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Providers Get Wise, Organize Against Fascist Healthcare
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- 15 August 2013 66 hits
LOS ANGELES, CA — An indicator that capitalism is a sick system and needs to be replaced is when doctors, who generally live very comfortably, become disgruntled and burnt out from the “assembly line” our healthcare system has become. They recognize the harmful effects it has on patient care, particularly the most vulnerable: poor, black, Latino and immigrant patients.
For the last year, our “not-for-profit” HIV organization has almost doubled its first quarter profits, $95 million to $181 million from the 1st quarter of 2012 to the 1st quarter 2013. It has continued its attacks on our wages, benefits, scheduling and the staffing of our clinics. Short of rumblings in various staff meetings or side conversations, these attacks have gone virtually unchallenged until recently.
For the last three months, the providers (physicians, nurse practitioners, physician assistants) have been meeting in secret trying to figure out how to respond. It’s been a truly heartening experience to deepen ties with this group as venting sessions after work quickly morphed into serious conversations that moved beyond talks of our individual pay and productivity and into conversations about our coworkers and our patients. With leadership from a Party member in this circle, the group decided to unionize. Now over 85 percent of providers have signed the petition to unionize.
Clearly, this is a far cry from being communists and joining PLP, but this growing solidarity and anger, which have trumped much of our initial fear, are part of the process of learning how to fight back. With the use of CHALLENGE and communist leadership we can continue to learn how to fight and recognize the limits of unionizing and reformism. As to be expected, there are many illusions about what the union can offer us (even if there are short-term gains).
This HIV organization is one of the largest in the world, and we will be the first to unionize here in the U.S. We recently found out that a group unionized in South Africa, although at this point we know very few details. However, the president of our company has used our passion for treating HIV as a mechanism to pay us less while overworking us. This organization makes profits off its pharmaceutical sales because it can buy highly expensive HIV medications at 30-40 percent off (called 340B pricing) and then bill at full price the insurance companies or Medicaid/Medicare, AIDS Drug Assistance Program (ADAP). The remainder counts as profits. Like the Walmart of HIV care, this company is expanding by swallowing up smaller HIV clinics that do not have their own pharmacies and with cuts in reimbursements from Medicaid cannot afford to survive. Like a virus that preys on and weakens the immune system, this company preys on the sick while making millions in the process: a model company under capitalism.
“Healthcare” under capitalism, in this period of economic crisis and war, means that there will have to be more and more cuts and attacks on workers and patients while Obama and others spread the illusion of increased access to care. We’ve already seen, here on our job as well as nationally, what Obamacare really means for our patients.
Patients at our clinics who now qualify for “Healthyway LA,” a new insurance for the poor, get less access to medications than they had on ADAP. Moreover, if they need a referral to see a specialist like oncology (cancer specialists), they have to go to the County system just as they would have without health insurance. The County system has been continually dismantled over the last several years. In other words take your insurance and get in line, an ever-expanding line!
What will this mean for our undocumented patients who are not eligible for insurance? The federal government will likely stop funding ADAP, the only source that pays for their HIV medications and care. Once again, it is the illusion of access and the reality of more racism, illness and death!
And what will this mean for those of us with so-called good “Cadillac” health insurance? The sick irony is that we can get a glimpse by taking a look at what is happening right now to retired workers in Detroit (home of GM, makers of Cadillac). To save the bankers and government from bankruptcy, they are targeting retired public workers who currently have better coverage through Medicare and will force them into “choosing” a new health insurance plan which the New York Times (7/29/13) admits will mean inferior care and increase payments for the patients.
Like good Nazis, the Detroit bankers and politicians are starting with the elderly, those deemed no longer productive to society, who Hitler called “useless eaters.” This is fascist healthcare. From the “Charitable Foundation for Institutional Care” that collected money from the families of children murdered by the Nazis to Obama’s “Affordable Care Act” we must recognize the essence of these changes so as not to be complicit. Fighting back against these attacks on the job is the first step to recognizing the much greater problem of capitalism as a whole, and fascism as merely an expression of capitalism in crisis.
We’ve had many discussions on the job, but these broader conversations about our role under fascist healthcare and how to fight it have yet to occur. One friend and fellow provider has seen the most recent CHALLENGE and has read the rough draft of this article. There are three other providers that I will definitely show the next issue of CHALLENGE to, and hopefully, this article will be the beginning of a series that documents our progress and the growing challenges within this reform struggle. The fight for real healthcare means the fight for
communism!
Barefoot PA
SALVADOR, BAHIA, BRAZIL — Masses of students and workers took to the streets condemning the Brazilian government’s austerity attack on the working class while it pours billions into its ostentatious hosting of the World Cup and the Olympics. Workers and students protested on July 22, in the downtown square called Campo Grande, made famous by the carnival of Salvador–Ba in northeastern Brazil.
The demonstrations opposed the government spending while workers faced intense poverty. Demonstrations are continuing throughout Brazil, encouraged by the wave of opposition to the corrupt administration of the cities and the government budget. The police have answered with violence against the protesters who are fighting, the neglect of health and education and subjugating of women.
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Fruitvale Station : A Racist System Murdered Oscar Grant
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- 15 August 2013 80 hits
The movie Fruitvale Station documents the last days of Oscar Grant III, a twenty-three-year-old black worker from the Bay Area in northern California who was murdered by a cop from Oakland’s Bay Area Rapid Transit (BART) Police Department in 2009.
The movie illustrates how Oscar, after having been in jail, attempts to restore his life and help his family. The movie excels at showing the hard decisions that Oscar has to face in this capitalist state where working-class people experience unemployment and racism. He was fired and was unable to find another job. He then had to decide whether or not to sell drugs to pay the rent, which he ultimately decides not to do because he does not want to end up back in jail.
Oscar Fights Effects of Capitalism
Through the lens of the camera, illustrating the real-life harsh reality under capitalism and vivid family relationships, we see Oscar’s love for his four-year-old daughter as he helps her get ready for school. Sophina Mesa (Oscar’s partner) struggles as the only one employed in the family, and Oscar tries to also help his sister pay her rent. These are the simple and human characteristics of a young man and family aspiring to make ends meet as the end of the month draws near.
However, despite the family’s effort to create a better future, they are unable to do so. The family’s turning point comes when, while riding the train to celebrate the New Year, Oscar is confronted by a person with whom he had had previous confrontations in jail, and is forced to fight him. The racist police arrive on the scene and immediately force only African American young men to sit on the platform. While there, Oscar and a racist BART cop get into a verbal disagreement and the cop tries to put him in handcuffs. While Oscar is pinned to the ground, another cop pulls out a gun and shoots him in the back.
The film depicts this as only one incident in a string of “unfortunate” events, but the reality of this system is that Latino and black men are disproportionally incarcerated, unemployed and killed by the police. They find their choices limited because that is how capitalism attempts to keep the working class powerless and oppressed. This system blames the individual for not trying hard enough. The film does not illustrate that this is a deliberate systemic problem of capitalism that continues to leave young black workers with only dead-end opportunities and choices. Oscar lived in a system that uses racism and racial profiling to rob working-class men and women of their full potential. Many laws, such as “stop-and-frisk,” perpetuate this system.
Film Omits Protests, Role of Cops
The film also mentions that the “punishment” of the murdering cop was two years in jail but he ended up serving only 11 months. However, the film does not show the major working-class protests that were led by Oscar’s family as a result of this sentence. The working class cannot negotiate with a racist system that uses cops to oppress and kill them! The film does not expose the police as the tool that the ruling-class uses to physically intimidate and control working-class individuals. Instead, the film illustrates the murderer as an “inexperienced” officer, who did not know how to “handle” an escalating confrontation with a detainee. However, cops and their violence and racism are used by the ruling class in its attempt to intimidate the working class from organizing and rising up.
Oscar’s tragedy resonates with the Zimmerman trial and acquittal because forums, protests and near rebellions broke out throughout the country after both incidents. At the time of this writing, the New York courts have just refused again to indict the cop who killed Ramarley Graham in the Bronx (see page 3). These are not separate incidents but a series of attacks by the fascist cops and courts against black and Latino working-class youth. The only way to fight against these racist cops and the court system is to destroy capitalism.
On August 28, 1963, 300,000 demonstrators converged in multiracial unity for the March on Washington For Jobs and Freedom. Fifty years later, with racist inequalities growing wider all the time, we can see the limits of reform under capitalism — and the urgent need for communist revolution.
The 1960s were a brighter time for the U.S. working class. Despite reversals of workers’ power in the Soviet Union and China, the revolutions in those countries still inspired class struggle. Two mass movements — for civil rights and against the war in Vietnam — galvanized millions of workers and youth. Rebellions broke out in oppressed and brutalized poor black neighborhoods, from Harlem and Newark to Watts and Detroit.
The March on Washington was designed to channel this anger into a set of legalistic demands. Not everyone went with the program. Malcolm X denounced the march as a “circus” and a “farce.” The author James Baldwin was banned from speaking by mainstream civil rights leaders who were currying favor with President John F. Kennedy. Student Nonviolent Coordinating Committee’s (SNCC) John Lewis did speak, but only after the organizers censored his critique of the president’s pending civil rights bill. Among the lines they struck: “Mr. Kennedy is trying to take the revolution out of the streets and put it into the courts.”
Legal Reforms Can’t Protect Workers
The approved demands were read aloud to the throng by pacifist Bayard Rustin. Among them were the passage of “effective” civil rights legislation, the immediate end to segregation “in every school district” in the U.S., the “defeat” of unemployment, an increase in the national minimum wage, and a call for “black men and men of every minority group” to get “all of the rights…given to any citizen.”
The capitalist ruling class, shaken by the urban uprisings of the sixties and the threat they posed to the profit system, gave its bought-and-paid-for politicians a new set of marching orders. The Civil Rights Act was passed by Congress in 1964, the Voting Rights Act in 1965, the Fair Housing Act in 1968. The number of elected black officials grew from 1,469 in 1970 to more than ten thousand today.
But none of these laws or politicians can alter the fundamental fact that U.S. capitalism is in crisis. The bosses’ rate of profit is falling. Imperialist rivals are rising. (China has overtaken the U.S. as the world’s leading manufacturer, and is building a modern deep ocean navy.) With no mass movement to be pacified, and no other nation standing as a communist beacon, U.S. capitalists have been free to intensify their attacks on workers’ standard of living. While median household income has been flat since 1973, and conditions for the poorest are in free fall, the 400 richest U.S. billionaires are now worth $1.7 trillion. According to Forbes magazine, their assets — essentially the profits they’ve stolen from the working class — grew by $200 billion in 2012 alone.
The civil rights movement represented millions of honest working people — black, Latino, Asian and white. Many sacrificed careers and even their lives in this anti-racist struggle. But the movement had no chance to realize its goals because its leadership focused on legal reform within the status quo. Under capitalism, laws can always be changed or reversed or ignored to suit the rulers’ needs of the moment. (This was true long before the Voting Rights Act was gutted last month in a transparently racist decision by the U.S. Supreme Court.) Laws are the smoke and mirrors the bosses use to conceal what really runs their system, the rule of maximum profit.
New Presidents, Same Old Racism
We’ve had nine presidents after Kennedy: Republicans and Democrats, conservatives and liberals, white men and Barack Obama. Nine administrations later, the movement’s “dream” is fast receding amid the nightmare of capitalism. Officially sanctioned racism is on the rise, from police murders of black teenagers to Obama’s wholesale deportation of nearly two million immigrants. Racism will never be reformed away; it’s an essential component of the profit system. The capitalists need it to exploit workers (including white workers), and also to keep them from seeing their common interests — or their common enemy.
Today, material conditions for the working class in general and black workers in particular are deteriorating. Despite countless waves of reforms, we are in many respects worse off than we were thirty or forty years ago. Jobs and freedom, among other things, are harder to come by than they were in 1963. Consider:
- Mass incarceration. In 1963, the U.S. incarceration rate (per 100,000 adults) was less than 200. Today, despite violent crime dipping to record-low levels, the rate has surged to more than 700 per 100,000 — far higher than in any other developed country. A total of 2.2 million people — 70 percent of whom are black and Latino — are now behind bars, according to the Pew Research Center. Nearly five million more are on probation or parole.
Mass imprisonment and the bosses spreading of drugs was a response to the black rebellions in many U.S. cities. The bosses created the racist “War on Drugs,” instigated by Richard Nixon and Ronald Reagan and sustained by every president since. As a result, black men are incarcerated at more than six times the rate of white men. More than one of ten young black men between 20 and 34 are behind bars; one of three can expect to go to jail or prison in their lifetimes. Most were arrested on petty drug offenses, the majority for simple possession. - Mass unemployment. Over the half-century since 1963, the government’s “official” rate for white unemployment has averaged 5.1percent, less than half the black unemployment rate of 11.6 percent. (To put this in perspective, the overall unemployment rate during recessions in this period has averaged 6.7 percent.) As of last month, the “official” jobless rate for black workers was 12.6 percent. More than four of ten black youth are without work.
Moreover, these official figues exclude workers who have given up looking for non-existent jobs, part-time workers who can’t find full-time jobs and workers who have been jobless for more that six months. With these groups factored in, the true unemployment rate becomes 23 percent (shadowstats.com). And for black workers it may be well over 40 percent.
Even those who find jobs are often mired in poverty. In 1963, the minimum wage was worth more than $9 an hour in 2013 dollars. Today it stands at $7.25. - Massive school segregation. Nearly 60 years after Brown v. Board of Education, 30 years after violent racists tried and failed to stop integration in Boston, school districts throughout the U.S. have resegregated with a vengeance. While Reagan and both Bushes were openly hostile to school desegregation plans, neither Bill Clinton nor Obama have done anything substantive to stem this tide. By 2010, 38 percent of black students were in schools with fewer than 10 percent white students. Sixteen percent were in apartheid schools where white students numbered less than 1 percent.
As documented by Gary Orfield of the Civil Rights Project, separate is still unequal. Segregated black and Latino schools tend to have fewer resources, less experienced teachers, and less politically connected and wealthy parents. Inferior schooling creates an achievement gap, and gaps in future income and health as well.
- Massive inequalities. As reported by the New York Times (July 30), the United States — the sixth-richest country in the world, based on national income per person — has the highest infant and maternal mortality rates among the developed nations. The U.S. also ranks among the highest for child poverty and overall poverty, and among the lowest for life expectancy. Due to racism, all of these numbers are much worse for black and Latino workers.
Racist wage defferetials, alongside hospital and school closings and deadly cuts in social services, add up to super-profits into the trillions for the capitalist class. They pay for the bosses’ wars in the Middle East and Africa while funnelling billions to Wall Street CEO’s.
Smash Racism with Communism!
It’s a good start to march for jobs and human rights, but we cannot stop there. To put an end to the inequalities and all the racist horrors of capitalism, we need to smash a system built on profit and replace it from the ground up, with a society based on workers’ needs. We need a communist revolution led by a revolutionary party — the Progressive
Labor Party. Join us!
In serving the U.S. ruling class, two factors guide Barack Obama’s policies in the greater Middle East: controlling oil profits, and preparing for a future inter-imperialist war. This explains what Obama did in Libya — and what he hasn’t done in Egypt.
Unlike Libya, Egypt doesn’t have much oil. But it does have the Suez Canal, a vital waterway for the world’s main cheap oil reserves. The bulk of Saudi, Kuwaiti, Iraqi and other Europe- and North America-bound oil exports travel through the canal. Most of it goes under the U.S. and allied British brands of Exxon Mobil, Chevron, BP and Shell. In addition, U.S. Navy warships depend mightily on the canal. The Pentagon’s World War III planning counts on it. If the canal were to be shut by anti-Western insurgents, oil exports would need to detour thousands of miles around the southern Horn of Africa to reach their destinations.
And it’s pertinent to note that Egypt’s armed forces keep the Suez Canal open.
U.S. Rulers See No Evil in Egypt
When Obama ordered the 2011 NATO invasion of Libya, he hid behind a “responsibility to protect” Libyans from dictator Muammar Qaddafi. Left unmentioned were Libya’s considerable oil reserves, which are coveted by Big Oil. But since the July 3 coup in Cairo, the U.S. president and his capitalist bosses have looked the other way as Egypt’s military murders hundreds of unarmed protesters in the streets. In fact, the U.S. continues to provide the same bloodstained junta with its annual $1.5 billion supply of military hardware, made by profiteering U.S. arms-makers.
Why the inconsistency? Because workers’ lives have no value for capitalist rulers. The bosses are steered by profit alone. Obama’s raid two years ago was spurred not by Libya’s 5.7 million suffering inhabitants, but rather its 1.6 million daily barrels of oil. Then as now, the needs and limits of U.S. imperialism — not any concern for our class — dictate the bosses’ deadly Middle East gambits.
Besides trusting Egypt’s military tyrants to safeguard the Suez Canal, the U.S. rulers have assigned them two other important jobs. The generals are charged with preventing Arab states’ attacks on U.S. ally Israel, and also with curbing the spread of anti-U.S. al Qaeda-led Islamic forces inside oil-rich monarchies in the Exxon-Chevron-BP-Shell sphere. Ousted president Mohamed Morsi, of the Muslim Brotherhood, wasn’t up to these tasks. No sooner did Morsi get the boot than the petroleum-soaked princes of Saudi Arabia, Kuwait and the United Arab Emirates pledged $12 billion to prop up Egypt’s military brass.
Bosses’ Plan B: Let Syrian Workers Die
Meanwhile, as strife in Syria has killed over 100,000 and left millions homeless, no vow to rescue the afflicted can be heard from the White House. Another country with limited oil but vast geopolitical significance, Syria hosts a Russian naval base and has strong alliances with U.S. foes China and Iran. U.S. rulers would love to be rid of Bashar Assad’s pro-Moscow/Beijing/Teheran regime. But at the same time, they fear strengthening the militant Islamists who hold the upper hand among the Syrian rebels. As a result, Obama has abandoned his phony “responsibility to protect” and chosen to let the bloodshed continue.
Plan A for the U.S. in Syria was to use defecting officers and Islamist fighters to bring down Assad and then install a pro-Western government. But given the unexpected strength of the Syrian army and the unreliability of the opposition, Obama & Co. have apparently turned to Plan B: Let the war drag on in the hope that the two sides will weaken or even destroy each other.
Anthony Cordesman, based at the U.S. ruling class’s Center for Strategic and International Studies, confirms this cynical approach. He proposes that the U.S. can protect its huge geostrategic stakes in the Middle East by limiting military aid to Syria to small arms, at least for now, he states (Washington Post July 22):
If Assad succeeds in crushing the opposition or otherwise maintains control over most of Syria, Iran will have a massive new degree of influence over Iraq, Syria and Lebanon in a polarized Middle East divided between Sunni and Shiite. Minorities [millions of refugees] will be steadily driven into exile. This would present serious risks for Israel, weaken Jordan and Turkey and, most important, give Iran far more influence in the Persian Gulf, an area home to 48 percent of the world’s proven oil reserves. If Washington arms the rebels and they still lose, the United States will at least have shown its willingness to make decisions and honor its commitments. It will have shown it will make good on its words and support its allies.
Army Chief of Staff Gen. Martin Dempsey, the ultimate insider, concurs. As he told the U.S. Senate on July 18, “I am in favor of building a moderate opposition.” Dempsey cites U.S. budget constraints on broader U.S. action in Syria, which would require “thousands of special operations forces and other ground forces…needed to assault and secure critical sites.” These costs, Dempsey later wrote to the Senate, could average “well over $1 billion per month” (which he thinks is excessive).
Main Capitalists Prep for Broader War
Dempsey’s reluctance to over-spend isn’t just aimed to appease the anti-tax, anti-deficit Republicans. It follows the lead of the dominant liberal wing of U.S. bosses — the ultra-imperialist finance capitalists like JPMorgan Chase and Exxon Mobil — who have far bigger fish to fry than Syria. Their top spokesman, Richard Haass, president of their supremely influential Council on Foreign Relations think tank, called for “refraining from direct armed intervention in Syria’s current civil war” (New York Times, 6/22/13). Haass said U.S. rulers should capitalize on their current military lull (after the Iraq and Afghan drawdowns) to make long-term preparations for potential world war with their imperialist rivals. “Most important, we should step up efforts to maintain stability in Asia and the Pacific Ocean, where this century’s great powers could easily collide,” Haass declared.
All of these ruling-class servants dismiss the impact of their imperialist policies on the international working class. None of them are concerned how their wars in the Middle East and South Asia destroy workers’ homes, bomb workers’ schools and hospitals, maim workers’ children, and kill millions in the process.
The capitalists’ profit-driven system breeds mass unemployment and poverty, burns workers alive in garment factories, wrecks the minds of soldiers forced into war, and uses racism and sexism to divide the working class and weaken its ability to challenge any of these horrors. At the same time, workers are forced to pay for the wars that slaughter them. They bear the brunt of capitalism’s world economic crisis through cuts in wages, social services, and healthcare, and through long-term unemployment. The bosses’ never-ending drive for maximum profits falls on workers’ heads from Greece and Spain to Pakistan and Bangladesh to Turkey and Brazil and Mexico. U.S. workers are far from immune. Most vulnerable of all are immigrant workers who move from one capitalist country to another, searching for the promised “better life” but falling under the heel of exploiters with every border they cross.
Communist Revolution, the Only Solution
The rulers do worry, however, about the revolutionary potential of the working class. That’s why they are intensifying their fascist attacks in every corner of the globe. Hitler’s Third Reich was a tea party compared to what the world’s capitalists have in store for us.
But the international working class is not taking this offensive lying down. Workers have taken to the streets throughout the world — striking, fighting the bankers’ austerity attacks, rebelling against a siege of racist murders of youth like Trayvon Martin.
The rulers try to divert workers by offering electoral choices of various ruling-class stooges, from Obama to South Africa’s Jacob Zuma to Haiti’s Michel Martelly. They use these sellout reformers to try to divert our class from the one real solution to the hell of capitalism: communist revolution. Only communist revolution can create a society run by and for the working class. And it can only be achieved by building a mass communist party, the Progressive Labor Party, to lead it.
It is imperative for all PL’ers and friends, wherever PLP groups are organizing, to spread our communist politics among workers and youth in every mass organization we’ve joined. By starting with tens and hundreds, we’ll eventually reach thousands and millions. What everyone does counts.
Only communism can rid the world of bosses, profits and wars. Only communism can end racism, sexism and mass slaughters. Capitalism is the ultimate weapon of mass destruction. Communist revolution will bury it forever.