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Weekly-Opinion
Donald Trump Is Laughing All the Way to the Bank... at the End of the World
By embracing fossil fuels and shutting down renewable energy, “our” president is making a fortune off end-of-the-world policies. Think of him, in fact, not figuratively, but all too literally, as the president from hell.
Sep 10, 2026
Honestly, I don’t think we really get it yet.
Let’s face it. It’s going to be hot, hot, hot. Or do I mean hotter, hotter, hotter, or even hottest, hottest, hottest, or someday, for all we know, beyond any words we might now have to describe it.
Though it seldom seems that way in the daily news, we’re talking about a genuinely apocalyptic possibility. Give us human beings full credit. Somehow, we’ve managed to come up with not one but two distinctly apocalyptic ways to potentially destroy ourselves and this planet—one a relatively speedy way to go and the other already operating in world-destroying slow motion—and that, believe me, is no small thing.
Here are just a few examples of that slow-motion version of our self-destruction on this increasingly extreme planet of... well, can I really say “ours” anymore, or should I say theirs?
The Don is indeed an atomic bomb or at least a climate bomb of a president his second time around.
Of course, Europe has recently experienced remarkably extreme temperatures and scorching fires across significant parts of the continent (heat estimated to have resulted in at least 16,000 extra deaths—and no, that is not a misprint—at its high point in June and at least 35,000 across the whole summer). Western Europe, in fact, experienced the hottest June on record. And that (or worse) is increasingly likely to be an every-summer event for what’s now the fastest-warming continent on this planet.
And don’t forget that the predicted El Niño in the Pacific beginning this fall, expected to be the strongest in more than a century, or a “Godzilla” event (if you happen to remember your movie dinosaurs), is likely to heat significant parts of the planet even more severely. (Oh, and in case you missed it, it’s not just the land that’s getting ever hotter. This August, the world’s oceans hit their hottest temperature ever—yes, ever!—adding, of course, to sea level rise and the further flooding of coastal communities.)
And sadly enough, we just can’t seem to stop, can we? Worse yet, humanity’s latest brilliant invention-discovery—artificial intelligence—may someday have to be relabeled artificial stupidity (of the first order), given that the production of AI is, it seems, going to involve pouring staggering amounts of—yes, of course!—fossil fuels into our already overheating atmosphere. As environmental expert Bill McKibben put it recently, “The planned data center buildout will increase greenhouse gas emissions from the electricity sector by at least 20%, and perhaps as much as a third.”
In truth, you’ve got to hand it to us humans when it comes to utter self-destructiveness (and I’m not even thinking about our never-ending, devastating wars from Ukraine to Gaza to Sudan and Somalia that also pour endless fossil fuels into the atmosphere, as does the US military).
A Global Disaster That Needs a New Name
You would think, of course, that, faced with what’s likely to happen in the years to come, humanity might have responded by working ever harder to bring our fossil-fuel usage under control. But not much such luck there, of course. After all, China, the country that has moved in the most significant fashion on climate change by figuring out how to produce ever more green energy and sell globally the mechanisms—solar panels, batteries, and wind turbine equipment—that make it (as well as stunning numbers of electric vehicles), continues to pour the most greenhouse gases into the atmosphere of any place on Earth.
And though other countries are indeed beginning to try to switch to green power, when you look at this endangered planet of ours, explain to me how, in 2024, the American people by a slight majority (even if not quite 50% of the vote) managed to reelect as president one Donald J. Trump, a climate-change denier of the first order. And in his second term in office, he’s focused as much attention as he’s capable of focusing (which, of course, is a distinctly limited amount) on blocking wind and solar projects while promoting ever more fossil-fuel production of every kind. (And of course, in the process, he’s brilliantly ceding the vast and growing green-energy sales market to that other superpower, China.)
Let me guarantee you one thing: Someday, when it comes to the overheating of this world of ours, he will be seen as an almost unparalleled idiot, assuming that anybody then is seeing much of anything.
Consider climate change, in fact, a potential global disaster that deserves a far more horrifying name. And consider it just the latest form of (in)human warfare to come to our attention, this time against the planet itself as a livable place for us. And consider it as well no small thing that we humans have indeed produced a second way to essentially destroy this planet and ourselves.
A Climate Bomb of a President
As for that first one, it’s still unsettling to think about the way the United States developed the atomic bomb and then used it twice in August 1945 to devastate the Japanese cities of Hiroshima and Nagasaki and end World War II in the Pacific. And those first two bombs did indeed represent, all too literally (or do I mean figuratively?), something new on this planet that, until that moment, had only been a dystopian fantasy—the possible future ability of humanity to totally devastate this planet of ours? In fact, given human history, consider it little short of a miracle that, 80 years later, with at least nine countries now possessing atomic weapons, often in significant quantities—there are now an estimated 12,000 such weapons on planet Earth—one has never been used again in wartime (although more than 2,000 have been detonated in atomic tests in what still passes for peacetime).
And there can be little question that, were an atomic war to break out between any of the great (or even lesser) powers on this planet, we could indeed find ourselves thoroughly devastated.
Now, give us humans distinct credit since, having developed a first way to functionally do in this planet of ours and ourselves, we then came up with a completely separate, distinctly slow-motion version of planetary destruction via our use of fossil fuels—coal, oil, and natural gas—to pour what have come to be known as greenhouse gases that trap heat into the atmosphere, potentially broiling this planet in a process that’s come to be known all too mildly as—yes!—“climate change.” (Think of it, in fact, as a slow-motion version of atomic warfare happening right before our eyes every moment of every day.)
And unfortunately, when it became ever more obvious that this was indeed another way to do this planet in, the response was sadly all too different from atomic weaponry, with the urge to stop it proving far milder than it should be.
And of course, in 2024, Americans did indeed vote to reelect a presidential candidate all too literally committed to broiling this planet of ours (as, by the way, is Vladimir Putin, the ruler of one of the other great powers on this planet). Yes, the Don is indeed an atomic bomb or at least a climate bomb of a president his second time around. And don’t forget that, this time, among the donors celebrating his victory and inauguration with giant financial contributions was oil company Chevron with $500,000. (In fact, Sen. Elizabeth Warren (D-Mass.) has reported that, overall, oil companies invested $5 million in that inauguration alone—and even that may be a low estimate.)
And yes, his second time in office he did also launch his own version of a global nuclear arms race, but that, sadly, is the least of it, since he’s distinctly determined to release ever more fossil fuels into our world, while doing anything he can to shut down wind power, in particular. Oh, and don’t forget that, amid all the climate chaos and—thanks to his war on Iran—fossil fuel chaos as well, he continues to make a fortune (as much as $15.5 million or a nearly 40% rise since January) from fossil fuel stocks he owns, including shares in ExxonMobil, Chevron, and Occidental Petroleum. And more are evidently still being purchased for him.
And all of that is a reality of our world even as, thanks to his war with Iran, American drivers continue to pay ever more for their gas. And with that new El Niño climate pattern already on the all-too-literal horizon and guaranteed to wildly overheat the Pacific Ocean, starting this fall, this planet is only going to get hotter yet. That coming “Godzilla” event could, as The Guardian reports, “push about 50 million people worldwide into acute hunger before the end of next year.”
In short, “our” president is making a fortune off end-of-the-world policies. Think of him, in fact, not figuratively, but all too literally, as the president from hell.
And if you want to add to the potentially world-ending nightmares of this planet at this very moment, keep in mind that, over its long history, humanity has proven all too brilliant when it comes to destruction. So don’t for a second imagine that there isn’t, in fact, a third (or even a fourth) way to do us all in still waiting to be discovered just over (or under?) the present horizon.
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The Very Clear and Easy Case for Abdul El-Sayed
And why Mike Rogers would be a disaster for the country.
Sep 09, 2026
The Democratic establishment, along with AIPAC, the American Israel Public Affairs Committee, spent between $60 million and $70 million trying to prevent Dr. Abdul El-Sayed from winning Michigan’s Democratic primary—roughly 11 times the money backing El-Sayed.
He won nonetheless and now faces the Republican nominee, Mike Rogers, in a race that will help determine control of the Senate after the midterms in November.
I hope Michiganders elect El-Sayed, who will be a great US senator.
After receiving an advanced degree in public health, El-Sayed worked as an epidemiologist. Informed by this experience and expertise, he advocates access to healthcare as a right and not a privilege.
He also advocates economic security for all, financed by a tax system that asks more from the wealthy. He’s a champion of civil rights. He’s a fighter for affordability against predatory landlords, monopolistic corporations, and billionaires who turn their wealth into political power.
Most Jewish Americans have values that align with Dr. El-Sayed’s. He believes in social justice—that government can be a force for good as it helps expand opportunities, protect rights, and advance the common good.
Yet AIPAC is continuing its battle against El-Sayed. It is expected to put tens of millions of dollars behind Rogers, some of it disguised behind other PACs. “Our members remain determined to ensure that voters reject Dr. El-Sayed and his radical anti-Israel agenda in November,” said Deryn Sousa, a spokeswoman for AIPAC.
El-Sayed is no more anti-Israel than I am.
Being opposed to Benjamin Netanyahu’s extreme right-wing Israeli government is not the same as being anti-Israel. Nor should it be equated with being antisemitic. Nor, for that matter, should opposition to Netanyahu and his government be seen as condoning the brutal Hamas attack on Israel on October 7, 2023, in which 1,200 were murdered and 251 taken hostage. It was an atrocity and a crime against humanity.
I believe Netanyahu is a war criminal and that his government has committed genocide in Gaza. I’m appalled that he and it continue to allow and excuse horrific violence on the West Bank against Palestinians. For this reason, I don’t believe the United States should arm Netanyahu’s government with destructive military equipment.
This doesn’t make me anti-Israel. For decades I’ve advocated a two-state solution for Israel and Palestine, and I continue to believe it’s the only sane and reasonable way for these two peoples to peacefully coexist.
This certainly doesn’t make me antisemitic, either. I’m Jewish. Some of my relatives died in Hitler’s gas chambers. My mother and father were told they were unwelcome in the small town they moved to when I was a toddler because, according to the group of old men who met them at the doorstep of our new home, it was a “Christian community.”
Like me, Dr. El-Sayed opposes what the government of Netanyahu has done and continues to do. El-Sayed has affirmed that “Jewish Israelis and Palestinians alike have the right to peace, dignity, and self-determination.” He has acknowledged the horror of October 7, condemned all forms of antisemitism, and been highly critical of Israel’s war in Gaza and abuses in the West Bank.
Ten days ago El-Sayed publicly apologized for any misinterpretation people might have placed on remarks he made after a man attacked a synagogue in a Detroit suburb in March. The man, Ayman Mohammad Ghazali, had lost four relatives in an Israeli airstrike on Lebanon the week before.
In a video response at the time, El-Sayed condemned the attack. He added that “hurt people hurt people,” a reference to what happened to Ghazali’s family. Critics accused El-Sayed of justifying Ghazali’s actions.
If you read the transcript of what El-Sayed actually said, it’s clear he was merely trying to explain and give context for the violence. “What I was trying to do was offer context for why it happened, but it wasn’t the time for context,” El-Sayed said in apology. “And you don’t ever want to trample somebody’s pain.”
There is enough pain on all sides—pain for Israelis and Palestinians, for Muslims and Jews. Which is why it’s so important that all of us think clearly and carefully. Being anti-Netanyahu isn’t being anti-Israel, nor is it being antisemitic.
It’s also critically important that the good people of Michigan oppose Mike Rogers, who endorsed and voted for legislation last year that cut Affordable Care Act insurance for millions of Americans, weakened Medicaid and food assistance to less affluent citizens, and provided tax breaks to the very rich.
Rogers has warmly and enthusiastically praised Trump. He’s failed to publicly condemn or even criticize Trump’s bigoted statements about ethnic communities in the United States. He hasn’t said a word against Trump’s unconscionable pardon of the more than 1000 insurrectionists who rioted at the Capitol on January 6, 2021. This includes those found guilty of the most heinous acts, causing grievous bodily harm to law enforcement officers.
My view is we need smart, committed progressives such as Abdul El-Sayed in the Senate. And we need right-wing Trump suckups such as Mike Rogers out of the Senate.
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25 Years of War Was the Exact Wrong Response to 9/11
Stop throwing money at a broken, destructive war machine. Stop threatening and blockading our neighbors. Close overseas bases and bring our troops home. Tax the wealthy and start rebuilding our country.
Sep 09, 2026
The lesson of 9/11 should be that war is not the answer to any of the problems facing the United States. After inflicting violence and chaos on country after country for twenty-five years in a “global war on terror” that has evolved into a Zionist genocide and a revived Cold War against Russia and China, the widespread public opposition to Trump’s war on Iran suggests that most Americans have finally learned that lesson.
Unfortunately, powerful sections of our corrupt business and political elites have not.
Most Americans old enough to remember September 11, 2001, can still recall the horrifying images played endlessly on our TV screens as the scale of the mass murder became clear. But we also remember something else: the sinking feeling that the hopes and dreams of billions of people, in the US and around the world, would be pushed to the back-burner for the foreseeable future, as our leaders and corporate media all too predictably embraced a new agenda of revenge, fear-mongering, jingoism and military violence.
As Rumsfeld made clear to his subordinates from the outset, the 9/11 crisis provided an open-ended pretext for endless wars against enemies who had nothing to do with the attacks...
We found out later that only hours after the attacks—less than six hours after the first plane struck the World Trade Center and barely five hours after the Pentagon was hit—the planning for America’s military response to the 9/11 massacre was already under way.
At 2:40 pm, Defense Secretary Rumsfeld convened a meeting at the Pentagon. Notes taken by Undersecretary Stephen Cambone, later obtained by CBS News, recorded Rumsfeld demanding the “best info fast. Judge whether good enough hit S.H.”—meaning Saddam Hussein—“at the same time” as Osama bin Laden. Then came the chilling instruction: “Go massive. Sweep it all up. Things related and not.”
Twenty-five years later, we can look back and see how the US government used September 11 to unleash a crusade of violence, war crimes and chaos across the world. Experts like Nuremberg prosecutor Ben Ferencz and military historian Michael Howard warned from the beginning that declaring a “war on terror” made no sense and would make matters worse.
They were right, of course. But when the State Department’s annual Patterns of Global Terrorism report for 2004 showed an unprecedented increase in global terrorism following the US invasion of Iraq, Secretary of State Condoleezza Rice simply cancelled and discontinued the report, replacing it with a new one with different criteria to prevent comparison with previous years.
But, as Rumsfeld made clear to his subordinates from the outset, the 9/11 crisis provided an open-ended pretext for endless wars against enemies who had nothing to do with the attacks, and for the remilitarization of the United States after the small reduction in its military spending after the end of the Cold War.
Total US military spending for the past 25 years has exceeded $21 trillion (in 2024 dollars), surpassing the combined spending of the other 18 largest military powers in the world. During that time, China has built a whole new civilization and infrastructure, and leapfrogged the US economy to become the world leader in clean energy, high-speed rail and technological sectors in which the US was once preeminent.
Both Democrats and Republicans are responsible for these counter-productive choices, and the appalling human costs of these wars on the countries the United States has attacked, bombed or invaded make this an especially atrocious way to squander our nation’s wealth.
The history of the United States during this period calls to mind an old Greek myth. Croesus, the famously wealthy king of Lydia, asked the Oracle at Delphi what would happen if he invaded Persia. The Oracle told him, “If you cross the Halys river, a great empire will fall.” Encouraged, Croesus launched the invasion. But he lost the war, and the empire that fell was his own.
In pursuing their global imperial ambitions, our leaders and ruling classes have discounted and betrayed the real sources of America’s prosperity and security: the well-being of the American people and peaceful relations with our neighbors around the world.
They have led us into war, poverty and extreme inequality, and hollowed out a system of government that was slowly becoming more democratic. At home, decades of political struggle by labor, civil rights and other social movements produced enormous advances, including Social Security, Medicare and Medicaid, major investments in public infrastructure and education, and a highly progressive tax system—with the top income tax rate at 91% until 1963—that helped finance those public goods and narrow the gap between rich and poor.
Contrary to the “End of History” theory embraced by many policymakers after the Cold War, and Margaret Thatcher’s famous insistence that “there is no alternative” to the extreme neoliberal capitalism that she and Ronald Reagan ushered in, societies always have political and economic alternatives. It is only a transparently self-serving choice by America’s corrupt ruling classes that saddles us with a system that keeps all decision-making power in their own hands in order to build their own wealth to the detriment of the country we all share.
We can see one alternative today in New York City, where Mayor Zohran Mamdani is pursuing a different set of priorities: expanding free childcare, making major investments in affordable housing, improving public transportation, and freezing rents for tenants in rent-stabilized apartments. Electoral politics can be part of the solution, but only if it reflects what ordinary people really want, instead of limited choices between oligarchic “lesser evils.”
Americans are demanding a renewal of social progress, with universal healthcare, quality public education, and all the things we need but can’t afford as long as this bloated, destructive war machine remains our government’s top priority. As Martin Luther King lamented in 1967, “I knew that America would never invest the necessary funds or energies in rehabilitation of its poor so long as adventures like Vietnam continued to draw men and skills and money like some demonic, destructive suction tube.”
Twenty-five years is a long time to keep moving in the wrong direction, especially when that direction involves endless war and the destruction of other countries. We are a long way from where most Americans would like our country to be. But we have a pretty good idea of what is wrong and what we need to do:
Stop throwing money at a broken, destructive war machine. Stop threatening and blockading our neighbors. Close overseas bases and bring our troops home. Tax the wealthy. Start rebuilding our country, and replace war and militarism with cooperation and problem solving. Take public ownership and responsibility for things we all need and use, like education, healthcare, housing, infrastructure, and utilities. Abolish ICE, and other militarized institutions that waste our national resources and do not serve the public good. Insist that the military be scaled back to its legitimate role of defending the United States against a possible, but very unlikely, foreign military attack.
If we have truly learned the lesson of the past twenty-five years, then we must translate it into policies that reflect that. The real test is not whether we can finally see what went wrong after 9/11. It is whether we are able to change course.
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Medicare for All Also Means This: An Improved, Expanded Medicare
The wrong question is how can we afford Improved Medicare for All. Rather, the right question is how can we afford not to enact it.
Sep 08, 2026
Editor's Note: The following is the second excerpt from Nancy J. Altman's latest book, The Road to Medicare for All: A Call to Action (Routledge, 2026), now available for purchase wherever quality books are sold. Read the first excerpt published by Common Dreams here. As the United States continues to spend substantially more on health care than other wealthy nations but with poorer health outcomes, Altman's book analyzes the dysfunction of the current system and sets forth the solution. "Medicare for All won’t happen without a fight," she argues, "but it is a fight we can win."
Imagine having more money in your pocket. Imagine being able to see any doctor you want without checking whether the provider is in your network and covered by your insurance. Imagine having more time with your doctor and, at the end of the appointment, simply walking out the door without having to take out your wallet or even ask what you owe for the visit. Imagine being free of filing insurance claims. Imagine being able to simply get any medicine your doctor prescribes without discovering it is exorbitantly expensive and asking your doctor what, if anything, they can prescribe that is covered by your insurance. Imagine no such thing as medical debt. Imagine simply getting the care, procedures, hospital stays, therapies, and medications your doctor prescribes with your only focus and thought being on how to restore and optimize your health. That is what you will experience.
Where is that destination? It is tantalizingly close. In fact, those who, on average, have the greatest medical needs—seniors and people with disabilities—are already almost there. Medicare, having recently celebrated its 61st anniversary, is well known to Americans. Most people are either covered by Medicare or know someone who is. It already covers Americans from age 65 to the grave. To reach the destination that health care is a right, not a privilege, with all those imaginations a reality, it has to be extended back to the cradle and improved, so that its coverage is completely comprehensive and available without premiums, co-payments, co-insurance, or deductibles. (To be clear, the destination is the expansion of traditional Medicare, not privatized Medicare—the deceptively named Medicare Advantage—whose serious shortcomings are discussed throughout this book.)
As important as Medicare is... it should be improved.
Medicare, which currently covers only seniors and people with disabilities—those who, on average, have the highest healthcare costs—does so more efficiently, comprehensively, and fairly than commercial insurance does, or indeed can. Medicare is the most important birthday gift those turning age 65 get. Too many Americans in their late fifties and early sixties lack adequate health insurance and desperately seek to hang on until they reach that special birthday that brings Medicare. As important as Medicare is, though, it should be improved. As Chapter 3 explains, soon after Medicare was enacted and expanded to people with disabilities, the most powerful forces organized against it. They succeeded in stopping further expansion of its coverage and the services and treatment it provides. They also stood in the way of reducing the costs of those it covers.
On the road to Improved Medicare for All, traditional Medicare should be expanded to cover all essential services. As the nation is driving toward Improved Medicare for All, traditional Medicare should be expanded to cover all safe and effective prescription drugs, also. Under the current system, without Medicare simply covering all safe and effective prescription drugs automatically at no cost, beneficiaries must repeatedly answer the following impossible, ludicrous questions: What illnesses will you contract next year? What medications will your doctor prescribe to treat those yet-to-be-contracted illnesses? Only if you know the answers to those unanswerable questions, can you intelligently decide, in today’s dysfunctional system, which insurance plan has the right drug formulary or list of covered drugs at a price you can afford.
Expanding traditional Medicare to cover all prescription drugs will mean that people can fill all of their prescriptions without worry about their cost. In addition, Medicare should be expanded to cover long-term care—both care at home and in nursing homes.
If Medicare were expanded to cover in-home services and supports as well as nursing home care for those who had no other alternatives, people who were able could age at home, as most want, with the security to know that they would not be a financial burden to those they love. An expanded Medicare for All would meet Americans’ needs today and their unforeseeable needs in the future. As it does today for seniors who have traditional Medicare, it would pool risk among everyone so that everyone is protected; people with costly and complex medical conditions would not be saddled with huge costs.
Under today’s patchwork system, out-of-pocket costs in the form of deductibles, co-pays and co-insurance force people into the arms of commercial insurance, whether they like it or not. Those with traditional Medicare must buy, if they can afford it, private supplemental insurance, colloquially known as Medigap, since traditional Medicare lacks an overall cap on out-of-pocket expenses. Those who can’t afford Medigap may be forced to purchase an inadequate Medicare Advantage plan which includes an overall cap, one more thumb on the scale placed by those who are hostile to single-payer health insurance.
With comprehensive coverage, without co-pays, co-insurance, deductibles, or premiums, there will be no need for supplemental, so-called Medigap, private insurance. We do not pay out of pocket for public libraries, schools, fire protection, or the military. Rather, those services are paid from taxes. We should not be required to pay out of pocket for health care, either. Like those other services, we should have universal, national health insurance, paid for completely out of taxes. The United States is the wealthiest nation in the world at the wealthiest moment in its history. It doesn’t feel that way to many, because so much of that wealth is concentrated in the hands of the very few. A fairer system of taxation which finances an Improved Medicare for All would allow all of us to share the wealth that all of us have created.
We do not pay out of pocket for public libraries, schools, fire protection, or the military. Rather, those services are paid from taxes. We should not be required to pay out of pocket for health care, either.
The nationwide network of Improved Medicare for All providers, which would likely cover all doctors and hospitals nationwide, would ensure that people can continue to get care from the doctors they know and trust. Everyone would be free to see doctors and use hospitals anywhere in the nation. There would be no restrictive networks that keep people from using centers of excellence and seeing the doctors they want to see, including the best specialists. Improved Medicare for All would ensure that everyone—people with costly and complex conditions, people who want good specialty care from doctors and hospitals they know and trust, people who need continuity of care, and those who are currently in excellent health—could get needed health care without financial stress or anxiety.
Improved Medicare for All is fully affordable. Given the unsustainability of the current system, as described in the last chapter, the wrong question is how can we afford Improved Medicare for All. Rather, the right question is how can we afford not to enact it. Relatedly, Improved Medicare for All will cost less than we pay currently. Consequently, the other correct question is not how are we going to pay for Improved Medicare for All, but, rather, how should we divvy up the savings!
Improved Medicare for All will save the nation trillions of dollars while covering everyone comprehensively. In addition to money saved, Improved Medicare for All will save lives. It will result in a higher quality of life for individuals and also a healthier population overall, generating greater productivity for the nation as a whole. Doctors will have more freedom and flexibility. They will be free from the micro-management of commercial insurance companies, concerned about turning a profit.
An Improved Medicare for All system will provide dependable income to healthcare providers. They can count on their bills being paid in a timely manner without the need to chase patients or, even more dispiriting, seek the assistance of loan collection agencies.
Part of the savings should go to doctors, nurses, and other providers to ensure that they are well compensated. They should do better under Improved Medicare for All, not just financially, but also in terms of job satisfaction and time to focus on healing, not paperwork.
Hospitals and those they serve will do better, as well. Improved Medicare for All can reduce physician shortages in underserved areas, often described as healthcare deserts, and help to reduce shortages in areas of medicine where they exist now or are projected to exist. Rural hospitals too often have limited staff without backup. The loss of a surgeon can cause the surgical unit to close, which, in turn, can have a cascading effect, ultimately resulting in the inability to receive care close by, quickly, in an emergency.
Despite all the advantages, Improved Medicare for All won’t happen without a fight.
Like the need to reimburse doctors fairly, in a timely manner, hospitals must be, as well. Whether for-profit, nonprofit, or governmental, hospitals want to remain state-of-the-art, with the latest equipment, and be fully staffed. Consequently, they need to cover their costs and ideally, maintain reserves. Under Improved Medicare for All, hospitals will have reduced costs along with more certainty and dependability of payments, free from charitable cases, which will become a thing of the past. In addition to fairly reimbursing hospitals and other facilities, the costs of maintaining, updating, and constructing them should be a priority, so that all communities are adequately served. At base, under Improved Medicare for All, hospitals, physicians, nurses, and other practitioners should be paid generously. They can and should be paid fully and on a timely basis for care given to every patient. Improved Medicare for All can and should be structured to ensure that providers have the ability to spend the time required to see patients.
In addition to all of the health and health-related advantages that Improved Medicare for All will bring, it can also usher in improvements unrelated to health care. They include a fairer federal tax system, together with reduced income and wealth inequality; more revenue for Social Security; an improved system of workers’ compensation, and more funds for state governments. Improved Medicare for All will provide intangible benefits for everyone, including reduced stress, less paperwork with the accompanying added free time, and, most importantly, greater peace of mind. All of those byproducts are explained at length in the book. They are just some of the fortuitous byproducts that will accompany the enactment of Improved Medicare for All.
Despite all the advantages, Improved Medicare for All won’t happen without a fight. The special interests will fight ferociously, but they will be no match for the hundreds of millions of Americans who will be benefited, as long as the public is engaged and active.
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