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PAUL CRAIG ROBERTS ON HOW THE 'FREE TRADE' CASE FOR OFFSHORING AMERICA'S JOBS HAS COME UNGLUED Roberts on the sensational exposure of the faked "gains" and phantom stats of the free traders. Who was America's most anti-imperialist president? Try Grover Cleveland! JoAnn Wypijewski on the unlikely hero of Hawai'i's restoration movement. Alexander Cockburn reports on evangelical Christians in crisis amid fresh onslaughts by forces of darkness. The Warbler's Parable: Rosa Miriam Elizalde on the black-masked visitors to Cuba defying the US economic blockade.
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Today's Stories June 27, 2007 Marjorie
Cohn June 26, 2007 Jonathan
Cook Ralph
Nader Corporate
Crime Reporter Ron
Jacobs Martha
Rosenberg John
Chuckman Denny
Haldeman Anthony
DiMaggio Stephen
Fleischman William
S. Lind Website
of the Day
Paul
Craig Roberts Jennifer
Loewenstein Bob
Anderson Robert
Pollin Patrick
Cockburn Eva
Liddell Dan
Bacher Larry
Atkins Mark
Brenner James
Rothenberg Website
of the Day June 23 / 24, 2007 Alexander
Cockburn Jeff
Taylor Oren
Ben-Dor Gary
Leupp Robert
Fisk David
Rosen Russell
Mokhiber Alison
Weir Robert
Fantina D.
K. Wilson Nicole
Colson Stephen
Soldz, Steven Reisner and Brad Olson Dave
Lindorff Benjamin
Dangl Michael
Dickinson Poets'
Basement Website
of the Weekend
June 22, 2007 Andy
Worthington Sherwood
Ross Eliana
Monteforte Robert
Weissman Richard
Rhames Christopher
Brauchli Ramzy
Baroud Ehud
Krinis, David Shulman and Neve Gordon David
Michael Green Kathryn
Webber Website
of the Day
June 21, 2007 Peter
Linebaugh Natsu
Saito Ron
Jacobs Saree
Makdisi John
Stauber Scott
Liebertz Tom
Clifford Robert
Jensen Michael
J. Smith Jeb
Sprague Website
of the Day
Omar
Barghouti Andy
Worthington Margaret
Kimberley Robert
Weissman Russell
D. Hoffman Rannie
Amiri Stephen
Lendman Dave
Lindorff David
Swanson Anne
Dachel Website
of the Day
June 19, 2007 Ralph
Nader Dr.
Shepherd Bliss Bill
and Kathleen Christison Jeff
Leys Dave
Zirin Chris
Floyd Ben
Terrall Anthony
Papa VIPS Linda Flores Website
of the Day
John
Ross Paul
Craig Roberts Martha
Rosenberg Norman
Solomon Don
Santina Isabella
Kenfield James
Brooks Eva
Liddell Sam
Husseini Akiva
Eldar Website
of the Day
Alexander
Cockburn John
Halle Robert
Fisk Andy
Worthington Uri
Avnery Fred
Gardner Saul
Landau P.
Sainath Missy
Comley Beattie Alan
Gregory Walter
Brasch Website
of the Weekend
June 15, 2007 Alan
Farago Andy
Worthington Michael
Simmons Franklin
Lamb Gary
Leupp John
Ross Website
of the Day
June 14, 2007 Michael
Donnelly
Faisal
Kutty Harry
Browne Charles
Jonkel Steven
Higgs Bruce
Dixon Bruce
K. Gagnon
Website
of the Day June 13, 2007 Glen Ford Marjorie Cohn Bill Christison Charles Jonkel Silvia Cattori Richard Gott Firmin DeBrabander William S. Lind Keith Rosenthal Website of the Day June 12, 2007 Jeffrey St.
Clair Paul Craig
Roberts P. Sainath Ralph Nader Omar Waraich Dave Lindorff Harvey Wasserman Malini Johar
Schueller Ramzy Baroud Website of
the Day
June 11, 2007 Patrick Cockburn Paul Craig
Roberts Uri Avnery Norman Solomon Eva Liddell Rannie Amiri Rachel Voss Christopher
Brauchli D. K. Wilson Website of
the Day
Alexander Cockburn George Ciccariello-Maher Saul Landau Robert Fisk Brian Cloughley Ron Jacobs Ward Boston Conn Hallinan Leonard Peltier Lawrence Davidson John Ross Kate Allan Fred Gardner Stephen Fleischman Monica Benderman Geoff Bailey Missy Beattie Patrick Dyer Tim Lengerich James Irani
Gary Leupp Michael Tillery Michael Simmons Poets' Basement Website of the Weekend
June 8, 2007 Serge Halimi Patrick Cockburn Jeffrey St. Clair
Paul Craig Roberts William Blum Joshua Frank Lance Selfa Dave Lindorff Lawrence Ferlinghetti Website of the Day
Marjorie Cohn Soldz, Reisner
and Olson: Soldz, Reisner
Paul Craig Roberts Bill Quigley Silvia Cattori Carl G. Estabrook Ellen Taylor Corporate Crime
Reporter Brenda Norrell D. K. Wilson Kevin Zeese Website of
the Day
Alain Gresh Gary Leupp Steven Sherman Bruce Dixon Corporate Crime Reporter Brian M. Downing Ron Jacobs George Bisharat Nicole Colson Bruce K. Gagnon Website of the Day
June 5, 2007 Michael Neumann Jonathan Cook David Vest Robert Fantina Hoffman, Parsneau and Chowdhury John V. Walsh Richard Cretan Adam Engel William S. Lind Myles Hoenig Jim Minick Website of
the Day
Nizar Latif Diana Johnstone Gregory Wilpert Paul Watson Susan Rosenthal,
MD Richard Ward Eva Liddell Zahi Khouri Evelyn Pringle China Hand Karyn Strickler Website of the Day
June 2 / 3, 2007 Alexander Cockburn Marc Levy Martin Smith Diana Johnstone John Ross Uri Avnery Sunsara Taylor Richard Neville P. Sainath Missy Comley
Beattie Nisrine Abiad Rannie Amiri Margot Pepper Eric Stewart Ralph Nader Dan Bacher Shaun Harkin Richard Rhames Frederick Hudson Poets' Basement Website of the Weekend
Dave Marsh Saul Landau David Phinney Robert Jensen Stanley Heller Yifat Susskind Robert Weissman Paul Buchheit William S.
Lind Sherwood Ross Stephen Lendman Website of the Day
Robert Bryce Patrick Cockburn Gary Leupp Kathy Kelly Marjorie Cohn Chris Kutalik
Corporate Crime Reporter Dave Lindorff Website of the Day
May 30, 2007 James Ridgeway Franklin Lamb Terrence E. Paupp Uri Avnery Alan Maass Rock and Rap
Confidential Ralph Nader Nirmal Ghosh Jean Daniels Tom Barry Website of the Day
Stephen Soldz Eliza Ernshire Ron Jacobs Dave Lindorff Evelyn Pringle Mike Whitney David Swanson John Holt Cynthia McKinney Martha Rosenberg Website of the Day
Bill Quigley Col. Dan Smith Cindy Sheehan Dr. Susan Block Jeeni Criscenzo Douglas Valentine Website of the Day 
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June 27, 2007 Two Models of Health Care RationingSick and SickerBy Dr. SUSAN ROSENTHAL, M.D. Everyone knows that Canadians live longer and have lower infant mortality rates than Americans. In Sicko, Michael Moore suggests that a Canadian-style medical system would solve this problem. Surprisingly, the evidence indicates that it would not. A cross-border team of 17 researchers (including high-profile supporters of the Canadian system) examined a variety of medical problems, including cancer, coronary artery disease, chronic illness and surgical procedures. With the single exception of end-stage kidney disease, where Canadian patients fared better, they found no consistent difference in patient outcomes between the two nations.1 As I have argued elsewhere, the United States has the worst health statistics in the industrialized world because it is the most unequal society in the industrialized world.2 Although Canada's medical system does not produce generally better patient outcomes, it is more equitable and far more economical. In 2003, the average American spent almost twice as much for medical care as the average Canadian. Exorbitant medical bills are a constant worry and a major cause of personal bankruptcy. Profit-taking is responsible for the high cost of American medicine. However, the Canadian system is also subject to market forces. Contrary to popular belief, Canada does not have a single-payer medical system. Government pays about 70 percent of medical costs, including most hospital and physician care. Individuals and private insurance companies pay the remaining 30 percent for prescription drugs, dental and vision care, ambulance, medical devices, home care and other services. To contain costs, both the United States and Canada ration medical care, but they do this in different ways. In the U.S., more than 47 million people have no medical insurance at all. The Institute of Medicine estimates that 18,000 people die every year as a result. In Canada, lack of access is more equitably spread across the population in the form of long waits for assessment and treatment. We don't know how many Canadians die while waiting for treatment, because no one is counting the bodies.3 The Canadian model of rationing is sick, and the American model is sicker because it unfairly discriminates against those who cannot pay. Neither is good enough. Medical care is a human right and should not be rationed at all. Disgust with the American medical system has built support for HR 676--The United States National Health Insurance Act--a single-payer system where medical care would be publicly financed and privately delivered. Winning HR 676 would be a tremendous victory. However, the Canadian experience shows that private delivery of medical care opens the door to parasitical profit-taking.
Until the 1960's the American and Canadian medical systems were nearly identical. Those with the highest incomes obtained the lion's share of medical services even though those with the lowest incomes experienced the most illness. The logical solution was a government-run system to provide medical care for all, but doctors and private insurers rejected what they called "state medicine and socialism." During the upturn of the 1960s, the pressure grew for universal health care. To contain demand, the federal government launched a Royal Commission to "study" the problem. The Canadian Labour Congress (CLC) made its preference clear.
The public-service model, where government is both payer and provider, was rejected. Instead, the Medical Care Insurance Act of 1966 established a publicly-financed system that would be administered and delivered by the private sector, "free of government control or domination." The province of Quebec took a different route. Pressured by workers' demands that culminated in the 1972 General Strike, Quebec incorporated medical services into a broad social benefits system, paid for and provided by the provincial government. The Quebec working class is rarely credited for producing the most comprehensive medical system in North America.
The ink was barely dry on the Medical Care Insurance Act before the federal government began cutting funds for health and social services. The 1974 recession and the recessions of the early 1980s and the early 1990s were followed by deeper cuts. As the cost of medicare was downloaded from the federal government to the provinces, the principle of equal access was eroded. Private corporations rushed into the breach created by under-funding. The more medical services were removed from the public realm, the more individuals had to pay out of pocket, purchase insurance to cover the gap or go without. To reassure nervous Canadians that medicare was safe, the Canada Health Act of 1984 guaranteed universal and equal access to medical services, but provided no funds to make this possible. Behind the scenes, government was committed to "growing" the private medical industry. In 1994, the Ontario government concluded, "To have the effective launching pad it needs, the health industries sector must expand its share of its own home market. Steps must be taken to ensure that, as in other countries, the domestic market supports the development of globally competitive companies." One of these steps was to eliminate regulations mandating a minimum level of daily care for Ontario nursing-home residents. In 1997, the federal government declared "Promoting Canadian companies as global health-keepers is the main objective driving the strategies and plans of the government for the medical devices, pharmaceutical and health-services sector."5 And in 2004, Canada's Supreme Court ruled that, "The Canada Health Act [does] not promise that any Canadian will receive funding for all medically required treatment." Behind the mask of "health-care reform" and "restructuring," the Canadian medical system has been handed, piece-by-piece, to private industry in a manner similar to the dismantling of Britain's National Health Service6 --publicly-provided health care is under-funded to the point of crisis, then denigrated for its inadequacies. The private sector is proclaimed the only possible savior, and opponents are ridiculed as old-fashioned and sentimental. When the market fails to deliver, we are told we must adapt to "the new reality." The strongest opposition to this process has come from organized health-care workers. Canadian hospitals, which by law must be non-profit institutions, became a battleground as unionized workers resisted wage cuts and contracting-out of housekeeping, information systems, food preparation, laboratory and other services to private, non-union companies. In 1981, Ontario hospital workers launched a province-wide strike, defying back-to-work legislation and the jailing of union leaders. Unwilling to broaden its challenge to neoliberal social policy, the union caved and the strike was defeated. Most small, local hospitals were closed. Those that remained open were merged into giant conglomerates managed by business consultants. Privatization has decimated services. Families stagger under the burden of sick, injured and frail relatives who were previously cared for in hospital, rehabilitation and chronic-care facilities. In-home nursing care is scarce or pricey. Tens of thousands of hospital nursing jobs have been eliminated at the same time that average hospital stays have been cut, so that fewer nurses care for much sicker patients. Hospital food lacks nutrition and infectious diseases plague hospitals that are no longer clean.7 As hospital out-patient clinics closed, patients were sent to family doctors (GPs) for follow-up. The downloading of medical services has created a crisis at the primary-care level. By 1998, 62 percent of Canadian physicians reported that their workload was too heavy, and more than half said that their family and personal life were suffering. By 2000, only 39 percent of Ontario GPs were accepting new patients. By 2006, fewer than 10 percent were accepting new patients. People typically wait months to see a specialist and more months for treatment. Patients grow sicker and die while they wait. Quebec's model health-care system has been damaged severely by funding cuts. In 2005, Canada's Supreme Court ruled that lack of timely access to treatment in Quebec was serious enough that the province could no longer prohibit private funding for medically necessary services. Similar legal challenges are expected in the other provinces. Unless the public system is resuscitated with a major transfusion of funds, it's only a matter of time before private hospitals begin servicing those who can pay to go to the front of the line. Ironically, while Americans long for a Canadian-style medical system, that system is disintegrating under the pressure of market forces.
The capitalist class will pay anything to defend and extend its power. No ceiling has been set on spending to win the war for Middle-East oil. In contrast, there is fierce resistance to funding any services for workers beyond the minimum required to keep them productive. As the competition for capital increases, most governments are reducing their investment in health, education and social services --robbing the public sector to boost the profitability of the private sector. No nation and no medical system are immune to the relentless drive for profit. The American medical system will be reformed. Ordinary people want medical services. Business complains that the cost of medical benefits is hurting their profits and global competitiveness; they want to transfer these costs to the public sector. Because Americans pay almost 90 percent more per-capita on medical care than Canadians do, rationalizing the medical system would offer fantastic cost savings. The real question is how it will be reformed. The key demand is for affordable medical care. With almost 60 percent of the American workforce making less than $15 an hour, affordable care would have to be free. That shouldn't be a problem. A nation that can find the money to pay for war can find the money to pay for universal health care --in theory. In practice, capitalism prioritizes cost-efficiency over human need by "industrializing" social services. The work of medicine is dissected into components that are individually priced and parceled out. The profitable parts are handed to the private sector and the unprofitable portions remain in the public realm or are abandoned altogether. While applying industrial methods to medicine is cost-effective from a business point of view, it fragments health care. Planning health services to meet population needs and integrating prevention and treatment, hospital and community care become impossible. Winning HR 676 would be a definite step in the right direction. However, we need to go further. Eliminating profit from the medical system requires public financing and public delivery of services (socialized medicine). More than that, all health and social services must be provided as a human right --fully funded, fully integrated and with no rationing. If capitalism cannot meet these basic needs, then we need to construct a socialist society that can. Dr. Susan Rosenthal has been practicing medicine for more
than 30 years and has written many articles on the relationship
between health and human relationships. She is also the author
of Striking Flint: Genora (Johnson) Dollinger Remembers the
1936-1937 General Motors Sit-Down Strike (1996) and Market
Madness and Mental Illness: The Crisis in Mental Health Care
(1999) and Power and Powerlessness.
She is a member of the National Writers Union, UAW Local 1981.
She can be reached through her website: www.powerandpowerlessness.typepad.com
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CounterPunch Books of the Crossroads: HOW THE IRISH INVENTED SLANG By Daniel Cassidy  Click Here to Buy! How the Press Failed The Gang's All Here: Judy Miller, Bob Woodward, Rupert Murdoch, Bill O'Reilly...End Times Leaves No Reputation Unstained!  Buy End Times Now! CounterPunch Books! Saul Landau's Bush and Botox World with a Foreword by Gore Vidal  Click Here to Order!  Michael Neumann's Devastating Rebuttal of Alan Dershowitz Grand Theft Pentagon: Tales of Greed and Profiteering in the War on Terror by Jeffrey St. Clair           The Occupation by Patrick Cockburn   Humanitarian Imperialism By Jean Bricmont               CITY BEAUTIFUL By Tennessee Reed        Bruce Springsteen On Tour By Dave Marsh                   |
