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FOCUS: The 5 Biggest Lies Joe Biden Is Telling About Medicare for All Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=51192"><span class="small">Tim Higginbotham, Jacobin</span></a>   
Friday, 19 July 2019 11:00

Higginbotham writes: "Joe Biden keeps lying about Medicare for All and won't stop anytime soon - he has to, to sell his own Bidencare plan. But Medicare for All will always win on the merits."

Joe Biden pauses as he speaks during the AARP and Des Moines Register Iowa Presidential Candidate Forum at Drake University on July 15, 2019, in Des Moines, Iowa. (photo: Justin Sullivan/Getty)
Joe Biden pauses as he speaks during the AARP and Des Moines Register Iowa Presidential Candidate Forum at Drake University on July 15, 2019, in Des Moines, Iowa. (photo: Justin Sullivan/Getty)


The 5 Biggest Lies Joe Biden Is Telling About Medicare for All

By Tim Higginbotham, Jacobin

19 July 19


Joe Biden keeps lying about Medicare for All and won’t stop anytime soon — he has to, to sell his own Bidencare plan. But Medicare for All will always win on the merits.

ver since Joe Biden kicked off his 2020 presidential campaign by attending a big-dollar fundraiser with a major health insurance CEO, it was clear that he would define his health care platform in direct opposition to Medicare for All. The release of his underwhelming BidenCare plan brings no surprises on that front.

Rather than highlighting his plan’s policy specifics, Biden is spending the week of its launch attacking Bernie Sanders’s Medicare for All bill. Parroting insurance industry talking points, Biden told a number of lies about the single-payer proposal in a campaign speech and in his BidenCare announcement video: he claimed Medicare for All will throw millions off of their insurance, scrap Obamacare, end Medicare as we know it, cause a hiatus in coverage, and cost more than his own plan.

In response, Sanders’s campaign added a short quiz to their website asking visitors to attribute lies about Medicare for All to either Biden, Donald Trump, Mitch McConnell, or United Health CEO David Wichmann. (It’s a tough quiz. I follow these things closely and only scored four out of six.)

With their shared lies, Biden, Trump, and McConnell are operating directly out of the insurance industry’s playbook. Remarkably, over the last few years, Medicare for All has grown from a fringe idea to a mainstream demand supported by a heavy majority of voters. Its opponents understand that the more people learn about what Medicare for All truly means the more popular it becomes. Should the public gain a wide understanding of its benefits, other plans won’t be able to stack up.

Biden’s plan, for example, looks foolish in comparison. It will keep employees’ insurance at the mercy of their employers, leave ten million uninsured and tens of millions underinsured, and maintain prohibitive out-of-pocket costs while preserving a fundamentally broken system. Medicare for All, on the other hand, will solve all of these problems by implementing a single, public program that guarantees comprehensive care to everyone, free at the point of service, from the cradle to the grave.

Simply put: Medicare for All is so good that Biden has no choice but to lie about it.

Let’s examine some of his most recent lies with a Glenn Kessler-style Pinocchio rating system.

Biden’s lie: “Medicare goes away as you know it. All the Medicare you have is GONE.”

Verdict: 100 Pinocchios

This is Biden’s boldest and most duplicitous lie. It’s also one that comes straight from a Donald Trump op-ed. Medicare for All, as its name suggests, will not eliminate Medicare but rather expand it to every US resident. The only parts of the program that will go away are the private supplemental plans seniors are currently forced to buy.

Medicare for All will instead make the public plan comprehensive by adding dental care, hearing aids, vision care, and more to its list of covered items — and it will do this while eliminating all co-pays, premiums, and deductibles. BidenCare, on the other hand, will continue denying seniors needed coverage and charging them for care.

Biden’s lie: “How many of you out there have had someone you’ve lost to cancer? Or cancer yourself? No time… We cannot have a hiatus of six months, a year, two, three, to get something done.”

Verdict: Really confusing. 80 Pinocchios

Biden is of course correct that we cannot have a hiatus of six months to three years during which cancer patients are unable to receive care. Fortunately, there will be no such hiatus with Medicare for All. Biden is pulling this idea out of thin air. (Also, does anybody really think that Bernie is pushing for a health care system that would suspend all cancer treatment? Biden might as well accuse Sanders of proposing Medicare for All death panels.)

Sanders’s Medicare for All bill has a four-year transition period during which nobody will lose coverage. The transition will add new age groups to Medicare until every US resident is on the program in the fourth year, and it will create a public option (far more generous than Biden’s) that people can join in the meantime. The program’s list of covered items will expand in the very first year, ensuring that from the get-go people will have far better coverage than they ever would under BidenCare.

Biden’s lie: “How many of you like your employer based healthcare? Do you think it was adequate? Now if I come along and say you’re finished, you can’t have it anymore, well that’s what Medicare for All does. You cannot have it. Period.”

Verdict: Technically true, but very deceptive. 20 Pinocchios.

Everyone should watch the video in which Biden says this. When he asks if they liked their employer-sponsored care, about ten people in a very crowded audience raised their hand. This is, of course, because nobody has fond feelings toward their private insurer, and most seniors (it was an AARP crowd) are happy to finally be on Medicare.

Biden is attempting to convince you that Medicare for All will rip millions of people from their beloved private plans, causing untold disruption. It’s very similar to recent arguments made by Nancy Pelosi and Mitch McConnell.

These arguments are absurd. In reality, Medicare for All will introduce real stability by guaranteeing lifelong public insurance to everyone, ensuring that nobody loses coverage ever again. It will rescue people from a system in which employers dictate their employees’ coverage.

Having health care tethered to employment is an extremely volatile arrangement — as Matt Bruenig notes, one in four people on employer-sponsored plans are thrown off their insurance each year. Biden is technically correct that people won’t be able to have employer-sponsored insurance once Medicare for All is won — but the truth is that’s a very good thing.

Biden’s lie: “I understand the appeal of Medicare for All. But folks supporting it should be clear that it means getting rid of Obamacare, and I’m not for that.”

Verdict: 50 Pinocchios

Obamacare did a couple of very good things: it expanded Medicaid eligibility to millions more people and improved coverage by mandating a set of essential benefits. Medicare for All doesn’t do away with either of these things. In fact, it improves upon them by bringing the entire country into a public insurance program that fully covers all medically necessary care.

Biden might as well be warning that winning a beautiful new car will mean getting rid of your busted ‘95 Taurus. Medicare for All is superior to Obamacare in every way. It will cover everyone, eliminate out-of-pocket costs, put an end to the phenomenon of “Medicaid envy” (where people on the wrong side of an arbitrary income cutoff lose eligibility for Medicaid), and give patients total freedom of choice in doctor and hospital.

If anyone loves Obamacare, it’s because it gave them some small monetary reprieve or coverage that they lacked before. Medicare for All will help them even further by erasing all out-of-pocket costs and giving everyone comprehensive coverage.

Medicare for All doesn’t “get rid of” Obamacare; it replaces it with a far better system.

Biden’s lie: BidenCare is “the best way to lower costs and cover everyone.”

Verdict: 200 Pinocchios

This gets 200 Pinocchios because it’s actually two lies: that BidenCare is the best way to lower costs, and that it’s the best way to cover everyone.

The latter is Biden’s funniest lie because it directly contradicts the details of his own plan. While every other Democrat is running on support for universal health care, Biden makes clear right on his website that his plan will only cover 97 percent of Americans.

Assuming that number is correct, nearly ten million people will remain uninsured and 125,000 will die due to lack of insurance in the first ten years. It’s therefore a little audacious to say the plan will cover everyone.

BidenCare will lower costs somewhat for patients. It caps an employee’s premiums at 8.5 percent rather than 9.86 percent, while also making more people eligible for gold plans, meaning lower deductibles. But it’s important to understand that under BidenCare, people will continue to be saddled with thousands of dollars in out-of-pocket costs and regularly drained by expensive premiums. Only Medicare for All will get rid of these costs.

In terms of overall health care spending, BidenCare will cost $750 billion over a decade. This is on top of current spending, which is projected at $42.9 billion over the next ten years. Medicare for All will cost trillions less.

Biden is going to keep lying about Medicare for All — he has to in order to sell his own plan. But Medicare for All will always win on the merits, and supporters should correct the lies being spread about it whenever they encounter them. Sanders is doing his part by tirelessly advocating for his bill and confronting Biden’s lies head on, but he cannot take this fight on alone.

Every Medicare for All supporter should stand up and join the conversation. There are too many lives at stake — not to mention too many Pinocchios — not to.

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RSN: Progressive Masquerading Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=63"><span class="small">Marc Ash, Reader Supported News</span></a>   
Friday, 19 July 2019 08:18

Ash writes: "The easiest state in America for a Progressive to get elected is California. It's also a political environment rife with Progressive imposters."

California's governor Gavin Newsom and Sen. Kamala Harris with Jennifer Siebel Newsom at an event in 2018. (photo: Jay L. Clendenin/Los Angeles Times)
California's governor Gavin Newsom and Sen. Kamala Harris with Jennifer Siebel Newsom at an event in 2018. (photo: Jay L. Clendenin/Los Angeles Times)


Progressive Masquerading

By Marc Ash, Reader Supported News

19 July 19

 

he easiest state in America for a Progressive to get elected is California. It’s also a political environment rife with Progressive imposters.

California, like the US federal government, is besieged by special interests. Typically businesses and interests looking to enrich themselves and their investors. Those entities are most often represented by lobbyists who get paid well to convince lawmakers to create laws and policies that are profitable to their clients.

California voters since the 1960s have become increasingly progressive. They want change, social justice, racial justice, environmental justice, women’s reproductive justice and, as they say in California’s working class neighborhoods, plain old justice justice — the core idea of progressivism being movement away from corrupt policies and toward social progress.

But little changes

California, like the US federal government, is quite corrupt. Policies ingrained over decades to benefit specific industries do so year after year regardless of who gets elected.

Typically the candidates campaign on a progressive agenda and then just accept the status quo once in office. The big donors understand this will be the case and back the candidates most likely to follow the script.

California is also a trendsetter. The progressive drift in national Democratic politics now mirrors the left-coast trend. Bernie Sanders broke the ice with his break-out progressive presidential run in 2016, which set the stage and the agenda for what we now see unfolding in the 2020 Democratic nominating campaign: Progressives and those masquerading as Progressives leaping onto the stage, California style.

Who will do what they say they will do?

The problem obviously is the danger of being fooled again and again and again. What to do? In a word, pick real Progressives. Sounds easy, but how to separate the dedicated Progressive leaders from those seeking cheap political currency?

The easiest and most reliable way to predict what political leaders will do in the future is to carefully consider what they have done in the past. Sanders and Warren have by far the most verifiable and dependable progressive credentials in the Democratic nominating race. Sanders’s platform from 2016 was so effective, in fact, that most of the Democratic contenders have adopted his positions entirely or in part.

The difference with Sanders and Warren is that you know what you will get, you know what they will do. Sanders appears to have a bit better traction in terms of implementing change, due mostly to his very effective off-season organizing efforts. Warren has the legacy of her role in creating the Consumer Financial Protection Bureau under President Obama, who to his credit energetically supported her efforts.

In short, if you are thinking about voting for a Progressive, do your homework ... and pick a Progressive.

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Marc Ash is the founder and former Executive Director of Truthout, and is now founder and Editor of Reader Supported News.

Reader Supported News is the Publication of Origin for this work. Permission to republish is freely granted with credit and a link back to Reader Supported News.

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How to Lose the Rule of Law Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=51191"><span class="small">Mary Ellen O'Connell, Lawfare</span></a>   
Friday, 19 July 2019 08:18

O'Connell writes: "In the United States the rule of law is not a luxury; it is the very definition of who we are."

A member of the military walks the grounds of the National 9/11 Pentagon Memorial. (photo: AP)
A member of the military walks the grounds of the National 9/11 Pentagon Memorial. (photo: AP)


How to Lose the Rule of Law

By Mary Ellen O'Connell, Lawfare

19 July 19

 

t’s been almost 20 years since 9/11 and the declaration of a “war on terror.” That “war” didn’t rid the world of terrorism, but it did fundamentally alter perceptions of lawful and moral conduct in foreign affairs. The use of torture, indefinite detention, government surveillance, assassination and other crimes in the name of American security led to widespread political and scholarly condemnation—but no longer. Rebecca Sanders investigates why Americans so swiftly abandoned bedrock legal norms in her insightful book Plausible Legality: Legal Culture and Political Imperative in the Global War on Terror.

The United States is uniquely dependent on the rule of law. It was founded as a nation under law, not the rule of a monarch or a political institution. The founders hypothesized that law could bind a disparate people together, one lacking a common history, ethnicity and religion. In the United States the rule of law is not a luxury; it is the very definition of who we are. Sanders, a political scientist at the University of Cincinnati, orients her book around this exact point—the existential importance of law to the United States. She finds that by 9/11 the country had developed a culture antithetical to law, one in which “legal rationalization” has come to dominate. We now value the rhetoric justifying noncompliance as much as, and sometimes more than, compliance.

The book is a wake-up call to this marked deterioration of the country’s founding concept. The erosion in respect for law that it describes becomes rapid with the end of the Cold War. Some lawyers do continue to demand law compliance—consider the lawyers defending prisoners at Guantanamo—but Sanders fears the erosion has gone too far to be corrected. Beyond the acute post-9/11 crimes, she studies the steady weakening of the American commitment to the rule of law in general. Norms “could eventually be undone … through a quiet and unexceptional process of plausibly legal reinterpretation” (168). This is the point of her book. It is a political, sociological and historical analysis, not a legal one.

To unravel how the United States reached this point, Sanders constructs three heuristics based on evidence of certain attitudes toward law in various periods of the nation’s history. All three attitudes are present throughout, but she finds one or the other tended to dominate at certain times. From the founding period to the start of the Cold War, Americans in power engaged in a “culture of exceptionalism.” During the Cold War, the government adhered to a “culture of secrecy,” but when secrecy could no longer be maintained, a culture of “legal rationalization” or “plausible legality” took over.

Sanders’s heuristics are more useful and accessible than typical political science models for analyzing historical and social attitudes toward the law. Political science models tend toward overgeneralizations, as in the prisoner’s dilemma model, or too much detail respecting particular incidents, as with so many models of the Cuban missile crisis. Sanders avoids these problems by focusing on actual events and providing enough historical facts to support her case for a dominant attitude toward law by U.S. foreign policy makers in three periods. She is able to link the identification of these dominant attitudes to the reasons for foreign policy decisions in defiance of law. These heuristics work to open awareness of how government officials sworn to uphold the law could so patently violate it.

Exceptionalism characterizes all periods of American life and helps to explain the attitude that the United States is a superior nation entitled to ignore the rules that bind lesser states. It is an attitude as evident in the first years of the Republic as it was at the end of the Cold War when the country emerged as the sole superpower. It is not, however, the attitude most destructive to the rule of law. Nor is the attitude of secrecy, which is also part of every era. Keeping law violations secret is a form of admission of wrongdoing. “Plausible deniability” was cooked up especially for the Cold War. It fit the culture of secrecy that grew out of a recognition that torture, invasion and assassination would not be tolerated in the human rights era that emerged following the Axis Power’s atrocities in the Second World War. American presidents, therefore, adopted illegal practices but in such a way that allowed plausible deniability.

When the Cold War ended, however, so did the perceived need to keep law violations secret. The Clinton administration dramatically disregarded the U.N. Charter prohibition on the use of force with a 78-day bombing campaign during the Kosovo crisis. It could not be kept secret and was the first major U.S. use of military force since 1945 in which no reference was made to the U.N. Charter to justify the start of the attack. Secretary of State Madeleine Albright is said to have told her British counterpart to get new lawyers if his were making a fuss about violating international law in attacking Serbia. Clinton also ordered the bombing of Afghanistan, Iraq and Sudan on, at best, flimsy justifications. Bombing and missile attacks are hard to hide and that came to include the first use of a drone to carry out an extrajudicial execution by Hellfire in 2000.

By 9/11, classified policies and practices were impossible to keep under wraps. Civil and human rights advocacy groups demanded government transparency, and U.S. officials understood they needed legal cover to avoid the scrutiny of courts and nongovernmental organizations (NGOs) for very public law violations. And they succeeded because both government and academic legal scholars moved U.S. policy from plausible deniability to “plausible legality.” Suddenly Congress and the courts embraced this ideological shift with open arms, caught up in the new culture.

The transition was aided by Bush administration officials expecting scrutiny from liberal human rights lawyers. Administration lawyers moved to provide legal cover with little apparent concern for the normative principles embedded in the substance of rules. Killing outside armed conflict hostilities, holding 800 men and boys captive at Guantanamo, and torturing detainees were all asserted to be lawful. The administration’s lawyers wrote memos, briefs and law review articles. They correctly predicted that the courts, Congress and the public would find their arguments plausible. Within months of 9/11, the United States had replaced plausible deniability with plausible legality.

The approach did not end after Bush’s presidency. Barack Obama signed an executive order ending torture, but he failed to fulfill other U.S. obligations under the Convention against Torture and the Geneva Conventions regarding the prosecution of perpetrators of torture, including lawyers who gave erroneous legal advice. Beyond ending torture, Obama did little. He refused to take on the political cost of ordering Gitmo closed under his commander-in-chief authority, and he dramatically increased assassinations by drone. He personally authorized the extrajudicial killing of a U.S. citizen. To obscure it all, Obama’s lawyers took up the practice of plausible legality in their own memos, articles, briefs, speeches, tweets and blog posts.

Sanders’s critical point is that the plausible legality culture of our times not only led to extraordinary suffering, but it also is uniquely undermining respect for law. The culture of legal rationalization is more destructive than the cultures of exceptionalism and secrecy. If the courts accept absurd definitions of torture, fair trial, imminent attack and zone of armed conflict, why should anyone take any law seriously? Her concern is supported by even more evidence a year after the book went to press. Donald Trump’s lawyers pay little or no attention to the law prohibiting the use of force, extrajudicial killing or indefinite detention. Treaty obligations and Security Council mandates are often deemed inconvenient and given little, if any, consideration.

Disrespect for international law has migrated to disrespect for U.S. law. Colleagues focus now on the risk of losing our democracy (see Aziz Z. Huq and Tom Ginsburg, How to Save a Constitutional Democracy, University of Chicago Press, 2018), but failure to comply with bedrock norms of international law is the first step toward contempt for law in general, including the Constitution.

Reversing the crisis will require a comprehensive approach, and Sanders is justifiably pessimistic over the prospects for success. Getting the United States to end serious international law violations is an almost overwhelming challenge. Much basic knowledge of international law has been lost in the years of plausible deniability and plausible legality. Positivist and materialist legal theory and realist political theory have combined to leave us with no answer to the question, Why obey law that conveys no short-term benefit or detriment? Understanding law compliance for the good of the other has been lost. (I go into detail on the impact of realism on legal culture in a chapter in Karen Greenberg’s forthcoming edited collection, Reimagining the National Security State: Liberalism on the Brink, Cambridge University Press, 2019.)

Sanders touches on realism, exposing the theory’s antipathy for law. But, in my view, as a political scientist she could have gone much further in exploring realism’s impact. Realism is based on Thomas Hobbes’s dark view of human nature. It concludes that only material power matters in international relations. Law is an ideational construct dependent on good faith and belief in the common good. It requires a Grotian understanding of peoples’ basic goodness and capacity for altruism. Sanders considers that liberalism and neoconservatism are the alternatives to realism. They are not. Both “isms” are heavily influenced by realism. The liberalism of the post-Cold War period, which John Mearsheimer calls “liberal hegemonism,” and neoconservatism accept the use of military force regardless of legality to promote their agendas. The only actual theoretical alternative to realism in the Western philosophical canon is the commitment to the rule of law based on fundamental moral principles.

As the United States acquired more material power following the Second World War, George Kennan at the University of Chicago in 1951 was able to open the way for realism’s future dominance when he condemned the traditional “legalism-moralism” of U.S. foreign policy. He produced a slogan that cleared the way for today’s “realism-materialism” as the ideology that led inexorably to the election of Donald Trump and away from, first, international law and, now, the rule of law. For Sanders, Trump’s positions are

striking, not simply because they endorse human rights abuses in the name of counterterrorism, but because they so flagrantly embrace violations of American and international law. … [T]hey point to efforts to push legal culture … toward a culture of exception. President Trump’s hostility to legal norms and judicial review are indicative of an emergent strand of Western politics outside liberal, legalistic rights culture. (153)

China’s emergence as a world leader demonstrates the imperative need to overcome the Trumpian trend. China’s challenge to the U.S. could finally persuade Americans to return to the long-standing commitment to authentic law at home and abroad. Some hopeful indications have emerged with, for example, the resolutions to withdraw from the Yemen civil war and new political interest in environmental protection, arms control, refugee rights and ending inequality. These goals require treaties and other tools of international law.

Sanders is right, however, that “[t]hroughout the global war on terror, American policymakers manipulated law to permit what it should constrain. Forging a national security legal culture that resists this logic is necessary if human rights and humanitarian law are to effectively check human rights abuses in the future” (168). Building a new legal culture of resistance to law violation is a task of revolutionary dimensions. The decline in respect for law to this point took decades. We do not have decades for a turnaround. Sanders’s book pinpoints the problem and provides a concrete and, I believe, doable project: Teach against the dangerous concept of plausible legality. Replace it with renewed understanding of genuine legality and revive the American ideal of legalism-moralism.

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This Was a Fascist Rally Down to Its Bones Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=11104"><span class="small">Charles Pierce, Esquire</span></a>   
Thursday, 18 July 2019 12:40

Pierce writes: "This was a racist speech down to its last dipthong."

Trump rally. (photo: Getty)
Trump rally. (photo: Getty)


This Was a Fascist Rally Down to Its Bones

By Charles Pierce, Esquire

18 July 19


The president* is proud of the monster he has created. He glories in the destruction and the almighty rage.

y now, unfortunately, a 'tween girl at El Caudillo del Mar-a-Lago's little exercise in apartheid cosplay has been hauled into the national spotlight because she happened to be standing behind him when the lizard-brained chant of "send her back" erupted in reference to Rep. Ilhan Omar, a sitting member of the United States Congress. Because of the wizardry of modern video technology, television had zoomed right in on her as she slowly picks up the chant with no apparent enthusiasm. She then became little more than an object lesson. I wish her well. I hope she grows up to be Dorothy Day. I hope she grows up to be Exene Cervenka, if that's what she wants. I hope she grows up happy and at peace with the world. I hope she grows up in a country where incitement-to-riot isn't a net-plus in presidential elections. I hope, but it's getting harder by the hour.

This was a racist speech down to its last dipthong. This was a fascist rally down to its bones. You don't have to be even a casual student of history to recognize that, because, somewhere deep in all of us, is this same angry political Id, this fear and distrust of the other tribe just over the misty mountains. In April, in a cave in the Phillippines, researchers discovered evidence of a new species of ancient hominid, Homo luzonensis. For years now, scientists have discovered that the evolution of human beings was not as straightforward a line as had been thought. There were other species of the genus Homo that never made it this far, either because they were bred out of their distinct existence, or because they were crowded out by a more dominant species.

Whatever ferocious genetic and biological imperatives made Homo sapiens survive long enough to invent frozen yogurt and produce Donald Trump are still there in all of us. We recognize this fact, even if only subliminally. The best of us regard it with a healthy fear as something to be controlled. The worst of us act on it, and other people end up dead. And some of us tease it out of people and do so for their own power and profit, and don't care if they can control the results as long as they get theirs. Poets and novelists have made it their meat for centuries now.

In 1818, Mary Shelley published her Frankenstein Or, The Modern Prometheus. By the end, both man and monster are destroyed. Victor Frankenstein laments:

The form of the monster on whom I had bestowed existence was for ever before my eyes, and I raved incessantly concerning him.

But his creation has the right of it, and understands humanity better than does the man who brought him to life again.

I do know that for the sympathy of one living being, I would make peace with all. I have love in me the likes of which you can scarcely imagine and rage the likes of which you would not believe. If I cannot satisfy the one, I will indulge the other.

The president* has a predator's gift for bringing out the native self-destruction in people for his own profit. What he has done in the last three years has been his masterwork in this regard. He doesn't plague himself with doubt about what he's creating around him. He is proud of his monster. He glories in its anger and its destruction and, while he cannot imagine its love, he believes with all his heart in its rage. He is Frankenstein without conscience.

All of that is going to be on vivid display over the next 18 months or so, just as it was on vivid display Wednesday night in North Carolina. The details are already so well-known as to beggar repeating, but what existed in that hall exists all around us now. As a nation, in our politics, we are both Frankenstein and Creature as one, and the president* seems to be the only one who grasps this basic fact, grasps it well enough to use as both sword and shield. I hope that young girl comes one day to realize fully what happened around her on Wednesday night, and to learn from it and to grow away from it. I hope, but it gets harder by the hour.

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FOCUS: On Medicare for All, Bernie Is Ready to Rumble Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=46703"><span class="small">Meagan Day, Jacobin</span></a>   
Thursday, 18 July 2019 12:14

Day writes: "In 1966, every American citizen over the age of sixty-five received a card in the mail emblazoned with the words 'HEALTH INSURANCE' and an official seal from the federal Department of Health, Education, and Welfare."

Sen. Bernie Sanders introduces the 'Medicare for All Act of 2019' with Sen. Kirsten Gillibrand and Sen. Jeff Merkley during a news conference on April 9, 2019, in Washington, D.C. (photo: Mark Wilson/Getty)
Sen. Bernie Sanders introduces the 'Medicare for All Act of 2019' with Sen. Kirsten Gillibrand and Sen. Jeff Merkley during a news conference on April 9, 2019, in Washington, D.C. (photo: Mark Wilson/Getty)


On Medicare for All, Bernie Is Ready to Rumble

By Meagan Day, Jacobin

18 July 19


Bernie Sanders delivered a major speech on Medicare for All yesterday. He knows who his enemies are: the pharmaceutical companies, insurance companies, and their friends in elected office — and he's spoiling for a fight with them.

n 1966, every American citizen over the age of sixty-five received a card in the mail emblazoned with the words “HEALTH INSURANCE” and an official seal from the federal Department of Health, Education, and Welfare.

The card certified the right of its recipient to health care coverage, funded by progressive taxes. The elderly could no longer work? No problem. They would receive insurance untethered to employment. Many had little savings, and families with few resources. Again, no problem. The coverage would be paid for by all of society, on the basis that every person deserved to lead a dignified and secure existence in their final decades. The program was called Medicare.

On the anniversary of Medicare’s creation, Bernie Sanders is calling for its expansion into a universal and comprehensive public health insurance policy. For over half a century, Medicare has guaranteed millions of people medicine, treatment, and relative peace of mind. Everyone deserves these things, says Sanders, not just older people.

“I want to say a word about this transition,” Sanders said Wednesday, at a speech at George Washington University,

because I hear over and over again from political opponents, from the industry, “It can’t be done.” Stop and think about the year 1965, when Medicare was first introduced. They did not have then the kind of technology that we have right now. They were developing a brand new program, with all of the difficulty that entails. So please do not tell me that… with all of the technology that we have, that we cannot simply over a four year expand a successful program that is fifty-five years old.

Medicare for All is not just an expansion of existing Medicare benefits. As the slogan coined by National Nurses United in reference to Medicare for All goes, “Love it! Improve it!” The program would eliminate co-pays, premiums, and deductibles for everyone, including Medicare recipients who currently shoulder those costs. In its first year, Sanders’s proposed program gives current Medicare recipients coverage for eyeglasses, hearing aids, and dental care.

“The ability to hear, the ability to see, the desire to have teeth in your mouth is a healthcare issue,” Sanders said.

Over a four-year period, the eligibility age will gradually lower until everyone is covered. Recipients will then be able to go to the doctor, hospital, or clinic of their choosing, instead of having to worry about whether it’s in network. They will no longer receive medical bills. People will pay slightly more in taxes, but way less overall in healthcare costs, and would be able to get the care they need, whenever they need it.

On this latter point, Sanders tackled the right-wing spin with sarcasm. Opponents of Medicare for All, he said, “seem to think that the American people hate paying taxes, but they just love paying insurance premiums. ‘Oh my god dear, the insurance premium is here, what a wonderful day! Oh wow, let’s celebrate, hey!’”

People don’t care who they write their checks out to: they just want to pay less, get the care they need, and never again have to make difficult decisions between their health and their finances.

Everyone, Sanders insisted, will get a better deal under this system. Well, almost everyone. Medicare for All will put private insurance companies out of business, and allow the federal government to negotiate with pharmaceutical companies to bring down prescription drug costs.

As Medicare for All has risen from obscurity to broad popularity in the last few years — thanks in large part to Sanders himself, who has supported single-payer healthcare since the eighties and made it the central demand of his 2016 presidential campaign — insurance and pharma executives rightly view it as an existential threat to their bottom line.

Sanders is not shying away from that conflict. In fact, he wants the American people to know that the main thing standing in the way of them and tax-funded, comprehensive, permanent health care is corporations’ compulsion to maximize profits.

“The current debate over Medicare for All has nothing to do with healthcare,” Sanders said.

We are not in a debate about which healthcare system is working well or which is better. Nobody thinks that a system in which 80 million or more have no health insurance or are underinsured is a good system. Nobody I know thinks that when Americans are paying the highest prices in world for prescription drugs, that that is a good system.

“The debate that we are currently having,” he continued,

has nothing to do with healthcare but it has everything to do with the greed and profits of the healthcare industry. What we are talking about is a healthcare industry of the insurance companies, the drug companies, the medical equipment suppliers, Wall Street, entities that make tens and tens of billions of dollars every single year while ignoring and turning their backs on the neds of the American people. That is what this debate is about.

This debate is about whether we maintain a dysfunctional system which allows the drug and healthcare companies to make over one hundred billion dollars in profit last year, while the top CEOs in the industry made 2.6 billion in total compensation — all the while, when one out of five Americans cannot afford to fill the prescription drugs that their doctors prescribe.

By contrast, Sanders said, Medicare for All is “a rational healthcare system” whose purpose “is to provide healthcare to all in a cost-effective way, not to make billions in profits for the drug companies and the insurance companies.”

Sanders also delivered a sober assessment of the battles to come. These companies, he said, have unimaginable resources, power, and influence, and they will lobby hard to defeat Medicare for All — not because it’s an ineffective system, but because it undercuts and in some cases eliminates their ability to profit off ordinary people in their time of need.

“The struggle we are now undertaking,” Sanders said, “will be opposed by some of the most powerful special interests in our country, entities that have unlimited amounts of money. … They will use those resources in opposition to the Medicare for All campaign.” He continued,

You will be seeing these entities spending endless amounts of money on thirty-second television ads telling you how terrible Medicare for All is. You’re going to see full-page magazine and newspaper advertisements, you’re going to see radio ads, and you’re going to see a number of corporate entities come up with studies that will tell you why Medicare for All is not the way to go.

But let me just tell you that over fifty years ago, when Medicare in this country was passed, the special interests did exactly the same thing. … They failed. And my friends, they are going to fail again.

In preparation for the coming showdown, pharmaceutical and insurance industry lobbyists have not restricted their backroom dealmaking to reliable friends in the GOP. They have also poured money into the Democratic Party, attempting to buy allies who can propagate misinformation about and deflate enthusiasm for Medicare for All. And they’ve found more than a few takers.

His hand forced by Sanders, who has made the practice a near-taboo in Democratic Party politics, Joe Biden has promised not to directly accept special-interest money for his campaign. But his PAC continues to absorb corporate donations, including from donors with ties to the pharmaceutical and insurance industries.

Donations aside, Biden is also a political moderate who was selected as vice president by Barack Obama in order to balance the scales and appeal to more conservative voters. He personally cautioned Obama against the Affordable Care Act, considering it too radical. Even though our healthcare system is failing millions of people, Biden has no real personal interest in fundamentally changing it. He will only go as far left as he thinks is necessary to stay afloat in the party primary.

It comes as no surprise, then, that Biden is swinging hard against Medicare for All. He has counterposed it to his own plan, which introduces a public option to be sold on the Affordable Care Act marketplace.

Biden admits that his plan does not guarantee universal coverage. By one estimate, 125,000 people will die from lack of insurance in the first ten years under Bidencare.

Biden is not a deep thinker on matters of healthcare policy. Luckily for him, he has industry talking points to guide him. Sanders has taken him to task on his cookie-cutter misinformation campaign.

On Tuesday, Sanders published a quiz on his website, challenging readers to guess who said what about Medicare for All — Joe Biden, Donald Trump, Mitch McConnell, or United Healthcare CEO David Wichmann. Their smears are indistinguishable.

It was Joe Biden who said, “Medicare goes away as you know it. All the Medicare you have is gone.” It was Donald Trump who said, “Medicare for All would really be Medicare for None… today’s Medicare would be forced to die.”

Sanders devoted a great deal of his speech on Wednesday to dispelling myths about Medicare for All. He then issued a challenge, one that seemed tailormade for Biden.

“Today I am calling on every Democratic candidate in this election to join me in rejecting money from the insurance and drug companies. Reject that money.” He continued, “Candidates who are not willing to take that pledge should explain to the American people why those… donations are a good investment for the healthcare industry.”

In recent weeks, the Sanders campaign has been leaning even harder than usual on issues of healthcare inequality. On Monday, Sanders spoke in Philadelphia outside of Hahnemann University Hospital, which is slated to close because its owner, an investment banker from Los Angeles, no longer sees it as a good investment. The hospital serves a mostly low-income, non-white population, which will be left without ready access to medical treatment after it’s gone.

Later this month, Sanders also plans to accompany a group of diabetes patients on a trip from Detroit to Canada, where they will acquire the insulin they need to live at a fraction of the price. The trip aims to draw attention to astronomical drug prices in the US, a problem that Medicare for All will allow the federal government to tackle head-on.

Sanders’s speech on Wednesday showed that despite the forces arrayed against him — and with full knowledge of the extent of their power — he’s steadfast in his support for Medicare for All. And he’s ready to rumble with the healthcare executives and their elected friends.

If Sanders and the movement he’s trying to build win, maybe we will all eventually get a card in the mail similar to the one millions of people received in 1966. With that card we can go to any doctor or hospital we want, and get any treatment or service we need. It will be the dawning of a new day in America: a day when the health of the many is prioritized over the profits of the few.

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