Category: health care

  • President Biden, the Democratic Party and America’s neoliberal vision of world order is rooted in an economic philosophy of privatization and financialization. To assure privatization goals of the 1% oligarchs, distinguished economist Michael Hudson writes that this is achieved by “conquering the brains of a country by shaping how people think. If you can twist their view into unreality economics, to make them think you are there to help them and not to take money out of them, then you’ve got them hooked.” To maintain corporate control of U.S. health care insurance, our system is privatized and unregulated. Private, big insurance companies are in the business of making money, not providing health care, and when they undertake the latter, it is likely not to be in the best interests of patients or to be efficient.

    The post Biden’s Neoliberal Rescue Of For-Profit Health System Proves We Need Medicare For All appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • A medical worker looks onward, wearily

    Since the start of the pandemic, the most terrifying task in health care was thought to be when a doctor put a breathing tube down the trachea of a critically ill covid patient.

    Those performing such “aerosol-generating” procedures, often in an intensive care unit, got the best protective gear even if there wasn’t enough to go around, per Centers for Disease Control and Prevention guidelines. And for anyone else working with covid patients, until a month ago, a surgical mask was considered sufficient.

    A new wave of research now shows that several of those procedures were not the most hazardous. Recent studies have determined that a basic cough produces about 20 times more particles than intubation, a procedure one doctor likened to the risk of being next to a nuclear reactor.

    Other new studies show that patients with covid simply talking or breathing, even in a well-ventilated room, could make workers sick in the CDC-sanctioned surgical masks. The studies suggest that the highest overall risk of infection was among the front-line workers — many of them workers of color — who spent the most time with patients earlier in their illness and in sub-par protective gear, not those working in the covid ICU.

    “The whole thing is upside down the way it is currently framed,” said Dr. Michael Klompas, a Harvard Medical School associate professor who called aerosol-generating procedures a “misnomer” in a recent paper in the Journal of the American Medical Association.

    “It’s a huge mistake,” he said.

    The growing body of studies showing aerosol spread of covid-19 during choir practice, on a bus, in a restaurant and at gyms have caught the eye of the public and led to widespread interest in better masks and ventilation.

    Yet the topic has been highly controversial within the health care industry. For over a year, international and U.S. nurse union leaders have called for health workers caring for possible or confirmed covid patients to have the highest level of protection, including N95 masks.

    But a widespread group of experts have long insisted that N95s be reserved for those performing aerosol-generating procedures and that it’s safe for front-line workers to care for covid patients wearing less-protective surgical masks.

    Such skepticism about general aerosol exposure within the health care setting have driven CDC guidelines, supported by national and California hospital associations.

    The guidelines still say a worker would not be considered “exposed” to covid-19 after caring for a sick covid patient while wearing a surgical mask. Yet in recent months, Klompas and researchers in Israel have documented that workers using a surgical mask and face shield have caught covid during routine patient care.

    The CDC said in an email that N95 “respirators have remained preferred over facemasks when caring for patients or residents with suspected or confirmed” covid, “but unfortunately, respirators have not always been available to healthcare personnel due to supply shortages.”

    New research by Harvard and Tulane scientists found that people who tend to be super-spreaders of covid — the 20% of people who emit 80% of the tiny particles — tend to be obese or older, a population more likely to live in elder care or be hospitalized.

    When highly infectious, such patients emit three times more tiny aerosol particles (about a billion a day) than younger people. A sick super-spreader who is simply breathing can pose as much or more risk to health workers as a coughing patient, said David Edwards, a Harvard faculty associate in bioengineering and an author of the study.

    Chad Roy, a co-author who studied primates with covid, said the emitted aerosols shrink in size when the monkeys are most contagious at about Day Six of infection. Those particles are more likely to hang in the air longer and are easier to inhale deep into the lungs, said Roy, a professor of microbiology and immunology at Tulane University School of Medicine.

    The study clarifies the grave risks faced by nursing home workers, of whom more than 546,000 have gotten covid and 1,590 have died, per reports nursing homes filed to the Centers for Medicare & Medicaid since mid-May.

    Taken together, the research suggests that health care workplace exposure was “much bigger” than what the CDC defined when it prioritized protecting those doing “aerosol-generating” procedures, said Dr. Donald Milton, who reviewed the studies but was not involved in any of them.

    “The upshot is that it’s inhalation” of tiny airborne particles that leads to infection, said Milton, a professor at the University of Maryland School of Public Health who studies how respiratory viruses are spread, “which means loose-fitting surgical masks are not sufficient.”

    On Feb. 10, the CDC updated its guidance to health care workers, deleting a suggestion that wearing a surgical mask while caring for covid patients was acceptable and urging workers to wear an N95 or a “well-fitting face mask,” which could include a snug cloth mask over a looser surgical mask.

    Yet the update came after most of at least 3,500 U.S. health care workers had already died of covid, as documented by KHN and The Guardian in the Lost on the Frontline project.

    The project is more comprehensive than any U.S. government tally of health worker fatalities. Current CDC data shows 1,391 health care worker deaths, which is 200 fewer than the total staff covid deaths nursing homes report to Medicare.

    More than half of the deceased workers whose occupation was known were nurses or in health care support roles. Such staffers often have the most extensive patient contact, tending to their IVs and turning them in hospital beds; brushing their hair and sponge-bathing them in nursing homes. Many of them — 2 in 3 — were workers of color.

    Two anesthetists in the United Kingdom — doctors who perform intubations in the ICU — saw data showing that non-ICU workers were dying at outsize rates and began to question the notion that “aerosol-generating” procedures were the riskiest.

    Dr. Tim Cook, an anesthetist with the Royal United Hospitals Bath, said the guidelines singling out those procedures were based on research from the first SARS outbreak in 2003. That framework includes a widely cited 2012 study that warned that those earlier studies were “very low” quality and said there was a “significant research gap” that needed to be filled.

    But the research never took place before covid-19 emerged, Cook said, and key differences emerged between SARS and covid-19. In the first SARS outbreak, patients were most contagious at the moment they arrived at a hospital needing intubation. Yet for this pandemic, he said, studies in early summer began to show that peak contagion occurred days earlier.

    Cook and his colleagues dove in and discovered in October that the dreaded practice of intubation emitted about 20 times fewer aerosols than a cough, said Dr. Jules Brown, a U.K. anesthetist and another author of the study. Extubation, also considered an “aerosol-generating” procedure, generated slightly more aerosols but only because patients sometimes cough when the tube is removed.

    Since then, researchers in Scotland and Australia have validated those findings in a paper pre-published on Feb. 10, showing that two other aerosol-generating procedures were not as hazardous as talking, heavy breathing or coughing.

    Brown said initial supply shortages of PPE led to rationing and steered the best respiratory protection to anesthetists and intensivists like himself. Now that it is known emergency room and nursing home workers are also at extreme risk, he said, he can’t understand why the old guidelines largely stand.

    “It was all a big house of cards,” he said. “The foundation was shaky and in my mind it’s all fallen down.”

    Asked about the research, a CDC spokesperson said via email: “We are encouraged by the publication of new studies aiming to address this issue and better identify which procedures in healthcare settings may be aerosol generating. As studies accumulate and findings are replicated, CDC will update its list of which procedures are considered [aerosol-generating procedures].”

    Cook also found that doctors who perform intubations and work in the ICU were at lower risk than those who worked on general medical floors and encountered patients at earlier stages of the disease.

    In Israel, doctors at a children’s hospital documented viral spread from the mother of a 3-year-old patient to six staff members, although everyone was masked and distanced. The mother was pre-symptomatic and the authors said in the Jan. 27 study that the case is possible “evidence of airborne transmission.”

    Klompas, of Harvard, made a similar finding after he led an in-depth investigation into a September outbreak among patients and staff at Brigham and Women’s Hospital in Boston.

    There, a patient who was tested for covid two days in a row — with negative results — wound up developing the virus and infecting numerous staff members and patients. Among them were two patient care technicians who treated the patient while wearing surgical masks and face shields. Klompas and his team used genome sequencing to connect the sick workers and patients to the same outbreak.

    CDC guidelines don’t consider caring for a covid patient in a surgical mask to be a source of “exposure,” so the technicians’ cases and others might have been dismissed as not work-related.

    The guidelines’ heavy focus on the hazards of “aerosol-generating” procedures has meant that hospital administrators assumed that those in the ICU got sick at work and those working elsewhere were exposed in the community, said Tyler Kissinger, an organizer with the National Union of Healthcare Workers in Northern California.

    “What plays out there is there is this disparity in whose exposures get taken seriously,” he said. “A phlebotomist or environmental services worker or nursing assistant who had patient contact — just wearing a surgical mask and not an N95 — weren’t being treated as having been exposed. They had to keep coming to work.”

    Dr. Claire Rezba, an anesthesiologist, has scoured the web and tweeted out the accounts of health care workers who’ve died of covid for nearly a year. Many were workers of color. And fortunately, she said, she’s finding far fewer cases now that many workers have gotten the vaccine.

    “I think it’s pretty obvious that we did a very poor job of recommending adequate PPE standards for all health care workers,” she said. “I think we missed the boat.”

    California Healthline politics correspondent Samantha Young contributed to this report.

    This post was originally published on Latest – Truthout.

  • Radical and progressive activists recently led the way to an important victory for working-class women in New Mexico. For the past three years, several organizations in New Mexico, including the Party for Socialism and Liberation, have struggled to force the repeal of a 1969 New Mexico law which made it illegal for women to make their own decisions about their bodies. Finally reacting to significant protests, on Feb. 26, the governor signed a bill which repealed the law that made abortion illegal.

    This ban was, of course, unenforceable under the 1973 Roe v. Wade decision. However, with the new conservative-dominated Supreme Court, the real fear that this latent law could come into effect spurred action. 

    PSL members joined other organizations in a series of protests during the 2018 legislative session, including a rally which disrupted proceedings.

    The post Abortion Ban Repealed In New Mexico After Years Of Struggle appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • While the Equality Act that passed recently in the House is getting attention, the critical struggle for the rights of transgender people is taking place in state legislatures. This year, 26 states have legislation that would criminalize the provision of gender-affirming care to youth, ban transgender students from participating in athletics and more. This is an increase from 20 states last year. These bills are being pushed through by conservative Christian groups. Clearing the FOG speaks with Chase Strangio, a lawyer with the ACLU LGBT project, who is tracking the bills and working to stop them. We discuss what these anti-transgender rights bills would do, where they are imminent and what people can do to stop them.

    The post The Major Struggle For The Rights Of Transgender People Is In The States appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • Updated: Mohamed Hasan Abdulla (AlRamel) was a 55-year-old carpenter when he was arrested on 3 November 2015 during a raid on his house. During his detention, he was tortured, sexually harassed, and threatened before being convicted of charges based on planted evidence. He is currently serving his life sentence in Jau Prison, isolated in Building 2 with criminal inmates convicted of drug offenses. Furthermore, the Jau Prison administration continues to refuse him life-saving treatment and doctor appointments for his medical condition, despite his numerous hunger strikes, the latest of which has been ongoing since 28 May 2024.

    On 3 November 2015, masked officers in civilian clothing as well as riot police and Commandos forces in black cars raided Mohamed’s house at 1:00 A.M. and remained there until 8:00 A.M. Female officers were also present to question Mohamed’s sisters, wife, and mother. They searched the house, scattered the furniture and contents, confiscated and smashed his carpentry tools which he stored on the roof, and replaced them with bombs and weapons which they took photographs of to be used as evidence. Authorities did not state the reason for the arrest and did not present a warrant.

    Afterward, he was taken to the Criminal Investigations Directorate (CID) and then to the Dry Dock Detention Center. While at the CID, Mohamed was beaten all over his body and between his ribs, sexually harassed, cursed, insulted, and hung on the stairs for a long period. CID officers also threatened to go after his mother and wife. He was deprived of sleep, using the bathroom, and was prevented from praying. Furthermore, he was placed in solitary and was denied treatment. Authorities tortured Mohamed in order to extract a confession to predetermined charges, and he eventually confessed in order to stop the torture. The investigation lasted for three months, during which he was kept in a cold room, and his lawyer was not allowed to attend. 

    Mohamed’s family believes that the reason for the arrest is the fact that he has been wanted since the 1990s crisis, and he remained hidden until the round of releases. Mohamed then returned to his house and was living normally. With the beginning of the 2011 pro-democracy demonstrations and the presence of intelligence services in the village, the focus was on Mohamed and arbitrary arrests occurred, which eventually included him as well. Mohamed did not have adequate time and facilities to prepare for trial and was not able to challenge the evidence presented against him. 

    Mohamed was sentenced to life imprisonment on 15 May 2018 for training and possession of weapons in a mass trial called “Zulfiqar Brigades”, where 115 of the 138 defendants, mostly doctors, engineers, and teachers, were convicted of terrorism-related charges. In addition, his citizenship was revoked but was later reinstated after a royal pardon was issued in April 2019. The Court of Appeal upheld his sentence as well as the sentence of all the defendants in this case on 28 January 2019, as did the Court of Cassation on 1 July 2019. After the issuance of the judgment, Mohamed was transferred to Jau Prison. 

    On 14 October 2019, five UN Special Procedures offices sent an allegation letter to Bahrain regarding the trial of 20 Bahrainis in the so-called Zulfiqar Brigades, including Mohamed, following up on a communication sent on 5 November 2018 that included details of enforced disappearance and torture to coerce confessions and unfair trial practices, including refusal to contact a lawyer. The Working Group on Arbitrary Detention (WGAD) also issued an opinion on 30 April 2020 concerning the cases of 20 Bahraini citizens convicted of this case, including Mohamed. The WGAD determined that the imprisonment of these individuals is arbitrary, and requested the government of Bahrain to immediately and unconditionally release them, and ensure that they receive medical care. 

    Mohamed was suffering from stomach problems before the arrest and his treatment required pills that his family would provide him while in detention. After his imprisonment, he was denied the pills. After his arrest and throughout five years, his condition deteriorated due to the lack of pills and denial of examinations by a specialist. Mohamed also developed new chronic diseases after arrest, including hypertension, urinary tract issues, weakened eyesight, back, nose, eye, and abdominal pain, bleeding, low blood sugar levels, vomiting bouts, and hyper allergy from Profen tablets.

    His condition worsened until Mohamed, now 64 years old, reached the point of vomiting blood and was therefore transferred to Salmaniya Hospital, where he stayed from 16 November 2020 to 22 November 2020, and was still not presented before a specialist to diagnose his condition. He had two appointments to meet with a doctor on 8 December 2020 and 6 January 2021, which were canceled. On 10 February 2021, he was taken to Salmaniya Hospital due to the deterioration of his health and they prescribed him medication for a period of 6 months, but he has not received it yet. Moreover, he was put in medical isolation at the Dry Dock Detention Center.

    While the family initially opted not to submit any complaint because they were afraid of retribution by the authorities, they submitted many complaints to the Ombudsman and the National Institution for Human Rights (NIHR) due to the deterioration of Mohamed’s health but did not receive any response. On 3 February 2021, the family went to the NIHR to review and obtain the complaint number of the complaint they filed for the Ombudsman, and no response was obtained either. ADHRB also filed several complaints to both institutions but to no avail. Though these institutions confirmed Mohamed’s health problems, they affirmed that he was receiving proper medical care. Despite the constant requests to the NIHR and Ombudsman, no actions have been taken.

    On 22 April 2023, Mohamed was transferred by ambulance from his cell to the military hospital without the authorities informing his family, and his news was cut off for a week. Despite the family’s efforts to inquire about him in hospitals, they found no answers except for a call from one of his fellow inmates who informed them of these details. Afterward, he contacted his family and informed them that he had been unconscious for four days and that his health condition was very critical. Medications were prescribed for him, and he was promised that he would undergo hernia and spine surgeries soon.

    On 31 May 2023 and 10 July 2023, Mohamed fainted following plummeting blood sugar levels while he was hunger-striking in protest against his deprivation of medical care. 

    In September 2023, when Mohamed was transferred to the Military Hospital, he did not receive the adequate medical care promised by the Jau Prison administration and was deprived of an eye operation that was supposed to be performed on him. When he asked for proper treatment, the officers accompanying him tortured him inside the hospital and then transferred him to isolation amid his deteriorating health condition, in retaliation for demanding his rights. He indicated in a voice recording that he was subjected to ill-treatment, sectarian discrimination, and constant retaliation by officers Hisham AlZayani, Ahmed AlEmadi, Badr Al-Ruwaie, Ali Arad, Yousef AlQadi, and Abdulla Omar.

    On 21 December 2023, Mohamed was denied a scheduled stomach surgery, despite informing the prison administration of it a week earlier. Consequently, he launched another hunger strike. In January 2024, he finally underwent the surgery; however, he was denied follow-up appointments and therefore experienced increased pain, persistent vomiting, and loss of the ability to eat. This prompted Mohamed to undergo another hunger strike on 19 January 2024. As a retaliatory measure, the Jau Prison administration deprived him of communication.

    The policy of medical negligence continued by the Jau prison administration, which consistently denied him his medication and special meals that he requires, and refused to take him to his appointments. In addition, they have refused to fix his broken glasses and provide him with medication for his pelvic pain. As a result, Mohamed started several hunger strikes since the beginning of his detention to protest his worsening conditions and the denial of his repeated requests for appropriate treatments. Prison officers constantly promised to take him to his scheduled appointments with specialist doctors once he ended his strikes, but these were empty promises made to stop his strikes without providing him with the necessary medical care. 

    Mohamed initiated his most recent hunger strike on 28 May 2024 after he was taken to a medical appointment at the Military Hospital on 23 May 2024. Instead of being returned to his cell following the appointment, he was isolated in Building 2 of Jau Prison, which houses criminal inmates convicted of drug offenses. He has been isolated in a cell that lacks living supplies and the most basic necessities, such as electricity and water, despite his dire health condition. On 6 June 2024, Mohamed spoke in a voice recording about the abuse, sectarian discrimination, and reprisals against him by officers Hamad AlDosari, Hisham AlZayani, Ahmed AlEmadi, Bader AlRuwai, Yusuf AlQadadi, and Abdulla Omar for demanding his right to medical care and adequate meals. He still suffers from hypertension, urinary tract issues, weakened eyesight, abdominal pain, bleeding, vomiting bouts, and low blood sugar levels, putting his life at risk.

    Mohamed’s warrantless arrest, torture, unfair trial, religious discrimination, reprisal, communication cutoffs, isolation, and medical neglect constitute violations of the Bahraini constitution as well as Bahrain’s obligation under international treaties, namely the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT), the Convention on the Elimination of All Forms of Racial Discrimination (CERD), the International Covenant on Civil and Political Rights (ICCPR), and the International Covenant on Economic, Social and Cultural Rights (ICESCR), all of which were ratified by Bahrain. 

    Americans for Democracy & Human Rights in Bahrain (ADHRB) calls on the Bahraini authorities to immediately and unconditionally release Mohamed. ADHRB also urges the Bahraini government to investigate claims of arbitrary arrest, torture, religious discrimination, reprisal, isolation, and medical neglect, and hold the perpetrators accountable. At the very least, ADHRB advocates for a fair retrial for Mohamed, leading to his release. ADHRB further calls on the Bahraini government to compensate Mohamed for the violations he suffered, including chronic health problems and injuries resulting from torture. ADHRB warns of Mohamed’s deteriorating health condition resulting from years of dangerous medical neglect and urges the Jau Prison administration to urgently provide him with appropriate and necessary medical care, holding it responsible for any further deterioration in his health. Finally, ADHRB urges Bahraini authorities to end Mohamed’s isolation and transfer him to a building suitable for his health condition.

    The post Profile in Persecution: Mohamed Hasan Abdulla (AlRamel) appeared first on Americans for Democracy & Human Rights in Bahrain.

    This post was originally published on Americans for Democracy & Human Rights in Bahrain.

  • Fourteen years ago, Susan Evans left her job as a psychiatric nurse at the UK’s Tavistock GIDS clinic (the Gender Identity Development Service for child and adolescent patients) where she’d been working between 2004 and 2007. Her reason for leaving, she said, was her discomfort with the clinic providing hormone replacement care to older trans teens. She thought the clinic should be providing psychotherapy rather than “affirming” trans youth.

    Following the British government proposing reforms for the Gender Recognition Act in 2015, a wide range of new anti-trans organizations were formed targeting different areas of trans rights, health care, sex education and inclusion policies in schools. Within this growing interest in organizing against trans rights and health care, twelve years after she left the Tavistock clinic, Susan Evans connected with a parent (named in the case as Mrs. A) who claimed she was concerned that her child might one day be referred to the Tavistock for treatment.

    The post Health Care For Trans Youth Is Under Attack In The UK appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • Protestors head through Whitehall as the second ever Trans Pride march takes place on September 12, 2020, in London, England.

    Fourteen years ago, Susan Evans left her job as a psychiatric nurse at the UK’s Tavistock GIDS clinic (the Gender Identity Development Service for child and adolescent patients) where she’d been working between 2004 and 2007. Her reason for leaving, she said, was her discomfort with the clinic providing hormone replacement care to older trans teens. She thought the clinic should be providing psychotherapy rather than “affirming” trans youth.

    Following the British government proposing reforms for the Gender Recognition Act in 2015, a wide range of new anti-trans organizations were formed targeting different areas of trans rights, health care, sex education and inclusion policies in schools. Within this growing interest in organizing against trans rights and health care, twelve years after she left the Tavistock clinic, Susan Evans connected with a parent (named in the case as Mrs. A) who claimed she was concerned that her child might one day be referred to the Tavistock for treatment. Evans and Mrs. A, represented by a solicitor with a long track record of fighting against abortion care for minors and other religious right hot topics, set up a crowdfund for a judicial review of Tavistock’s referral service for trans youth, claiming that the clinic should not be permitted to provide trans-affirming care.

    Many things about Evans and Mrs. A’s involvement in the judicial review were strange from the start. According to the court ruling, Mrs. A’s child had never actually been referred to the clinic, in part because, as Mrs. A admits, she has worked hard behind her child’s back to prevent any such referral, much less treatment. The judicial review proceeded apace without Mrs. A, focusing instead on Keira Bell, who as a young person was referred for puberty blockers by the Tavistock clinic.

    In a decision that rocked the entire global network of trans-affirming care, the court agreed with Bell’s allegation that she should not have been able to consent to puberty blockers, finding that young people cannot consent to “experimental treatment.”

    To be clear, puberty blockers, as part of a constellation of trans-affirming care for young people in adolescence, have not been “experimental” for several decades. The appropriate use of puberty blockers for trans minors is supported by the Endocrine Society, and all of the global professional associations for transgender health.

    Yet the court ruled against trans youth rights, and its decision has already had a dire impact on health care.

    Care Is Declining and Trans Youth Are Suffering

    Although there is a “stay” in place for the ruling pending appeal, treatment for young trans people in England with anything other than counseling has been halted since the Tavistock ruling. GIDS was the only service of its kind in the National Health Service and elected immediately to cease all puberty-suppressing treatment for youth under 16 unless they have a court order to access such care. One parent who is a member of a group of GIDS service users told Truthout: “We are already seeing multiple negative impacts of this judgement on the group of 600 or so adolescents who have been directly affected. These include increased reporting of self-harm, and eating disorders. There are also reports from young adults who have had their medication stopped by unsupportive GPs who are reluctant to prescribe in what they see as a controversial area of medicine.” Another parent said, “Most importantly parents are concerned about the mental health of their children, some of whom had previously been self-harming and on suicide watch. The fear of them returning to this state has left many families in a state of anxiety.” Both parents asked to remain anonymous due to concerns about becoming targets for doxing and other threats. Meanwhile, a BBC report quoted an anonymous NHS clinician saying that parents are being left to deal with children suffering serious mental health fallout.

    Separately from the report by parents above, we talked to a number of adult patients who are reporting additional difficulties accessing trans health care in the last year as health boards respond to the chilling effect of the case. One trans woman told us, “Although I had previously been on shared-care hormones [funded by NHS on the recommendation of a private specialist], after the Bell case, my GP stopped prescribing, telling me he was worried about the implications. Now I am having to acquire them entirely through private health care.”

    Anti-Trans Advocates Are Ramping Up Their Fight

    At a UK-based convening of anti-trans advocates, Susan Evans and her husband Marcus Evans, who served briefly on the board of governors at the Tavistock clinic, joined psychoanalysts, sociologists, historians, and activists to talk about the ramifications of the Tavistock case. Along with openly arguing that trans-affirming care should not be available to people under 25, attendees made several unscientific claims that parents are seeking trans-affirming care for their children so that they don’t need to “suffer adolescence.”

    Marcus Evans, a psychoanalyst, claimed that “confusion and distress are an important part of adolescent development. And should be encouraged.”

    Dr. Stephen Rosenthal is a pediatric endocrinologist and the Medical Director of the Child and Adolescent Gender Center at University of California, San Francisco. He told us that no one had ever come to him “suffering” from puberty itself. But youth are suffering from gender dysphoria–the condition of being forced to identify with a gender that isn’t their own. Puberty blockers, said Dr. Rosenthal, are used to ensure that a trans young person isn’t forced to go through the irreversible physical changes that endogenous puberty brings about.

    To say that puberty should be suffered is to ignore the real suffering of trans kids whose gender was incorrectly assigned at birth, and who, without puberty blockers, will be forced to undergo an irreversible, painful physical and psychological process.

    Anti-trans advocates’ win in the Tavistock case has inspired anti-trans organizations and networks within the UK to set their sights on further horizons. Groups like Transgender Trend, an organization that campaigns against LGBT-inclusive relationship and sex education to schools (and was allowed to contribute to the Keira Bell case as an expert witness), are now refocusing on targeting trans health care for anyone under 25. More extreme groups like Our Duty (a campaign of anti-trans parents who protested outside the court case with banners calling for the minimum age to be raised to 25) have called for the elimination of transition-related treatments altogether. These groups often promote each other, and their changes in policy goals were announced within a week of each other.

    But the Tavistock ruling is not set in stone. While the GIDS clinic has suspended puberty blocker and hormone therapy for trans teens, there has been a stay on the ruling pending appeal. Additionally a number of groups have been granted leave to intervene in the appeal against the ruling on behalf of trans teens, including trans rights charity Gendered Intelligence and young people’s sexual health charity Brook, as well as medical organizations the Endocrine Society, and Leeds Health Trust. Meanwhile, grassroots are experiencing a renewed realization that the trans community cannot simply rely on professionalized NGOs and charities to push progress on trans liberation forward. Activists are reflecting on how to change course from a constant reaction to the ongoing attacks on the UK trans community.

    In their piece on the current state of trans rights in the UK, Harry Josie Giles writes, “Trans healthcare in the UK is in crisis… Trans healthcare for under-16s has been brutally interrupted by a national moral panic. Prejudice against trans people in general practice is endemic … we should be campaigning for as much healthcare as possible to be shifted from behind the gate of the GIC and into general practice…. Organising needs to empower trans youth leadership.”

    In the U.S., the Tavistock case has no legal impact, but has provided plenty of fuel for the fires of anti-trans advocates and activists, who cheered the decision. The ruling has already been cited in testimony in support of a Montana bill that would have banned trans-affirming care for youth. As of mid-February, more than three dozen anti-trans bills have been introduced across the U.S. since the beginning of the year, including 16 that would prohibit some level of trans-affirming care for youth.

    The Tavistock case is not just a canary in a coal mine — it’s a blueprint for anti-trans organizations and networks across the world for how to undermine trans-affirming care for youth: Find a young person willing to say they shouldn’t have received care, and a judge willing to agree. With the high number of Trump-appointed judges and quite a few Republican-controlled legislatures, it won’t be a surprise when the blueprint is used in the United States.

    This post was originally published on Latest – Truthout.

  • Even before the COVID-19 pandemic, 30 million people in the U.S. had no health insurance, and about 50 million were underinsured. The pandemic has caused millions more to lose coverage because of losing their jobs. Indeed the pandemic has given us perspective on an array of injustices in our health care delivery system — including the lack of an adequate public health infrastructure, the racial disparities in access to care, the rationing of care based on ability to pay, and hospitals’ concentration on lucrative cardiac and orthopedic services rather than mental health and primary care.

    The U.S. spends twice as much per capita on health care as other high-income countries that provide universal coverage, and yet our health outcomes are worse.

    The post Medicare-For-All Is Good For Our Towns appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • By Benny Mawel in Jayapura

    The United Liberation Movement for West Papua (ULMWP) has sent prayers for the recovery of the former Prime Minister of Papua New Guinea, Sir Michael Somare, who is critically ill with pancreatic cancer.

    Sir Michael, who is also the founder of the Melanesian Spearhead Group (MSG), is a figure who has played an important role in supporting ULMWP to become a member of the group.

    Now 84, Sir Michael is being treated at the Pacific International Hospital in Port Moresby, as reported by Asia Pacific Report.

    PNG’s The National newspaper said that Cardinal Sir John Ribat had celebrated a special Eucharist with Sir Michael and his wife, Lady Veronica, at his hospital bed.

    The executive director of ULMWP in West Papua, Markus Haluk, said the movement and the people of West Papua also sent prayers for the recovery of Sir Michael Somare.

    “The people of West Papua [send] healing prayers for Sir Michael Somare,” Haluk told Jubi yesterday.

    Haluk said that the news of Sir Michael Somare’s health condition reminded him of the meeting between ULMWP leaders and Sir Michael Somare at the MSG forum in Port Moresby in February 2018.

    ‘Look to the future’
    “I remember a message from Sir Somare, ‘West Papua don’t look at the past, but look to the future. I have opened my heart, you [ULMWP] are not alone anymore,” said Haluk.

    The National 230221
    “Get well, Sir Michael” – today’s front page banner headline in The National. Image: The National screenshot APR

    Haluk also remembers that a few minutes later the Prime Minister of Papua New Guinea at the time, Peter O’Neill, came to the MSG meeting venue.

    ULMWP leaders were standing and chatting with Sir Michael Somare.

    Haluk, realising O’Neill had arrived, wanted to turn around and greet the prime minister, but Somare prevented him.

    “Sir Somare grabbed my shoulder, winked at me, telling me, ‘Don’t turn to face PM O’Neill. Later he will come in your midst ‘. I also followed Sir Somare’s body language,” said Haluk.

    What Sir Michael Somare said came to pass. After Peter O’Neill greeted all invited guests, ambassadors and MSG delegates, O’Neill went to Somare’s circle with the ULMWP delegates.

    “I spontaneously greeted PM O’Neill. ‘Nopase waaa… waaa… waaa…’ (Papuan greetings to an honourable figure). Sir Somare gasped at my greeting. O’Neill greeted, ‘waa… waa… waa… Thanks Bro ‘.

    “Then we shook hands with PM O’Neill,” said Haluk.

    ‘That’s Papuan politics’
    Haluk said he was very impressed with the meeting.

    “That’s Papuan politics, Melanesian politics. Everything flows from our hearts. [We] understand each other, acknowledge each other. You are important to me. We both need each other. Continue to keep the fellowship alive,” said Haluk.

    Haluk said the West Papuan people remember the stories and services of great figures such as Sir Michael Somare.

    According to Haluk, the people from Sorong to Samarai sent prayers for the recovery of Sir Michael Somare.

    “Commemorating all the great services and sacrifices for the Papuan people, from Jayapura, West Papua, we send sincere prayers for healing to Sir Somare. I hope you get better soon,” said Haluk.

    This article has been translated by an Asia Pacific Report correspondent from Tabloid Jubi and published with permission.

    This post was originally published on Asia Pacific Report.

  • Get well wishes for Sir Michael Somare from Jayapura … Sir Michael (centre) is pictured in Port Moresby in February 2018 with the United Liberation Movement of West Papua chairman Benny Wenda and secretary-general Rex Rumakiek along with MSG leaders. Image: Markus Haluk/Tabloid Jubi

    By Benny Mawel in Jayapura

    The United Liberation Movement for West Papua (ULMWP) has sent prayers for the recovery of the former Prime Minister of Papua New Guinea, Sir Michael Somare, who is critically ill with pancreatic cancer.

    Sir Michael, who is also the founder of the Melanesian Spearhead Group (MSG), is a figure who has played an important role in supporting ULMWP to become a member of the group.

    Now 84, Sir Michael is being treated at the Pacific International Hospital in Port Moresby, as reported by Asia Pacific Report.

    PNG’s The National newspaper said that Cardinal Sir John Ribat had celebrated a special Eucharist with Sir Michael and his wife, Lady Veronica, at his hospital bed.

    The executive director of ULMWP in West Papua, Markus Haluk, said the movement and the people of West Papua also sent prayers for the recovery of Sir Michael Somare.

    “The people of West Papua [send] healing prayers for Sir Michael Somare,” Haluk told Jubi yesterday.

    Haluk said that the news of Sir Michael Somare’s health condition reminded him of the meeting between ULMWP leaders and Sir Michael Somare at the MSG forum in Port Moresby in February 2018.

    ‘Look to the future’
    “I remember a message from Sir Somare, ‘West Papua don’t look at the past, but look to the future. I have opened my heart, you [ULMWP] are not alone anymore,” said Haluk.

    Haluk also remembered that a few minutes later the Prime Minister of Papua New Guinea at the time, Peter O’Neill, came to the MSG meeting venue.

    ULMWP leaders were standing and chatting with Sir Michael Somare.

    Haluk, realising O’Neill had arrived, wanted to turn around and greet the prime minister, but Somare prevented him.

    “Sir Somare grabbed my shoulder, winked at me, telling me, ‘Don’t turn to face PM O’Neill. Later he will come in your midst ‘. I also followed Sir Somare’s body language,” said Haluk.

    What Sir Michael Somare said came to pass. After Peter O’Neill greeted all invited guests, ambassadors and MSG delegates, O’Neill went to Somare’s circle with the ULMWP delegates.

    “I spontaneously greeted PM O’Neill. ‘Nopase waaa… waaa… waaa…’ (Papuan greetings to an honourable figure). Sir Somare gasped at my greeting. O’Neill greeted, ‘waa… waa… waa… Thanks Bro ‘.

    “Then we shook hands with PM O’Neill,” said Haluk.

    ‘That’s Papuan politics’
    Haluk said he was very impressed with the meeting.

    “That’s Papuan politics, Melanesian politics. Everything flows from our hearts. [We] understand each other, acknowledge each other. You are important to me. We both need each other. Continue to keep the fellowship alive,” said Haluk.

    Haluk said the West Papuan people remember the stories and services of great figures such as Sir Michael Somare.

    According to Haluk, the people from Sorong to Samarai sent prayers for the recovery of Sir Michael Somare.

    “Commemorating all the great services and sacrifices for the Papuan people, from Jayapura, West Papua, we send sincere prayers for healing to Sir Somare. I hope you get better soon,” said Haluk.

    This article has been translated by an Asia Pacific Report correspondent from Tabloid Jubi and published with permission.

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    This post was originally published on Radio Free.

  • Asia Pacific Report

    Grand Chief Sir Michael Somare, widely regarded as the founding father of independent Papua New Guinea, was in a critical condition in Port Moresby last night fighting cancer, reports The National today.

    The 82-year-old former politician and his wife, Lady Veronica, had been preparing this week to go overseas for treatment, the newspaper said.

    A family member said last night: “It is with sadness that I advise, on behalf of the Somare family, the serious illness pancreatic cancer that has befallen our father, Sir Michael, is at a critical stage and we as a family, along with his medical teams, are giving him the utmost care that he deserves.”

    The National said that Cardinal Sir John Ribat celebrated a special Eucharist with Sir Michael and Lady Veronica yesterday at his hospital bed at the Pacific International Hospital in Port Moresby.

    The ABC correspondent in Port Moresby, Natalie Whiting, posted a twitter message saying Cardinal Ribat had “released a statement on behalf of the family asking the public to pray for Sir Michael and advising he is receiving palliative care in Port Moresby”.

    This post was originally published on Asia Pacific Report.

  • How The National reported Sir Michael Somare’s health situation today. Image: The National screenshot

    Asia Pacific Report

    Grand Chief Sir Michael Somare, widely regarded as the founding father of independent Papua New Guinea, was in a critical condition in Port Moresby last night fighting cancer, reports The National today.

    The 82-year-old former politician and his wife, Lady Veronica, had been preparing this week to go overseas for treatment, the newspaper said.

    A family member said last night: “It is with sadness that I advise, on behalf of the Somare family, the serious illness pancreatic cancer that has befallen our father, Sir Michael, is at a critical stage and we as a family, along with his medical teams, are giving him the utmost care that he deserves.”

    The National said that Cardinal Sir John Ribat celebrated a special Eucharist with Sir Michael and Lady Veronica yesterday at his hospital bed at the Pacific International Hospital in Port Moresby.

    The ABC correspondent in Port Moresby, Natalie Whiting, posted a twitter message saying Cardinal Ribat had “released a statement on behalf of the family asking the public to pray for Sir Michael and advising he is receiving palliative care in Port Moresby”.

    Print Friendly, PDF & Email

    This post was originally published on Radio Free.

  • As the American Rescue Plan (ARP) winds its way through Congress, some progressives are hailing its health provisions as the greatest expansion of the Affordable Care Act (ACA) in 10 years, while conservatives are claiming that it is a slippery slope to a national Medicare for All system. Democrats have decided to forego seeking Republican support for President Biden’s $1.9 trillion promise of relief to those suffering from the COVID-19 pandemic and recession by using the budget reconciliation process. This has Republicans worried the legislation will be used to advance the progressive agenda to expand government health care programs.

    However, at the end of the day, while the bill may be used to strengthen some provisions in the ACA, it will not move the United States’s health care system any closer to the popular national improved Medicare for All system that we need.

    The post Biden’s Health Plan Shifts Even More Public Dollars Into Private Hands appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • Chairman Sen. Bernie Sanders speaks during a Senate Committee on the Budget hearing on Capitol Hill in Washington, D.C., on February 10, 2021.

    Sen. Bernie Sanders on Thursday responded with outrage and a demand for reform after a new federal analysis revealed that Medicare Part D, which is utilized by tens of millions of Americans, pays far more for prescription medications than any other government health program.

    Sanders (I-Vt.) commissioned the new Congressional Budget Office (CBO) report on Medicare Part D, an optional prescription drug benefit for people with Medicare that is provided through private insurers. The majority of those with Medicare are enrolled in a Part D plan.

    The CBO analysis focused on the prices of 176 top-selling brand-name drugs and found an average net price of $343 for Medicare Part D. That compared with $118 for Medicaid, $190 for the Department of Veterans Affairs, $184 for the Department of Defense, and $272 for the DoD TRICARE retail pharmacy network.

    The report noted that “the much lower net prices in Medicaid are the result of higher manufacturer rebates in that program than in Medicare Part D.” For specialty drugs, the average price ranges from $1,889 in Medicaid to $4,293 in Medicare Part D.

    “There is no rational reason why Medicare pays nearly three times more than Medicaid and about twice as much as the VA for the same exact medicine,” Sanders declared.

    “Negotiating directly with pharmaceutical companies will substantially reduce the price of prescription drugs, and it is a national embarrassment that the secretary of Health and Human Services is prohibited from doing that on behalf of the more than 40 million Americans who get their prescription drug coverage from Medicare Part D,” he added. “It is time for Congress to take on the greed of the pharmaceutical industry and require Medicare to negotiate lower drug prices.”

    The CBO report follows the January release of a Government Accountability Office (GAO) study, also commissioned by Sanders, which found that in a “sample of 399 brand-name and generic prescription drugs, the VA paid an average of 54% less per unit than Medicare, even after taking into account rebates and discounts.”

    The GAO study, which involved 2017 data, revealed that the VA paid at least 50% less for 233 of the medicines and at least 75% less for 106 of them.

    Sanders has repeatedly taken on the pharmaceutical industry with legislative proposals. In 2018, he and Rep. Ro Khanna (D-Calif.) unveiled the Prescription Drug Price Relief Act, which Social Security Works called “Big Pharma’s worst nightmare.”

    Highlighting that legislation in response to the CBO report, Sanders’ office said Thursday that the bill “would cut prescription drug prices in half by pegging prices in the United States to median drug prices in five major countries: Canada, the United Kingdom, France, Germany, and Japan.”

    Medicare coverage is generally restricted to people age 65 or older, younger people with disabilities, and those with permanent kidney failure requiring dialysis or transplant — but Sanders has long advocated for Medicare for All.

    Last week, a panel of policy experts and medical professionals who examined the healthcare legacy of the Trump administration released a report stating that its policies did not “represent a radical break with the past but have merely accelerated the decadeslong trend of lagging life expectancy that reflects deep and long-standing flaws in U.S. economic, health, and social policy.”

    They concluded that “single-payer, Medicare for All reform is the only way forward.”

    This post was originally published on Latest – Truthout.

  • An INFRA worker refills an oxygen tank.

    Water became a commodity traded on Wall Street in December amid fear of scarcity, and now oxygen is being speculated on in Mexico.

    With most hospitals full, many Mexicans are battling COVID-19 at home. Oxygen tanks and oxygen concentrators (devices that concentrate the oxygen from a gas supply, typically the air) have become scarce, as individuals and companies are taking advantage of the pandemic and selling or renting them at extremely high prices. Others are using the situation to fraudulently sell tanks without delivering them, or to steal customers’ personal information. The situation is only compounding the debt, poverty and inequality that has worsened with the pandemic. It also portends a new wave of fraud and speculation, when vaccines arrive.

    At the time of writing, Mexico had registered 160,000 deaths from COVID-19. However, Mexico’s emergency service says the real figures are at least three times that, given how many people are dying at home, and given that testing — especially outside of the capital, Mexico City — is expensive and difficult to access.

    In Mexico City, people have been lining up for up to five hours to refill tanks, many of which only provide a few hours’ worth of oxygen. The demand for oxygen has grown by 700 percent over the past month, according to the Office of the Federal Prosecutor for the Consumer (PROFECO).

    People have turned to social networks to try to find oxygen supplies, using lists compiled informally by individuals, as the government is not providing such information. Most of the companies or names on these lists are part of an underground market, and the minister for internal affairs, Olga Sánchez, says crime networks are getting involved.

    Speculating With Human Lives

    I contacted various numbers on a list for the city of Puebla to confirm whether the owners of the listed numbers were speculating, and under what conditions they were supplying oxygen products. Many of them never replied. I wrote to someone identifying as Andres Madrid on Twitter, who was advertising oxygen concentrators for sale in Puebla. He said he was selling six-liter concentrators for 30,000 pesos (US$1,484), but when I asked if he represented a laboratory or where he got the concentrators from, he stopped replying.

    Another supplier asked for a 10,000 peso deposit (US$495) and would only accept cash, while another was selling a normal eight-liter tank for 36,000 pesos (US$1,782). Those only accepting cash likely didn’t want any records of the transactions.

    The figures represent roughly a quadrupling of prices since November. The National Alliance for Small Businesses (Anpec) stated that an oxygen refill has gone from 250 pesos in December, to 690 pesos on average today, while concentrators used to cost 11,000 pesos, and on average are being sold for 60,000 pesos. In most of Mexico, the minimum wage is 123 pesos per day, though many informal workers don’t earn that much. Such prices mean people having to pay up to 20 months’ wage for an oxygen concentrator.

    Given the demand and profit rates, it is no surprise that there have been incidences of people intercepting trucks delivering oxygen tanks and stealing all of them, and that police escorts sometimes have to be provided when oxygen is being transported.

    There are numerous Twitter accounts and fake websites selling oxygen tanks. Some are being used to commit fraud and obtain people’s personal and banking details; many involve using stolen IDs when sending quotes to customers, and others ask for an advance payment and then don’t follow through.

    PROFECO acknowledges that the situation is serious. The head of the office, Ricardo Sheffield, says the agency has already deactivated 700 Facebook profiles and 100 pages involved in the fraudulent sale of oxygen. He also noted that some companies sell industrial oxygen tanks that aren’t medical grade and thus not fit for personal use, and told people to only buy from officially recognized companies like INFRA, Linde or Air Liquide.

    INFRA is a producer and distributor of industrial gases and welding materials, but is also one of the main suppliers of medicinal oxygen. I visited one of its stores in Puebla. People were lining up in cars going back almost three blocks. I wondered what the majority of people, who don’t own cars, were doing to transport tanks — which are extremely heavy.

    One person waiting for a refill, Antonia Garcia, said, “At first, it was hard because you don’t know where to get oxygen, and then you find out about the different shops, but then you don’t have a tank to refill. We had to buy a tank — it cost 30,000 pesos. It was full, but then we have to fill it up every day, and that costs 470 pesos. We are shopkeepers and we covered the costs between the whole family, but I don’t know what other people do. You wouldn’t be able to pay it because it costs a lot.”

    Gloria Gonzalez, who was refilling a tank for her sick grandmother, said, “We asked friends and we went on social media asking for tanks. They are very hard to get, and in the end, we borrowed one. The prices keep going up. The tiny one we’re using costs 6,000 pesos and you have to refill it a few times a day. It’s very stressful, and it’s very sad.”

    Given the under-the-table nature of the underground market, and the lack of studies or reporting into the situation, it is hard to quantify the impact this is having. However, there is no doubt that many people are going into debt to buy oxygen tanks, to pay bills and rent, or even just to get COVID-19 tests. And the loans are likely coming from friends or organized crime, as government credit or banking loans are inaccessible for most.

    Local media reported that in one hospital in southern Puebla, four patients died after a private contractor didn’t provide the necessary quantity of oxygen, and around the country, 40 percent of people say that they or a family member have now lost all of their income due to the pandemic and its impacts.

    Violence and Inequality in Underground Markets

    This new underground market and the other crimes only flourish because of already existing black-market structures, organized crime and inequality. The U.S.’s Merida Initiative — an agreement with Mexico and Central America to combat cross-border crime, drug trafficking and money laundering — and the “war on drugs” saw a drastic militarization of Mexico, massive increases in drug prices, an intensification of organized gangs and cartels, increased extortion and an arms black market estimated to be worth US$100 million.

    And with unreliable water and health care systems, there are underground markets flourishing in those sectors as well. For those who can’t access any or enough water, there is a private market of water trucks selling water at elevated prices, while in 2018, Mexico had the sixth-largest medicine black market in the world.

    The pandemic has only seen that worsen, as surgeries are being canceled. There is an increased demand for cancer medications, and in Mexico City, for example, 38,000 of such medicines were stolen from storage by armed men.

    Some 57 percent of the working population are informal workers and therefore not registered for social security, and only 14 percent of second-level hospitals* attend to such people. On top of that, high levels of corruption in the sector mean health resources (from medicine to machines) are diverted into the coffers of private companies. In 2016, at least 6 billion pesos (US$295 million) worth of federal resources assigned to Seguro Popular (public health insurance that covers a wide range of services without co-pays for its affiliates) were mismanaged.

    Corruption also means many hospital buildings contracts were never completed. The disastrous state of Mexico’s health care system, combined with the pandemic and a lack of official information, means that many people feel desperate and helpless when they contract COVID-19. They often don’t investigate or ask questions, because it is better not to know, and many are highly susceptible to social media scams.

    Is the Global Vaccine Market Next?

    In Mexico, there have already been various instances of people trying to profit from the demand for vaccines. Though currently only available through a government program, Mexico has said private companies will be allowed to import the vaccine.

    Meanwhile, the federal health commission, COFEPRIS, is already worried about fake sales of the AstraZeneca vaccine. In the states of Guanajuato and Quintana Roo, there were reports of people visiting houses or calling and asking for personal information with the vaccine as the pretext. One website pretended to be Pfizer Mexico and tried to sell a fake vaccine, and people have tried to sell fake vaccines through social networks.

    This issue isn’t limited to Mexico. The inequality experienced here is also reflected on a global scale; wealthy countries hoarding vaccines will lead to insecurity and deep economic problems that will end up impacting them as well, since poorer countries tend to manufacture and produce a lot of the goods that wealthier countries use.

    Interpol warned of the potential for organized crime related to vaccines, as the pandemic has “already triggered unprecedented opportunistic and predatory criminal behavior.”

    Already, 2 billion people globally lack access to medicines and medical devices, which leaves a gap that is often filled by substandard and falsified products. Up to 169,000 children die yearly from pneumonia after receiving counterfeit drugs, and the figure is similar for adults for fake anti-malarial medication.

    While high-income countries so far have 60 percent of the vaccines (but only 16 percent of the world’s population), the European Union has confirmed it will control vaccine exports in order to put its citizens first. But World Health Organization Director-General Tedros Adhanom Ghebreyesu says, “We will not end the pandemic anywhere until we end it everywhere.”

    * Mexico has three levels of health care. The first is preventative, emergency etc. The second is the biggest area and covers most health issues that involve hospitalization, such as surgeries, urgent care, as well as children and gynecology. The third level is specialist care.

    This post was originally published on Latest – Truthout.

  • Nurses administer The Vaccine

    The U.S. faces one of the most consequential public health campaigns in history right now: to vaccinate the population against COVID-19 and, especially, to get shots into the arms of people who cannot easily navigate getting vaccinated on their own.

    Time is of the essence. As new, potentially more dangerous variants of this coronavirus spread to new regions, widespread vaccination is one of the most powerful and effective ways to slow, if not stop, the virus’s spread.

    Mobilizing large “vaccine corps” could help to meet this urgent need.

    We’re testing that concept right now at the University of Massachusetts Medical School, where I am the chancellor. So far, 500 of our students and hundreds of community members have volunteered for vaccine corps roles. Our graduate nursing and medical students, under the direction of local public health leaders, have already been vaccinating first responders and vulnerable populations, demonstrating that a vaccine corps can be a force multiplier for resource-strained departments of public health.

    On Feb. 16, we will help to launch a large-scale vaccination site in Worcester, where as many as 2,000 people could be inoculated per day.

    Importantly, a large vaccination corps that includes local medical and public health students could help reach residents who might be missed by public campaigns and hospital outreach efforts. Students often represent their region’s races, ethnicities and backgrounds, which can make it easier for them to connect with communities that are hard to reach and might not trust vaccination.

    What a Vaccine Corps Looks Like

    The problem of getting people vaccinated quickly isn’t just about supply – it’s also about having enough people to carry out vaccinations, particularly in hard-to-reach communities.

    If quickly mobilized on a large scale, a vaccine corps could directly meet three important challenges: accelerating the nationwide rollout of COVID-19 vaccines, ensuring that doses are distributed equitably to all and delivering on the promise that all Americans are able to benefit from major medical and public health advances.

    Medical, nursing, pharmacy and other health students, as well as retired or unemployed clinicians, could deliver shots, monitor people who were just vaccinated or schedule the second doses that are required for the Pfizer and Moderna vaccines to be fully effective.

    Reaching Underserved Communities – Including Their Own

    In particular, a large, well-organized vaccine corps could play a crucial role in reaching out to communities that are underserved, overlooked or hard to reach.

    Corps members could staff phone banks to help people who lack internet or struggle to use online scheduling systems find vaccines in their areas and make appointments.

    Our students in the vaccine corps have already helped administer vaccines in public housing complexes and homeless and domestic violence shelters. They could also provide transportation to vaccination sites or take doses directly to homebound elders who cannot safely venture out. In Alaska, for example, vaccine providers have been going out by plane and sled to remote villages to reach thousands of residents.

    Members of a vaccination corps who share race or ethnicity with the community can also have an impact on overcoming people’s concerns about getting the vaccine. That’s important.

    A poll released Feb. 10, conducted by the Associated Press and NORC Center for Public Affairs Research, found that only 57% of Black U.S. residents said they had either gotten or would definitely or probably get the COVID-19 vaccine, compared to 65% of Americans who identified as Hispanic and 68% as white. Fewer than half of Black Americans surveyed in a separate Kaiser Family Foundation poll in late January believed the needs of Black people were being taken into account.

    Rural areas face similar concerns, as well as the geographical challenges of reaching people in remote areas. The Kaiser Family Foundation has found that people who live in rural areas are “among the most vaccine hesitant groups.” In mid-January, it found that 29% of rural Americans surveyed either definitely did not want to get the vaccine or said they would do so only if required.

    If we extrapolate these survey results, suggesting that as many as three or four out of every 10 Americans may avoid inoculation, public health officials’ hopes of reaching herd immunity will be in jeopardy.

    The Potential for Scaling Up

    The U.S. has a long history of creating health corps. After the Sept. 11 attacks, the federal government launched the volunteer Medical Reserve Corps to mobilize current and former medical professionals and others with needed health skills during emergencies. Several Medical Reserve Corps units around the country are now assisting vaccination efforts.

    This concept could be expanded, including by partnering with universities, to have wider, game-changing reach. The model of service our students are testing opens up many possibilities, limited only by a lack of will and imagination.

    This post was originally published on Latest – Truthout.

  • Administrator of the Centers for Medicare and Medicaid Services Seema Verma listens as President Trump speaks in the Brady Briefing Room at the White House on April 7, 2020, in Washington, D.C.

    The Biden administration on Friday is expected to begin the process of rescinding a Trump policy allowing states to impose punitive work requirements on Medicaid recipients, a move celebrated as a crucial step toward reversing one of the former president’s most vicious attacks on the poor and vulnerable.

    According to the Washington Post, which obtained a draft of the Biden administration’s plan, federal health officials on Friday “will withdraw their predecessors’ invitation to states to apply for approval to impose such work requirements and will notify 10 states granted permission that it is about to be retracted.”

    The brainchild of Seema Verma, head of the Centers for Medicare and Medicaid Services under Trump, the work requirements initiative began in 2018 with guidance allowing states to apply for a waiver to significantly alter Medicaid eligibility requirements. Several Republican-led states quickly jumped at the offer; Arkansas, the first and only state to fully implement Medicaid work requirements, threw at least 18,000 people off the healthcare program over a period of several months in 2018.

    While the destructive efforts of Arkansas and other states were largely stymied by federal court interventions, the Biden administration’s plan to roll back the Trump work requirements guidance was applauded as key progress toward definitively ending one of the former president’s most prominent efforts to strip healthcare from low-income people.

    “We worked so very hard for this,” Matthew Cortland, an attorney and disability rights activist, said of the effort to defeat the work requirements. “We celebrate this win — this win that we made happen — even while mourning the loss of every person who relied on Medicaid and didn’t survive the calamity of Trump’s disastrous administration.”

    Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation, argued in a series of tweets late Thursday that “the Trump administration’s Medicaid work requirement policy was never really about work,” noting that “93% of Medicaid beneficiaries who are not on Medicare or SSI are already working, taking care of a family member, going to school, or not working due to illness.”

    “Medicaid work requirements have roots in the ideology that healthcare under Medicaid should be considered welfare for the deserving poor rather than a right,” Levitt added.

    In a last-ditch effort to preserve the work requirements policy during the final weeks of the Trump administration, Verma “asked states to sign contracts that would establish a lengthy process for unwinding work requirements and other conservative changes to their Medicaid programs,” Politico reported Thursday.

    “Medicaid experts have questioned whether those contracts are legally enforceable,” the outlet noted.

    The Biden administration’s plan — which points to the ongoing coronavirus pandemic as a major reason to end the Trump era guidance — will come over a month before the U.S. Supreme Court is set to hear a case on the legality of the Medicaid work requirements. According to the the Wall Street Journal, Biden health officials are “expected to move quickly to end work requirements in Medicaid… because doing so could moot” the Supreme Court case.

    This post was originally published on Latest – Truthout.

  • A health care worker holds up an N95 mask in the ER at Oakbend Medical Center in Richmond, Texas, on July 15, 2020.

    Thousands of counterfeit 3M respirators have slipped past U.S. investigators in recent months, making it to the cheeks and chins of health care workers and perplexing experts who say their quality is not vastly inferior to the real thing.

    N95 masks are prized for their ability to filter out 95% of the minuscule particles that can carry covid-19. Yet the fakes pouring into the country have fooled health care leaders from coast to coast. As many as 1.9 million counterfeit 3M masks made their way to about 40 hospitals in Washington state, according to the state hospital association, spurring officials to alert staff members and pull them off the shelf. The elite Cleveland Clinic recently conceded that, since November, it had inadvertently distributed 3M counterfeits to hospital staffers. A Minnesota hospital made a similar admission.

    Nurses at Jersey Shore University Medical Center have been highly suspicious since November that the misshapen and odd-smelling “3M” masks they were given are knockoffs, their concerns fueled by mask lot numbers matching those the company listed online as possible fakes.

    “People have been terrified for the last 2½ months,” said Daniel Hayes, a nurse and union vice president at the New Jersey hospital. “They felt like they were taking their lives in their hands, and they don’t have anything else to wear.”

    According to 3M, the leading U.S. producer of N95s, more than 10 million counterfeits have been seized since the pandemic began and the company has fielded 10,500 queries about the authenticity of N95s. The company said in a Jan. 20 letter that its work in recent months led to the seizure of fake 3M masks “sold or offered to government agencies” in at least six states. After KHN sent photos of the masks the New Jersey nurses questioned, a 3M spokesperson referred to them as “the counterfeits you identified.”

    At KHN’s request, ECRI agreed to test the masks that sparked the New Jersey nurses’ concern. Tests of a dozen masks showed they filtered out 95% or more of the 0.3-micron particles they’re expected to catch. (ECRI is a nonprofit that helps health providers assess the quality of medical technology.)

    ECRI engineering director Chris Lavanchy said several health organizations across the U.S. have recently made similar requests for tests of apparently fake 3M masks that the company warned about.

    Lavanchy said the results have shown similarly high filtration levels, but also higher breathing resistance than expected. He said such resistance can fatigue the person wearing the mask or cause it to lift off the face, letting in unfiltered air.

    “We’re kind of scratching our heads trying to understand this situation, because it’s not as black-and-white as I would have expected,” Lavanchy said. “I’ve looked at other masks we knew were counterfeit and they usually perform terribly.”

    3M spokesperson Jennifer Ehrlich said a critical feature of N95 masks, aside from filtration, is how well they fit.

    “Without a proper seal and fit, respirators are not filtering [properly] — gaps could allow air to enter,” Ehrlich said via email.

    The materials management team for Hackensack Meridian Health, which owns the Jersey Shore hospital, is “working with an independent lab on validating the quality and compliance of specific lot numbers of 3M N95 respirators the company identified as potentially problematic,” according to a company statement.

    When the Washington State Hospital Association purchased 300,000 N95s in December, it sent samples to hospital leaders, who said they appeared legitimate.

    “It’s not like we just ordered them sight unseen,” said Beth Zborowski, spokesperson for the association. “We had two major medical centers in Seattle … look at the quality, straps, cut them open and decide ‘This looks like it’s the real deal’ before they bought them.”

    She said major hospital systems in the state bought more on their own, adding up to 1.9 million.

    Throughout the pandemic, workers have also been provided with Chinese-made KN95 masks — approved by U.S. regulators on an emergency basis — that turned out to be far less effective than billed.

    In April, the Food and Drug Administration, responding to dire shortages of high-quality masks for health care workers, opened the door to KN95s, which are supposed to offer the same level of protection as N95s.

    Yet, as months passed, researchers from the Centers for Disease Control and Prevention, Harvard, MIT and ECRI discovered that KN95s did not meet the high standard: 40% to 70% of the KN95s failed their tests and some filtered out only 30% of the tiny particles.

    More than 3,400 front-line health care workers have died during the pandemic, KHN and The Guardian have found in the ongoing Lost on the Frontline project, and many families have raised concerns about inadequate protective gear. Yet the actual harm that any substandard or knockoff device presents remains difficult to assess.

    Researchers say it’s unethical to conduct a study that involves giving health workers a product they know is less protective than another when lives are at stake. And short of performing in-depth genome sequencing on each worker’s viral strain, it’s hard to know exactly how any person got sick.

    At the U.S. border, safeguarding the medical gear supply is a high priority, said Michael Rose, a section chief in U.S. Immigration and Customs Enforcement’s global trade division.

    His job for the past year has been investigating a wide variety of covid-related scams. Of all those cases, Rose said, the flood of fake 3M masks from China has been the most consistent.

    “It’s definitely cat and mouse,” Rose said. “Where we might get better [at intercepting counterfeits], they can ship elsewhere, change the name of the company and keep going.”

    Many investigations lead to seizures in the nation’s massive ports of entry, where enormous cargo ships and planes carry giant containers of goods. There, agents might spot a dead giveaway like a box just off a ship from Shenzhen, China, marked “3M” and “Made in the USA.”

    “I’d like to say that makes it easier, and it does, but the sheer volume of them coming in …” he said. “It’s like a needle in a stack of needles.”

    The demand for highly protective masks has surged twelvefold during the pandemic, said Chaun Powell, vice president of disaster response for Premier, a major hospital supply company. The national medical use of N95s used to be about 25 million a year, but it soared to 300 million last year, he said.

    That meant hospitals and other health providers couldn’t rely on their usual sources of products to meet their need for personal protective gear.

    Health care providers “had to find alternatives,” Powell said, “and that created opportunities for fraudulent manufacturers to be opportunistic and sneak in.”

    Many of Rose’s investigations originate from customer complaints about apparent fakes to 3M, which forwards reports to his team. Others come from hospitals, health systems or eagle-eyed first responders who email Covid19fraud@dhs.gov.

    Border Patrol agents, working with Rose’s team and anticipating shipments from known counterfeiters, have seized thousands of fake N95s in recent weeks, including 100,080 at a port of entry near El Paso, Texas, in December and 144,000 flown from Hong Kong to New York. In all, federal officials say, they have seized more than 14.5 million masks, many fake 3Ms but other counterfeit cloth or surgical masks as well.

    In New Jersey, staff members began complaining in November about their masks to union leaders at Jersey Shore University Medical Center, said Kendra McCann, president of the hospital’s Health Professionals and Allied Employees union local.

    The masks, which seemed flimsy and made some workers’ faces burn, were turning up in every unit of the hospital. After a union member discovered a letter on the 3M website pinpointing their mask lots as potentially fake, managers began to remove the masks but suspected fakes continued to turn up, McCann said.

    Hackensack Meridian said a daily call with hospital leaders includes “reminders to report any suspect PPE so that it can be removed immediately and evaluated.”

    The episode added stress to caregivers who are terrified about getting infected and bringing the virus into their own homes.

    “Nurses are scared to death,” McCann said in mid-January as the masks continued to pop up, “because they’re not being provided with the proper PPE.”

    Eli Cahan contributed to this report.

    This post was originally published on Latest – Truthout.

  • President Joe Biden speaks in the South Court Auditorium of the White House complex on January 25, 2021, in Washington, D.C.

    President Joe Biden appeared in his first network television interview with CBS News since taking office, and provided insight into the COVID-19 pandemic plan his administration inherited from the Trump administration.

    In the interview with Norah O’Donnell, she asked if the Super Bowl would have a full stadium next year.

    “It’s my hope and expectation if we’re able to put together and make up for all the lost time in fighting COVID that’s occurred,” Biden said, indicating that the Trump administration’s handling of the pandemic was “more dire than we thought.”

    “One of the disappointments was when we came into office is the circumstance relating to how the [former] administration was handling COVID was even more dire than we thought,” Biden said. “We thought that it had indicated there was a lot more vaccine available and it didn’t turn out to be the case.”

    Biden added that’s why his administration has “ramped up every way we can.”

    Biden took office promising to aid the nationwide rollout of vaccines, with a focus on getting them to marginalized populations who have been hit the hardest by COVID-19. To do this, the Biden administration set a goal to reach 100 million vaccinations in its first 100 days of office. The administration has increased its weekly vaccine supply to states and is purchasing an additional 100 million doses of both the Pfizer and Moderna vaccines to quicken the pace of the roll-out throughout the summer. The purchases will provide enough supply to vaccinate nearly 300 million Americans by the end of the summer.

    Last week, the Biden administration also announced that it will start shipping vaccine doses to retail pharmacies across the nation; this move is separate from an ongoing federal program to have Walgreens and CVS vaccinate residents of long-term care facilities.

    “The Centers for Disease Control, which has quite a bit of experience working with pharmacies, is making sure that we are picking pharmacies in that first phase that are located in areas that are harder to reach to ensure that we have equitable distribution of the pharmacy doses,” said Jeff Zients , White House coronavirus response coordinator, adding that the first couple of weeks will be a dry run. “Eventually, as we’re able to increase supply, up to 40,000 pharmacies nationwide could provide COVID-19 vaccinations.”

    Biden calling the vaccine situation “dire” during the CBS interview didn’t come exactly as a surprise. Politico previously reported that the Biden administration arrived at the White House ready to hit the ground running, but had to spend much of their first week trying to locate 20 million missing vaccines — a consequence of the Trump administration’s infrastructure that failed to track the route vaccines took once they left the federal government’s storage spaces.

    “Nobody had a complete picture,” said Julie Morita, a member of the Biden transition team and executive vice president at the Robert Wood Johnson Foundation, to Politico. “The plans that were being made were being made with the assumption that more information would be available and be revealed once they got into the White House.”

    The Biden administration is also gearing up to use sports stadiums as mass vaccine sites across the country, which Biden spoke about in the CBS interview. NFL Commissioner Roger Goodell offered the league’s 30 stadiums as potential vaccination sites.

    When asked if the Biden administration would accept the offer, Biden said, “Absolutely, we will.”

    “Let me put it this way, I’m gonna tell my team they’re available and I believe we’ll use them,” Biden said.

    This post was originally published on Latest – Truthout.

  • In Push for Global Vaccine Equity, U.S. AIDS Program Offers Blueprint

    As the U.S. COVID death toll tops 450,000, the Biden administration is attempting to ramp up its vaccination campaign to slow the spread of new coronavirus variants. Meanwhile, health experts warn any vaccination progress in the United States will be threatened without global vaccine equity. “We need to, as quickly as possible, expand access to the vaccines, both in this country, in the United States, as well as around the world,” says Dr. Wafaa El-Sadr, director of the ICAP at Columbia University and professor of epidemiology and medicine at the Columbia Mailman School of Public Health. She argues that the U.S. needs to do more to supply the world with COVID-19 vaccines, as it did with HIV medications. “This is a model that can be emulated at this point in time in recognition of the fact that viruses know no borders.”

    TRANSCRIPT

    This is a rush transcript. Copy may not be in its final form.

    AMY GOODMAN: The U.S. death toll from COVID-19 has passed 450,000. Over 3,900 people died of the disease just Wednesday alone. In another major milestone, data gathered by the COVID Tracking Project shows vaccinations in the United States have eclipsed the number of people who have been infected with the coronavirus. More than 27 million have received a first shot, and nearly 6 million have been given both vaccine doses. This comes the Biden administration says it still expects to reach its target of 100 million vaccines in his first 100 days, and the number of deaths and people hospitalized continues to fall. But the Centers for Disease Control and Prevention director, Dr. Rochelle Walensky, warned Wednesday new COVID-19 variants may reverse this trend.

    DR. ROCHELLE WALENSKY: Although we have seen declines in cases and admissions and a recent slowing of deaths, cases remain extraordinarily high, still twice as high as the peak number of cases over the summer. And the continued proliferation of variants, variants that likely have increased transmissibility, that spread more easily, threatens to reverse these recent trends.

    AMY GOODMAN: As multiple new strains of the coronavirus spread across the United States, the government’s top infectious disease expert, Dr. Anthony Fauci, said Monday people must be vaccinated as quickly as possible to stop more mutations from emerging.

    DR. ANTHONY FAUCI: You need to get vaccinated when it becomes available as quickly and as expeditiously as possible throughout the country. And the reason for that is that there is a fact that permeates virology, and that is that viruses cannot mutate if they don’t replicate.

    AMY GOODMAN: This comes as health experts warn any vaccination progress in the United States will be threatened without global vaccine equity.

    For more, we’re joined by Dr. Wafaa El-Sadr, professor of epidemiology and medicine at the Columbia Mailman School of Public Health and director of ICAP at Columbia University. She recently co-authored an op-ed in The New York Times headlined “The World Is Desperate for More Covid Vaccines,” that argues, “Two decades ago, the U.S. launched a program to help supply the world with H.I.V. medication. It should take a similar approach to Covid.”

    Doctor, welcome to Democracy Now! It’s great to have you with us. I wanted to start with this watershed moment that we are in, facing the race between the vaccines and the virus. Explain what’s happening.

    DR. WAFAA EL-SADR: Well, thank you. First of all, thank you very much for having me today.

    I think we are exactly at this watershed moment because what we have is the potential for garnering the benefits of the vaccines we have discovered thus far, while at the same time we’re also seeing the growth in terms of the numbers of new COVID cases, as well as also the identification of these new variants, these new mutations in the virus, that potentially could threaten the effectiveness of even our vaccines.

    So I think what this means is that we have to do two things at the same time. We need to, as quickly as possible, expand access to the vaccines, both in this country, in the United States, as well as also around the world. That’s number one. And number two, we must continue to make every effort to stop transmission from one person to the next, because this is exactly what generates these mutations, these new variants. And that must continue to be done by the usual public health preventive measures that we are all familiar with. The physical distancing, the masking is critically important, avoiding large congregations of people, avoiding socializing at this point in time. So, I think we have to be working on these two pathways: scale up of vaccines locally and globally, and at the same time do everything we can to stop transmission of the virus.

    NERMEEN SHAIKH: Dr. El-Sadr, you talked about vaccine access, the importance of vaccine access, in this New York Times op-ed, where you point out that it was Dr. Fauci himself — regarding the HIV and AIDS virus, it was Dr. Fauci at the time who persuaded then-President George W. Bush to start PEPFAR, the President’s Emergency Plan for AIDS Relief, that made AIDS/HIV medication accessible to large numbers of people around the world, saving up to 18 million lives, as you write. What is it that you’re advocating the Biden administration do to enable access globally to the COVID vaccines in a similar way?

    DR. WAFAA EL-SADR: Yes, I think we do have this historic precedent that I think is probably one of — people do recognize that PEPFAR, the global HIV program that’s supported by the United States government, is probably one of the most successful ever foreign assistance programs, that has received bipartisan support for decades now. And I think this is a model that can be emulated at this point in time in recognition of the fact that viruses know no borders, and that what happens in a country in sub-Saharan Africa has — with regards to COVID, has an impact on what happens right here in our own country.

    So, the model is the importance of prioritizing the procurement, the support for the development of these vaccines around the world so that they can actually reach the largest numbers of people possible, particularly in low- and middle-income countries. So it’s both making available the vaccines themselves or making available the technology that supports the development of these vaccines, at the same time also investment, investing the resources to be able to support vaccination programs. We know that you need the vaccines, obviously, but we also need to have effective, large-scale vaccination programs in order to get the benefits of these vaccines anywhere.

    NERMEEN SHAIKH: Dr. El-Sadr, you also say in the same piece that the mRNA vaccines, which both Moderna and Pfizer use, are easier and faster to manufacture than most other vaccine technologies. But, of course, these vaccines are extremely difficult to transport and to store, given the temperatures at which they have to be kept. Could you talk about what you think — I mean, the Russia vaccine, Sputnik V, has just been shown to have 92% efficacy. There are other vaccines that developing countries are attempting to access, the China vaccines, Sinopharm, Sinovac. How easy or difficult is it, given the technologies those vaccines use, to manufacture and produce and disseminate widely and quickly?

    DR. WAFAA EL-SADR: I think, in the end, we’re going to need really a mix of different types of vaccines. And it depends, really, on the setting. There are some settings where it is quite feasible to be able to keep some of these mRNA vaccines available, if there are freezers, for example, refrigerators and so on. And then there are other settings where it is going to be very difficult because of the lack of these kinds of resources. So, in the end, I think it’s going to depend on the setting and the location within different countries and so on.

    So I do think we need to be flexible. We need to be cognizant of the realities on the ground and do the very best that we can to enable that, in the end, countries would have different options, that they can then seek whatever option fits best within their reality and that fits best within their own context. I think there’s not going to be one answer, but I think there needs to be work on all fronts to enable, ultimately, that people from these countries have access to the vaccine, because it is the right thing to do, but it also is in the self-interest of our own country, as well.

    AMY GOODMAN: Dr. Wafaa El-Sadr, can you address the issue of those concerned about the vaccine? A new study has come out today from Monmouth University that says in the United States maybe half the people plan to get vaccinated as soon as they can, but a quarter say they never will. We see very little information about negative side effects of these vaccines, though millions have gotten them. Would it help people to believe more in the vaccine if we heard about the thousands of, well, complaints and concerns that people have with the vaccine?

    DR. WAFAA EL-SADR: I think that, absolutely, I think we are all very — as public health professionals and researchers, we’re very concerned about what has been called vaccine hesitancy, which is — it could be because simply people don’t have the accurate information about the vaccine itself. So that’s very important, just disseminating information about the vaccine and how it was developed and what it does and what it doesn’t do.

    I think another aspect of hesitancy sometimes is because of a legacy of mistrust, for example, among certain groups of our own population and global populations in terms of mistrust of government, mistrust of research. And for that, we need to engage individuals from these same communities, trusted messengers, trusted champions, who can talk to their peers about what the vaccines do and what they don’t do.

    We also need, at the same time, to also share information as information arises, in terms of any side effects from these vaccines and the magnitude of such side effects. I think it’s really important to be transmitting the information, thinking about what are the best channels for transmitting the information. And very important is being very transparent about the information that we have.

    We’re very fortunate that, thus far, with all of the vaccines for which we’ve seen results, have been, first of all, remarkably effective — they work — and also have been remarkably safe. The safety profile has been very comforting, and I think that’s really of great importance.

    AMY GOODMAN: So, why do you think it is, Dr. El-Sadr, that perhaps up to a third of healthcare professionals say they will not take the vaccine? That does not inspire confidence. And what is the reasoning?

    DR. WAFAA EL-SADR: There are multiple reasons for this. I think, again, healthcare workers are not — are also a part of our society, our community. And there are, again, many people who are from certain subsets of our communities, particularly amongst African Americans, for example, Hispanics and Latinx populations in this country, who, because of the legacy I mentioned, the legacy of mistrust and prior abuses in research, are leery of anything that comes from the government, including these very valuable vaccines.

    And I think it’s going to take a lot of work for us to be able to gain their trust and keep sharing the information. But most importantly, beyond the knowledge, it is really reaching people from the same communities who can then talk about their own experiences, why they were vaccinated, and then demonstrate to others that it is in their interest and the interests of their families and communities to be vaccinated. It’s not going to happen overnight, but we need to be working on this very diligently, engaging with the communities that have the fear of these vaccines, so that we can gain their trust. It will take a lot of work, a lot of partnerships, a lot of commitment, and being willing to listen to their concerns and answer their concerns.

    NERMEEN SHAIKH: And, Dr. El-Sadr, as I’m sure you’re aware, vaccine hesitancy is not just a problem in the U.S., but also across the world. France has one of the highest rates, but also places like South Africa and Kuwait. So, could you talk about how views of vaccination and why views of vaccination have changed in this way, and what the implications are if large numbers of people, or even significant numbers of people, around the world refuse the vaccine when it’s made available to them?

    DR. WAFAA EL-SADR: I think that’s an issue, globally, of great concern. Like you said, it’s not just in the U.S.; it’s in almost every corner of this globe. And people are — you know, when you think about, when you ask individuals, they’re on a spectrum. There are people who are ready and willing to get vaccinated. As soon as they’re eligible, they’re going to really be at the front of the line. They are convinced. They’re ready to act. And then, on the other extreme are people who simply don’t believe in vaccines, for a variety of different reasons — vaccines overall, not just this COVID vaccine. And then, most people are somewhere in the middle. And they are seeking answers to their questions. They are seeking reassurance. They’re seeking — they’re looking for others like them to have been vaccinated.

    And I think we’re now focusing on these individuals who are on the spectrum of these people who have concerns, who have issues, who have certain beliefs, and working with them diligently to try to overcome some of the myths they may believe, and also to try, like I said, to engage people whom they trust. This is very important. What I’m seeing now is some of the narratives, storytelling around the vaccines, people who are standing up from some of these same communities and saying, “You know, I went and I got vaccinated because I did it for my family. I did it for my community.” And that can be a very powerful statement coming from someone from these same communities. And we need to be doing this in the U.S., as well as around the world, as well.

    And I think, in this day and age, it’s particularly important to do this very actively, because, of course, of social media and the ability to disseminate sometimes erroneous information about side effects of vaccines. And I think we need to be very nimble to be able to, again, respond to some of this erroneous messaging very quickly.

    AMY GOODMAN: Dr. El-Sadr, I wanted to ask you about the current controversy in the United States. This is CDC Director Dr. Rochelle Walensky, speaking during a briefing with reporters Wednesday about the reopening of schools and vaccines for teachers.

    DR. ROCHELLE WALENSKY: I would also say that safe reopening of schools is not — that vaccination of teachers is not a prerequisite for safe reopening of schools.

    AMY GOODMAN: President Biden has said he wants to reopen a majority of K-8 schools in his first hundred days. But during a meeting with teachers’ unions last Thursday, Dr. Fauci, director of the National Institute of Allergy and Infectious Diseases, said it may not happen.

    DR. ANTHONY FAUCI: That may not happen, because there may be mitigating circumstances.

    AMY GOODMAN: So, can you, Dr. El-Sadr, address this issue of whether parents, teachers and kids should be concerned about in-person learning, and what it means for Dr. Walensky to say, yes, people should go back to school, even if teachers are not fully vaccinated?

    DR. WAFAA EL-SADR: Well, I think we have data now that are very reassuring. So, over the past year, since the beginning of this pandemic, there’s been accumulating data that have shown again and again that transmission in schools is not the problem. It is not that schools have been breeding grounds for transmission of COVID-19. This has been shown in a variety of different programs around this country and around the world, for a lot of different reasons. One is that we have some data that transmission from children to adults seems to be less efficient than from adults to adults, so that’s important, and also that there are data that have shown that the rates of transmission within schools, again, are very limited. Most of the infections amongst teachers and so on and other school personnel have been acquired in the community; they’ve not been acquired in the schools themselves.

    So the most important thing is to make sure that the schools are safe. And that means, of course, paying attention to ventilation, to the spacing between the students, to face covering if they’re of the right age and can wear a mask. And I think we have — again, we have the evidence that said that this has kept our schools as safe environments. Certainly, again, teachers who are involved in in-classroom instruction, they are part — at least in New York state, they are part of the group that is eligible to get vaccinated. But, again, the data, overall, are quite reassuring about the situation itself of COVID in schools even without the vaccine. So the vaccine can be an additive protective measure, but it’s not necessary to restrict return to school until every — not just teacher, but every staff person at a school is vaccinated.

    AMY GOODMAN:

    AMY GOODMAN: Dr. Wafaa El-Sadr, we want to thank for being with us, professor of epidemiology and medicine at Columbia’s Mailman School of Public Health. We’ll link to your piece in The New York Times, “The World Is Desperate for More Covid Vaccines.”

    When we come back, we look at China’s crackdown on Uyghurs and other Muslim minorities in Xinjiang province, as reports emerge of mass rapes and sweeping surveillance. Stay with us.

    [break]

    AMY GOODMAN: “Dark Eyes” by Lila Downs. To see our interview with her and her performance in our studio, go to democracynow.org. I’m Amy Goodman, with Nermeen Shaikh.

    This post was originally published on Latest – Truthout.

  • It was in early 2020 that the word COVID-19 entered the lexicon. In the past year more than 440,000 people in the United States have died from this disease. The impact of shutdowns meant to end the spread of disease have cost millions of people their jobs, and businesses large and small no longer exist at all. COVID-19 has proven that the political system is devoted to the interests of the billionaire class and is therefore incapable of acting in the interests of the people.

    The vaccines which hold some promise are distributed by the same for-profit entities that run what passes for a health care system in this country. They are distributed by criteria that each state has developed, resulting in a patchwork of 50 different rules.

    The post The Never Ending COVID Crisis appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • A prisoner looks at a photo of a baby while imagining touching their face

    I’m R87914. Even though I’m no longer in prison, that number, just like my social security number and name, will never change. I’m also a proud mom and a new one at that. There were no balloons or cards, no flowers or family allowed in the delivery room at the time of my daughter Aniela’s birth.

    The prison where I was incarcerated wouldn’t allow mothers-to-be to go into labor naturally. Too inconvenient. Each birth was scheduled ahead of time. Mothers were not told until the morning of their scheduled labor day that they were being taken to the hospital and induced. Families of the women were not told until after the baby was born; a three-minute phone call was allowed after the birth, per discretion of the officer.

    During my 36 hours of labor, an officer would sit on the couch, and watch me, and make occasional small talk and sometimes even pretend like they cared. Their shift, just like any other person’s, would end and eager to go home, they would leave, a new officer would walk in.

    Pregnant women in Illinois and a few other states are not allowed to be shackled, only handcuffed. I can’t imagine having to waddle in shackles eight or nine months pregnant. But so many of the guards in Illinois complain about not being able to use the shackles during pregnancy.

    After birth, women can be shackled — regardless of any pain from stitches one may have, or the women with C-sections. Once the baby is born, all restraints are once again an option, per discretion of the officer.

    So, there I was. Still in tears, both from being happy and also in pain, with my first born in my arms, an officer still on the couch and my feet shackled to the hospital bed, all the time knowing that in less than 48 hours my daughter would be taken from my arms and I would be driven back to the prison, handcuffed and shackled the entire ride.

    I cried the whole drive back to the prison after I was pulled away from my daughter. I closed my eyes and just tried to keep seeing her face.

    Although I could not breastfeed my daughter, I was the first person in my prison to be able to pump milk while incarcerated. Before that, the Illinois Department of Corrections said that any kind of breastfeeding or pumping by inmates was out the question. They said a breast pump was a safety risk. But after a struggle, activists finally got the Department of Corrections to allow breast pumps in Logan Prison. Until I started last year, using a breast pump in an Illinois prison without the baby being at the facility had never been done.

    Still there was no funding for a breast pump. Further efforts led to the donation of three breast pumps, along with the other supplies needed to save and freeze milk.

    So, when I got back to prison, there were two of us women who had just given birth the day before. I chose to use a breast pump and send home milk. She decided against it when we found out that if we used the breast pump, we would be restricted to staying only in the health care unit of the prison until further notice. (In some ways, that was kind of living in a prison inside of a prison.)

    Keeley Schenwar with her baby.
    Keeley Schenwar with her baby.

    For the next month and a half, I stayed in the health care unit and pumped every two to three hours — that is, of course, after we were done mixing up pieces to the different pumps and finally got one of them set up correctly. I had a picture of my daughter that had been taken at the hospital, and I looked at it while I pumped. I labeled bags of breast milk with the time and date, and every two weeks my family would have to drive four hours to the prison and pick them up, which ended up not really being possible. Milk would be wasted if it was brought out before visitors were allowed to leave. All visitors need to be escorted in and out of the prison at set times, and no coolers can be brought in to help preserve the milk, so some of the milk was spoiled. On top of this, for most women, it is not possible for their families to come and pick up breast milk.

    I was taken out of the health care unit after a month and a half. The breast pump stayed in the health care unit. I was allowed to go there every three hours during the day, but I was not allowed to go at night. That meant I couldn’t pump at night. A month after that happened, I stopped being able to produce milk, not long before I went home to my baby. That felt like a lot of pumping for no reason. In the end, I was not able to breastfeed my daughter when I came home.

    Here’s another thing that’s important to mention: After I was taken out of health care, one day they called me back in. Another woman was about to start using the breast pump. They called me in to find out how to put the second breast pump together. It wasn’t because I knew a lot about setting up a breast pump — it was because they knew so little. There was no one at the prison who could really support people in using the pump.

    So, it’s a good thing that breast pumps are now allowed at the prison, but it’s not enough. If they even had one person in the prison who knew what they were doing, and knew what was going on, it would make a difference. It wouldn’t need to be someone’s full-time job. More people just need to know what’s going on. When I told the male guards, “I need to use the breast pump,” they laughed at me and had no idea what I was talking about. Also, prisons need reliable pumps that are not old, donated pumps with scattered pieces, and mothers need to have access to the pump at all times.

    But also, when it comes down to it, my question is why we need to be thinking about breast pumps in prison in the first place. Why are all these moms sitting in prison when their babies are on the outside missing them?

    If new mothers are incarcerated, they need to have access to breast pumps. But really, no breast pump can replace being with your baby. No one should ever have to be handcuffed, shackled and pulled away from their newborn child.

    Note: This essay was written in 2014.

    Truthout has launched the Keeley Schenwar Memorial Essay Prize, which will be awarded to a formerly incarcerated writer. More information is here.

    This post was originally published on Latest – Truthout.

  • In 2021 the U.S. healthcare crisis has, again, reached a boiling point. It was already simmering in 2019 when the number of uninsured grew to 33 million. Covid then triggered a job crisis that added anywhere from 15 to 27 million to the ranks of the uninsured. The still-growing job crisis has pushed the number of uninsured near or beyond the 49 million uninsured that existed prior to Obamacare, whose goal was “universal healthcare.”

    It’s no surprise then that Medicare For All emerged, pre-Covid, as the most popular policy during the Presidential Democratic primaries. But after the Democratic Party organized, once again, to crush Bernie Sanders’ campaign, Biden tried to push discourse away from Medicare For All with plans to “improve Obamacare” a goal as ambitious as “patching up the Hindenburg.”

    The post Medicare For All Reaches The Crossroads appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • Oregon state sign with blue sky backing

    In what justice advocates celebrated as a major shift away from the devastating and failed policies of the nation’s so-called “war on drugs,” Oregon on Monday officially became the first state to decriminalize possession of small amounts of all drugs with a new policy that also aims to boost access various related services.

    Oregon voters passed Measure 110, also called the Drug Addiction Treatment and Recovery Act, by a 17% margin in November. The ballot initiative was spearheaded by Drug Policy Action — the advocacy arm of Drug Policy Alliance — in partnership with Oregon groups and supported by over 100 local, state, and national organizations.

    “Today, the first domino of our cruel and inhumane war on drugs has fallen — setting off what we expect to be a cascade of other efforts centering health over criminalization,” said Drug Policy Alliance executive director Kassandra Frederique in a statement Monday. “For the first time in at least half a century, one place in the United States — Oregon — will show us that we can give people help without punishing them.”

    “This law is meant to protect people against persecution, harassment, and criminalization at the hands of the state for using drugs and instead [give] access to the supports they need,” Frederique explained. “Over the last year, we have been painfully reminded of the harms that come from drug war policing and the absence of necessary health services and other support systems in our communities. Today, Oregon shows us a better, more just world is possible.”

    As VICE senior editor Manisha Krishnan tweeted, it is a “historic day for drug reform,” noting that the measure is expected to reduce racial disparities in drug arrests.

    Anyone found in possession of one to three grams of heroin, one to four grams of MDMA, two to eight grams of methamphetamine, or two to eight grams of cocaine “will be charged with simple possession, a misdemeanor offense, rather than a felony,” Krishnan reported. The new lower-level possession limits are:

    • Less than one gram of heroin;
    • Less than one gram, or less than five pills, of MDMA;
    • Less than two grams of methamphetamine;
    • Less than 40 units of LSD;
    • Less than 12 grams of psilocybin;
    • Less than 40 units of methadone;
    • Less than 40 pills of oxycodone; and
    • Less than two grams of cocaine.

    Rather than a misdemeanor, drug possession as detailed above will lead to a citation that includes a phone number for recovery help. The citation will be dropped if they agree to the health assessment.

    “The options will be to pay a $100 fine or call a 24-hour, 7-days-a-week phone line and talk to a peer-support specialist and get a social services needs screening done,” Tera Hurst of the Oregon Health Justice Recovery Alliance told KPTV.

    “Services for treatment options will be funded through a portion of marijuana tax revenue and the money saved from fewer arrests,” according to KPTV. “On Monday, the law’s Oversight and Accountability Council will form. It will determine rules for the new law, and also where grants and money are distributed.”

    State projections (pdf) cited by Drug Policy Alliance show the marijuana tax revenue could fund over $100 million in services the first year and up to $129 million by 2027. The advocacy group also highlighted an Oregon Criminal Justice Commission report (pdf) from August that found racial disparities in drug arrests could drop by nearly 95% as a result of the new policy.

    Supporters of Oregon’s shift to decriminalization and a healthcare-based approach to drug use and possession hope that the measure can serve as a model for the rest of the United States.

    “I hope that we all become more enlightened across this country that substance abuse is not something that necessitates incarceration, but speaks to other social ills — lack of healthcare, lack of treatment, things of that nature,” Rep. Bonnie Watson Coleman (D-N.J.) told USA Today. “If you’re white and wealthy, you get an opportunity to get a break, go home to your family, and go into some kind of healthcare environment.”

    In June 2018, Watson Coleman introduced a resolution that “expresses the sense of Congress that the war on drugs failed, and calls out the disparate treatment of individuals criminalized for drug use — frequently people of color who used crack and cocaine — to ensure that all future drug policy is based on evidence-based healthcare solutions.”

    Her resolution was endorsed by the Drug Policy Alliance as well as Amnesty International, the Justice Policy Institute, Justice Strategies, the Leadership Conference on Civil and Human Rights, the NAACP, and the Sentencing Project.

    Although the congresswoman, who is Black, did not say whether she plans to re-introduce the resolution now that Democrats control both chambers of Congress and the White House, she emphasized to USA Today that the war on drugs “was used as a weapon, as a tool to disrupt our communities,” adding that “it wasn’t a war on drugs, it was a war on poor brown and Black men and women, and it did terrible things to families for generations.”

    Oregon’s progress on drug policy reform comes as advocates are pushing President Joe Biden to “abandon criminalization as a means to address substance use, and instead ensure universal access to equitable evidence-based solutions rooted in racial and economic justice and compassion,” as over 200 groups wrote in a letter just before he took office last month.

    Detailing a series of policy proposals, the coalition wrote to Biden that “it is our strong hope and belief that ending the drug war that has inflicted incredible harm in communities across this nation, and centering evidence-based solutions to address the overdose crisis, could be a great catalyst for a national transformation.”

    This post was originally published on Latest – Truthout.

  • Unborn babies’ hearts are at risk as EPA caves to chemical companies’ 20-year effort to whitewash the science on the risks of an extremely dangerous and prevalent chemical, TCE. 

    Don’t miss out on the next big story. Get the Weekly Reveal newsletter today.

    This post was originally published on Reveal.

  • Quickly delivering donated organs to patients waiting for a transplant is a matter of life and death. Yet transportation errors are leading to delays in surgeries, putting patients in danger and making some organs unusable. 

    This episode originally was broadcast Feb. 8, 2020

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    This post was originally published on Reveal.

  • As the new coronavirus spreads, an ER doctor in Seattle explains how he and other front-line physicians are learning to treat patients and keep themselves safe. Plus, more than eight years after the end of the Iraq War, an Iraqi man is suing a U.S. company that ran interrogations at the notorious Abu Ghraib prison.   


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    This post was originally published on Reveal.

  • On Tuesday, I cast a joyless vote for the very much politically doomed Vermont Sen. Bernie Sanders in the Illinois primary, in an elementary school where hushed whispers and fearful glances had replaced the normal din of an election day. There was no one standing just outside the perimeter hustling me to vote for this or that candidate. There were no throngs of voters with whom to share that elusory joy in exercising your basic democratic rights. It was the first, and I hope the last, ballot that I ever cast wearing latex gloves. There are, I think, very good and important questions about whether this election should have been held at all.

    But it was, and Illinois Democrats willing to risk getting the dreaded virus handed Sanders a decisive loss. Together with lopsided routs in Florida and Arizona (Ohio rescheduled its primary) this is, or should be, the end of the Sanders campaign. There are, frankly, no lessons to be learned here, nothing remotely generalizable. This was a race transformed, suddenly and inexplicably, at a critical moment by a terrible deus ex machina that threatens to inflict once-in-a-century damage on human civilization.

    Whenever we talk about 2020, it will be in terms of before and after. Before the virus, there was a lively Democratic primary that began with more than 20 hopefuls, with many of the same fault lines, grievances and fears as 2016. After the virus, the remaining centrist candidates quickly and unexpectedly coalesced around former Vice President Joe Biden and dealt Bernie Sanders an almost unthinkable series of defeats in the Super Tuesday contests. Before the virus, this was a race dominated by a seemingly endless debate about health care policy and whether the United States should opt for a fundamental and far-reaching restructuring of its system. After the virus, there was hardly room for even trembling disagreement.

    More importantly, as the scale of the Covid-19 crisis has dawned on a terrified public over the past two weeks, it became clear that a decisive majority of Democratic primary voters no longer had much of any interest in this contest. The measures put into place by states and cities, from shutting down restaurants, bars, schools, universities and public places to the shuttering of all major American pro sports, are so far outside the normal scope of imagination, so sudden in their obliteration of everyday life, so unsettling in their lack of even a rudimentary time horizon, as to annihilate all other concerns and considerations.

    Over the past three Tuesdays, Democratic voters have made it clear that they want to consolidate around Biden, and they have done so in such staggering numbers as to make a Sanders delegate majority close to a mathematical impossibility. With many states in the coming weeks likely to punt their primary elections to early summer, and with Biden now holding double-digit leads in national primary polling, it’s not just that Sanders has no real path to the nomination. It’s that the park containing the path is closed. The race will be frozen with Biden holding a roughly 300-delegate lead that is insurmountable given the party’s proportional allocations rules even under normal circumstances. That is a shame, because Sanders has better plans for this crisis than Biden, along with a narrative that correctly blames the long-term hollowing out of the public sector and the gross failure of the neoliberal state to prepare us for this moment. We live in a wrecked society now being held courageously together by grossly underpaid grocery store clerks, harried Amazon delivery drivers and determined health care providers. In America, only the doctors and nurses receive their due, and even they are embedded in a tragically warped system that has led us to be nearly defenseless against a crisis that scientists have been warning us about for decades.

    You don’t have to think that single-payer health care is the answer to our every problem or believe that a magic wand can be waved to bring it into existence to see that Sanders is the only candidate left in the race capable of seeing this fallen state for what it is and pursuing policies to remedy it. Sanders offers us a vision of society as it might be. Biden extends the nostalgic promise of returning us to a recent past that is already buried much deeper than he and his supporters believe it is. Think of it this way: the political class in this country is so fundamentally broken that they have already wasted precious days debating half-measures that no sensible economist believes will be remotely sufficient to prevent a massive economic collapse.

    Nevertheless, it was not meant to be for Bernie this year. There is no sensible argument for staying in the race now that he needs to win more than 63% of the delegates to get to a majority. There will be no repeat of 2008 and 2016, when trailing candidates floated the idea of flipping the so-called ‘superdelegates’ at the convention and reversing the popular will of the voters. Due in large part to pressure from the Sanders campaign itself, the DNC changed the rules so that superdelegates can’t vote on the first ballot. There isn’t going to be a second one, so there will be no one inside the party left to persuade.

    A zombie campaign premised on amassing delegates to influence the party’s platform at the convention is not worth running and is certainly not going to inspire the kind of donations he would need to compete in the remaining states. The platform itself is a hollow prize anyway. No one reads or cares about it, the nominee isn’t bound by it and before the ink is dry, Biden and his team will have taken over the party.

    More than ever, Sanders is actually needed as a progressive leader in the Senate, to help shape the coming bailouts and spending packages in a more humane direction. He himself seemed to acknowledge this obliquely yesterday, when he snapped at a reporter asking whether he would drop out: “”I’m dealing with a f—ing global crisis,” he told CNN”s Manu Raju. “Right now, I’m trying to do my best to make sure that we don’t have an economic meltdown and that people don’t die. Is that enough for you to keep me busy for today?”

    The best thing Sanders can do for the American people is dedicate himself to pushing the coming bailouts and stimulus packages and emergency response plans in as progressive direction as possible from his influential perch in the Senate. He’ll be much less effective at that if he’s halfheartedly campaigning to compete in primaries that might not happen for months. And as much as it comes as a disappointment to a progressive movement that just weeks ago seemed to be on the verge of capturing the Democratic Party’s nomination, this thing is over and the sooner Biden can start fundraising for the general election the better. He is not the ideal vehicle to lead the party through a historic crisis, but Donald Trump has proven again and again during this unfolding ordeal that there is an abyss where the president should be, a vacuum of moral, political and administrative leadership that may get hundreds of thousands or even millions of people killed. Fighting a two-front war against the president and the virus is enough. The third front – the primary – needs to be shut down, and progressives need to lick their wounds and hope there is something left of society to fight for in 2024.

    This post was originally published on Truthdig RSS – Truthdig: Expert Reporting, Current News, Provocative Columnists.

  • As the new coronavirus spreads through the U.S., we chronicle how it came to California, with the voices of first responders, experts and passengers quarantined on a cruise ship docked in San Francisco Bay. 

    Plus, we hear the story of an African American man who decades ago was shot and killed by a police officer who later became leader of the Ku Klux Klan. 

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    This post was originally published on Reveal.

  • Unborn babies’ hearts are at risk as EPA caves to chemical companies’ 20-year effort to whitewash the science on the risks of an extremely dangerous and prevalent chemical, TCE. 

    Don’t miss out on the next big story. Get the Weekly Reveal newsletter today.

    This post was originally published on Reveal.