Category Archives: Health/Medical

Needled Strawberries: Food Terrorism Down Under

There is something peculiar doing the rounds in Australian food circles.  The land down under, considered something of a nirvana of fruit and vegetable production despite horrendous droughts and calamitous cyclones, is facing a new challenge: human agency, namely in the form of despoliation of strawberries.

The results have knocked Australia’s highly concentrated supermarket chains, with both Coles and Aldi withdrawing all their fruit with a nervousness that has not been seen in years.  A spate of incidents involving “contamination”, or pins stuck in the fruit, have manifested across a range of outlets.  Strawberry brands including Donnybrook Berries, Love Berry, Delightful Strawberries, Oasis brands, Berry Obsession, Berry Licious and Mal’s Black Label have made it onto the list of needled suppliers.  There have been possible copycat initiates doing the rounds.  “This,” exclaimed Strawberries Australia Inc. Queensland spokesman Ray Daniels, “is food terrorism that is bringing an industry to its knees.”

The game of food contamination, infection or, as Daniels deems it, food terrorism, is the sort of thing that multiplies in fear and emotion.  It targets the industry itself (the strawberry market is already frail before the effects of pest and blight), and ensures maximum publicity for the perpetrator.  Then there is the constant fear of a potential victim, the all stifling terror of legal action that might find a target in the form of a provider.  Federal Health Minister Greg Hunt has already boosted such feelings, ordering the Food Standards Australia New Zealand to investigate the matter.  “This is a vicious crime, it’s designed to injure and possible worse, members of the population at large.”

Out of 800,000 punnets of strawberries, notes Daniels, seven needles were found.  “You’ve got more chance of winning lotto than being affected.”  Take your chance, and, as with all food production, hope for the best as you would hope for the arrival of a green goddess.

Others such as Anthony Kachenko of Hort Innovation Australia have also moved into a mode of reassurance, a salutary reminder that Australia remains in the stratosphere of food excellence despite such adventurous despoilers.  Sabotage it might be, but it was surely isolated, a nonsense that could be dealt with surgical accuracy. “Australia prides itself on safe, healthy, nutritious produce and we have the utmost confidence in the produce that we grow both for the domestic and the export markets.”

Such attitudes mask the fundamental bet that has characterised human existence since these unfortunate bipeds decided to experiment with the cooked and uncooked.  History shows that wells have been poisoned and fields salted.  The divorce from hunter gatherer to industrialist consumer oblivious to the origins of food made that matter even more poignant, and, in some cases, tragic.  The consumer is at the mercy of the production line, and everything else that finds its way into it.

The food science fraternity are being drawn out to explain the meddling, pitching for greater funding, and another spike in industry funds.  “The things we’re usually concerned about,” suggests Kim Phan-Thien of the University of Sydney, “are the accidental contaminants; spray drift or microbial contamination [which is] a natural risk in the production system.”  What was needed, claimed the good food science pundit, was an examination, not merely of “unintentional adulteration and contaminants but the intentional adulteration for economic gain or a malicious reason for a form of terrorism.”

Take a punt (or in this case, a punnet), and hope that source, process and final destination are somehow safe.  The cautionary note here is to simply cut the suspect fruit to ensure no errant needles or pins have found their way into them.  (This presumes the needle suspect was probably hygienic.)

But the strawberry nightmare highlights the insecurity within the food industry, the permanent vulnerability that afflicts a multi-process set of transactions, recipients and consumers.  Purchasing anything off the stands, and in any aisle of a supermarket is never a guarantee of safety, a leap of faith based upon a coma inflicted by industrial complacence.  We are left at the mercy of speculative fancy: the item we take home is what it supposedly is, irrespective of labelling, accurate or otherwise.

The scare, as it is now being termed, has had the sort of impact any fearful threat to health and safety does: an increased focus on security, a boost in food surveillance and the gurus versed in the business of providing machinery.  Strawberry Growers Association of Western Australia President Neil Handasyde revealed that growers were being pressed for increased scanning in the form of metal detectors.  “As an industry we are sure that [the needles] are not coming from the farm, but we’re about trying to get confidence into customers that when they buy a punnet of strawberries, that there isn’t going to be anything other than strawberries in there and they’re safe to eat.”

Possibly guilty parties have been distancing themselves with feverish necessity.  This, as much as anything else, reeks of the legal advice necessary to avoid paying for any injury that might result.  Mal’s Black Label strawberries, one of the growing number of needle recipients, has taken the line that the farm is above suspicion, with the suspects to be found elsewhere.  Strawberry grower Tony Holl suggested that some figure was floating around, needle and all, intent on fulfilling the wishes of “a real vendetta”.

A reward of $100,000 has been offered by the Queensland government for capturing the villain in question, if, indeed, there is a conscious, all-rounded creature doing the rounds.  He, she, or it, has now assumed various titles from the Queensland authorities.  The “strawberry spiker” or “strawberry saboteur” seem less like life-threatening agents than lifestyle names intent on an encyclopaedic entry.  But biosecurity, and matters of food health, are matters that throb and pulsate in Australia.  Authorities are promising to find the culprit.  The culprit may have other designs.

The Aftershocks Of The Economic Collapse Are Still Being Felt

Photo by Oli Scarff for Getty Images

There has been a spate of articles recently on the ten year anniversary of the financial collapse. We wrote about this anniversary two weeks ago, describing the cause of the collapse and the reasons why we are still at risk for another one. Now, we look at how the aftermath of the collapse is shaping current politics, people’s views on the economic system and the conflict that lies ahead to create an economy for the 21st Century.

Economic Violence Is Being Waged Worldwide (Source Twitter)

The Aftershocks Of The Collapse Are Still Being Felt

Jerome Roos of ROAR Magazine writes that the response to the 2008 crash – bailing out the banks but not the people – led to unrest across the globe, beginning with the Arab Spring, and a growing anti-capitalist sentiment. He goes on to say:

It has recently begun to consolidate itself in the form of vibrant grassroots movements, progressive political formations and explicitly socialist candidacies that collectively seek to challenge the untrammeled power and privileges of the ‘1 percent’ from below.

The stagnant economy, austerity measures and resulting increased debt have opened a space for people to search for and try out alternative economic structures that are more democratic. They have also created conditions for a rise of nationalism on the right. Roos concludes that the “real confrontation is yet to come.”

In the United States, the economic conditions have revived populist movements on both the right and the left. Gareth Porter explains the Democratic and Republican parties are aware of the great dissatisfaction with their failed policies and know they need to try to appease the public by trying new policies, but they don’t know how.

He points to recent joint papers put out by the Center for American Progress, a Democratic Party think tank, and the American Enterprise Institute, a Republican Party think tank. One from May is called, “Drivers of Authoritarian Populism in the United States,” and the other from July is called, “Partnership in Peril: The Populist Assault on the TransAtlantic Community.” In the papers, rather than present alternative solutions, they attack Jill Stein of the Green Party and Bernie Sanders, a Democratic Socialist.

There is a battle inside the Democratic Party between progressives, some who call themselves socialists, and the dominant business-friendly corporatists. As Miles Kampf-Lessin writes:

An August poll shows that, for the first time since Gallup started asking the question 10 years ago, Democrats now view socialism more favorably than capitalism.

But the Democratic Party has been deaf to the interests of its constituents for decades. At meetings organized by centrist Democratic Party groups this summer, lacking populist solutions, the best they could come up with was “the center is sexier than you think.” And while a few “progressives” in the Democratic Party won their primaries, they are not receiving support from the party. Instead, the party leaders are throwing their weight behind security state Democrats, who could make up half of newly-elected Democrats this November.

In the Republican Party, Donald Trump’s faux populism has shown itself to be a sham. The Republican Party is unable to handle Trump, who defeated a series of elitist candidates starting with the next heir of the royal Bush family, Jeb. A record number of Republicans have given up and decided not to run for re-election. Speaker of the House Paul Ryan saw the writing on the wall and said he wanted to spend time with his family.

The 2018 election will bring change as Republican control of both Chambers of Congress is at risk, especially the House, but this is unlikely to resolve the crises the country is facing. Democrats are more focused on going after Trump. We can expect a flood of subpoenas investigating all aspects of his administration and business, rather than solutions to the economic and social crises.

From Catholic News USA

What The People Are Demanding

There is a growing anti-capitalist revolt, especially against the form it has taken in the United States; i.e., neoliberalism that privatizes everything for the profit of a few while cutting essential services for the many.  Anti-capitalism is so widespread that even corporate media outlets like Politico are taking notice, as they did in an article describing what socialism would look like in the United States. And President Obama this week discovered “a great new idea,” Medicare for all.

Of course, there has been a movement for National Improved Medicare for All for decades, and it is now gaining momentum. A new poll found even a majority of Republicans support Medicare for all, as do 85% of Democrats. Out of all of the ‘wealthy’ nations, the United States is ranked at the bottom, only above Greece, when it comes to the percentage of the population that has healthcare coverage. The third poorest country in our hemisphere, Bolivia, announced this week it will provide healthcare for all.

While polls indicate increased support for socialism, in the United States there is a lack of clarity on what that means exactly. Rather than a state socialism, most people are advocating for policy changes that socialize the basic necessities of the people. National Improved Medicare for All is one example.  There is also increased pressure for community-controlled or municipal Internet, taking this critical public service out of the hands of the much-hated for-profit providers.

Other demands include a living wage, free college education and affordable housing. There is also increased advocacy for a universal basic income and for public banks. All of these socialized programs can and do exist in capitalist countries.

From Prout.org

Creating Economic Democracy For The 21st Century

The new economy is still taking shape and will likely result from a process of trying new practices out and gradually replacing current economic institutions with the new ones that gain support. The new institutions will need to be radically different than the current ones, meaning they are rooted in different values, if they are to change the current system.

In Policy Options, Tracy Smith Carrier urges using a human rights framework for the new economy. The human rights principles are universality, equity, transparency, accountability and participation. Rather than charity, which doesn’t solve the problems that brought people into a situation of need, her research team advocates for putting in place a poverty-reduction strategy that targets “the building blocks of society that reproduce poverty.”

This past week, we interviewed economist Emily Kawano of the US Solidarity Economy Network for our podcast, Clearing the FOG. The episode is called “So You Want To End Capitalism, Here’s How.” Like the human rights framework, the solidarity economy is built on a set of principles: democracy, cooperation, equity, anti-oppression, sustainability and pluralism. Kawano describes the formation of the solidarity economy using the analogy of a caterpillar’s metamorphosis into a butterfly – the various pieces of the economy are forming and finding each other and may eventually coalesce into a new system composed of old and new elements.

This week on Clearing the FOG, we will publish an interview with Nathan Schneider, author of Everything for Everyone: The Radical Tradition that is Shaping the New Economy. Schneider acknowledges that his generation is the first one that will fare worse than its predecessors. Out of necessity, people are creating more democratic economic structures. The Internet is a helpful tool in the process, particularly in creating ‘platform cooperatives.’

The economy needs to move from concentrated wealth to shared economic prosperity. In addition to requiring specific changes in policy that lead to greater socialization of the economy, systemic changes will be needed to establish a cooperative and egalitarian economy. Without far-reaching changes to the structure of the state, they are highly unlikely to succeed.

There will be another economic crisis in the near future which will present opportunities for rapid transformational change, if the movement is organized to demand it. JP Morgan issued a report on the tenth anniversary of the collapse warning of another collapse and mass social unrest like the US has not seen in 50 years. It is up to us now to prepare for that moment by developing our vision for the future and working out the types of institutions that will bring it about. The other option, if we are not prepared, could bring fascism and greater repression.

As Jerome Roos concludes, “…the political fallout of the global financial crisis is only just getting started. The real confrontation, it seems, is yet to come.”

We’ve Come A Long Way: President Obama says Medicare for all is a “good new idea”

On September 7, 2018, speaking at the University of Illinois Urbana Champaign, President Obama said that Democrats are running on “good new ideas like Medicare for All…”

This indicates a significant shift in support of National Improved Medicare for All (NIMA). President Obama is campaigning for Democrats in the mid-terms and his public support for NIMA right at the start shows how far we have come and that we have a real opportunity to win in the next few years.

Eight years ago when President Obama was pushing through the Affordable Care Act (ACA) he asked in his State of the Union whether anyone had “a better idea.” The next day I attempted to deliver a letter to the president describing a “better idea” – National Improved Medicare for All. They refused to accept the letter so when he came to Baltimore, Carol Paris, MD and I stood outside the meeting holding a sign saying “A Better Idea: Medicare for All” and attempted to deliver the letter to Obama again. We were arrested. See the letter and the video of our attempts to deliver it below.

We have come a long way, and we appreciate Obama’s support. His support for National Improved Medicare for All is a turning point moment — it is no longer about defending the ACA, it is about putting in place the real solution to the US health crisis.

It is also significant that Democrats, including President Obama, are not campaigning on fixing the Affordable Care Act (ACA), which was their message over the past two years. When Democrats said, “Fix the ACA,” the grassroots response was, “We want Medicare for All.” We are being heard.

Polls are also reflecting majority support for Medicare for All, with 85% of Democrats in support and a majority of Republicans, 52%, in support. Opponents of Medicare for All are the minority. This popular support gives candidates more comfort in publicly advocating for Medicare for All and indicates that we are making progress.

We need to continue to educate the public about National Improved Medicare for All and keep mobilizing in support of NIMA. To win, we need to change the political environment so that NIMA is the only viable solution. We are on our way to victory.

Here is a recap of how I was received in 2009-10 as an advocate for NIMA. I am glad to see the progress that single payer supporters have made over the past eight years, and I am confident that if we keep building the movement of movements for single payer health care, we will prevail.

During Obama’s terms as President, advocates for NIMA were not welcome. In fact, we were largely excluded from the process and arrested for trying to be included. My first arrest was at the Senate Finance Committee hearing on health care when they refused to allow a proponent of single payer health care to testify.

In his 2010 State of the Union Speech, President Obama said that if anyone had a better idea for health reform, they should let him know.

If anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors and stop insurance company abuses, let me know. Let me know. Let me know. I’m eager to see it.

I was watching the State of the Union address and I immediately wrote the open letter below and went to the White House the next day to deliver it to him along with more information about national improved Medicare for all.

The White House security sent me away, but the next day, by luck, President Obama was coming to Baltimore Maryland, my city, to meet with Republican members of Congress. Dr. Carol Paris and I decided to try to get the message to him there.

We were arrested and questioned by the Secret Service.

We didn’t give up, and today the movement for National Improved Medicare for All. Let’s take a moment to celebrate this shift, and then get back to work of winning National Improved Medicare for All.

Here is the letter I tried to deliver to the President in January, 2010.

Dear President Obama,

I was overjoyed to hear you say in your State of the Union address last night:

“But if anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors, and stop insurance company abuses, let me know.”

My colleagues, fellow health advocates and I have been trying to meet with you for over a year now because we have an approach which will meet all of your goals and more.

I am a pediatrician who, like many of my primary care colleagues, left practice because it is nearly impossible to deliver high quality health care in this environment. I have been volunteering for Physicians for a National Health Program ever since. For over a year now, I have been working with the Leadership Conference for Guaranteed Health Care/National Single Payer Alliance. This alliance represents over 20 million people nationwide from doctors to nurses to labor, faith and community groups who advocate on behalf of the majority of Americans, including doctors, who favor a national Medicare for All health system.

I felt very optimistic when Congress took up health care reform last January because I remember when you spoke to the Illinois AFL-CIO in June, 2003 and said:

“I happen to be a proponent of a single payer universal health care program.” (applause) “I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care cannot provide basic health insurance to everybody. And that’s what Jim is talking about when he says everybody in, nobody out. A single payer health care plan, a universal health care plan. And that’s what I’d like to see.”

But as all of you know, we may not get there immediately. Because first we have to take back the White House, we have to take back the Senate, and we have to take back the House.”

And that is why I was so surprised when the voices of those who support a national single payer plan/Medicare for All were excluded in place of the voices of the very health insurance and pharmaceutical industries which profit off the current health care situation.

There was an opportunity this past year to create universal and financially-sustainable health care reform rather than expensive health insurance reform.

As you well know, the United States spends the most per capita on health care in the world yet leaves millions of people out and receives poor return on those health care dollars in terms of health outcomes and efficiency. This poor value for our health care dollar is due to the waste of having so many insurance companies. At least a third of our health care dollars go towards activities that have nothing to do with health care such as marketing, administration and high executive salaries and bonuses. This represents over $400 billion per year which could be used to pay for health care for all of those Americans who are suffering and dying from preventable causes.

The good news is that it doesn’t have to be this way. You said that you wanted to “keep what works” and that would be Medicare. Medicare is an American legacy of which we can feel proud. It has guaranteed health security to all who have it. Medicare has lifted senior citizens out of poverty. Health disparities, which are rising in this nation, begin to disappear as soon as patients reach 65 years of age. And patients and doctors prefer Medicare to private insurance. Why, our Medicare has even been used as a model by other nations which have developed and implemented universal health systems.

Mr. President, we wanted to meet with you because we have the solution to health care reform. The United States has enough money already and we have the resources, including esteemed experts in public health, health policy and health financing. Our very own Dr. William Hsiao at Harvard has designed health systems in five other countries.

I am asking you to meet with me because the solution is simple. Remove all of the industries who profit off of the American health care catastrophe from the table. Replace them with those who are knowledgeable in designing health systems and who are without ties to the for-profit medical industries. And then allow them to design an improved Medicare for All national health system. We can implement it within a year of designing such a system.

What are the benefits of doing this?

• It will save tens of thousands (perhaps hundreds of thousands) of American lives each year, not to mention the prevention of unnecessary suffering.

• It will relieve families of medical debt, which is the number one cause of bankruptcy and foreclosure despite the fact that most of those who experienced bankruptcy had health insurance.

• It will relieve businesses of the growing burden of skyrocketing health insurance premiums so that they can invest in innovation, hiring, increased wages and other benefits and so they can compete in the global market. For example, it is estimated to provide a major stimulus for the U.S. economy by creating 2.6 million new jobs, and infusing $317 billion in new business and public revenues, with another $100 billion in wages.

• It will control health care costs in a rational way through global budgeting and negotiation for fair prices for pharmaceuticals and services.

• It will allow patients the freedom to choose wherever they want to go for health care and will allow patients and their caregivers to determine which care is best without denials by insurance administrators.

• It will restore the physician-patient relationship and bring satisfaction back to the practice of medicine so that more doctors will stay in or return to practice.

• It will allow our people in our nation to be healthy and productive and able to support themselves and their families.

• It will create a legacy for your administration that may someday elevate you to the same hero status as Tommy Douglas has in Canada.

Mr. President, there are more benefits, but I believe you get the point. I look forward to meeting with you and am so pleased that you are open to our ideas. The Medicare for All campaign is growing rapidly and is ready to support you as we move forward on health care reform that will provide America with one of the best health systems in the world. And that is something of which all Americans can be proud.

With great anticipation and deep respect,

Margaret Flowers, M.D.
Maryland chapter, Physicians for a National Health Program
moc.liamgnull@phnpdm

Alcohol: Why do we drink?

I had known John for 40 years on and off; just over a year ago he died. He was 62 and homeless, an alcoholic who over the course of four years or so had drunk himself to death. He died alone in a tiny basement room of a dreary hostel in London, where the local authority had placed him. A cocktail of alcohol and anti-depressants took him through the gates of death. It was a tragic, ugly end to a life that had once held such promise.

Along with millions of others around the world, John drank to escape the pain of his life; the emotional agony of living was unbearable and, desperate for relief, he turned to alcohol. Habit quickly became addiction, and addicts, as those who have known one will testify, are desperately difficult to help. Behavior changes, moral boundaries dissolve, self-respect and honesty are eroded, relationships destroyed.

Startling statistics

Like recreational drugs, alcohol fuels a range of social ills, including crime, depression, anxiety and suicide. It can cause long-term health conditions, many of which are fatal, and in 2016 (latest figures) “led to 2·8 million deaths and was the leading risk factor for premature death and disability among people aged 15–49 years,” according to a new report published in the Lancet magazine. This is consistent with figures collated by the World Health Organization (WHO), which show that in 2012 alcohol was responsible “for 5.9% [around 3 million] of all deaths and 5.1% of the global burden of disease and injury.” This is far more than the percentage of deaths from HIV/Aids (2.8%), tuberculosis (1.7%) or violence (0.9%).

In addition to the individual drinker, alcohol consumption leads to a range of harmful consequences for “the drinker’s immediate environment and society as a whole.” The drinker’s family, partner or friends are often the first to be affected. Relationships sometimes break down, and abuse, leading in some cases to domestic violence, which is often inflicted by an alcoholic partner, can erupt.

Violent crimes of all kinds are closely linked to alcohol consumption. In America half of all homicides and 40% of all other violent crimes (including rape, assault, child and spousal abuse), are committed when the offender, victim, or both have been drinking. The National Council on Alcohol and Drug Dependency reports that, “according to the Department of Justice, 37% of almost 2 million convicted offenders currently in jail, state that they were drinking at the time of their arrest.”

These are startling statistics, and are more or less representative of levels of alcohol-related crime throughout industrialized countries. In Britain, where overall consumption has fallen by around 18% in the last 14 years, the Office of National Statistics relates that in 2013/14 “70% of violent incidents which took place in a public space were alcohol-related” and that, “70% of violent incidents occurring at the weekend, and 70% of violent incidents occurring in the evening or night, were alcohol-related.” A 2012 government paper stated that, “alcohol is one of the three biggest lifestyle risk factors for disease and death in the United Kingdom after smoking and obesity. It has become acceptable to use alcohol for stress relief, putting many people at real risk of chronic diseases. Society is paying the costs – alcohol-related harm is now estimated to cost society £21 billion annually.”

The richer a society is the more people drink, the greater the quantity consumed and the smaller the “number of abstainers.” And whilst, as the UK shows, there are exceptions, the worldwide tendency is towards increased levels of consumption, with China and India, where the economy has been growing in recent years, energetically joining the party. A trend that WHO believes to be “linked to active marketing by the alcohol industry and increased income in these countries.”

Why drink?

 There are, of course, varying levels of alcohol consumption and many types of drinker, but why do people drink at all and why do governments allow alcohol to be commercially sold and energetically promoted?

Like many problems of contemporary life the reasons are complex, interconnected and woven into the worldwide mode of living, the values it promotes and the conditioned social behavior produced. Individual success, competition and conformity to a certain lifestyle are some of the prominent ideological characteristics of the time; all are divisive in varying degrees and contribute to an atmosphere of anxiety. Like John, large numbers of people cannot cope with the stress and drink to escape, they find life overwhelming, and suffocating under the weight of expectation and self-doubt, loneliness and despair, use alcohol to soften the agony. Widely available and inexpensive, it offers immediate relief, but whilst a drink or two may initially quieten the nervous system the effects soon wear off, appetite grows, dependency develops, and, alcohol being both addictive and a depressant, adds to the suffering and quickly becomes part of the problem.

Young people (under 25), who in many parts of the developed world drink less than their predecessors, may drink out of curiosity, because it’s available and (in supermarkets) comparatively cheap, and to belong to the group, to conform to the image of what it means to be a strong young man, or an open, exciting woman. A few drinks may loosen inhibitions, facilitating a fun night out. In some countries, France Italy, Spain; e.g., alcohol is part of the culture, usually taken with food; in others, like India, it is a new phenomenon, and, consistent with a range of unhealthy western imports, is regarded as an unwelcome development by many Indians. With national economic growth (such as has occurred in India) as well as personal success, typically come increased levels of alcohol consumption as well as other types of indulgence.

Happiness, not Pleasure

Like all types of consumerism, at the heart of alcohol use sits desire, the desire to escape unhappiness and to be happy, and the desire for comfort, for freedom from distress. This desire is promoted by a distorted understanding of life that identifies the self with the body and the constructs of thought, and proclaims the principle purpose of life to be maximizing pleasure and avoiding (psychological) pain. This notion is rooted in a materialistic approach to life that focuses on the form, the body, instead of investigating into the nature of one’s being. Within such a reductive paradigm, happiness has been replaced by pleasure, love exchanged for desire, and freedom for choice. The result is fragmentation and conflict, individually and collectively.

The emphasis on pleasure maintains the desire for stimulation and consumption of all kinds. Pleasurable experiences flowing through the senses may well provide distraction and a momentary sense of happiness, or fleeting relief from unhappiness; however, far from filling the inner void, it reinforces it, leaving the person wanting more. Pleasure is external, hollow and transient; what we might call ‘true’ happiness is permanent, it is part of who and what we are. As the great Indian sage Raman Maharshi said, “Happiness is your nature. It is not wrong to desire it. What is wrong is seeking it outside when it is inside.”

The pattern of desire, indulgence and discontent, followed by desire and further indulgence is perpetuated by the apparatus of the Neo-liberal economic system, which is dependent on such habitually destructive behavior. And, because Corporate State Governments are so heavily focused on the economy and the requirements of business, government policy is designed in line with the demands of the market, and not the needs of the people. Responsible governments would reject the poisonous values of the Neo-liberal project, and work ceaselessly to inculcate values of goodness thereby changing the atmosphere in which people live. Sadly the world is saddled with inadequate politicians without vision, who, far from facilitating the badly needed changes, consistently add to the chaos.

Alcohol consumption is one damaging effect among many that flow from this dominant socio-economic system. Consistent with other polluting patterns of behaviour, it will continue until a kinder, more just paradigm is inculcated, values change and a shift in attitudes takes place. To some degree this reorientation is underway, people everywhere recognize the destructive nature of the current order and long for a different, simpler way of living. When the constant movement outward into the sensory world begins to be arrested and the mind is allowed to be quiet, desire for external stimulation and the focus on pleasure will begin to fall away, allowing happiness to naturally and spontaneously flower.

Medicare for All: Let 50 Flowers Bloom.

It has long been clear that health care in America is a disaster, an overpriced and underperforming bureaucratic behemoth.  It has also been clear that the answer is Medicare for All, aka Single Payer Health Care, a tried and proven solution to the problems of health care in modern, developed societies.  It is also true that a majority of Americans favor such a system.

But alas, we have no such system here in the US.  How to get it is one of the pressing political and humanitarian questions of the day.  The Purple World: Healing the Harm in American Health Care, a new book by Dr. Joseph Jarvis, suggests some interesting answers.

Much of this book deals with Dr. Jarvis’s years as one of the two leading public health officials in Nevada.  This part is engaging, enlightening and a bit scary at one or two points as Jarvis relates his struggles to ensure proper public health standards.  For example, a convention center restaurant wanted to cover up a case of food poisoning that disabled hundreds of conventioneers.  Or proper protections were not being enforced in Nevada’s brothels, leaving both employees and customers at risk.  At one point the brothel employers let Jarvis know that they were well aware of where he and his family lived!  It read like a scene out of The Godfather.  The brave Dr. Jarvis was not stopped.   Many of these tales are very revealing about the practice of medicine and public health and they make for spell-binding reading.

But the main interest of this book is a discussion of how to get Single Payer, and the book opens some interesting new angles on this effort.

Single Payer is Attractive to Conservatives as well as Progressives

For starters, too many seem to think that Single Payer only has appeal for liberals, progressives and Leftists.  Dr. Jarvis is living testimony that such is not the case.  He is a political conservative and a devout Mormon; and in this book, we find him pressing the case for Single Payer with great passion.  And he has done so tirelessly for decades in op-eds, lectures, interviews and even twice running for the Utah legislature.

The lesson is that the movement for Single Payer must be broadened to appeal to those who share Dr. Jarvis’s conservatism.  Single Payer must not be perceived as a wholly owned progressive enterprise.  That means uncoupling the crusade for Single Payer from other programs that Left leaning activists advocate.  There is no reason that Trump populists cannot embrace Single Payer every bit as much as Bernie Sanders populists.

And for this Dr. Jarvis sees hope in the 2016 election. He feels that the 2106 election created:

what felt like the most significant change in governance during my lifetime…..The American electorate became less reliably red or blue (in other words, it became more purple), and therefore much more unpredictable, more irascible and more demanding of its government.  (Emphasis, JW.)

From this comes the book’s title The Purple World. In both Democratic and Republican primaries, voters showed their independence and admirable irascibility by turning from the Elite Party leaders to the upstart populists, Trump and Sanders.

With voters more willing to think for themselves rather than act according to Party establishment diktat, the question must be asked how Single Payer can be made attractive to conservatives.  As I noted above, one way is to decouple it from other progressive issues.  It must not be seen as simply another plank of a Left-wing platform.  Opposition to coal mining or to gun rights, as examples, should not be made a prerequisite for Single Payer advocacy or a condition for working hand in hand with progressives in the Single Payer movement.  And meetings of Single Payer activists, should not drift into such areas which are guaranteed to make conservatives feel unwelcome.

In other words the crusade for Medicare for All must be made into a solid single-issue effort that spans parties and ideologies.  In this regard Single Payer activism has much to learn from the struggles for legalized abortion or gay rights or equality for women which grew to span Parties and ideologies.  And it might take a cue from Ralph Nader’s book Unstoppable which advocates just such Right-Left alliances.

A Single State Approach to Single Payer.  The Tenth Amendment Option

The central approach Jarvis advocates to appeal to conservatives is proceeding state by state.  This involves an appeal to the conservative distrust of the federal government and to the conservative commitment to the Tenth Amendment, which states:

The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

With this appeal in mind Jarvis suggests that in the new populist post-2016 environment we turn to winning Single Payer one state at a time.  In sum, a Purple World, Tenth Amendment approach to Single Payer.

But why not simply go the federal route?  The answer is that our Congress is in thrall to the Insurance Company Giants who are in control of most health care in the US and therefore make a bundle from it.  The Insurance Behemoths have been especially powerful in Washington, virtually writing the ObamaCare legislation which codifies and extends the control of the Insurers over the health care system.  There is no doubt that the Insurers also have great influence over State politicians.  But, in general, the more local the government, the greater control the people have over it.  And most importantly States have the ability to enact laws by referendum, so Jarvis’s irascible voters can bypass the politicians entirely.  Still even in the arena of the referendum, there will be a battle between truth and money – and it will not be an easy battle for the truth.

One problem with the Purple World, Tenth Amendment state by state approach is that it too requires an act of Congress.  Congress needs to provide enabling legislation to exempt states from various federal rules and regulations that preclude a Single Payer system.

It is here that the Tenth Amendment approach becomes valuable for it would have appeal to many principled conservatives in Congress.  They might then join an increasing number of liberal Congresspersons to enact such a bill.  And such a measure could enjoy the support of both conservative and progressive/liberal populists at the grassroots level.  With such a law in effect each state could attempt to win single-payer. This would be the Purple World in action.

Such enabling legislation or something very close to it was proposed in the past by former Democratic Congressman Jim McDermott of Washington.  And McDermott’s successor, Democratic Representative Pramila Jayapal has submitted such legislation again.  Perhaps even more interesting, as Jarvis informs us, Republican Senator Mike Lee of Utah stated in a TV debate in his election bid in 2011 that each state should be allowed to fashion its own policy for health-system reform, even if it meant the state would create a single payer system.  That statement came in answer to a question posed by Dr. Jarvis who lives in Utah.

The existence of such a bill in Congress would also open the door for votes coming from both Republicans and Democrats, with Republicans able to side with it in a way that is compatible with their Tenth Amendment outlook.  And this would also satisfy another prescription of Jarvis: voters must ruthlessly hold politicians to their promises.  The very existence of such a bill in Congress provides a way to put each member of Congress on record as a co-sponsor – or not.  The irascible populist voter can demand that both conservatives and progressives back such a bill -or give their vote to an opponent of either party who will back such a bill – both by co-sponsorship and by vote.  All of a sudden Democrats must compete with conservative Republicans for the populist voter demanding Single Payer.  There would no longer be a single Party monopoly on Single Payer.

Dr. Jarvis fleshes out this proposal by sketching the outlines of such a Single-Payer bill for his state of Utah.  It merits examination, for as usual there are demons lurking in the details and these demons must be routed.

Let 50 Flowers Bloom

There is now a debate among Single-Payer advocates about which path to take, the national path or the state path.  Some suggest that only the federal path is possible and that state-based approaches would distract attention and divert energy from the national project.  But it is equally true that the two approaches can be complementary, stirring up general interest at all levels.  Two wise and very knowledgeable members of Physicians for a National Health Program suggested to this reviewer that both approaches be pursued since it is impossible to tell where a breakthrough will occur.

The single-state approach would follow in the footsteps of the proven, successful single-province approach in Canada.  There single-payer was first instituted in the Province of Saskatchewan in a mighty and bruising struggle.  But it then spread like wildfire to all the provinces.  Perhaps California or Washington – or Utah – could be the Saskatchewan of the US.  Let 50 flowers bloom!

Public Space and the Bicycle: Copenhagenizing Cities

Indian cities are in crisis. Spend any length of time in a large city there and you will notice the overcrowding, the power and water shortages and, during monsoon, the streets that transform into stinking, litter-strewn rivers. At times, these cities can be almost unbearable to live in. Little wonder then that the concept of ‘smart cities’ is taking hold among policy makers, however flawed the notion might seem to be.

And, not least, of course, there is the horrendous traffic chaos and congestion, the choking pollution and the increasing number of massive concrete flyovers: monstrosities that have taken their place among numerous other planning disasters that blight so many Indian cities.

A couple of years back, Delhi introduced an ‘odd-even’ traffic policy whereby vehicles with certain registration numbers were allowed on the road only on designated days to try to cut down on traffic congestion and pollution. But this failed to solve the underlying problem that stems from a model of ‘development’ that associates a (wholly unnecessary) push for urbanisation and car ownership with progress.

Despite the problems, the greater the urban sprawl and the more road building that takes place, the happier are the real estate, construction and car manufacturing sectors. That’s not idle speculation: the documentary How Big Oil Conquered the World describes how the car and oil industry criminally conspired to undermine public transport systems in US cities to get the population and urban planners hooked on the car.

As long as urban planners prioritise the car and wrong-headed notions of ‘development’ governed by powerful players continue, Indian cities will not only sprawl ever outwards and be defined by traffic congestion and air and noise pollution, but residents will experience an ever-worsening decline in their quality of life and increasing dependency on motorized transport.

Indian planners might wish to take note of a recent New York Times article which highlighted that Los Angeles has decided against adding lanes to a freeway. Although Andre Gorz noted this back in 1973, policy makers are waking up to the fact that building extra lanes merely means more cars, more pollution and journey times increasing. As soon as you build a highway or add lanes to a freeway, cars show up to fill the available capacity (known as induced traffic demand).

This induced demand imposes costs on us all in terms of degraded public space and serious health risks (recent research shows that a congestion charge in Stockholm reduced pollution and sharply cut asthma attacks in children).

Just as some countries are now realising the folly of widening and building ever more roads and jamming cities with cars, Indian planners carry on regardless by blighting the urban landscape with ever more huge concrete flyovers and expressways snaking across cities and dividing and destroying communities.

Smart thinking

A day before Delhi implemented the second phase of its ‘odd-even’ vehicle policy, the city announced it wanted to support the construction of more roads to solve congestion by enhancing road capacity via new roads, road widening, elevated corridors, flyovers and underpasses.

One would have thought that smart cities call for smart thinking. Not so in Delhi.

If there is one city that seems to be on the right track, it is Copenhagen. The city believes that cycling should be the foundation for sustainable transport strategies and is key to making cities clean, green and liveable. Copenhagen’s urban transport solution gives space to cars but more importantly to bicycles, pedestrians and public transport.

Back in the early 1970s, Copenhagen was just as traffic-clogged as anywhere. Now it has around 400 km of cycle paths. The city’s 2017 Annual Bicycle Report confirms that cycling is the preferred mode of transport for the city’s inhabitants. Each day, some 62% of Copenhageners use their bikes to go to work or school/college.

Copenhagen has in recent years been voted the ‘best city for cyclists’ and the ‘world’s most liveable city’. Throughout the world, there is now a desire to improve public health and combat climate change. As a result, Copenhagen’s renowned cycle-friendly policies are serving as a template for some of the world’s most congested cities.

Aside from health and environmental considerations, an effective urban transport policy should be democratic. Unlike cars, even the poorest segments of society can gain access to a bicycle. The bicycle is indeed democratic, not just for those who cycle but also for the rest of the population who are too often impacted by planning blight, pollution and the colonisation of urban space as a result of planning that privileges car users ahead of everyone else.

However, the bicycle is only truly democratic when spatial segregation is limited and bike lanes and appropriate cycle-friendly infrastructure exist to properly connect all areas. Inspired by Copenhagen, Mexico City’s bicycle strategy is attempting to address this issue through a comprehensive cycle path network, which aims to create mobility through areas that have been closed off due to previous planning strategies.

The arrogance of space

For cities to fully embrace the bicycle, city planners must stop thinking like motorists or capitulating to powerful lobby groups and plan for the needs of cyclists. In Denmark, for example, the Copenhagen-Albertslund route is the first of a planned network that will comprise 26 Cycle Super Highways, covering a total of 300 km. The network is predicted to reduce public expenditure by €40.3 million annually thanks to improved health.

Consider that in Europe 50% of most city land is dedicated to streets and roads, parking, service stations, driveways, signals and traffic signs. And yet the average European car is parked for 92% of the time. Of the other 8% of time, 1.5% is spent looking for a parking space, 1% in congestion and just 5% is spent driving. There are 30,000 deaths per year on European roads and four times as many disabling injuries. Consider too that an average European car has five seats but carries 1.5 persons per journey.

In Copenhagen, city planners tend to give an adequate proportion of road space to cyclists: proper cycle lanes with curbs that separate cycling space from car space; cycle lanes that are usually also sufficiently wide. After all, why should cars hog so much road space when the majority of road users are cyclists?

In the article ‘The Arrogance of Space’, it says:

We have a tendency to give cities human character traits when we describe them. It’s a friendly city. A dynamic city. A boring city. Perhaps then a city can be arrogant. Arrogant, for example, with its distribution of space.

For too long the arrogance of car-obsessed urban planners has degraded our health and our quality of life. But when you have good-quality public transport and the opportunity to cycle thanks to appropriate infrastructure, there is no need to hand over excess space to cars and produce endless concrete sprawl for car parks.

Walk (or cycle) around Copenhagen and you will immediately appreciate there is much less traffic noise and pollution compared with other cities. It is indeed a spatially friendly and a compact city – and a less “arrogant city”. It is also less hectic and more tranquil than many other cities and – taking things even further – arguably more community-oriented.

The slow life

Of course, community-oriented living isn’t just due to transport strategies, although Andre Gorz said that to love your place or space, it must first of all be made liveable, not trafficable. He went on to state that the neighbourhood or community should be shaped by and for all human activities, “where people can work, live, relax, learn, communicate, and knock about, and which they manage together as the place of their life in common.”

In Copenhagen, the municipality encourages outdoor living by offering open-access communal table tennis tables, basketball facilities, well thought out kids’ parks, landscaped parkland and lakes. Even during cold weather, Copenhageners congregate on the streets and in the parks to socialise and embrace the concept of ‘hygge’, probably best defined as: a conscious appreciation, a certain slowness, and the ability to recognise and enjoy the present. Get to know the city and you will soon realise that hygge isn’t just a cliché.

The key word in that definition is ‘slowness’ because from there we arrive at the concept of ‘slow living’.

Writing in 1973, activist and writer Ivan Illich stated:

The use of the bicycle… allows people to create a new relationship between their life-space and their life-time, between their territory and the pulse of their being, without destroying their inherited balance… In contrast, the accelerating individual capsule [the car] enabled societies to engage in a ritual of progressively paralyzing speed.

Modern culture is an advocate of speed, epitomised by car worship. Cars, speed and high-energy living have become essential facts of life. In the process, our communities have become disjointed and dispersed. We have sacrificed ‘slow living’ – in terms of intimacy, friendship and neighbourliness – for a more impersonal way of accelerated living.

Where would be the need for the car when work, school or healthcare facilities are close by? Less need for ugly flyovers or six lane highways that rip up communities in their path. Getting from A to B would not require a race against the clock on the highway that cuts through a series of localities that are never to be visited, never to be regarded as anything but an inconvenience to be passed through.

Instead, how about an enjoyable walk or cycle ride through an urban environment defined by community and intimacy? An environment free from traffic pollution or noise and where ‘neighbourhood’ has not been deadened and stripped of its neighbourliness, local stores and facilities.

Clearly, many of the problems associated with modern cities are not just due to cars or transport systems. Urban planning and the colonisation of space mirrors capitalism and the needs of powerful corporations.

By focusing on capitalism and how culture reflects the division of labour, Andre Gorz said:

It cuts a person into slices, it cuts our time, our life, into separate slices so that in each one you are a passive consumer at the mercy of the merchants, so that it never occurs to you that work, culture, communication, pleasure, satisfaction of needs, and personal life can and should be one and the same thing: a unified life, sustained by the social fabric of the community.

Although it would be naïve and misguided to think that the bicycle (and cultural change) could transform the social relations of capitalism, it is at least emblematic of a different form of urban planning and smart thinking.

Chemically Induced Frankenstein-Humans

One of the biggest open questions of the 21st century is whether 144,000 different chemicals swirling throughout the world are properly tested and analyzed for toxicity. By almost all accounts, the scale of toxic risk is unknown. This may be the biggest tragedy of all time, a black eye of enormous proportions.

Correspondingly and very likely, not yet 100% proven but probably 99%, as a result of ubiquitous chemical presence, one hundred fifty million (150,000,000) Americans have chronic disease, including high cholesterol, high blood pressure, arthritis, heart disease, diabetes, fibromyalgia, cancer, stroke, asthma, cystic fibrosis, obesity, and osteoporosis.1  Why?

According to Dr. Paul Winchester, who discovered the link between chemicals, like pesticides atrazine and glyphosate aka Roundup and epigenetic human alteration, the findings are:

The most important next discovery in all of medicine.2

Dr. Winchester was one of the researchers/authors of “Atrazine Induced Epigenetic Transgenerational Inheritance of Disease, Lean Phenotype and Sperm Epimutation Pathology Biomarkers,” PLOS, published September 20, 2017.

The grisly underlying message of that study is as clear as a bell: Chemicals found far and wide throughout America alter human hormones as well as human DNA, which passes along generation-to-generation known as transgenerational inheritance.

Frankly, nothing more should need to be said to spur outrage and pissed-off people all across the land because, if that seminal study is correct in its analysis that chemicals mess up/distort/disrupt human hormones and alter human DNA in a destructive manner, then the streets of America should be filled with people wielding pots and pans, probably pitchforks, and ready for the fight of a lifetime because, by any account, there has been massive failure of ethical standards and regulations of chemicals for decades and decades. Who’s to blame?

The primary targets are (1) the EPA and (2) FDA and (3) pesticide/chemical manufacturers, like Monsanto, and ultimately the U.S. Congress.

The chemicals in the aforementioned study include the herbicide atrazine, one of the most widely used herbicides in the country and commonly detected in drinking water. The study demonstrated that atrazine is an endocrine disruptor that negatively alters human hormonal systems, as chronic diseases overwhelm American society.

The European Union (EU) banned atrazine in 2003 because of persistent groundwater contamination. However, as for the EPA in America, it’s okay, no problem. But, doubtlessly one of those jurisdictions is dead wrong because it’s a black and white matter. Either toxic chemicals horribly messes up DNA and cause chronic diseases or not, no middle ground. As for America, chronic disease is at epidemic levels at 60% of the population. Where, why, and how if not from environmental sources?

Yet, the most disturbing issue is the epigenetic impact, meaning that environmental factors impact the health of people and also their descendants. It stays with and passes along the human genome generation-by-generation-by-generation.

According to Dr. Winchester:

This is a really important concept that is difficult to teach the public, and when I say the public, I include my clinical colleagues.3

Still, atrazine is not the only human hormone-altering chemical in the environment. Dr. Winchester tested nearly 20 different chemicals and all demonstrated epigenetic effects, for example, all of the chemicals reduced fertility, even in the 3rd generation.

Still, why do 150,000,000 Americans have chronic diseases?

Researchers believe that every adult disease extant is linked to epigenetic origins. If confirmed over time with additional research, the study is a blockbuster that goes to the heart of public health and attendant government regulations.

According to Dr. Winchester:

This is a huge thing that is going to change how we understand the origin of disease. But a big part of that is that it will change our interpretation of what chemicals are safe. In medicine I can’t give a drug to somebody unless it has gone through a huge amount of testing. But all these chemicals haven’t gone through anything like that. We’ve been experimented on for the last 70 years, and there’s not one study on multigenerational effects.4

The U.S. Congress passed a new chemical safety law for the first time in 40 years with the Frank R. Lautenberg Chemical Safety for the 21st Century Act in 2016, but the provisions for regulation are totally overwhelmed by the tasks at hand.  For starters, more than 60,000 chemicals came to the market without safety testing, and the burden of proof for regulators previously was so burdensome that the EPA wasn’t able to ban asbestos when necessary.

As for the effectiveness of the new law, consider this statement in the following article, “It Could Take Centuries for EPA to Test all the Unregulated Chemicals Under a New Landmark Bill,” PBS SoCal, June 22, 2016:

The new law requires EPA to test tens of thousands of unregulated chemicals currently on the market, and the roughly 2,000 new chemicals introduced each year, but quite slowly. The EPA will review a minimum of 20 chemicals at a time, and each has a seven-year deadline. Industry may then have five years to comply after the new rule is made. At that pace it could take centuries for the agency to finish its review.

If that’s the best Congress can do to protect its citizens from toxic chemicals, they should be run out of town tarred and feathered on a rail. One more reason to abandon America’s socio-economic-politico scenario; maybe socialism would work better at protecting citizens.

Meantime, children are caught up smack dab in the middle of this 70-year experiment of untested and poorly/ill-tested chemicals.

Roundup (glyphosate) for breakfast? Yes, independent lab tests by Eurofins Analytical Laboratories found hefty doses of the weed-killer Roundup in oat cereals, oatmeal, granola, and snack bars:

EWG tested more than a dozen brands of oat-based foods to give Americans information about dietary exposures that government regulators are keeping secret. In April, internal emails obtained by the nonprofit US Right to Know revealed that the Food and Drug Administration has been testing food for glyphosate for two years and has found ‘a fair amount,’ but the FDA has not released the findings.5

California state scientists and the World Health Organization have linked glyphosate to cancer. Yet, the chemical is pervasively found in products. Yes, on regular ole grocery store shelves.

EWG found the chemical in several cereals such as Back to Nature Classic Granola, Quaker Simply Granola Oats, Honey, Raisins & Almonds, Great Value Original Instant Oatmeal, Cheerios, Lucky Charms, Barbara’s Multigrain Spoonfuls Original, Quaker Old Fashioned Oats, etc.

Ironically, they all sound so very very healthy.

Postscript:

Earth, and all life on it, are being saturated with man-made chemicals…For the first time in the Earth’s history a single species – ourselves – is poisoning the entire planet… It is arguably the most under-rated, under-investigated and poorly understood of all the existential threats that humans face in the twenty-first century.6

  1. Rand Corporation Review 2017.
  2. EcoWatch, August 16, 2018.
  3. EcoWatch.
  4. EcoWatch.
  5. Alexis Temkin, Ph.D. Toxicologist, “Breakfast With a Dose of Roundup?” Environmental Working Group (EWG), August 15, 2018.
  6. Julian Cribb, Surviving the 21st Century, Springer Publishing/Switzerland, p. 106.

Despite Caving on Superdelegate Votes, Democratic Leaders Stick With Old Wine in Old Bottles …

The challenge by progressives to Democratic party leaders for November’s midterms—and the 2020 presidential election—is to tone down the anti-Trump focus and play up domestic planks as did the Great Depression’s president Franklin D. Roosevelt (“FDR”) to solve the nation’s critical domestic needs. Campaigners do not want to waste time and energies in yet another party defeat because the party continues to abandon the interests of millions once under its “big tent” in catering to the interests of banks, big business, and the rich.

*****

So Democratic party’s leaders finally surrendered to its progressive wing’s demand to disallow the 716 superdelegates bloc to vote on the first ballot for a presidential nominee in 2020. That took two years at hard labor for progressive movements to wear down the Democratic National Committee (DNC) movers-shakers from using this Machiavellian tactic to stop a super-popular candidate from blocking its hand-picked pro-corporate nominee.

To move the party back to its base and prioritize today’s domestic needs that campaigners can offer voters will require fighting the DNC cabal’s long-practiced backroom tricks and threats. A few days before the Chicago annual meeting of members was the cabal’s 30-2 vote reversing the rules committee’s two-month-old ban on taking donations from union leaders in the fossil-fuel industry. That will keep the doors open to company contributions constantly influencing Congress.

DNC members apparently overlooked this deed in also passing a procedural-reform package including both same-day registration and party change, open primaries, toughening conflict-of-interest rules and financial oversight of DNC finances, and adding an Ombudsman committee for complaints.

For progressives, that means the next and greatest hurdle in both the November midterm elections for Congress and the 2020 presidential contest is to wear down the DNC’s resistance to planks still packing stadiums and halls for Sen. Bernie Sanders’ hugely popular platform planks: Medicare-for-All, $15 minimum wage, tuition-free public colleges, expanded Social Security, and a federal public-works jobs program. They are the same kind of vote-getting planks created and implemented by the famed Great Depression president, Franklin D. Roosevelt (“FDR”) for a mostly destitute and despairing nation.

But the DNC cabal’s opposition has been fiercely opposed to such plans, especially Medicare-for-All. DNC and Congressional minority leaders—Rep. Nancy Pelosi, Sen. Chuck Schumer—reap thousands in annual donations from the health-care industry. Small wonder then that last year, Pelosi insisted that “Americans aren’t ready for Medicare-for-All.” In July, her hedge was that if the Democrats win the House in November, “Medicare-for-All” proposals “should be evaluated.”

The cabal’s stance is criminal, given that millions of uninsureds will die in that stall. By May, some 45,232,000 were uninsured because of cost, many because they could no longer afford Obamacare, thanks to Congressional Republicans killing its subsidized mandate and/or the insurance industry’s constant increases in premiums and deductibles.

Yet the Reuters-Ipsos June/July poll of nearly 3,000 respondents showed that 70% support Medicare-for-all (Democrats: 85%; Republicans: 52%). Current cost estimates for the program show health-care savings of $2 trillion dollars over a 10-year period over the present for-profit system because of significant low-overhead in federal administration of the program.

Increasingly disappointed in the last few years in the Democratic party’s choices of losing candidates for Congressional and president, campaign volunteers are going to be increasingly absent. Many veteran campaigners hoped the cabal would be almost totally focused on fixing the nation’s critical domestic needs, as was FDR rather than foreign adventuring.

We veteran canvassers have a greater sense of voters’ values and demands than the party’s indoor leaders and technocrats. And we have the slammed doors or welcoming greetings to prove it. Most householders on our walking lists are unlikely to vote for Congressional or presidential candidates serving Wall Street, the industrial complex, or super-conservative “centrism.” We know we’ll hear about Trump’s high crimes and misdemeanors or the critical need to attack Russia, Iran, North Korea, or China before they attack us.

What we heard on the doorsteps even in the 2015-16 presidential election was Americans’ yearning for a new FDR to address most American’s vital domestic needs, not endless wars continually supported by the party on behalf of multinational corporations. Didn’t 139 House Democrats just vote to allocate $717 billion for military spending?

We expect to be braced now on doorsteps on why the party doesn’t support Bernie’s platform or his presidential candidacy when he’s still ranked as America’s most popular politician and attracts standing-room crowds because of those planks.

Some householders may be politically savvy enough to ask why Pelosi is still House minority leader and pouring the DNC’s old wine into old bottles, something even Democratic cohorts are discussing in weighing her replacement after the midterms.

But she still remains the powerful voice of the cabal—and is a top fundraiser. As such, she wrote a six paragraph letter to Congressional colleagues the day before the DNC’s general meeting with pointed orders for the midterms. Four paragraphs dealt with fighting the Trump regime. True, “working people” are mentioned five times in her demand that incumbents focus on delivering a “strong economic message for the people.” But she carefully avoided planks about Medicare-for-All, a $15 hourly wage, and ludicrously urged the impossibility of eradicating political corruption, and closed with:

As November rapidly approaches, we must also stay focused on delivering our strong economic message to hard-working families across America that we are fighting For The People: working to lower health care costs and prescription drug prices, increasing workers’ pay through strong economic growth by rebuilding America, and cleaning up corruption to make Washington work.

She’s supported by the cabal’s latest tactic against progressives, the “New Democrats,” organized to preserve major donations from Wall Street, Big Pharma, big corporations, and the military-industrial complex. Its political-action committee (NewDemPAC) has raised $2.7 million. They counted on the Democratic Congressional Campaign Committee (DCCC) to pick and fund its midterm candidates.

Support comes from neo-liberal groups and institutions, especially the Clintons’ Third Way Democrats, to carry the centrist dogma of super-caution in times when FDR-like bold actions are essential. The Third Way is touting 12 super-small planks to rebuild the economy: an American Investment Bank for small businesses and an Apprenticeship America plan to fund 100 apprenticeship programs.

The Third Way’s president defended these two top planks as the means “to stand up and launch a serious, compelling economic alternative to Sanderism.” Yet 40% of American families fret over paying for food, housing, increasing utility rates, and health care. An FDR assuredly would quickly expose Trump’s second-quarter boast that the GDP (gross domestic product) is at 4.1 percent, and his lies about a booming economy. Too many Americans are not experiencing it and echo the cry of “You can’t eat GDP. GDP doesn’t pay the bills.”

How are we volunteers to tell householders and renters that these ”New Democrat” programs are “serious, compelling economic solutions” to their basic problems?

Obviously, though this right-wing group has spent thousands on focus groups and “listening” tours around the country for those planks, their audiences must have been the well off. They’re deaf to the real needs attracting most voters in the Rust-Belt states to candidate Donald Trump and the millions flocking to Sanders’ rallies. It’s doubtful they care that 57% of Democrats and 51% of U.S. millennials view socialism positively, according to a July 30-August 5 Gallup poll. Or why such voters yearn for a new FDR to implement Sanders’ planks.

FDR was a powerful, experienced, and practical problem-solver as president. His leadership rescued the nation from its darkest hours of the Great Depression and grateful millions rewarded him with four terms in the White House.

Fresh from governing and working hard to rescue New York state, FDR was a jaunty 51 when he moved into the White House in 1933 with a pragmatic “brain-trust” staff experienced in relief work and practical economics. They hit the floor running.

In the first 100 days, they set up “New Deal” programs despite howling opposition from a terrified Democratic cabal and those in Congress, and the colossal power of big business, and the “banksters.” All of them learned no one could intimidate or deter Roosevelt in his near-impossible mission, not even Churchill, Stalin, or Hitler.

He and his team started by tackling the financial industry’s depredations with a bank “holiday,” followed by a tough law (Glass-Steagall) forbidding them to play the stock market. Another law refinanced home loans. A new agency (Securities & Exchange) finally policed Wall Street. Farmers got crop subsidies, preventing the nation from starving. Millions of unemployed got jobs fixing long-neglected and vast infrastructure needs (Works Progress Administration) so the nation got dozens of dams and the Tennessee Valley Authority for cheap power and flood control. Millions of idle youths got jobs doing environmental work (Civilian Conservation Corps).

FDR’s second term gave the elderly Social Security and brought unions protections for wages, hours, and collective bargaining (the National Labor Relations Board).

He primed the public pump both with temporary public debt and hiking taxes on the rich, actions petrifying today’s DNC cabal because of its heavy dependence on big donors bent on preserving the status quo of low taxes and few federal regulations.

The New Deal “investment” cost $500 billion in today’s dollars, but was repaid by jump-starting a dying economy into a miraculous recovery before WWII. Treasury revenues climbed because of federal paychecks spent on food, housing, goods and services. That fed business profits, increasing taxes and bank reserves for loans to those businesses and industries. Improved highways and ports moved commerce faster and farther which, in what’s called the “multiplier effect,” created jobs.

In short, led by FDR, the Democratic party was then in tune with the times and priorities of most Americans. As one old-timer recently remarked: “Roosevelt was so popular that the party wouldn’t have had to spend a dime campaigning.”

If he were in charge today, he would stump the country with specific plans crafted by a “brain-trust” and immediately implement them by Executive Order if a frightened Congress balked at fast-tracking such bills into law.

Every Congressional candidate for the November midterm elections would be “strongly urged” by an FDR to rescind the recent corporate tax-cut of 21% if it’s to be paid by cutting $2 trillion from Medicare, Medicaid, Obamacare, and public schools. At the least, they would be told to either block making those cuts permanent after the 2025 sunset or face another Executive Order forcing 95% of those cuts be invested in factory startups and wage increases.

A new FDR team also would be creative enough to block tax havens and money moved to international banks. Those cunning and greedy current actions to stratify profits rob the Treasury of billions in federal revenue.

In addition, they would fight for a $15 per hour wage in 2018, not 2025 because most Americans’ wages are not just stagnant, but dropping while living costs are rising and layoffs are increasing. The July PayScale study reported a decrease in 80 percent of industries and overall by 0.9% from this year’s first quarter.

Indeed, workers are earning 1.4% less than a year ago when measured against today’s Cost of Living (COLA) rate? No state has a minimum wage yet of $15 per hour. In 15 states alone, it’s still $7.25. In Georgia and Wyoming, it’s $5.15. But, then, if none in the DNC’s elitist cabal has ever had to survive on $5.15 or $7.25 per hour, why would they consider advocating wage hikes or increases in Social Security cheques to match the COLA rate?

Additionally, an FDR would make short work on the campaign trail of Trump’s claim that June’s unemployment rate was 4%. Such a statistic involves 6,600,000 humans and the 359,000 who’ve given up looking for work in times when manufacturing has “suddenly leveled off.” If robots are expected to cut manufacturing jobs by a third in the next decade, it means a jobless rate of 39,021,210, a catastrophic number compared to the Great Depression’s highest year (1933) of 12,830,000 when FDR took office.

He and his team would counter such a disaster again by the “multiplier effect” by resurrecting both the WPA and CCC, along with a federal guaranteed annual paycheck, again paid for by temporarily increasing the federal debt and raising taxes for U.S. companies moving overseas or “going robotic.”

Despite these immense and highly visible domestic challenges, the cabal’s actions to ignore them depend heavily on planks chiefly demonizing Russia, China, Iran, and North Korea. Unfortunately, most Americans aren’t war hawks. Media critic Norman Solomon notes: “…polling shows that few Americans see Russia as a threat to their well-being. That they’re far more concerned about such kitchen-table issues as healthcare, education, housing and overall economic security.” A recent Hill/HarrisX poll also shows 54% of Americans favor a second Trump-Putin meeting and that 61% believe “better relations with Russia are in the best interest of the United States.”

Loss of special-interest contributions has been one major threat. But Bernie showed how to raise millions by “volume” of $27 contributions from individuals.

Moreover, the DNC’s choice of a presidential candidate cost them the 2016 election because some 35% of eligible Democrats failed to vote. They balked either because a plutocrat regarded them as “deplorables” of fled to third parties like the Greens or Trump as the lesser evil. Too many of the cabal’s recent actions show the same disregard for millions of ordinary voters, the definition of insanity: doing the same things and expecting different results.

The battle lines between progressives and the “New” elitist Democrats have yet to be hardened. It’s never too late for campaigners and candidates to convince the DNC leaders to pour new wine into new bottles to bring back millions of voters they’ve ignored for the last three decades. That means seeking out new FDR types for Congress in the midterms and the White House in 2020.

As for the thousands of volunteers counted on to get-out-the-vote (GOTV), we’re tired of wasting time, creativity, “foot-power,” and money working for candidates continuing to ignore actions addressing the nation’s vast domestic needs. Give us another FDR and immediate action on Bernie’s planks or we’ll vote with our feet.

Ernesto Che Guevara Medical-Cultural Brigade: In Santos Lugares… looking for Haiti

V Ernesto Che Guevara Brigade Signs Off from Santos Lugares

The fifth Ernesto Che Guevara Medical-Cultural Brigade took place on August 18 and 19, in the village of Santos Lugares, in the province of Santiago del Estero, Argentina. Having been present in the brigade, in this article we report on the activities that took place, both in terms of healthcare and education. During two very intense days, Che’s footprint was present in Northern Argentina.

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Santos Lugares is a remote village, with a population of 300 according to the last official census, and the current estimate is of around 7000 people in a 100 km radius. With no telephone lines, the radio is the main source for communication and information, and that was how people were informed about the arrival of this brigade.

The climate is dry and the land is not fertile for agriculture. Locals mostly dedicate themselves to raising cattle (cows, sheep, pigs, chickens) which, in the absence of grazing land, roams around freely looking for food. Another sustenance activity is the production of vegetable charcoal, which has caused a severe deforestation of the area. Nevertheless, the main struggle in this corner is the defense of the land against the expanding agro-business interests. This struggle, which is decades old, has seen the emergence of movements such as the MOCASE (Campesino Movement of Santiago del Estero), with whom the coordination was made to organize this brigade.

The 128-strong brigade arrived on two buses, which made the journey of more than 11 hours from the city of Córdoba. These were joined by other people coming from other places in the province of Santiago del Estero, or from neighboring provinces such as Tucumán. With a large contingent of doctors who studied at Cuba’s Latin American School of Medicine, the ELAM, the brigade also brought other healthcare professionals such as dentists, opticians, ophthalmologists, as well as educators from the literacy program Yo Sí Puedo (“Yes I can”), students, culture, recreation and sports professionals, communicators and journalists, and others.

The accommodation was offered by Colegio San Benito, a religious school for boys and girls, in a place where, to no surprise, the church is the main cultural influence. For an outside observer it was an extraordinary sight to see religious images hanging on the walls and then an army of green scarves walk past them.1 But for now the goals were different: to bring medical attention, and more, to these people. It is fair to point out as well that the local pastor has always been very committed to the peasant struggle.

Dry landscape of Santos Lugares (Photo: Ricardo Vaz)

The two main axes of the brigade were the literacy program Yo Sí Puedo and healthcare, especially ophthalmology. Most of these operations were set up in Santos Lugares, but 8 small groups, 4 on Saturday and 4 on Sunday, also went to isolated places around Santos Lugares.

Around these two activities there was also room for organizing children’s activities, with sports, educational games and a mobile library. On Sunday everyone participated in the local children’s day activities, and there was also a discussion group concerning gender and women’s rights. It is worth mentioning that Brazilian comrades from the Movement of the Landless Rural Workers, the MST, participated in all of these activities, which allowed for an interesting exchange of experiences.

Rooting out illiteracy from the remotest corners

The members of the Yo Sí Puedo literacy program2, including Cuban advisors and volunteers that coordinate the program in different parts of Argentina, split up in small groups to go door to door in Santos Lugares and in nearby places. In total 148 visits were made, in which 60 potential students for the program were found. On Sunday there were training sessions for 32 facilitators, which will remain in touch with the program coordinators as they move forward.

We had the chance to go along with one of these groups that went door to door. In one case we were warmly welcomed, with mate [note: traditional Argentinian drink] and cookies, by the Juárez Faría family. The mother, Margarita, told us that she has two teenage kids with disabilities, who never learned how to read and write in school. She currently lives with them during the week in Santiago (capital of the province), so that they can attend a special school, and brings them back to Santos Lugares on the weekends. Learning how to read and write will make them much more independent, and Margarita herself will play the role of facilitator.

Beyond the pedagogical method, which is truly revolutionary, the main trump of this program is perhaps its flexibility. Oel Hernández, program coordinator in Argentina, reiterated that the program will only work if it adapts to the needs of the people. The possibility of holding the classes in a nearby place, or in someone’s home, the closeness of the facilitator which comes from the community, is what allows everyone to learn and advance at their own pace. In the end, the feeling of being able to finally write a letter to a grandson is something that no words can describe. No words except those in the letter, of course.

Small team from Yo Sí Puedo going door to door (Photo: Ricardo Vaz)

Filling a hospital with doctors

The doctors in the brigade mostly set up in the recently built hospital of Santos Lugares. However, while the infrastructure is new, there are no doctors. Currently only a nun, who is a doctor and is stationed in Santos Lugares, comes to the hospital once a week. With the arrival of the brigade the hospital was suddenly full of doctors and, especially, patients. In total more than 450 consultations took place, between general clinic, pediatrics, neurology, cardiology, gynecology, and others. The brigade also brought a large amount of donated medicines, which were prescribed to some patients and also stocked the hospital’s pharmacy.

Norma Vega, one of the people in the hospital we spoke to, was bringing her granddaughter for a check-up. Besides that, she wanted to talk to a neurologist about her disabled daughter, to get a second a opinion, since the doctors in the capital city of Santiago del Estero want her to have surgery. This is common issue to most medical specialties, like cardiology or neurology, namely, the need for patients to travel 4 or 5 hours to Santiago (capital) to find specialized medical attention. This without mentioning, like Norma explained, the ordeal and costs required to access the necessary drugs.

Hospital of Santos Lugares (Photo: Ricardo Vaz)

A second unit, mainly dedicated to ophthalmology, set up in the Casa del Santo Padre. There they did 330 ophthalmological consultations, which included prescribing eyeglasses for 83 patients. There were also 30 patients identified with cataracts or pterygium, and with those the task now is to coordinate so they can come and have surgery at the Ophthalmological Center in Córdoba, where Operación Milagro is based.3 The first patients are due to travel as soon as September.

One of the most noteworthy events took place in the early hours of Sunday, when people came from the town asking for help, as a pregnant woman had gone into labor. Even though the previous night had been, let us put it mildly, of intense conviviality, two ELAM-trained doctors quickly responded and helped with the successful delivery of little Inés.

We could ask ourselves: what is it that drives a doctor to go out of some place in Argentina, get all the way to Córdoba to then embark on an endless bus journey, stay in less than comfortable accommodation, in order to see hundreds of patients in a forsaken village, for free, on a weekend? There will not be any explanations in any Ted Talk, nor in Andrés Oppenheimer’s latest book. Some will point towards an (irrational) sense of duty, which is surely there, but behind all of this are the great feelings of love and commitment that guide true revolutionaries, like Che used to say.

Finally, we need to say a word about Aleida Guevara. If her arrival was announced everywhere, the truth is that Aleida truly came at the head of the brigade. Beyond everything that is demanded of her, in terms of speeches and interviews, she was in the hospital both days, from beginning to end, seeing patients like all the other pediatricians. And while among the people one could hear rumors that “Che’s daughter” was in town, the truth is that most mothers and kids will have left her office simply thinking that a very kind Cuban doctor had just seen them.

Ophthalmological exam (Photo: Ricardo Vaz)

Looking for our Haiti

Claudia Camba, president of the UMMEP foundation, which coordinates the Cuban missions and organizes these brigades, told us that, after an outbreak of cholera that followed the 2010 earthquake in Haiti, Fidel Castro insisted that the ELAM graduates should be brought to Haiti. Not just because they were sorely needed at the time, but also because contact with these “wretched of the Earth” was also a school, so that doctors never forgot what their mission was. But in the specific case of the Argentinian ELAM graduates, it was not possible to find the funds to send them to Haiti. Nevertheless, a few months later, an idea emerged – “let us look for Haiti in Argentina”.

That is how these brigades were born, and Aleida joined them. On five occasions they have gone to the most remote locations in Argentina4 to bring not only healthcare but also education, culture and sports. It is important to stress, as we said before, that this is not just about bringing an oasis that leaves as quickly as it came. By bringing medical attention to a place where there is none, besides solving any immediate issues people might have, the goal is to orient patients so they can seek the medical care they need. The same holds true for the literacy mission, which, through the door to door research and the training of local facilitators, plants the seeds that will allow the program to develop in the future.

But looking for Haiti can be more than this. Haiti was the stage for the first and only successful slave rebellion. During a few truly revolutionary years, the army of slaves, hell-bent on breaking free of their chains once and for all, managed to militarily defeat the armies of the French, Spanish and British empires. All this took place under the leadership of Toussaint Louverture, a former slave that proved too cunning, militarily and diplomatically, for his European enemies.

Therefore looking for Haiti also has this connotation, of fighting for liberation. Fighting for the liberation of peoples who, while no longer under slavery5, are still yearning for their dignity under this system that is not only responsible for their misery and exclusion, but actually feeds off of them. While only for two days, the brigade brought small revolutionary seeds of healthcare and education that will help these people break free of their chains. And their liberation will also be ours, and that of all those who struggle.

• First published in Investig’Action

The Che Guevara brigades, as well as the internationalist education and healthcare missions (Yo Sí Puedo and Operación Milagro), are coordinated in Argentina by the Un Mundo Mejor Es Posible Foundation (UMMEP, “A Better World is Possible”). The missions are sustained by the generosity of the Cuban government and the solidarity of people around the world. Donations can be made following this link.

• Special thanks to Luciana Daffra for her corrections and suggestions.

  1. The green scarf has become the symbol of the struggle for the legalization of abortion in Argentina.
  2. The Yo Sí Puedo (“Yes I Can”) program, designed by Cuban pedagogue Leonela Relys, has allowed over 10 million people, in 130 countries, to learn how to read and write. It is based on 65 lessons, in audiovisual format, and on the presence of a facilitator, who ensures that the students are learning, and works as a liaison with the Cuban advisors of the program.
  3. Operación Milagro is an eye healthcare program to fight preventable blindness, mostly due to cataracts. The mission has gone through several stages before finally opening, in 2015, the Dr. Ernesto Che Guevara Ophthalmological Center in the city of Córdoba.
  4. The four previous brigades went to the provinces of Chubut (in Patagonia), Jujuy, Córdoba and Misiones.
  5. There is a clarification to be made here, which is that, unlike what bourgeois historiography would have us believe, the abolition of slavery, wherever it took place, was not a magnanimous act by whoever was in charge at the time. Simply put, due to the evolution of capitalism and the growing resistance from slaves, from an economic standpoint it made more sense to have serfs/laborers than to have slaves.

When Illness is a ‘Death Sentence’: The Victimization of Gaza Women

Hanan al-Khoudari resorted to Facebook in a cry for help when Israeli authorities rejected her request to accompany her three-year-old son, Louay, to his chemotherapy treatment in East Jerusalem.

The boy is suffering from an ‘aggressive soft tissue sarcoma’. Israeli authorities then justified their decision based on a vague claim that one of Hanan’s relatives is a ‘Hamas operative.”

The rights group, Gisha reported that the state remains unwilling to define precisely what it means to be a ‘Hamas operative.’ Even if an explanation is offered, denying gravely ill Palestinians from receiving life-saving treatment remains an immoral and illegal act.

“The state is sentencing the petitioners to death or a lifetime of suffering,” said Muna Haddad, an advocate with Gisha. By ‘petitioners’, she was referring to seven Gaza women who were denied access to urgent medical treatment by Israel, which required them to leave the besieged Gaza Strip.

The suffering of Gaza women rarely makes headlines. When Palestinian women are not invisible in Western media coverage, they are seen as hapless victims of circumstances beyond their control.

The fact that a woman from Gaza is ‘sentenced to death’ simply because a male relative is shunned by Israel is quite typical behavior from a country that oddly presents itself internationally as an oasis for equality and women rights.

It feeds into the false notion that Palestinian women are trapped in a “conflict” in which they play no part. Such misrepresentations undermine the political and humanitarian urgency of the plight of Palestinian women and the Palestinian people, as a whole.

In truth, Palestinian women are hardly bystanders in the collective victimization. They deserve to be made visible and understood within the larger context of the Israeli occupation of Palestine.

The seven women who petitioned the Israeli court, and the story of Hanan al-Khoudari, are but a small representation of thousands of women who are suffering in Gaza without legal advocates or media coverage.

I spoke to several of these women – whose suffering is only matched by their incredible resilience – who deserve more than mere recognition, but an urgent remedy as well.

Shaima Tayseer Ibrahim, 19, from the town of Rafah in southern Gaza, can hardly speak. Her brain tumor has affected her mobility and her ability to express herself. Yet, she is determined to pursue her degree in Basic Education at Al-Quds Open University in Rafah, in the southern Gaza Strip.

The pain that this 19-year-old is enduring is extraordinary even by the standards of poor, isolated Gaza. She is the oldest of five children in a family that fell into poverty following the Israeli siege. Her father is retired and the family has been struggling but, nevertheless, Shaima has been determined to get an education.

She was engaged to be married after her graduation from university. Hope still has a way of making it into the hearts of the Palestinians of Gaza and Shaima was hoping for a brighter future for herself and her family.

But March 12 changed all of that.

On that day, Shaima was diagnosed with an aggressive brain cancer. Just before her first surgery at Al-Makassed Hospital in Jerusalem on April 4, her fiancé broke off the engagement.

The surgery left Shaima with partial paralysis. She speaks and moves with great difficulty. But there was more bad news; further tests in a Gaza hospital showed that the tumor was not fully removed and it must be quickly extracted before it spreads any further.

To make matters worse, on August 12, the Ministry of Health in Gaza announced that it would no longer be able to treat cancer patients in the Israel-besieged enclave.

Shaima is now fighting for her life as she awaits Israeli permission to cross the Beit Hanoun checkpoint (called the Erez Crossing by Israel) to the West Bank, through Israel, for an urgent surgery.

Many Gazans have perished that way, waiting for pieces of paper, a permission, that never materialized. Shaima, however, remains hopeful, while her whole family constantly prays that their eldest daughter prevails in her fight against cancer and resumes her pursuit of a university degree.

On the other side of Gaza, Dwlat Fawzi Younis, 33, from Beit Hanoun is living a similar experience. Dwlat, however, also looks after a family of 11, including her nephews and her gravely ill father.

She had to become the main breadwinner of her family when her father, 55, suffered kidney failure and was unable to work.

She would look after the entire family with the money she earned as a hairdresser. Her brothers and sisters are all unemployed. She used to help them, too, whenever she could.

Dwlat is a strong person; she has always been that way. Perhaps it was her experience on November 3, 2006, that strengthened her resolve. An Israeli soldier shot her while she was protesting with a group of women against the Israeli attack and destruction of the historic Umm Al-Nasr mosque in Beit Hanoun. Two women were killed that day. Dwlat was hit by a bullet in her pelvis, but she survived.

After months of treatment, she recovered and resumed her daily struggle. She also never missed a chance to raise her voice in solidarity with her people at protests.

On May 14, 2018, when the United States officially transferred its embassy from Tel Aviv to Jerusalem, 60 Palestinian protesters were killed and nearly 3,000 were wounded at the Gaza-Israel fence. Dwlat was shot in her right thigh, the bullet penetrating the bone and cutting through the artery.

Her health has deteriorated quickly since then, and she is now unable to work. But Israel still has not approved her application to be transferred to Al-Makassed Hospital in Jerusalem to receive treatment.

Yet, Dwlat insists she will continue to be an active and empowered member of the Gaza community, even if it means joining the protests along the Gaza fence on crutches.

In truth, these women embody the remarkable spirit and courage of every Palestinian woman living under Israeli Occupation and siege in the West Bank and Gaza.

They endure and persist, despite the massive price they pay, and continue the struggle of generations of courageous Palestinian women who came before them.