Ebola Didn’t Have to Kill Thomas Eric Duncan, Nephew Says; Statement by RN’s at Texas Health Presbyterian October 18, 2014Posted by rogerhollander in Africa, Health, Racism.
Tags: Africa, dallas ebola, ebola, ebola infection, ebola protocol, ebola symptoms, josephus weeks, national nurses, nina pham, nurses, presbyterian hospital, racism, roger hollander, texas nurses, thomas eric duncan
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Roger’s note: Is it ebola that we need to worry about or is it our racism and capitalist health care system?
Josephus Weeks; National Nurses United
October 15, 2014
On Friday, Sept. 25, 2014, my uncle Thomas Eric Duncan went to Texas Health Presbyterian Hospital Dallas. He had a high fever and stomach pains. He told the nurse he had recently been in Liberia. But he was a man of color with no health insurance and no means to pay for treatment, so within hours he was released with some antibiotics and Tylenol.
Two days later, he returned to the hospital in an ambulance. Two days after that, he was finally diagnosed with Ebola. Eight days later, he died alone in a hospital room.
Now, Dallas suffers. Our country is concerned. Greatly. About the lack of answers and transparency coming from a hospital whose ignorance, incompetence and indecency has yet to be explained. I write this on behalf of my family because we want to set the record straight about what happened and ensure that Thomas Eric did not die in vain. So, here’s the truth about my uncle and his battle with Ebola.
Thomas Eric Duncan was cautious. Among the most offensive errors in the media during my uncle’s illness are the accusations that he knew he was exposed to Ebola – that is just not true. Eric lived in a careful manner, as he understood the dangers of living in Liberia amid this outbreak. He limited guests in his home, he did not share drinking cups or eating utensils.
And while the stories of my uncle helping a pregnant woman with Ebola are courageous, Thomas Eric personally told me that never happened. Like hundreds of thousands of West Africans, carefully avoiding Ebola was part of my uncle’s daily life.
And I can tell you with 100 percent certainty: Thomas Eric would have never knowingly exposed anyone to this illness.
Thomas Eric Duncan was a victim of a broken system. The biggest unanswered question about my uncle’s death is why the hospital would send home a patient with a 103-degree fever and stomach pains who had recently been in Liberia – and he told them he had just returned from Liberia explicitly due to the Ebola threat.
Some speculate that this was a failure of the internal communications systems. Others have speculated that antibiotics and Tylenol are the standard protocol for a patient without insurance.
The hospital is not talking. Until then, we are all left to wonder. What we do know is that their error affects all of society. Their bad judgment or misjudgment sent my uncle back into the community for days with a highly contagious case of Ebola. And now, officials suspect that a breach of protocol by the hospital is responsible for a new Ebola case, and that all health care workers who care for my uncle could potentially be exposed.
Their error set the wheels in motion for my uncle’s death and additional Ebola cases, and their ignorance, incompetence or indecency has created a national security threat for our country.
Thomas Eric Duncan could have been saved. Finally, what is most difficult for us – Thomas Eric’s mother, children and those closest to him – to accept is the fact that our loved one could have been saved. From his botched release from the emergency room to his delayed testing and delayed treatment and the denial of experimental drugs that have been available to every other case of Ebola treated in the U.S., the hospital invited death every step of the way.
When my uncle was first admitted, the hospital told us that an Ebola test would take three to seven days. Miraculously, the deputy who was feared to have Ebola just last week was tested and had results within 24 hours.
The fact is, nine days passed between my uncle’s first ER visit and the day the hospital asked our consent to give him an experimental drug – but despite the hospital’s request they were never able to access these drugs for my uncle. (Editor’s note: Hospital officials have said they started giving Duncan the drug Brincidofovir on October 4.) He died alone. His only medication was a saline drip.
For our family, the most humiliating part of this ordeal was the treatment we received from the hospital. For the 10 days he was in the hospital, they not only refused to help us communicate with Thomas Eric, but they also acted as an impediment. The day Thomas Eric died, we learned about it from the news media, not his doctors.
Our nation will never mourn the loss of my uncle, who was in this country for the first time to visit his son, as my family has. But our nation and our family can agree that what happened at Texas Health Presbyterian Hospital Dallas must never happen to another family.
In time, we may learn why my uncle’s initial visit to the hospital was met with such incompetence and insensitivity. Until that day comes, our family will fight for transparency, accountability and answers, for my uncle and for the safety of the country we love.
[Josephus Weeks, a U.S. Army and Iraq War veteran who lives in North Carolina, wrote this piece exclusively for The Dallas Morning News. Reach him at firstname.lastname@example.org. ]
Photo credit: National Nurses United
October 15, 2014
This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.
The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.
The RNs who have spoken to us from Texas Health Presbyterian are listening in on this call and this is their report based on their experiences and what other nurses are sharing with them. When we have finished with our statement, we will have time for several questions. The nurses will have the opportunity to respond to your questions via email that they will send to us, that we will read to you.
We are not identifying the nurses for their protection, but they work at Texas Health Presbyterian and have knowledge of what occurred at the hospital.
They feel a duty to speak out about the concerns that they say are shared by many in the hospital who are concerned about the protocols that were followed and what they view were confusion and frequently changing policies and protocols that are of concern to them, and to our organization as well.
When Thomas Eric Duncan first came into the hospital, he arrived with an elevated temperature, but was sent home.
On his return visit to the hospital, he was brought in by ambulance under the suspicion from him and family members that he may have Ebola.
Mr. Duncan was left for several hours, not in isolation, in an area where other patients were present.
No one knew what the protocols were or were able to verify what kind of personal protective equipment should be worn and there was no training.
Subsequently a nurse supervisor arrived and demanded that he be moved to an isolation unit- yet faced resistance from other hospital authorities.
Lab specimens from Mr. Duncan were sent through the hospital tube system without being specially sealed and hand delivered. The result is that the entire tube system by which all lab specimens are sent was potentially contaminated.
There was no advance preparedness on what to do with the patient, there was no protocol, there was no system. The nurses were asked to call the Infectious Disease Department. The Infectious Disease Department did not have clear policies to provide either.
Initial nurses who interacted with Mr. Duncan nurses wore a non-impermeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks, with the option of N-95s, and face shields. Some supervisors said that even the N-95 masks were not necessary.
The suits they were given still exposed their necks, the part closest to their face and mouth. They had suits with booties and hoods, three pairs of gloves, no tape.
For their necks, nurses had to use medical tape, that is not impermeable and has permeable seams, to wrap around their necks in order to protect themselves, and had to put on the tape and take it off on their own.
Nurses had to interact with Mr. Duncan with whatever protective equipment was available, at a time when he had copious amounts of diarrhea and vomiting which produces a lot of contagious fluids.
Hospital officials allowed nurses who had interacted with Mr. Duncan to then continue normal patient care duties, taking care of other patients, even though they had not had the proper personal protective equipment while caring for Mr. Duncan.
Patients who may have been exposed were one day kept in strict isolation units. On the next day were ordered to be transferred out of strict isolation into areas where there were other patients, even those with low-grade fevers who could potentially be contagious.
Were protocols breached? The nurses say there were no protocols.
Some hospital personnel were coming in and out of those isolation areas in the Emergency Department without having worn the proper protective equipment.
CDC officials who are in the hospital and Infectious Disease personnel have not kept hallways clean; they were going back and forth between the Isolation Pod and back into the hallways that were not properly cleaned, even after CDC, infectious control personnel, and doctors who exited into those hallways after being in the isolation pods.
Advance preparation that had been done by the hospital primarily consisted of emailing us about one optional lecture/seminar on Ebola. There was no mandate for nurses to attend trainings, or what nurses had to do in the event of the arrival of a patient with Ebola-like symptoms.
This is a very large hospital. To be effective, any classes would have to offered repeatedly, covering all times when nurses work; instead this was treated like the hundreds of other seminars that are routinely offered to staff.
There was no advance hands-on training on the use of personal protective equipment for Ebola. No training on what symptoms to look for. No training on what questions to ask.
Even when some trainings did occur, after Mr. Duncan had tested positive for Ebola, they were limited, and they did not include having every nurse in the training practicing the proper way to don and doff, put on and take off, the appropriate personal protective equipment to assure that they would not be infected or spread an infection to anyone else.
Guidelines have now been changed, but it is not clear what version Nina Pham had available.
The hospital later said that their guidelines had changed and that the nurses needed to adhere to them. What has caused confusion is that the guidelines were constantly changing. It was later asked which guidelines should we follow? The message to the nurses was it’s up to you.
It is not up to the nurses to be setting the policy, nurses say, in the face of such a virulent disease. They needed to be trained optimally and correctly in how to deal with Ebola and the proper PPE doffing, as well as how to dispose of the waste.
In summary, the nurses state there have been no policies in cleaning or bleaching the premises without housekeeping services. There was no one to pick up hazardous waste as it piled to the ceiling. They did not have access to proper supplies and observed the Infectious Disease Department and CDC themselves violate basic principles of infection control, including cross contaminating between patients. In the end, the nurses strongly feel unsupported, unprepared, lied to, and deserted to handle the situation on their own.
We want our facility to be recognized as a leader in responding to this crisis. We also want to recognize the other nurses as heroes who put their lives on the line for their patients every day when they walk in the door.
National Nurses United Urges You to Take Action Now!
Nurse Refuses Navy’s Force-Feeding of Gitmo Prisoners July 16, 2014Posted by rogerhollander in Health, Human Rights.
Tags: civil disobedience, conscientious objection, force-feeding forced feeding, Guantanamo, hunger strike, roger hollander, sarah lazare, torture, War Crimes
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Roger’s note: The principle that states that one has the right to refuse an illegal order becomes null and void when, as is the case here, war crimes and crimes against humanity are being committed at the highest level of government, i.e. the presidency. It takes a brave individual to resist under these conditions. Severest example: Chelsea (formerly Bradley) Manning is condemned to 35 years in prison for exposing Bush/Obama war crimes in Iraq.
“This is a historic stand by this nurse, who recognized the basic humanity of the detainees and the inhumanity of what he was being asked to do.”
A nurse in the U.S. Navy has refused to participate in the force-feeding of hunger striking detainees in what is the first widely-reported act of defiance on ethical grounds by a U.S. military service member at this offshore prison.
“This is a historic stand by this nurse, who recognized the basic humanity of the detainees and the inhumanity of what he was being asked to do,” said Cori Crider, a lawyer for UK-based charity Reprieve—which refers to the refusal as ‘conscientious objection.’ Crider learned of the act of refusal in a July 10 phone call with Abu Wa’el Dhiab—a Syrian man currently detained in Guantánamo Bay—and the news broke to the media on Tuesday.
The unidentified nurse told Dhiab, “I have come to the decision that I refuse to participate in this criminal act,” according to a press statement from Reprieve. “Before we came here, we were told a different story,” the nurse added. “The story we were told was completely the opposite of what I saw.”
Journalist Carol Rosenberg received confirmation from Navy Capt. Tom Gresback that “there was a recent instance of a medical provider not willing to carry out the enteral feeding of a detainee.”
It is not clear what repurcussions await the nurse, who is described by Dhiab as an approximately 40 year-old Latino man who may be a captain, according to Rosenberg. Col. Greg Julian, a spokesman for the command that oversees Guantánamo, also confirmed the refusal to the Guardian, stating, “It’s being handled administratively.” Dhiab says he has not seen the nurse since the act of refusal.
According to Dhiab, the Navy nurse is not alone: numerous other medical professionals have stated their ethical objections to the force feedings but express fear of retaliation and punishment if they refuse.
Maggie Martin, an organizer with Iraq Veterans Against the War, told Common Dreams, “People have been standing up as conscientious objectors throughout history including the current conflicts, but unfortunately I never heard those stories while I was in the military.”
She added, “It is heartening to see a service member refuse immoral orders.”
Mass hunger strikes at Guantánamo Bay have been met with force-feedings, which have been condemned as torture and a violation of international law by the United Nations human rights office and denounced as unethical by medical ethicists. The painful insertion of tubes and pumping of food, as well as threat of stomach damage and asphyxiation, has been comparedto water-boarding, itself a form of torture.
Mr. Dhiab, who remains detained despite being cleared for release in 2010, is currently challenging the practice of force-feedings in the courts and recently won the disclosure of videotapes recording the practice.
Currently 149 men remain detained at Guantánamo Bay, despite the fact that the vast majority of them have been cleared for release. It is not known how many of them are currently on hunger strike or face force feedings after the U.S. imposed a media blackout on reports of the peaceful protests late last year.
Tags: Afghanistan War, eric shinseki, general shinseki, michael mcphearson, peace, roger hollander, va, va scandal, veterans, veterans administration, veterans for peace, war, war profiteers
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Roger’s note: this is a press release issued by Veterans for Peace. These former soldiers know from first hand experience what are the real costs of war, i.e. precious human life. They refuse to see themselves as pawns, but rather as thinking and caring human beings, capable of understanding the dynamics of warfare and who profits by it.
Saint Louis. General Eric Shinseki has resigned from his position as Secretary of the Veterans Administration. Now what? When will we start the real debate the nation must have about turning away from war?
The resignation of General Eric Shinseki is not the answer to the challenges facing the Veterans Administration. Yes the department has serious problems of mismanagement, incompetence, indifference and fraud. All these issues must be fixed immediately. Someone must be held accountable and apparently that someone is Eric Shinseki. But we must get to the root of the problem.
Why is the VA overwhelmed by greater numbers of wounded veterans that it can effectively serve? The answer is more than a decade of war. “War is the real culprit in this crisis,” said Michael McPhearson, Executive Director of Veterans For Peace. “We must stop war mongers and corporate profiteers from controlling our foreign policy.”
“We must stop throwing our children, and the children of the world into the meat grinder of war. Every soldier and every victim of war is someone’s child.”
There is a clear pattern of neglect of veterans and troops by both Democrats and Republicans, who have systematically underfunded healthcare in their war budgets. These same problems plagued the agency long before Shinseki.
We must acknowledge that U.S. service members are facing dire stress as reflected in historically high rates of suicide, sexual assault and rape in the military. Military personnel are exhausted and depleted, with many of them having deployed more than five times, and some as many as ten.
These war policies are killing innocent people who are not a threat and will never be a threat to U.S. security or legitimate interests. For many service members, this is the most debilitating aspect of their sacrifice. Many thousands of our soldiers and veterans are suffering from “moral injury,” produced by the immoral nature of the wars they execute, as exemplified by indiscriminate killing, indefinite detention, targeted assassinations and torture.
Moreover, the Bush and Obama Administration’s war policies have failed. Afghanistan is far from secure. Violent deaths are a daily occurrence. Women are severely oppressed by Taliban and U.S.-backed warlords alike. Iraq is in utter turmoil, with sectarian violence killing scores of people on an almost daily basis. As outlined in the State Department’s annual report on global terrorism, a decade of war has failed to end or reduce terrorism. The State Department report, released in April, showed that worldwide terrorism increased by 43% in 2013.
“Why does President Obama want to keep 9,800 U.S. troops and untold numbers of contractors in Afghanistan?” asked Gerry Condon, Vice President of Veterans For Peace. “Continuing this failed policy is another grave disservice to our soldiers. If we really want to ‘Support the Troops,’ we should bring them all home now and give them the care they need and deserve.”
As Vietnam veteran John Kerry said while testifying before Senate Foreign Relations Committee in 1971, “How do you ask a man to be the last man to die for a mistake?”
We keep asking our service members to be the last person to die in Afghanistan. The ones who make it back home are neglected. Bring Them Home Now and Take Care of Them When They Get Here.
FOR IMMEDIATE RELEASE
Friday, May 30, 2014
For more information:
Michael McPhearson, Interim Executive Director, 314-725-6005, email@example.com
Gerry Condon, Veterans For Peace Vice President, 206-499-1220, firstname.lastname@example.org
Camilo Mejia, Former Veterans For Peace Board Member, 786-302-8842, email@example.com(Spanish Interpreter)
Sam Feldman, Former Veterans For Peace Board Member, 305-632-0036, SAMFELDMAN@THE-BEACH.NET(Spanish Interpreter)
Tags: cia, guardian, julie hollar, Media, new york times, pakistan, polio, polio emergency, polio epidemic, polio vaccine, roger hollander, Taliban
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Roger’s note: just another example of how the US taxpayers’ dollars are used to spread misery around the globe.
Polio had been battled to near-extinction after decades of effort, but this year the WHO confirmed 68 new cases and declared it an international public health emergency. Nearly 80 percent of those cases are in Pakistan.
Why is this? According to the New York Times‘ Donald McNeil Jr. (5/6/14), “Polio has never been eliminated there, Taliban factions have forbidden vaccinations in North Waziristan for years, and those elsewhere have murdered vaccine teams.” McNeil also quotes a WHO spokesperson towards the top of the piece: “So we’re saying to the Pakistanis, the Syrians and the Cameroonians, ‘You’ve really got to get your acts together.”‘
The Times underlined the emergency today in an editorial, explaining that Pakistan has such high numbers “largely because Taliban factions have forbidden vaccinations in conservative tribal areas and attacked healthcare workers elsewhere.”
There’s a crucial piece of information missing here—one that these outlets know full well. In 2011, the British Guardian (7/11/11) reported that the CIA used a fake vaccination drive led by Pakistani Dr. Shakil Afridi to gain entry to bin Laden’s compound and gather DNA to confirm his presence there. As McNeil himself reported in 2012 (7/9/12), that revelation led to suspicion and banning of vaccination teams in the tribal areas of Pakistan. At the time, the WHO argued that, while it was a “setback…unless it spreads or is a very longtime affair, the program is not going to be seriously affected.”
Then the killings started; the Times reported several times on killings of polio vaccination workers in Pakistan, noting in June 2013 that these attacks “escalated” after the revelation of the CIA plot. And the following month, McNeil reported that after Dr. Afridi was sentenced to 33 years in prison for treason, “Anger deepened when American lawmakers called Dr. Afridi a hero and threatened to cut off aid if he was not released.”
Fast forward to this week, and CBS Evening News (5/5/14) likewise avoided the CIA connection in reporting the most recent story, as anchor Scott Pelley noted: “Most cases are in Pakistan, where vaccine workers have been murdered on suspicion that they’re spying for the United States.”
The PBS NewsHour (5/6/14) was one of the only outlets that mentioned the CIA issue, in a report by correspondent Jeffrey Brown:
BROWN: Dr. Anita Zaidi, a pediatrician, cited a fake vaccination campaign that the CIA used in the hunt for Osama bin Laden.
ZAIDI: Which has hugely damaged public health programs, not only in Pakistan, but in many, many countries, because people ask all kinds of questions. They now think that they might—the vaccine programs might be actually spy operations.
This story was well-reported in the past, particularly by the Times; why the silence now that the problem has been declared an international emergency?
The Return Of The Back-Alley Abortion April 6, 2014Posted by rogerhollander in Health, Right Wing, Texas, Women.
Tags: abortion, abortion clinics, abortion providers, anti-abortion, back-alley abortion, laura bassett, mexican abortions, misoprostol, morning after, pro-life, reproductive health, reproductive rights, right to life, roe v. wade, roger hollander, texas abortion, women's rights
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Roger’s note: some years ago I attended an event designed to discuss the issue of choice with young people who were born after the Roe v. Wade decision. A retired physician, a practicing Jehovah’s Witness, spoke of his “conversion” to pro life while at the same time not abandoning his faith. As a young Resident at LA County Hospital he worked on a ward with hundreds of beds for women with septic infections, 99% a result of botched back alley abortions. That ward disappeared entirely once therapeutic abortion was decriminalized. He said that from time to time nowadays he is called in to consult on a rare case of septic infection because today’s medical students and physicians almost never see them. That will soon change in Texas and elsewhere in the United States. Thanks to the misogynist Catholic Church hierarchy and the right to death bigots and their scumbag allies in state governments.
In 1969, when abortion was completely illegal in Texas except to save a woman’s life, Karen Hulsey became pregnant.
She was 20 years old and living in Dallas at the time, and the diaphragm she was using for birth control had failed her. Her boyfriend, she discovered, was married, and refused to help raise or pay for a child.
“It was just at a time in my life where I knew I couldn’t take care of a child, and he wanted no responsibility,” Hulsey recalled in an interview with The Huffington Post.
Instead, the man offered to pay for her to travel to Mexico, where he knew of a clandestine abortion provider. She wrestled with the decision and was three months pregnant by the time she agreed to go.
“I was not only very afraid of the ramifications with God, but very ashamed and embarrassed,” said Hulsey, who was raised Catholic. “I struggled with the decision for a long time.”
Hulsey left Dallas at midnight on a chartered plane, with no idea where she was going, and landed in a field south of the border in the middle of the night. A woman Hulsey had never met before was waiting for her when she stepped off the aircraft.
“I was scared to death,” Hulsey said. “Of course, he did not go with me — I went alone,” she said of her boyfriend at the time. “That was the stipulation.”
From there, things only got worse.
“A car came and picked us up and took us to what was considered a clinic in a little bitty building with dirt floors,” Hulsey recalled. “Even at that age, I knew this was not a good thing. I had worked as a nurse’s aide at that point in my life, and I knew about sterilization and everything else, so this just mounted my anxiety and fears.”
Hulsey said the doctor put her feet in stirrups and performed a “very rough,” painful gynecological exam. He then sedated her for the abortion procedure.
When Hulsey began to wake up, she realized that the doctor was raping her.
“I was of course very drowsy, and the doctor was on top of me having sex with me,” she recalled. “I had just barely opened my eyes, and he was all involved in what he was doing, and I immediately closed my eyes, because I knew if I acted like I knew what was going on I’d probably get killed, never to be seen or heard of again.”
After the man finished assaulting her, Hulsey said she cautiously opened her eyes.
“I went ahead after a little bit of time and acted like I was coming out from under the anesthetic, and he told me I’d had a little boy,” Hulsey said, choking back tears. “I was given a Kotex and taken back to Texas with no further care.”
Hulsey discovered upon returning to Texas that she had not completely expelled the placenta — a possible complication of surgical abortion. She was rushed to the emergency room, hemorrhaging from the botched procedure.
Years down the road, when she was ready to have children, she had three miscarriages due to the damage the illegal abortion provider had caused to her cervix. She underwent surgery to make it possible for her to hold a baby inside her body, and even then, her daughter was born two months premature and weighed less than three pounds.
“I thought that I had sinned and was being punished for having gone to Mexico and done that, and that’s why I had a baby that was so sick,” said Hulsey. “I think that’s baloney now, and that’s why I’m willing to talk about it.”
Four years after Hulsey’s ordeal, Texas became the original battleground state in the fight for legal and safe abortion. The 1973 Supreme Court case Roe v. Wade arose out of a challenge to the Texas law that criminalized the procedure except to save a woman’s life. Dallas County District Attorney Henry Wade defended the abortion ban against a 21-year-old pregnant woman using the pseudonym “Jane Roe.” Roe had tried to obtain an illegal abortion near Dallas, where she lived at at the time, but found that authorities had already raided and shut down the clandestine providers nearby.
The Supreme Court ultimately ruled that states must make abortion legal at least until the fetus is viable, around 22 to 24 weeks into pregnancy. The Guttmacher Institute, a reproductive health research organization, estimates that before Roe, as many as 1.2 million women a year in the U.S. resorted to primitive, self-induced abortions or sought out illegal, amateur providers. Thousands of women ended up in hospitals each year with severe complications related to illegal abortions, and in 1965 alone, nearly 200 women died from those procedures.
The proliferation of well-trained, regulated, legal abortion doctors in the last 40 years has led to “dramatic decreases in pregnancy-related injury and death,” according to the National Abortion Federation.
Now, however, Texas and other states are reversing course. State lawmakers enacted more abortion restrictions between 2011 and 2013 than they had in the previous decade, a trend that appears likely to continue in 2014. The Guttmacher Institute estimates that nearly 300 anti-abortion bills are currently pending in state legislatures.
The new restrictions have had a significant impact on women’s access to abortion. A Huffington Post survey last year found that since 2010, at least 54 abortion providers across 27 states had either closed or stopped performing the procedure. Sixteen more shut their doors after Texas lawmakers passed some of the toughest abortion restrictions in the country last summer. A federal appeals court upheld two of the new restrictions in a ruling last week.
As a result, researchers and women’s health advocates say, women today are resorting to many of the same dangerous methods they relied on in the pre-Roe era: seeking out illegal abortion providers, as Karen Hulsey did, or attempting risky self-abortion procedures.
In 2014, four decades after the Supreme Court upheld a woman’s right to choose, pregnant women once again find themselves crossing the border to Mexico and haunting back-alleys in search of medical care.
The situation is particularly dire in Texas. In 2011, the state had 44 abortion clinics, but more than half of them have since shuttered due to new anti-abortion laws. In September, when a state law requiring all abortions to take place in ambulatory surgical centers goes into effect, reproductive rights advocates expect 14 more clinics will have to close, leaving only six facilities to serve the nearly 75,000 women who seek abortions in Texas each year.
The poorest area of Texas, the Rio Grande Valley near the Mexican border, has no remaining abortion clinics. Women who live there have to drive roughly 240 miles to San Antonio for the nearest clinic, but many of them are Mexican immigrants with restrictions on their work visas that prevent them from traveling that far.
In addition, the state has slashed funding for family planning, forcing 76 clinics that offer birth control and other reproductive health services but do not perform abortions to shut down.
“It’s a horrible natural experiment that is taking place in Texas, where we are going to see what happens in 2014 when U.S. women don’t have access to legal, safe abortion,” said Dan Grossman, vice president of research for Ibis Reproductive Health, an international nonprofit.
Anti-abortion advocates say the idea of back-alley abortions returning is just a scare tactic their opponents use to try to keep abortion legal.
“That is a statement that’s been purported by those who are anti-life, but in actuality, we haven’t seen any evidence of that taking place here,” said Melissa Conway, a spokeswoman for Texas Right to Life.
But Grossman, who is part of a research team that is currently studying the effects of the new abortion laws and family planning cuts in Texas, said he is already witnessing the consequences of the new restrictions.
“It seems like [women] are becoming more desperate to find an option,” he said. “We’ve heard reports of women taking herbs or other substances, or intentionally getting punched in the stomach or beaten up — the same kinds of things they did before abortion was legal.”
Ironically, in the years following Roe v. Wade, Texas had been a beacon of hope for Mexican women seeking abortions, since the procedure is illegal in most of Mexico.
“Texas has always been a place where people in Mexico came to get safe abortions,” said Lindsay Rodriguez, president of the Lilith Fund, which helps women in need pay for abortions in Texas. Now, she said, “traffic’s going to start going the other way.”
Indeed, the lack of abortion access in Texas is already pushing pregnant women back across the border. At Mexican pharmacies, they can purchase misoprostol, a drug with the labeled use of preventing gastric ulcers — but which can also induce abortions.
In the U.S., misoprostol is available only by prescription from a licensed abortion provider. The drug, first manufactured by Pfizer under the name Cytotec, is prescribed in combination with another medication, mifepristone (labeled RU-486), for abortions in the first trimester of pregnancy. The FDA has approved this combination of drugs for medically induced abortions in the first trimester, which account for almost a quarter of all non-hospital abortions in the U.S. each year, according to the Guttmacher Institute. The medications are extremely safe and more than 90 percent effective when taken together.
American women are learning that if they don’t have access to an abortion provider, they can obtain misoprostol illegally and take a high dose of it on its own to end a pregnancy. The drug is 75 to 85 percent effective in completing an abortion when taken properly up to nine weeks into a pregnancy, according to Ibis Reproductive Health, but it is relatively complicated to self-administer. A woman has to put 12 pills under her tongue in specific time-intervals, and she needs to have access to follow-up care in case she has complications or the pills don’t work.
“I’ve seen women who have used 50 pills all at one time,” said Amy Hagstrom Miller, the CEO of Whole Women’s Health, a network of abortion clinics in Texas. “They put them in every orifice of their body, because they had no idea how to use it. That’s the scary part — using any means necessary to self-induce.”
Taking misoprostol under the wrong circumstances and without medical supervision, doctors and women’s health advocates warn, can lead to life-threatening complications. A woman who takes the pill with an ectopic pregnancy, for instance, risks heavy internal bleeding due to rupturing of the fallopian tube. If a pregnancy does not pass completely, meanwhile, women run the risk of infection, fever and sepsis.
“Those are the major complications we’re going to be seeing in these communities without clinics,” Miller warned. Hemorrhaging and infection, if not properly treated, can lead to death.
Still, misoprostol is generally considered a safer and more palatable alternative to more primitive methods of self-abortions, and demand is quickly increasing among women living in areas where abortion is illegal or impossible to access. Rebecca Gomperts, a Dutch physician and founder of Women on Web, a digital community of abortion rights supporters, has published instructions on her website teaching women to take misoprostol properly on their own. She told HuffPost that her team regularly receives calls from women all over the U.S. seeking information about where to find the drug.
“In the United States there are import restrictions on abortion medications, so we just need to help women get access to them,” she said in a phone interview. “Sometimes that means we refer them over the border to Mexico.”
The trip across the border is often risky for women because of heavy drug cartel activity on the highways. And Mexican pharmacies have capitalized on the growing demand for misoprostol by marking up the cost to $200 or $300 per box.
Women in the U.S. can also obtain the pills illegally at flea markets in South Texas, or for about $100 a box over the internet, but Gomperts said the black market is awash in dubious drugs masquerading as misoprostol.
“There are a lot of fake websites out there, and there are a lot of people who take advantage of women’s desperate need,” she said.
Women who try to obtain the pills illegally, either online or on the black market, also run the risk of getting arrested. What’s more, women in the Rio Grande Valley who have obtained the pills are too afraid to share their stories, even anonymously, because they don’t want the police to crack down on the places that sell them.
“When the media first covered the flea market, it got raided by police and people got arrested,” Miller said. “When people start to cover this stuff, then the women can’t even get black market abortions. The culture in [South Texas] is one of extreme fear and caution — the women are so afraid of being put in jail.”
Women outside of Texas face the same obstacles. Jennifer Whalen, a 38-year-old Pennsylvania mother, was charged with a felony in December after she ordered a package of misoprostol and mifeprestone online from an overseas pharmacy for her pregnant 16-year-old daughter. Abortion is difficult to access in Pennsylvania due to severe restrictions on clinics there, and the closest clinic to Whalen’s town was across state lines in New York.
Whalen was charged with one count of medical consultation and judgment after her daughter had to go to the emergency room to be treated for an incomplete abortion and a urinary tract infection.
“We know that prohibition and criminalization will never stop women from having abortions,” said Lynn Paltrow, executive director of National Advocates for Pregnant Women. “Illegal, self-abortions are a form of civil disobedience. Women will violate unjust laws and bear the health risks and the legal consequences, without causing harm to the people or institutions that make their decisions criminal.”
In addition to pushing women across the border into Mexico in search of misoprostol or other abortion solutions, the dwindling number of clinics in Texas and elsewhere has also revived the concept of “miscarriage management” — an idea that similarly harkens back to pre-Roe days, when doctors would quietly tell women to figure out a way to induce their own miscarriages so that they could legally intervene to treat the bleeding.
The New Republic reported that one of the last remaining abortion providers in Texas’ Rio Grande Valley, Dr. Lester Minto, resorted to the idea of “miscarriage management” when a law went into effect in November that prohibited him from providing abortions. Minto offered treatment to women who had already started their own miscarriages for $400, lab work and ultrasound included. The visit would last two to three hours at most.
“Nothing here is back alley,” Minto told the magazine. “We do follow-ups with everybody. We still treat them just like we always did.”
But even Minto’s practice is now closed, leaving women few options for follow-up care when they try to self-abort in the Rio Grande Valley. The treatment Minto was providing would cost $2,000 to $3,000 in a hospital, require a general anesthetic and take up an entire day, Miller told HuffPost, which is out of reach for many poor and uninsured women.
With so many doors closed to them, back-alley remedies may soon be all that are left for many women.
“The situation politicians have put women in right now is untenable,” said Jessica Gonzalez-Rojas, executive director of the National Latina Institute for Reproductive Health. “Making abortion out of reach only pushes women into the shadows.”
Karen Hulsey is particularly concerned about the situation facing women today. For five years in the 1990s, she worked as a physician’s assistant at an abortion clinic in Brownwood, Texas. There, she helped treat Mexican immigrants who had had traumatizing experiences similar to what she herself went through in 1969.
“I saw the effects of abortions on girls in Mexico who were raped, and the results of those abortions, as far as the shape of their vagina and their cervix,” she said. “It was just abhorrent, the scarring from the methods that were being used. I would not be surprised if the same thing were going on today.”
Hulsey, now 65, retired in 2000 after being diagnosed with post-traumatic stress disorder, which doctors said she developed after her abortion and rape in Mexico. Although she has two children now, she said she has had trouble holding down a healthy romantic relationship because of what she went through.
Now that Texas lawmakers are spending so much time trying to limit access to abortion, she said, she is reminded of her trauma constantly.
“There are very few weeks that I don’t think about the severity of what I went through, especially with it being so up front in the news right now,” she said. “Every time anything like that comes up, I think, ‘Oh you people just don’t have any idea what you’re doing. No clue what you’d be sending girls back to.'”
CORRECTION: A previous version of this story misstated Henry Wade’s position at the time of the suit as Texas attorney general; he was district attorney for Dallas County.
Murphy Criticized Over Paternity Leave April 4, 2014Posted by rogerhollander in Health, Sports, Women.
Tags: baseball, boomer esiason, child, Daniel Murphy, jimmy rollins, major league, melissa isaacson, Mike and Mike, Mike Golic, Mike Greenberg, mlb, New York Mets, Noah Syndergaard, Paternity Leave, roger hollander, terry collins
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Roger’s note: First an openly gay football player in the NFL. Now Major League baseball players taking paternity leave. What is this world coming to? Next thing you know, men will be sharing their feelings. With other men! Scary.
Mike Golic and Mike Greenberg react to the criticism of Mets second baseman Daniel Murphy’s decision to miss the first two games of the season for the birth of his first child; http://www.espn.go.com, April 4, 2014
“I got a couple of text messages about it, so I’m not going to sit here and lie and say I didn’t hear about it,” Murphy said about the on-air criticism from WFAN Radio of his decision. “But that’s the awesome part about being blessed, about being a parent, is you get that choice. My wife and I discussed it, and we felt the best thing for our family was for me to try to stay for an extra day — that being Wednesday — due to the fact that she can’t travel for two weeks.
“It’s going to be tough for her to get up to New York for a month. I can only speak from my experience — a father seeing his wife — she was completely finished. I mean, she was done. She had surgery and she was wiped. Having me there helped a lot, and vice versa, to take some of the load off. … It felt, for us, like the right decision to make.”
After receiving word about 11:30 p.m. Sunday that his wife’s water had broken, Murphy traveled from New York to Florida and arrived in time for the birth of 8-pound, 2-ounce son Noah at 12:02 p.m. Monday — about an hour before the first pitch of the Mets’ opener against the Washington Nationals.
The Mets had Tuesday off before resuming the series Wednesday. Murphy remained with his family through Wednesday, as he was placed on paternity leave, and rejoined the Mets in time for Thursday’s afternoon game against the Nats.
“You’re a major league baseball player. You can hire a nurse,” Mike Francesa reportedly said of Murphy on WFAN Radio during Wednesday’s show. “What are you gonna do, sit there and look at your wife in the hospital bed for two days?”
Murphy said his wife delivered their son by C-section. On another WFAN show, host Boomer Esiason said, in part, that Murphy’s wife should have had a “C-section before the season starts.”
Esiason issued a lengthy apology Friday at the start of his radio show.
“I just want to say again on this radio show that in no way, shape or form was I advocating anything for anybody to do. I was not telling women what to do with their bodies. I would never do that,” he said. “That’s their decision, that’s their life and they know their bodies better than I do. And the other thing, too, that I really felt bad about is that Daniel Murphy and Tori Murphy were dragged into a conversation, and their whole life was exposed. And it shouldn’t have been.”
Mets manager Terry Collins said the criticism was unfair.
“I’m sure there might be some guy along the way that said, ‘Hey, listen, it’s too far to go. It’s too far to travel. I’ll see you in a few days,'” Collins said. “But you know what? I certainly feel it’s very unfair to criticize Dan Murphy.”
The collective bargaining agreement between MLB and the players’ association allows for up to a three-day absence after being placed on paternity leave.
Asked if he was surprised about parental-rights criticism in this day and age, Murphy said: “Again, that’s the choice of parents that they get to make. That’s the greatness of it. You discuss it with your spouse and you find out what you think works best for your family.”
“We had a really cool occasion yesterday morning, about 3 o’clock. We had our first panic session,” Murphy said. “It was dark. She tried to change a diaper — couldn’t do it. I came in. It was just the three of us at 3 o’clock in the morning, all freaking out. He was the only one screaming. I wanted to. I wanted to scream and cry, but I don’t think that’s publicly acceptable, so I let him do it.”
The name Noah, by the way, was selected for the biblical significance, not for flame-throwing Mets prospect Noah Syndergaard, Murphy joked.
“I told Syndergaard he’s the ‘other Noah’ in my life in spring training,” Murphy said. “The first thing when we decided to do it, I was like, ‘People are going to think I named him after the monstrosity that throws like 1,000 miles per hour.’ We didn’t.”
Tags: ABORTION POLITICS, anti-choice, antiabortion, brain dead, END-OF-LIFE DECISIONS, fetus, katie mcdonough, LIFE NEWS, MARLISE MUNOZ, Politics News, right to die, right to life, right wing, texas
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Roger’ note: The question for me is who is really brain dead. I vote for the troglodyte so-called right-to-lifers and their fetus fetish. These people who demand that the government keep a brain dead women on life support so that she can incubate a non-viable fetus are the same Neanderthals who rant against government intervention into our lives (for example when it wants to, horror of horrors, provide universal health care or Medicaid or unemployment benefits). We live in an era when the most absurd and anti-human initiatives are enforced by governments that are held hostage by neo-fascist theocrats.
The fetus is “is gestating within a dead and deteriorating body, as a horrified family looks on,” attorneys say
KATIE MCDONOUGH, Salon.com, January 23, 2014
The fetus of the brain-dead Texas woman being kept on life support despite her end-of-life directive and her family’s protests is “distinctly abnormal,” according to medical records obtained by attorneys for the woman’s family.
As the Fort Worth Star-Telegram reports, Erick Munoz’s attorneys issued a statement Wednesday on the condition of the fetus. “According to the medical records we have been provided, the fetus is distinctly abnormal,” attorneys Jessica Janicek and Heather King said. “Even at this early stage, the lower extremities are deformed to the extent that the gender cannot be determined.”
“The fetus suffers from hydrocephalus [water on the brain],” the statement continued. “It also appears that there are further abnormalities, including a possible heart problem, that cannot be specifically determined due to the immobile nature of Mrs. Muñoz’s deceased body.
“Quite sadly, this information is not surprising due to the fact that the fetus, after being deprived of oxygen for an indeterminate length of time, is gestating within a dead and deteriorating body, as a horrified family looks on in absolute anguish, distress and sadness,” the attorneys said.
As Salon has previously noted, the legal team representing the Munoz family confirmed Friday that the Texas woman has been clinically brain-dead since she collapsed in her home while 14 weeks pregnant. Munoz’s husband, Erick, has been fighting in court to remove her from a respirator, ventilator and other machines, a decision that Munoz’s parents support.
“All she is is a host for a fetus,” Munoz’s father, Ernest Machado, recently told the New York Times. “I get angry with the state. What business did they have delving into these areas? Why are they practicing medicine up in Austin?”
A hearing in the case is scheduled for Friday.
The Media Should Stop Pretending Marijuana’s Risks Are a Mystery — The Science Is Clear December 27, 2013Posted by rogerhollander in Criminal Justice, Drugs, Health.
Tags: cannabinoids, cannabis, drugs, marijuana, mark kleiman, medical marijuana, norml, paul armentano, roger hollander
Roger’s note: “Don’t Bogart that joint, my friend, pass it on over to me …”
Speaking recently with the Los Angeles Times, UCLA professor and former Washington state “pot czar” Mark Kleiman implied that we as a society are largely ignorant when it comes to the subject of weed. Speaking with Times columnist Patt Morrison, Kleiman stated, “I keep saying we don’t know nearly as much about cannabis as Pillsbury knows about brownie mix.”
Kleiman’s allegation—that the marijuana plant and its effects on society still remains largely a mystery—is a fairly common refrain. But it is far from accurate.
Despite the US government’s nearly century-long prohibition of the plant, cannabis is nonetheless one of the most investigated therapeutically active substances in history. To date, there are over 20,000 published studies or reviews in the scientific literature referencing the cannabis plant and its cannabinoids, nearly half of which were published within the last five years according to a keyword search on PubMed Central, the US government repository for peer-reviewed scientific research. Over 1,450 peer-reviewed papers were published in 2013 alone. (By contrast, a keyword search of “hydrocodone,” a commonly prescribed painkiller, yields just over 600 total references in the entire body of available scientific literature.)
What information do these thousands of studies about cannabis provide us? For starters, they reveal that marijuana and its active constituents, known as cannabinoids, are relatively safe and effective therapeutic and/or recreational compounds. Unlike alcohol and most prescription or over-the-counter medications, cannabinoids are virtually nontoxic to health cells or organs, and they are incapable of causing the user to experience a fatal overdose. Unlike opiates or ethanol, cannabinoids are not classified as central nervous depressants and cannot cause respiratory failure. In fact, a 2008 meta-analysis published in the Journal of the Canadian Medical Associationreported that cannabis-based drugs were associated with virtually no elevated incidences of serious adverse side-effects in over 30 years of investigative use.
Studies further reveal that the marijuana plant contains in excess of 60 active compounds that likely possess distinctive therapeutic properties. One recent review identified some 30 separate therapeutic properties—including anti-cancer properties, anti-diabetic properties, neuroprotection, and anti-stroke properties—influenced by cannabinoids other than THC. While not all of these effects have been replicated in clinical trials, many have.
A recent review by researchers in Germany reported that between 2005 and 2009 there were 37 controlled studies assessing the safety and efficacy of cannabinoids, involving a total of 2,563 subjects. Most recently, a summary of FDA-approved, University of California trials assessing the safety and efficacy of inhaled cannabis in several hundred subjects concluded: “Based on evidence currently available the Schedule I classification is not tenable; it is not accurate that cannabis has no medical value, or that information on safety is lacking.”
By contrast, many legally approved medications are brought to market on the basis of far fewer trials involving far fewer total participants.
Finally, we know that Western civilization has been consuming cannabis as both a therapeutic agent and a relaxant for thousands of years with relatively few adverse consequences, either to the individual user or to society. No less than the World Health Organization commissioned a team of experts to compare the health and societal consequences of marijuana use compared to other controlled substances, including alcohol, nicotine and opiates. After quantifying the harms associated with each substance, researchers concluded: “Overall, most of these risks (associated with marijuana) are small to moderate in size. In aggregate they are unlikely to produce public health problems comparable in scale to those currently produced by alcohol and tobacco. On existing patterns of use, cannabis poses a much less serious public health problem than is currently posed by alcohol and tobacco in Western societies.”
Does this mean that consuming marijuana is altogether without risk or that scientific investigations shouldn’t continue into the plant’s pharmacology? Of course not. But it is clear that we now know as much, if not more, about pot than we know about the actions of alcohol, tobacco and many prescription pharmaceuticals. And most certainly we know enough about cannabis, as well as the failures of cannabis prohibition, to stop arresting adults who consume it responsibly.
ADD: Truth in Advertising. December 15, 2013Posted by rogerhollander in Health, Mental Health.
Tags: add, add drugs, Adderall, adhd, advertising, attention deficit, big pharma, children, Concerta, ethics, Focalin.Vyvanse, health, Intuniv, over-diagnosis, overdiagnosis, pharmaceutical industry, ritalin, roger hollander, socrates, Strattera, truth in advertising
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The New York Times has recently published a long investigative piece on how the pharmaceutical industry is creating huge demands for its Attention Deficit Disorder Drugs by promoting unnecessary diagnoses to doctors, parents and even directly to children . You can read the entire article here: http://www.nytimes.com/2013/12/15/health/the-selling-of-attention-deficit-disorder.html?hp&_r=0
It amazes me to see to what lengths of deception and outright lies the industry will go to increase their profits at the expense of our children’s and our own health. Here is one example.
“A.D.H.D. patient advocates often say that many parents resist having their child evaluated because of the stigma of mental illness and the perceived risks of medication. To combat this, groups have published lists of “Famous People With A.D.H.D.” to reassure parents of the good company their children could join with a diagnosis. One, in circulation since the mid-1990s and now posted on the psychcentral.com information portal beside two ads for Strattera, includes Thomas Edison, Abraham Lincoln, Galileo and Socrates.”
I can only assume that the Greek government of the time was cooperating with the NSA to obtain Socrates’ medical records.
Roger/Dec. 15, 2013
21 Ways the Canadian Health Care System is Better than Obamacare and Vermont Goes Universal November 22, 2013Posted by rogerhollander in Canada, Health.
Tags: aca, bernie sanders, Canada, health costs, health insurance, healthcare, obamacare, private insurance, Ralph Nader, roger hollander, single payer, universal healthcare, vermont, vermont health
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Roger’s note: this posting gives you two articles on health care, including Ralph Nader’s on the Canadian system. Having lived most of my life in Canada, and with the early detection of my daughter’s meningitis that saved her life at age two, I know first hand the benefits of no one excluded single payer. Like the system in Great Britain (which is more like socialized medicine than Canada’s universal insurance), Canada’s health care is deteriorating, not because of flaws in the system, but rather neoliberal under funding. It is not quite the Utopia that Nader pictures, but it is a thousand percent better than what Americans have.
Costly complexity is baked into Obamacare. No health insurance system is without problems but Canadian style single-payer full Medicare for all is simple, affordable, comprehensive and universal.
In the early 1960s, President Lyndon Johnson enrolled 20 million elderly Americans into Medicare in six months. There were no websites. They did it with index cards!
Below please find 21 Ways the Canadian Health Care System is Better than Obamacare.
Repeal Obamacare and replace it with the much more efficient single-payer, everybody in, nobody out, free choice of doctor and hospital.
In Canada, everyone is covered automatically at birth – everybody in, nobody out.
In the United States, under Obamacare, 31 million Americans will still be uninsured by 2023 and millions more will remain underinsured.
In Canada, the health system is designed to put people, not profits, first.
In the United States, Obamacare will do little to curb insurance industry profits and will actually enhance insurance industry profits.
In Canada, coverage is not tied to a job or dependent on your income – rich and poor are in the same system, the best guaranty of quality.
In the United States, under Obamacare, much still depends on your job or income. Lose your job or lose your income, and you might lose your existing health insurance or have to settle for lesser coverage.
In Canada, health care coverage stays with you for your entire life.
In the United States, under Obamacare, for tens of millions of Americans, health care coverage stays with you for as long as you can afford your share.
In Canada, you can freely choose your doctors and hospitals and keep them. There are no lists of “in-network” vendors and no extra hidden charges for going “out of network.”
In the United States, under Obamacare, the in-network list of places where you can get treated is shrinking – thus restricting freedom of choice – and if you want to go out of network, you pay for it.
In Canada, the health care system is funded by income, sales and corporate taxes that, combined, are much lower than what Americans pay in premiums.
In the United States, under Obamacare, for thousands of Americans, it’s pay or die – if you can’t pay, you die. That’s why many thousands will still die every year under Obamacare from lack of health insurance to get diagnosed and treated in time.
In Canada, there are no complex hospital or doctor bills. In fact, usually you don’t even see a bill.
In the United States, under Obamacare, hospital and doctor bills will still be terribly complex, making it impossible to discover the many costly overcharges.
In Canada, costs are controlled. Canada pays 10 percent of its GDP for its health care system, covering everyone.
In the United States, under Obamacare, costs continue to skyrocket. The U.S. currently pays 18 percent of its GDP and still doesn’t cover tens of millions of people.
In Canada, it is unheard of for anyone to go bankrupt due to health care costs.
In the United States, under Obamacare, health care driven bankruptcy will continue to plague Americans.
In Canada, simplicity leads to major savings in administrative costs and overhead.
In the United States, under Obamacare, complexity will lead to ratcheting up administrative costs and overhead.
In Canada, when you go to a doctor or hospital the first thing they ask you is: “What’s wrong?”
In the United States, the first thing they ask you is: “What kind of insurance do you have?”
In Canada, the government negotiates drug prices so they are more affordable.
In the United States, under Obamacare, Congress made it specifically illegal for the government to negotiate drug prices for volume purchases, so they remain unaffordable.
In Canada, the government health care funds are not profitably diverted to the top one percent.
In the United States, under Obamacare, health care funds will continue to flow to the top. In 2012, CEOs at six of the largest insurance companies in the U.S. received a total of $83.3 million in pay, plus benefits.
In Canada, there are no necessary co-pays or deductibles.
In the United States, under Obamacare, the deductibles and co-pays will continue to be unaffordable for many millions of Americans.
In Canada, the health care system contributes to social solidarity and national pride.
In the United States, Obamacare is divisive, with rich and poor in different systems and tens of millions left out or with sorely limited benefits.
In Canada, delays in health care are not due to the cost of insurance.
In the United States, under Obamacare, patients without health insurance or who are underinsured will continue to delay or forgo care and put their lives at risk.
In Canada, nobody dies due to lack of health insurance.
In the United States, under Obamacare, many thousands will continue to die every year due to lack of health insurance.
In Canada, an increasing majority supports their health care system, which costs half as much, per person, as in the United States. And in Canada, everyone is covered.
In the United States, a majority – many for different reasons – oppose Obamacare.
In Canada, the tax payments to fund the health care system are progressive – the lowest 20 percent pays 6 percent of income into the system while the highest 20 percent pays 8 percent.
In the United States, under Obamacare, the poor pay a larger share of their income for health care than the affluent.
In Canada, the administration of the system is simple. You get a health care card when you are born. And you swipe it when you go to a doctor or hospital. End of story.
In the United States, Obamacare’s 2,500 pages plus regulations (the Canadian Medicare Bill was 13 pages) is so complex that then Speaker of the House Nancy Pelosi said before passage “we have to pass the bill so that you can find out what is in it.”
In Canada, the majority of citizens love their health care system.
In the United States, the majority of citizens, physicians, and nurses prefer the Canadian type system – single-payer, free choice of doctor and hospital , everybody in, nobody out.
For more information see Single Payer Action.
Vermont Approves Single-Payer Health Care: ‘Everybody in, nobody out’
The Affordable Care Act continues to plow ahead, despite Republican attempts to fight it at every turn. What is unfolding in front of us is nothing short of spectacular. The problems with healthcare.gov are slowly being resolved which is helping more and more people sign up for affordable healthcare, many for the first time in their life. The law provides so much more than that, including standards for even the lowest level plans, protections for young adults 26 and younger, and the elimination of pre-existing plans. Of course, you will not hear the success stories on the news, because those stories are not nearly as sexy as the “Obama Lied” slogan they are so fond of.
The biggest downside of the ACA is the reliance on the private insurance industry. It does not have to be this way, however. There is yet another provision in the Affordable Care Act that can open the door for states to institute their own single-payer healthcare system. Other states have a public option, especially for those below a certain income level, but no state had instituted a true single-payer system. All of this has changed thanks to President Obama and the Affordable Care Act.
Vermont—Home of Ben and Jerry’s, Maple Syrup, Bernie Sanders and the first state to pass marriage equality. Now, Vermont will be known for something that will impact every resident in the state.
The ACA provided states with federal funds to institute a Medicaid expansion. The states chose to expand the program also were able to set up their own state exchanges, which were relatively free from the problems the federal site had. Vermont decided to take it a step further by setting up their very own single payer system.
The slogan of the program: Everybody in, nobody out.
The program will be fully operational by 2017, and will be funded through Medicare, Medicaid, federal money for the ACA given to Vermont, and a slight increase in taxes. In exchange, there will be no more premiums, deductibles, copay’s, hospital bills or anything else aimed at making insurance companies a profit. Further, all hospitals and healthcare providers will now be nonprofit.
This system will provide an instant boost the state economy. On the one side, you have workers that no longer have to worry about paying medical costs or a monthly premium and are able to use that money for other things. On the other side, you have the burden of paying insurance taken off of the employers side, who will be able to use the saved money to provide a better wage and/or reinvest in their company through updated infrastructure and added jobs. It is a win-win solution.
To make sure that it is done right the first time, Vermont brought in a specialist who knows a thing or two about setting up a single-payer system.
Dr. William Hsaio, the Harvard health care economist who helped craft health systems in seven countries, was Vermont’s adviser. He estimates that Vermont will save 25 percent per capita over the current system in administrative costs and other savings.
Many like to say that the United States has the best healthcare system in the world. The problem is we don’t. Not even close. In fact, the only way you can get the best healthcare in the world, is if you are willing and able to pay for it. The United States can and must do better for its people.
Costs have to be held down — there is no reason why the U.S. has to pay twice the amount per capita as the next most costly system in the world (Norway’s), and still not cover millions of its citizens. A Harvard Medical School study states that 45,000 Americans die each year from treatable diseases because they cannot afford to get treatment.
45,000 Americans die every single year because they cannot afford treatment, are you ready for that? That is 15 times the amount of people that died during the September 11, 2001, attacks, or perhaps for you Righty’s out there you would rather see it put this way, 11,250 times the amount of people that died in the Benghazi attack. That equals 5 Americans that die every hour, of every day, of every year because of a preventable illness that was not taken care of due to lack of access and means.
Even once the Affordable Care Act wrinkles are ironed out, which they will be, and every America is covered, which will happen, that will not change the fact that all of this is being driven by a for-profit system by companies that only care about their bottom line. Despite rules in the ACA which prevent insurance companies from absolutely gouging their customers, insurance companies are not exactly know for their ethical behavior.
A single-payer system would all but eliminate anybody dying unnecessarily due to lack of access to healthcare. Our Declaration of Independence states, “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” How can somebody have life and happiness, without their health? Despite the glaring hypocrisy of rich, white males who owned slaves stating all men are created equal, we have come a long way from 1776. Yet when it comes to the very basic need, we are left to the whim of a business. Single-payer is inevitable, and the ACA is a giant step in that direction. We need must hold our officials to a higher standard which will get us there faster. 40,000 people a year is absolutely unacceptable. Vermont saw the writings on the wall. Will the rest of us?
Bernie Sanders on MSNBC discussing his state’s new single-payer system.