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Today's
Stories
March 6-8 , 2009
Alexander Cockburn
Harlots High and Low
Chris Floyd
Tangled Up in Karl
Uri Avnery
Remember Ophira?
Dave Lindorff
Kiss the Banks Goodbye
Mark Weisbrot
The Crisis vs. the Dogma
David Ker Thomson
Against Work
Phil Aliff
Soldier Suicides
Rebekah Ward
Georgia Injustice: Another Young Life Wrecked
Tracey Briggs
How Capitalism Feels in the Head
Dean Baker
Depression Nostalgia?
Wajahat Ali
The Pakistani Monster
David Michael Green
Smart is the New Stupid
David Macaray
The Minimum Wage Revisited
Michael Dickinson
On Financial Fools Day
Susie Day
Line in the Sand
Bob Sommer
Echoes of the Townhouse Explosion
Website of the Weekend
Chimp Torture in Louisiana
March 5 , 2009
James G. Abourezk
This Time It's Mrs. Clinton's Turn
Kathleen and Bill Christison
U.S. Military Aid to Israel
Robert Weissman
Wall Street's Best Investment: Paying for Public Policy
Patrick Cockburn
My Day at the Terror "Charity"
William Blum
Being Serious About Torture...Or Not
Robert Fantina
From Iraq to Afghanistan: Augmentation All Over Again
Saul Landau
The Unseen Crisis
Benjamin Dangl
Striking a Blow Against the Beer Cartel: a Grassroots Victory in Utah
Christopher Brauchli
The New Leaders of the GOP
Website of the Day
The Angola 3: 36 Years of Solitude
March 4, 2009
Marjorie Cohn
Blueprints for a Police State
Mike Whitney
Blowing Up the Economy: How Securitization Lit the Fuse
Ron Jacobs
The Banality of Occupation: the Rand Papers
Ashley Smith
War by Another Name
Joanne Mariner
Obama's War on Terror
Dan Bacher
The California Water Wars: Why It's Not a Conflict Between Fish and People
Mark Engler
Will the Winds of Change Reach El Salvador?
Franklin Lamb
"What's Hezbollah Done for Us Lately?"
Cal Winslow
Slugging It Out in California
David Mandelzys
Apartheid Week
Website of the Day
Guantánamo: the Definitive Prisoner List
March 3, 2009
Conn Hallinan
Ethnic Cleansing and Israel
Fawzia Afzal-Khan
The Long, Dark Night of Pakistan
Brian M. Downing
The Changing Game in Afghanistan
Robert Larson
External Damnation: Companies are Designed for Destruction
Daniel P. Wirt, MD
Single-Payer Health Reform
Russell Mokhiber
Burn Your Health Insurance Bill!
William Loren Katz
Obama, One Ape and Two Newspapers
Kathy Sanborn
The Lazy Man's Guide to the Economic Crisis
Pauline Imbach
A New Start for the World Social Forum?
Christopher Ketcham
The Best Journalism You'll Write is Priceless
Website of the Day
The Surveillance Self-Defense Project
March 2, 2009
Andrea Peacock
A Poisoned Town's Shot at Justice
Paul Craig Roberts
Obama's Budget
Peter Lee
Pakistan Lurches Toward the Abyss
John Blair
Locking Down Big Coal
Peter Morici
Treasury's Flawed Plan for Citigroup
Uri Avnery
10 Ways to Kill Fatah
Michael Donnelly
Resistance to the War on the Wild
Fred Gardner
The Judge Who Ruled Marijuana is Medicine
Sonia Nettnin
Middle East Medical Mission Heroes
Andrew Lehman
A New Deal for the Web
Website of the Day
Pentagon Papers II?
Feb. 27 - March 1, 2009
Alexander Cockburn
Is Nancy Pelosi Really Against War Crimes?
Harry Browne
Where the Cheats Have No Shame
Anthony DiMaggio
From Bush to Obama:
Seven Years of Wartime Propaganda
Sasan Fayazmanesh
Dennis Ross and Iran: the Fox and the Chicken Coop
Mischa Gaus
The Banks' War on Workers
Felice Pace
The Economy and the Big Picture
Mike Whitney
Is Free Market Capitalism Possible Without Accountability?
Lee Sustar
Blaming the Autoworkers
Peter Lee
The Other Side of the Coin in Afghanistan
Nicole Colson
Ruining Young Lives for Profit
Roger Burbach
Et Tu, Daniel?
The Betrayal of the Sandinista Revolution
Rannie Amiri
King Abdullah Has No Robes
Missy Beattie
Owning Disaster
Dave Lindorff
America's Stupid Health Care Debate
Robert David Steele Vivas
Intelligence for the President--and Everyone Else
John Ross
Teotihuacan Gets Mickey-Moused
Ralph Nader
Civic Heroism Awards
Yves Engler
Haiti's Harsh Realities
Alan Farago
The Story of Leonard Abess, Banker
Zulfikar Majid
Understanding Kashmir
David Yearsley
Don't Stay Up Too Late, Johan!
Charles R. Larson
Sleeping with Dogs
Kim Nicolini
Spitting at Dark Times: Mike Leigh's "Happy-Go-Lucky"
Lorenzo Wolff
So You Wanna Be a Garage Rock Star
Poets' Basement
Puthoff, Payne, Gaffney and Gray
Website of the Weekend
Sleep Now in the Fire
February 26, 2009
Dave Lindorff
Obama's Address to Congress
Jonathan Cook
Israel's Military Mephistopheles
Patrick Cockburn
Did the US Learn Anything in Iraq?
Mike Whitney
The Geithner Put
Eamonn McCann
"Make Bono Pay Tax"
Tim Wise
Eric Holder and the Whitewashing of Racism
Tom Barry
Napolitano's Hard Line
Harvey Wasserman
Obama's Excellent Atomic Omission
Adam Turl
The Enemies of Unions and the Lies They Tell
David Macaray
When People are Fired Illegally
James McEnteer
Rush to the Rescue: Limbaugh's Secret Plan to Save the Economy
Website of the Day
The Carbon Casino
February 25, 2009
Chris Sands
Afghanistan: Chaos Central
M. Shahid Alam
Israel in 1948: Poised for Expansion
Chris Floyd
Obama's Non-Withdrawal Withdrawal Plan
Dave Lindorff
Wall Street and Bernanke: the Blind Leading the Blind
Norman Solomon
The Slow Pullout Method
Rachel Godfrey Wood
Neoliberals Do The Amazon
Niranjan Ramakrishnan
Teacher and Student: the New Class Struggle
Ron Jacobs
It Ain't Over Till It's Over
Nadia Hijab
The First Waltz
Dennis Loo
The Water Line
Website of the Day
Hitchens Gets Stomped by Syrian Nerd
February 24, 2009
Paul Craig Roberts
How the Economy was Lost
Uri Avnery
Coalition Theory
Peter Morici
Is Nationalization Inevitable?
Jonathan Cook
Arab Parties Face Most Hostile Knesset in History
Paul Fitzgerald /
Elizabeth Gould
The Man Who Shouldn't be King (of Afghanistan)
Andy Worthington
Who is Binyam Mohamed?
Brian Horejsi
Crisis Creates Hope for Reality
Julia Stein
I was a Writer for the Government
Norm Kent
How Judges Disgrace the Bench
Rachel Smolker /
Brian Tokar
Biofuels, Promise or Threat?
Dennis Loo
The Water Line: Doing What Must be Done
James McEnteer
The Oscar for Denial
Website of the Day
How to Destroy a Fox News Anchor
February 23, 2009
Michael Hudson
The Language of Looting
Mike Roselle
On Cherry Pond: Going Up Against Big Coal in W. Virginia
Patrick Cockburn
The New War in Iraq
Franklin Spinney
Obama Steps on the Pentagon Escalator
Einar Már Guðmundsson
A War Cry From the North
Ralph Nader
How Credit Unions Survived the Crash
Jordan Flaherty
A New Orleans Intifada?
Helen Redmond
Ted's Table: Kennedy and the Corporate Lobbyists Craft a Health Plan
Dennis Loo
The Water Line
Harvey Wasserman
Jet Crashes and Nuclear Reactors: Feds Ignore a Serious Risk
Terry Lodge
The Intelligence is Wrong
Website of the Day
BadCreditReport.Com
February 20 / 22, 2009
Alexander Cockburn
The Lawyer's Tale
Michael Neumann /
Osha Neumann
Remove Our Grandmother's Name from the Wall at Yad Vashem
Ismael Hossein-zadeh
Herbert Hoover Copycats
Paul Craig Roberts
Bill of Rights Under Fire
Linn Washington Jr.
The NY Post's Chimpanzee Cartoon
Saul Landau
On the Road Again
Marjorie Cohn
War Criminals Must be Prosecuted (And Their Lawyers Too)
Binoy Kampmark
Cricket and Cartels: the Fall of Sir Allen Stanford
Dave Lindorff
Using the Recession to Hammer Workers
David Yearsley
Edward Said's Greatest Musical Writings
David Macaray
A Closer Look at the Employee Free Choice Act
James McEnteer
Last Mambo in Minnehaha
Rick Salutin
A Canadian Looks at Obama
Wayne Clark
South Carolina Nears the Abyss
Richard Rhames
Got Farms?
Stephen Martin
Silver Mist Descending
Mitu Sengupta
Slumdog Millionaire's Dehumanizing View of India's Poor
Charles R. Larson
Slumdog Reality?
Richard Morse
Carnival Ramble in Haiti
Lorenzo Wolff
Desperation in an Unavoidable Groove
Poets' Basement
Three Poems of Tu Fu (Trans. K. Rexroth)
Website of the Weekend
Ron Paul: What If the People Wake Up?
February 19, 2009
Norman Finkelstein
The Cleanser: Lobbyists Whistle Up Cordesman to "Prove" Israel Waged a Clean War in Gaza
Harry Browne
How Ireland Went Bust
Robert Bryce
Why the Promise of Biofuels is a Lie
Brian M. Downing
The Winding Road:
From Western Europe to Kyrgyzstan
Fred Gardner
The DEA Chief's $123,000 Flight
Andy Worthington
Obama's Uighur Problem
Wajahat Ali
Aftermath of a Beheading
Laura Carlsen
A New Attitude at the White House Toward Bolivia and Venezuela?
Deb Reich
Gaza: Choose Life!
Christopher Ketcham
Crisis? What Crisis?
Website of the Day
Taking Back NYU
February 18, 2009
Paul Craig Roberts
President of Special Interests
Mike Whitney
Trouble at Treasury
M. Shahid Alam
Afghan Pitfalls
Patrick Cockburn
A Real Surge at Last
Conn Hallinan
Death's Laboratory
Dave Lindorff
Whatever Happened to Antitrust?
Rannie Amiri
The Perils of Blogging in Egypt
Gareth Porter
Pushing Back Against Petraeus on Pullout Risks
Eric Hobsbawm
Remembering V. G. Kiernan
Christopher Brauchli
The Pope's Predicament
Martha Rosenberg
It's the Cymbalta Stupid
Website of the Day
Red Gold
February 17, 2009
Michael Hudson
The Oligarchs' Escape Plan
Mike Whitney
The Global Ditch
Ralph Nader
The One-Dimensional Congress
Joanne Mariner
Benchmarking Obama: How to Evaluate the New Administration's Counter-Terrorism Policies
John Ross
Commodifying the Revolution: Zapatista Villages Become Hot
Tourist Destinations
Belén Fernández
The Venezuelan Referendum From the Back of a Pickup Truck
Mats Svensson
Who is a Terrorist?
David Macaray
Why America Needs Labor Unions
Gregory Vickrey
$400 in Change
M. Junaid Levesque-Alam
Another Hamastan?
Michael Dickinson
Unrest in Istanbul
Website of the Day
Take a Stand for Open Access
February 16, 2009
Patrick Cockburn
Iraq Reconstruction: the Greatest Fraud in US History?
Oscar Guardiola-Rivera
The Truth About Colombia's New Emperor
Paul Craig Roberts
Who Remembers Guns and Butter?
Uri Avnery
Livni's Bitter Options
P. Sainath
The Meltdown: Whose Crisis Is It?
Dedrick Muhammad / Michael Brown
White Recession, Black Depression
Carla Blank
A New New Deal for the Arts
Patrick Irelan
Venezuela Ends Term Limits
Dan Bacher
Is Delta Pumping Driving Salmon and Orca Decline?
Fidel Castro
Chavez's Clarion Call
Harvey Wasserman
Hail to the Spleef: Did George Washington Smoke Pot?
Website of the Day
Mining Black Mesa
February 13 - 15, 2009
Alexander Cockburn
On the Rocks
Joshua Frank
The Myth of Clean Coal
Mike Whitney
Geithner's Coming Out Party
George Ciccariello-Maher
Venezuela's Term Limits: More Hypocrisy From the NYT
Nikolas Kozloff
Venezuela Beyond the Referendum
Brian M. Downing
Pakistan on the Brink
Paul Craig Roberts
Deficit Nonchalance
Christopher Ketcham
Israel's Ball Boys
Ron Jacobs
At a Campus Sit-In Against Israeli Occupation
Dave Lindorff
Why Can Judd Gregg See What Obama Can't?
Alan Maass
Lincoln at 200
Chuck Spinney
Grassley Sounds Off on Obama's Man at the Pentagon
Phil Gasper
Mr. Darwin's Reluctant Revolution
Stephen Lendman
A Short History of Business Handouts
Charles Thomson
Tate Cruises: Caveat Emptor on the High Seas
Kathy Sanborn
The Suicide Rush
Saul Landau
Bowled Over
Len Wengraf
The Nightmare in Somalia
Harvey Wasserman
Striking a Blow Against Nuclear Power
David Macaray
An Easy Call for Obama on Joining a Union
Tom Stephens
Four Freedoms, Four Changes
Seth Sandronsky
Lincoln and the Collective Mind
David Yearsley
On the Road Again
Lorenzo Wolff
Freaking Out With Danny Barnes
Kim Nicolini
The Body of the Worker: What "The Wrestler" Says About the State of America
Poets' Basement
Anderson, Buknatski and French
Website of the Weekend
The Iranian Revoution and the US Dual Containment Policy: a Presentation
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Weekend Edition
March 6-8 , 2009
The Doctor's Dining Room Chronicles
Remove the Handle From the Health Insurance Misery and Death Pump
By DANIEL P. WIRT, MD
Dear Dr. __________:
With regard to our conversation in the doctor’s dining room today, I’d like to make the following comments.
The portion of GM’s $1500 per vehicle cost for health care (Modern Healthcare 35:14, 2005) that is attributable to current workers versus retirees is irrelevant if you believe, as I do, that universal health care is one of the elements of true health care reform. I don’t care if it’s a current GM worker or a GM retiree receiving a health care benefit; frankly, I want them both to have good health care. I care about the vast waste and greed in the U.S. system for financing health care that is the proximate cause of the large health care price tag on GM cars. The high cost per vehicle is not because blue collar workers are getting an unearned or undeserved benefit. Japan provides universal health care --- including both current Toyota workers and Toyota retirees --- and Toyota’s health care cost per vehicle is $97. A wide range of U.S. businesses suffer in competitiveness compared to those in countries with cost-effective health care systems.
I believe that a truly reformed health care system must be universal, equitable, comprehensive, affordable, preventative, accountable (have effective public oversight) and evidence-based. All other industrialized countries have some form of universal health care and spend far less --- about half as much per capita --- than the profoundly dysfunctional U.S. system. Americans already pay for universal health care, but don’t get it --- taxpayers already pay for 60% of all health care costs in the U.S., and this amount is more than total costs in other industrialized countries, except Switzerland (on a per capita basis; Health Affairs 21:88, 2002). The U.S. ranks poorly in terms of outcomes: out of 19 industrialized countries, the United States ranks last in reducing deaths from treatable conditions (Measuring the Health of Nations. Health Affairs 27:58, 2008).
I’m puzzled about your response to my factual description of the administrative waste and inefficiency in the financing side of U.S. health care. I don’t believe that corporate greed in this area must be tolerated. We need not tolerate predatory and parasitic for-profit insurance companies siphoning off more than $350 billion per year. This money provides no health care and is a drain that drives health care costs through the roof and prevents millions from getting needed health care. 59% of U.S. physicians support single-payer national health insurance for financing health care (Annals Internal Medicine, 2008). Poll after poll shows that at least 62% of the U.S. public supports single-payer national health insurance. The public is enthusiastic about publicly funded, privately delivered, expanded and improved Medicare for all --- they understand that this reform will enhance real choice (choice of doctor and hospital, not choice of insurance company) and protect them from medical bankruptcy.
As you were leaving, you quoted the Declaration of Independence (“…Life, Liberty and the pursuit of Happiness"), making the point that Thomas Jefferson didn’t specify health care as one of the unalienable rights. Nor did Thomas Jefferson say anything about police and fire protection in the Declaration of Independence. Both police and fire departments are accepted as vital public services (which, of course, are public on both the financing and delivery sides). When your house is on fire, the fireman does not ask for your insurance information or ask if you’ve paid your service subscription. Certain services, including police protection, fire protection and health care insurance are clearly integral to “life, liberty and the pursuit of happiness” and are appropriately in the public domain. The market is appropriate for auto insurance and microwave ovens, but it has been a miserable failure in a vital, non-discretionary area such as health care insurance. About 18,000 American adults die unnecessarily every year due to lack of insurance (Institute of Medicine study in 2002; the number is currently about 22,000 per year). The corporate health insurance industry bears proximate responsibility for these deaths, hundreds of thousands over the years that the foxes have been in the henhouse. Incidentally, Thomas Jefferson apparently borrowed the phrase from the English writer John Locke, who said "no one ought to harm another in his life, health, liberty, or possessions.” Jefferson considered Locke to be one of “the three greatest men that have ever lived”. John Locke clearly recognized the central importance of health. In any case, it is clear that Jefferson was not being exclusive in his list of unalienable rights: “…certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” (emphasis added).
My response to your citation of Thomas Jefferson and the Declaration of Independence was to say, “health care is either a commodity that is based on ability to pay or it is based on need”. I would like to add: Doctors and hospitals are increasingly fed up with the current system. Increasingly, both realize that treating health care as a commodity that some can afford and others cannot --- apportioned based on profit motive and the ability to pay, rather than need --- is the most irrational and inhumane form of rationing and interferes with their mission of providing high-quality, compassionate, evidence-based, necessary health care to patients, while still maintaining adequate operating budgets, capital budgets and incomes for health care providers and administrators.
This is not “pie in the sky” utopian ideation. We’ve had a giant experiment in the U.S. since the end of World War II, with the rest of the industrial world acting as a control. The data and evidence are clear: to a scientific certainty, only a single-payer system of health care financing will solve the serious problems and achieve high-quality, comprehensive and affordable health care for all Americans. The cherry picking of the risk pool by “insurance” companies and their denial of claims in order to maximize profits profoundly harms millions of Americans. We should follow the example of John Snow, M.D. (1813-1858), who took the pump-handle off the Broad Street pump in order to stop a cholera epidemic --- let’s take the handle off the Health Insurance Misery and Death Pump, ban the parasitic middlemen and stop this epidemic.
Sincerely,
Daniel P. Wirt, M.D.
Daniel P. Wirt, M.D. is a Pathologist, Houston, Texas and member of Health Care for All Texas and member of Physicians for a National Health Program. He can be reached at: boojum@wt.net
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