon Rappaport observes, with those results Big Pharma should be under criminal investigation. But the legal drug industry has grown too powerful for that. According to Dr. Marcia Angell, former editor in chief of the New England Journal of Medicine, writing in 2002:
The combined profits for the ten drug companies in the Fortune 500 ($35.9 billion) were more than the profits for all the other 490 businesses put together ($33.7 billion). Over the past two decades the pharmaceutical industry has [become] a marketing machine to sell drugs of dubious benefit, [using] its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself.
It's Just Good Business
US healthcare costs are projected to grow at 6 percent a year over the next decade. The result could be to bankrupt not only millions of consumers but the entire federal government.
Obamacare has not worked, and Ryancare is not likely to work. As demonstrated in many other industrialized countries, single-payer delivers better health care at half the cost that Americans are paying now.
Winston Churchill is said to have quipped, "You can always count on the Americans to do the right thing after they have tried everything else." We need to try a thrifty version of Medicare for all, with negotiated prices for drugs, hospitals and diagnostic equipment.
"Mr. Lee Zeldin, the administrator of the Environmental Protection Agency, is making it impossible for us to regulate these life-threatening emissions," one activist said.
As smoke from Canadian wildfires triggered an air quality alert for New York City and Long Island on Sunday, activists with Climate Defiance disrupted a speech by Environmental Protection Agency Administrator Lee Zeldin in the Hamptons.
The disruption came four days after reports emerged that Zeldin's EPA was set to repeal the 2009 "endangerment finding" that greenhouse gas emissions "threaten the public health and welfare of current and future generations." It is this finding that has given the EPA the authority to regulate climate emissions under the Clean Air Act.
"We are in a climate crisis largely caused by the burning of fossil fuels," the first activist to disrupt the speech said, according to video footage shared by Climate Defiance. "And Mr. Lee Zeldin, the administrator of the Environmental Protection Agency, is making it impossible for us to regulate these life-threatening emissions."
Zeldin's speech took place at the Global Breakfast Forum, held at The Hamptons Synagogue.
"What are you going to say to your children when the Hamptons are underwater?"
Several of the young Jewish activists who disrupted the speech referenced their faith.
"The Torah commands us to be stewards of the Earth, not the oil industry," one activist said.
The audience largely responded with boos and jeers, and one attacked two of the activists with a chair, according to Climate Defiance video footage.
However, the Climate Defiance activists emphasized that Zeldin and the pro-fossil fuel Trump administration were the forces that would ultimately disrupt life and community in the Hamptons.
"History is going to remember you as a monster," one yelled out to Zeldin.
Another said: "Lee Zeldin, you have taken half of a million dollars from fossil fuels. What are you going to say to your children when the Hamptons are underwater?"
The disrupters also referenced Project 2025 and the broader Trump administration. According to the Project 2025 Tracker, Zeldin's EPA has achieved 57% of the Heritage Foundation road map's objectives.
"Lee Zeldin is carrying out the plans of Project 2025 and fossil fuels to a T," one said. "Your orange overlord does not care about any of you. All of you will be suffering from the rising seas and the worsening climate crisis."
A member of Extinction Rebellion NYC, who assisted with the protest, said in a statement: "Heritage has long been helmed by fossil fuel interests like Koch Industries, which has done some of the heaviest lifting to make sure nothing is done on climate change in the U.S. The majority of these wishes have been executed by Zeldin himself, and through Trump, who asked for $1 billion from oil companies in a dinner at Mar-a-Lago during his campaign. His Big, Beautiful Bill is a wish list directly penned in Project 2025. And when we hit 4°C of warming this century, we will know the true cost of these deadly practices."
Protesters also referenced the repeal of the endangerment finding, climate-fueled extreme weather events like Hurricane Sandy, and the smoke pollution clouding the region as Zeldin spoke.
"There is smoke in the air for another summer," one said. "This is only going to get worse and worse."
Both New York City Emergency Management and the New York State Department of Environmental Conservation issued Air Quality Health Advisories through 11:59 pm Eastern Time on Sunday as smoke poured into the region from Canadian wildfires. Air quality was listed as "unhealthy for sensitive groups," and at 11:00 am Eastern Time on Sunday, New York City had the eighth worst air quality of any city on Earth.
The smoke recalled the thick orange haze that blanketed New York and other parts of the Northeast during the record-breaking Canadian wildfire season of 2023. The climate crisis makes wildfires more frequent and extreme.
"There is nothing humane or tactical about letting a trickle of aid in after a man-made famine has started while continuing to bomb starving men, women, and children, even in so-called safe zones," one advocate said.
The Israeli military began instituting tactical pauses in its assault on certain sections of Gaza on Sunday, as part of a plan to allow what Israeli Prime Minister Benjamin Netanyahu described as "minimal humanitarian supplies" to enter the besieged enclave.
Several humanitarian organizations and political leaders described the Israeli approach as vastly insufficient at best and a dangerous distraction at worst, as Palestinians in Gaza continue to die of starvation that experts say has been deliberately imposed on them by the U.S.-backed Israeli military.
"Deadly airdrops and a trickle of trucks won't undo months of engineered starvation in Gaza," Bushra Khalidi, Oxfam policy lead for the Occupied Palestinian territory, said in a statement on Sunday. "What's needed is the immediate opening of all crossings for full, unhindered, and safe aid delivery across all of Gaza and a permanent cease-fire. Anything less risks being little more than a tactical gesture."
Israel announced a plan to institute a daily 10-hour "tactical pause" in fighting from 10:00 am to 8:00 pm local time in the populated Gaza localities of Gaza City, Deir al-Balah, and Muwasi, as The Associated Press explained.
"These actions are not pauses—they are part of an ongoing genocide that the world must act to stop."
However, on Sunday—the first day of the supposed pause—Israeli attacks killed a total of 62 people, Al Jazeera reported, including 34 who were seeking humanitarian relief. Another six people died of hunger, bringing the total death toll from starvation and malnutrition to 133, including 87 children, according to the Gaza Health Ministry.
"The Israeli government's so-called 'tactical pauses' are a cruel and transparent farce," said Council on American-Islamic Relations (CAIR) national deputy director Edward Ahmed Mitchell in a statement on Sunday. "There is nothing humane or tactical about letting a trickle of aid in after a man-made famine has started while continuing to bomb starving men, women, and children, even in so-called safe zones. These actions are not pauses—they are part of an ongoing genocide that the world must act to stop."
British Foreign Secretary David Lammy, meanwhile, called the pause "essential, but long overdue."
"This announcement alone cannot alleviate the needs of those desperately suffering in Gaza," Lammy said, as The Guardian reported. "We need a cease-fire that can end the war, for hostages to be released, and aid to enter Gaza by land unhindered."
The United Nations' World Food Program posted on social media that it welcomed the news of the pause, as well as the creation of more humanitarian corridors for aid, and that it had enough food supplies either in or en route to the area to feed the entire population of Gaza for nearly three months.
"A man-made hunger can only be addressed by political will."
Since the border crossings opened on May 27 following nearly three months of total siege, WFP has only been able to bring in 22,000 tons of food aid, about a third of the over 62,000 tons of food aid needed to feed the population of Gaza each month.
While it welcomed the pause, WFP did add that "an agreed cease-fire is the only way for humanitarian assistance to reach the entire civilian population in Gaza with critical food supplies in a consistent, predictable, orderly, and safe manner—wherever they are across the Gaza Strip."
Joe English, emergency communications specialist for UNICEF, emphasized that the limited pauses proposed by Israel were not the ideal conditions for treating serious malnutrition.
"This is a short turnaround in terms of the notice that we have, and so we cannot work miracles," English told CNN.
English explained that, while UNICEF can treat malnutrition, children who are malnourished require a course of treatments over an extended period of time in order to fully recover, something only truly possible with a cease-fire, which would allow the U.N. to reestablish the 400 aid distribution points it had set up across Gaza before the last cease-fire ended in March.
"We have to be able to reach people and also to reach people where they are," he said. "We can't be expecting people to continue to traverse many miles, often on foot, through militarized areas, to get access to aid."
In addition to bringing in food aid through trucks, Israel, Jordan, and the United Arab Emirates all began air-dropping aid over the weekend. However, this method has been widely criticized by humanitarian experts as ineffective and even dangerous.
"The planes are insulting for us. We are a people who deserve dignity."
"Airdrops will not reverse the deepening starvation. They are expensive, inefficient, and can even kill starving civilians. It is a distraction and screensmoke," U.N. Relief and Works Agency for Palestinian Refugees in the Near East Commissioner-General Philippe Lazzarini wrote on social media on Saturday.
"A man-made hunger can only be addressed by political will. Lift the siege, open the gates, and guarantee safe movements and dignified access to people in need," Lazzarini wrote.
Palestinians in Gaza also complained about the air drops.
"From 6:00 am until now we didn't eat or drink. We didn't get aid from the trucks. After that, they said that planes will airdrop aid, so we waited for that as well," Massad Ghaban told Reuters. "The planes are insulting for us. We are a people who deserve dignity."
In a reminder of what is at stake in effectively delivering aid to Gaza, the World Health Organization (WHO) warned on Sunday that "malnutrition is on a dangerous trajectory in the Gaza Strip, marked by a spike in deaths in July."
WHO continued:
Of 74 malnutrition-related deaths in 2025, 63 occurred in July—including 24 children under 5, a child over 5, and 38 adults. Most of these people were declared dead on arrival at health facilities or died shortly after, their bodies showing clear signs of severe wasting. The crisis remains entirely preventable. Deliberate blocking and delay of large-scale food, health, and humanitarian aid has cost many lives.
WHO said that the search for lifesaving aid was itself deadly: "Families are being forced to risk their lives for a handful of food, often under dangerous and chaotic conditions. Since 27 May, more than 1,060 people have been killed and 7,200 injured while trying to access food."
Israeli solders have reported that they had been ordered to fire on Palestinian civilians seeking aid.
In the face of Israel's atrocities, CAIR's Mitchell called for decisive action: "No more statements. Our government, Western nations, and Arab Muslim nations must act immediately to end the genocide, allow unfettered humanitarian aid into Gaza, secure the release of all captives and political prisoners, and hold Israeli leaders accountable for war crimes. Every moment of inaction contributes to the unimaginable suffering of everyone in Gaza."
"All across the country we showed that when our families stick together, we are powerful," one organizer said.
Tens of thousands of people in more than 225 towns and cities across the U.S. came out on Saturday as part of the Families First National Day of Action to protest Trump administration and Republican policies that defund the safety net while funneling unprecedented amounts of cash toward immigration enforcement.
The day of action came around three weeks after the U.S. House passed and President Donald Trump signed a budget bill that would strip 17 million of Americans of their health insurance and 2 million of their food aid while making Immigration and Customs Enforcement the highest-funded federal law enforcement agency in U.S. history.
"Yesterday marked the 35th anniversary of the Americans with Disabilities Act. And we are just days away from the 60th anniversary of Medicaid and Medicare at the end of this month. These policies represent a promise we made to each other: that no matter the ups and downs of life, our ability to take care of our families, from one generation to the next, should be supported," Ai-jen Poo, executive director of Caring Across Generations and president of the National Domestic Workers Alliance, told Common Dreams on Sunday.
"But a big ugly budget bill just passed," Poo continued, "that breaks that promise by making historic cuts to programs like Medicaid, Medicare, and SNAP, by using our tax dollars to stoke fear and rip families apart simply due to their immigration status. This is not what families want, and those who passed it must know that the vast majority of us want our tax dollars to go to healthcare and food, a safety net for families, supporting public funds for families, health, food, and the economic security for all of us, not billionaires."
"To show our power and resolve for a better future we came out in the thousands all across the country."
Families First is a coalition made up of over 75 organizations including Caring Across Generations, National Domestic Workers Alliance, MoveOn, Community Change Action, MomsRising, Planned Parenthood, People's Action Institute, Family Values @ Work, Families Over Billionaires, Fair Share America, Working Families Power, and labor unions like the Service Employees International Union (SEIU); American Federation of State, County, and Municipal Employees; American Federation of Teachers; and the National Education Association.
"To show our power and resolve for a better future we came out in the thousands all across the country, hosting over 225 events where we peacefully protested, to show the intergenerational face of those of us prepared to hold the ones who passed this bill accountable every day, and to take action. From spelling out the word 'familia' on the beach in California, taking a Medicaid Motorcade through the state of Indiana, to a rally in D.C. on the National Mall at the seat of power," Poo said.
Here are some highlights from Saturday's day of action.
On the National Mall across from the U.S. Capitol building, organizers capped a 60-hour vigil opposing Medicaid cuts with a rally at 12:00 pm ET.
Jennifer Wells, the director of economic justice at Community Change, spoke at the rally on the important role that Medicaid and the Supplemental Nutrition Assistance Program (SNAP) played in her life.
"I'm here both as an advocate and organizer and as someone who has lived the realities we're fighting to change, as a person who has been directly shaped by the programs that are currently under attack," Wells said. "I was a Medicaid kid, I was a SNAP kid. These programs kept me and my mom and my brother healthy, alive, and moving forward when we had nothing to fall back on."
Families gathered in Newark's Military Park to protest the budget cuts.
"Congress is helping the rich get richer while cutting healthcare, education, and support for working families," New Jersey Citizen Action wrote on social media. "We're making sure everyone knows who's responsible. We're fighting for a country where every child is cared for, no one goes hungry, and we all have access to the healthcare we need to live."
The Indiana Rural Summit planned a "Motorcade for Medicaid" to drive by rural hospitals across the state.
"We're using the event as a touchpoint to demonstrate the importance and value of local hospitals that are at risk of closing because they have historically relied on Medicaid for financial viability," organizer Michelle Higgs told The Republic. "We want to amplify the voices of those who are impacted, whether they're disabled, have a chronic illness, or are elderly."
Union members took to the streets from Miami, Florida to Seattle, Washington.
SEIU members marched in cities including Tampa; Orlando; Miami; Washington, D.C.; Allentown, Pennsylvania; New York City, Boston; and Las Vegas. Meanwhile, hundreds of union workers protested in downtown Seattle.
In Connecticut, SEIU members marched to the Brennan Rogers Magnet School, which closed due to a state funding shortfall.
"Cleaners, healthcare workers, construction workers, we are the ones that make this country run and we ask for no special privileges in return. but we are under attack," Ciro Gutierrez, a 32BJSEIU Connecticut commercial member, said.
Reflecting on the day of action, Poo concluded: "All across the country we showed that when our families stick together, we are powerful. When we share our stories, we break through. When we stand side by side—from small towns to big cities—we can't be ignored. And we won't be divided."