Category Archives: Health care

Long-Term Consequences Of Trump’s Failed Coronavirus Response.

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When China first reported the outbreak of a novel coronavirus, the Trump administration had an opportunity to prevent, or at least to minimize, its impact on the US as previous administrations had done several times before. Instead, Trump dismissed the threat, telling us that China had everything under control. Then, when it did arrive on our shores, Trump called it a “Democratic hoax.” Apparently, he did not want to anger Xi Jinping. In fact, as we recently learned, instead of worrying about the coronavirus, he was trying to enlist China’s help for his re-election campaign.

When Covid-19 evolved into a full pandemic, Trump told us that it was only because of failed Democratic governors. Instead of leadership, he offered us false promises. And, instead of utilizing his emergency powers to provide Personal Protection Equipment (PPE), he created a bidding war between states and the federal government, prioritizing the needs of Republican-controlled states.

When the stock markets crashed and the economy stalled, he delayed emergency funds for the unemployed in order to have his name printed on the checks. Further, though he signed a second congressional bill to provide loans and more emergency funds, his administration refused to reveal the recipients, which has led Congress to suspect that Trump’s family businesses have benefited. And, instead of worrying about public health, he was laser-focused on pushing states to reopen their economies in order to improve his chances of re-election.

The short-term consequences have been devastating with now more than 2.6 million cases despite limited testing and nearly 129,000 deaths. Still, he refuses to show any real leadership by ordering the manufacture of more PPE and by ordering all Americans to wear masks to limit the spread of Covid-19. In fact, contrary to scientific advice, he held two rallies that will likely further spread the virus.

The long-term consequences could be even more devastating.

Nobel Prize-winning economist Joseph Stiglitz has written that the administration’s response and GOP policies are all but certain to lead to a “lost generation” of workers. He points to the 14 percent of the US population that is on food stamps and the projected 30 percent unemployment rate. “The numbers turning to food banks are just enormous and beyond the capacity of them to supply. It is like a third world country. The public social safety net is not working,” says Stiglitz.

He goes on to state, “If you leave it to Donald Trump and Mitch McConnell, we will have a Great Depression. If we had the right policy structure in place we could avoid it easily.”

The economy and staggering unemployment rate are only part of the problem. The trillions of dollars in additional debt will reduce our ability to fund other needs, such as infrastructure, safety nets, and national defense.

Trump’s failure to stem the pandemic has already led to a loss of US standing in the world, leaving those in other nations flabbergasted at our incompetence. That will have long-term impacts on tourism, trade, and alliances. The failure will also impact our already stressed and inadequate healthcare system. The pandemic has ended most elective surgeries and other procedures causing some clinics and hospitals to close. That will lead to even less access to healthcare, especially for the poor. And Trump’s defunding of the World Health Organization will only leave us more vulnerable to future viruses, some of which have already been identified in other parts of the world.

The Trump-ordered ban on work visas will create a brain drain for our research institutions and technology companies that can’t be fully replaced by our own residents. Americans are unlikely to quickly embrace sports, concerts and other large gatherings resulting in billions of losses annually. And since the Trump administration prioritized rescue funds for large corporations, we’re likely to see a further consolidation of brands and services.

The pandemic has already affected human rights in this country by leaving some of the poorest populations vulnerable as “essential workers” in nursing homes, groceries, and meat-packing plants. Worse, it has exposed those seeking refuge in this country who are being held in detention facilities. And it has caused others to be deported back to their countries of origin to be raped or murdered. Moreover, the GOP’s response to the pandemic will lead to further voter suppression which will most impact the poor and people of color, forcing them to risk infection in order to exercise their constitutional right.

Last, but certainly not least, the financial consequences of the pandemic, while temporarily stemming carbon emissions, will make it more difficult for the US to invest in renewable fuels to address the climate crisis.

The only conceivable answer to all of these crises can be summarized in one word: Biden. Or, if you prefer, two: Bye Don.

“Mississippi With Snow.”

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During television coverage of the recent protests in Minneapolis, the head of the NAACP referred to Minnesota as “Mississippi with snow.” As a proud resident of Minnesota who has long tried to address the racism in our state, that was still difficult to hear. But it is an alarmingly accurate description. Despite the economic success of Minnesota (it’s home to numerous Fortune 500 headquarters) and our widely acclaimed creativity (in music, theater, advertising, graphic arts, culinary arts and more), the primary differences between the two states are that we have a harsher climate, fewer people of color and a different accent.

Once a bastion of Scandinavian-style liberalism and tolerance, Minnesota changed under the leadership of GOP governor Tim Pawlenty. It cut taxes and passed laws that rewarded the wealthiest Minnesotans while punishing the poorest. That punishment was felt most by Minnesotans of color.

In 2008, the population of Minnesota was just 4.6 percent black compared to 12.8 percent for the US as a whole. Similarly, the Latino population in Minnesota was just 4.1 percent versus 15.4 percent for the US. Yet, black people living in Minneapolis (there are precious few outside the Twin Cities) are nearly 6 times more likely to be poor than their white counterparts. A black college graduate in the state, on average, makes less than a white high school dropout.

In 2009, at the height of the Great Recession, the unemployment rate for black Minnesotans was 22.5 percent compared to 15.5 percent for Latinos and just 7.1 percent for whites. Again, in 2010, Minnesota ranked second in the nation for racial disparity in the jobless rate behind only Mississippi. Even in 2018, before the pandemic, when black unemployment was at a record low of 6.8 percent, black unemployment in Minnesota was nearly double the US average.

Nationally, for every $1.00 of income white households receive, Latino households receive 72 cents, and black households earn just 59 cents. For every $1.00 of wealth held by white families, Latino families have 12 cents, and black families have 10 cents! And one-third of black children live in poverty, compared to 12 percent of white children.

Police in Minnesota and elsewhere kill blacks at an alarming rate compared to whites. Each killing leads to mental health issues for most of the black population. And it’s not just police killing black people. Discrimination is literally killing blacks because they are less likely to be able to afford healthcare. (A fact that has been especially apparent with the impact of the pandemic on people of color.)

Moreover, people of color not only suffer from disparities in employment, income, wealth, healthcare, and opportunity. They suffer from disparities in education, policing, and voting.

In Minnesota schools are some of the most segregated in the US. Why? Because Minnesota was an early adopter of charter schools. And Minnesota law exempts charter schools from desegregation. Public schools are also highly segregated with many predominately black schools underfunded, which has resulted in a large achievement gap between blacks and whites.

Minnesota is not alone. The US spends $23 billion more on schools that serve predominately white students versus schools that serve predominately black and Latino students. Blacks, Latinos and Native Americans are expelled from schools at a higher rate than whites for the same transgressions. Too often, that leads to participation in the “justice” system and eventually to incarceration. Once they’re in the system, they find it hard to escape.

Per capita, blacks are 2.8 times more likely to be killed by police than white people. And believe it or not, Native Americans fair even worse. They are 3.1 times more likely to be killed by police than whites. Native Americans make up 0.8 percent of the population. But they experience 1.9 percent of all police killings. Many Native Americans live in poverty with no access to clean water. And many of their children are sent to outdate, mold-infested schools. Moreover, in an age of technology, many Native Americans have none. They not only lack high-speed Internet (a growing requirement for education). Many lack phone service.

And, if you think people of color can create change by voting, think again. A recent study by the Brennan Center for Justice found that black voters stand in lines 45 percent longer than white people. Latinos wait 46 percent longer than whites. And many Native Americans are unable to vote at all because some states require a street address, which most reservations lack. As a result of GOP voter suppression tactics, the situation is getting worse as evidenced in Georgia. Is it any wonder then that there are only 3 US senators who are black?

Now, following the murder of George Floyd, Minnesota has a real opportunity to make systemic change. As it has in many other ways, it can lead the nation. It can create an environment of justice and equal treatment for people of all colors and backgrounds. It can make its immodest slogan “Minnesota Nice” truly mean something.

Trump’s Conflict With China.

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With the help of William Barr, Trump was able to dismiss the Mueller investigation’s findings that he conspired with Russia to win election and committed obstruction of justice to avoid the consequences. And, with the help of a compliant GOP-controlled Senate, Trump was able to avoid removal from office through impeachment over his unconstitutional actions with Ukraine.

Now desperate to distract from his failed response to the coronavirus that has killed nearly 100,000 Americans and left nearly 37 million unemployed, Trump is calling on his administration and his allies to place blame on China.

Certainly, China is not blameless for the pandemic. Its government downplayed the seriousness and the extent of the outbreak in Wuhan, even punishing the doctor who called attention to the threat and who later died from COVID-19. But China eventually did cooperate with the World Health Organization (WHO) and provided information on the virus before it was found in the US.

And the Trump administration is no less at fault. It has been reported that the administration ignored the pandemic playbook left by the Obama administration. In 2018, it disbanded the Pandemic Response Team. Even before that, GOP members of Congress refused to provide funds to refill the Strategic National Stockpile. The Centers for Disease Control and Prevention (CDC) refused to use a readily available test preferring to make its own failed version. And, during the early days of the pandemic, Trump dismissed concerns of the coronavirus as a Democratic hoax.

To be fair, there were some things beyond the administration’s control. Over a period of many years, US manufacturers of medical equipment, like many other industries, outsourced much of their production to China. And, facing economic stress, hospitals had embraced the “Just In Time” mentality of other industries to reduce inventory and cut expenses.

Obviously, with regard to the pandemic, there is plenty of blame to go around. But, instead of trying to affix blame, we should be trying to make necessary changes so that it never happens again. The last thing we need is to defund the WHO, the organization best suited to prevent pandemics. And we certainly do not need to escalate the ill-conceived trade war with China into a cold war or worse. But it seems the Trump administration is determined to do just that.

After Trump withdrew the United States from the Trans-Pacific Partnership negotiated by the Obama administration and began alienating governments around the globe, China has stepped in to fill the void left by the US. It has invested heavily in emerging countries. And it has worked to expand trade with Europe. That has made China more powerful, more confident, and less dependent on the US. In addition, US tariffs on Chinese goods have hurt US consumers, US farmers, and US companies. They have also strained relations between the two nations.

Now, after long ignoring China’s ethnic cleansing of the Uighurs, the brutal occupation of Tibet, and the crackdown in Hong Kong, the Trump administration seems to have decided that it is now in Trump’s interest to demand information about the location and well-being of Tibet’s Panchen Lama. And it has decided to place sanctions on Chinese companies involved with surveillance of Hong Kong protestors. Not surprisingly, China has threatened to respond in kind. Alarmingly, some congressional Democrats have gone along with Trump’s escalation of the conflict.

This cannot end well.

After the Trump administration’s treatment of Latin American refugees, the US no longer has the high moral ground on human rights. So, China is unlikely to respond to demands from the US. And we may not get much support from the international community. Further, to a great extent, the Chinese and US economies rely on each other. Escalating the conflict will be damaging to both economies, and the US economy is already more vulnerable than at any time since the Great Depression.

Finally, since WWII, the US has focused on projecting its military might around the globe. That is extremely difficult and expensive, requiring many military bases, aircraft and naval carrier groups. But China has focused on building its military to defend the eastern hemisphere – a task far less daunting. So, any military conflict with China will be difficult for the US to win. Both are nuclear powers. And, unless China attacks the US, the US will be forced to fight against superior numbers on China’s home turf.

In reality, neither side can win a military conflict. Therefore, the only solution is diplomacy – a task the Trump administration is particularly unsuited for.

The Coming Great(er) Depression.

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In the US, we are quickly approaching 100,000 deaths from COVID-19 combined with 36 percent unemployment. The losses have been staggering – akin to combining the pandemic of 1918 with the Great Depression of the 1930s. Even “reopening” the economy is unlikely to change our future other than accelerating the death rate.

At this point, we have no reliable treatment for COVID-19. No vaccine. No equitable answer for unemployment. And inadequate safety nets.

But, by far, our greatest deficiency is leadership at the national level. So far, our “Dear Leader” and wannabe dictator has only led us to the abyss. Instead of preparing for a pandemic, he ignored the playbook given him by his successor and dismantled our response team. Instead of reacting to the onset of the pandemic in China, he dismissed it as the Wuhan flu. When the first cases appeared on our shores, he dismissed it as a partisan hoax. As the pandemic spread, he abdicated his responsibility and placed it in the laps of state governments. And he continues to claim that “no one could have handled it better.”

Really? Let’s look at his administration’s response.

He and his incompetent underlings stated that the national stockpile of medical supplies was the federal government’s – that states would have to find their own sources of ventilators and personal protection equipment (PPE). They even ignored a US manufacturer who had the manufacturing capability to make millions of N95 masks before the pandemic spread. All the manufacturer needed were government assurances and federal funds to restart his production lines that had been forced to close by lower cost foreign competition.

As a result, states were forced to engage in bidding wars for equipment – much of it substandard – often against the federal government. At the same time, large federal supplies of masks held by TSA went unused. In the meantime, healthcare providers were left to treat COVID-19 patients without proper protection, resulting in unneeded stress and, in some case, unnecessary deaths. And their reward from Dandy Donnie? He accused them of hoarding or wasting masks, shields, and gowns.

He continued to treat the pandemic as a partisan issue, using it to further divide our nation. He called for the economy to reopen while deaths soared. He took the advice of his propagandists on Fox News against his own medical advisors to promote unproven drugs as a “cure” for COVID-19. He also suggested that COVID might be treated by injecting or ingesting disinfectants or somehow getting ultraviolet light inside patients!

Only when the polls showed him trailing his political rival did he begin to take the pandemic seriously.

Nevertheless, he continues to push for Americans to go back to work despite the danger. He ordered meat-processing plants to stay open as more and more of their employees tested positive for the virus. His administration failed to provide guidance for safety measures leaving employees exposed. Yet, he quickly enacted safety measures for his own place of employment when one of his staff tested positive for the coronavirus. It seems he expects other Americans to risk their lives to restore the economy to improve his re-election prospects.

But the economy isn’t coming back soon.

It’s painfully obvious that Donald J. Trump is completely unsuited for dealing with a crisis, especially one that demands reason and science. He can’t bully a virus. He can’t sue it or con it. It won’t succumb to his vulgar threats. Sure, he can rile up his base into a frothing-at-the-mouth frenzy. He can expect Sean Hannity, Tucker Carlson, Rush Limbaugh and his other propagandists to create distractions and more conspiracy theories. He can continue to try to place the blame on others. And he can expect Vladimir Putin to meddle in our elections. But creating more anger, more hatred, more division, more racism will not end the pandemic and bring back our economy.

The only thing that can save us now is real leadership. Something that is sorely lacking in the White House and in the GOP.

Now Available On Amazon:

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Ironically, in the age of information, our nation has been compromised by lies and disinformation as never before.

Decades of consolidation, short-term thinking, corporate greed, extreme political ideologies, and poor leadership have left our nation’s economy, healthcare system and its citizens unnecessarily vulnerable.

Many of the decisions that led us to this point were made in good faith. Some were dictated by difficult situations. But others were made willfully and knowingly, their true purpose and their all-too predictable results hidden in a fog of falsehoods and lies. This book attempts to cut through the misinformation to examine the problems, explain how they happened and reveal the truth.

The Fractured States of Trump.

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From the moment he rode down the golden escalator to announce his candidacy for president until now, Trump has managed to avoid accountability for his actions. Sure, he was rightfully impeached for abusing his power to pressure an ally into investigating his likely opponent in the coming election. He was deservedly investigated for colluding with a foreign rival to win election in 2016. And his moral compass was fully exposed by the Access Hollywood tape, by the many accusations of sexual assault and rape, by his verbal attack against a Gold Star family, by his Trump University scam, by his Trump charity scam, and by the thousands of lawsuits filed against him and his companies. But there were no real consequences.

Trump has proven to be the Teflon Don.

Even after steadfastly refusing to reach out to the 59.6 million US citizens who voted for someone other than him, he has paid no price. Not once has he acted as a president of the United States of America. Rather than unite, he prefers to divide, to offend and to marginalize. Like a crime boss, he demands loyalty from everyone surrounding him. And he views those who refuse to support him as the enemy.

During the past three and a half years, those of us who voted against him have been disgusted by his decision to cage immigrants and refugees; by his orders to rip children away from their parents; by his obedience to Putin; by his taking of sacred lands from Native Americans for mining and oil exploration and for his stupid wall; by his allowing…no…encouraging corporations to pollute our air and water; by his treating the climate crisis as a hoax; by his weakening of the international alliances that keep us safe; by his mocking of opponents; by his ballooning of the national debt in order to make the swollen stock markets look good for his reelection campaign; by his dismantling of our nation’s most necessary institutions or by appointing political hacks and sycophants to lead them; by his packing of our courts with unqualified ideologues who will give support to his illegal and unconstitutional acts.

Though Trump has been incompetent and disruptive as a president. He has excelled at greed, narcissism and cruelty. He and his MAGAtt supporters have reveled in punishing immigrants, people of color and, most of all, the “libs.”

Yet the coronavirus has exposed the Trump presidency as never before. It has shone a light on the failures of his administration, his lack of credibility, and his determination to politicize everything, even the suffering of those who have contracted the disease. By previously dismantling the agency that had been created to respond to pandemics, Americans were left vulnerable – without proper leadership. By failing to distribute test kits in a timely fashion, healthcare providers were unable to react appropriately. By cutting taxes for corporations and the wealthy during a good economy, Trump has left the Fed and Congress with few mechanisms to deal with an impending recession. By downplaying the severity of the virus, he allowed the disease to spread. And by saying that he didn’t want to allow a cruise ship with known victims to dock for fear that they would make the numbers look bad, he revealed his narcissism and cruelty for all to see.

Is it any wonder then that Americans are beginning to panic? That the stock traders are worried about the future?

It is now clear that we don’t have capable or caring leadership. What we have in our nation’s highest office is a deranged, orange-tinted 73-year-old who acts like a selfish infant.

What The US Could Be.

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Our nation has reached a crossroads. Will we continue to slide further down the path to autocracy and cruelty where the nation’s leader is unaccountable, where the rule of law only pertains to those the leader says it should, where the leader puts his thumb on the scales of justice, where elected officials cater to corporations and the wealthy, where discrimination is accepted, where millions continue to live in poverty with fewer and fewer safety nets, and where those seeking asylum are locked in cages?

Or will we choose to vote for those determined to reclaim our government and reshape it to live up to its promise?

Consider what a Uniter-in-Chief, instead of a Divider-in-Chief, could do. Consider what a Congress focused on solving problems and representing the people – all of the people – could accomplish.

Unity: Instead of being divided by political and racial tribalism, we could be united in solving the greatest issues of our time. By rejecting GOP candidates determined to divide us for political gains over social issues such as abortion, religion, discrimination and wealth.

Right now, there are nearly 400 House-passed bills that have been denied a hearing in the Senate. Many, if not most, of these bills address bipartisan issues such as protecting patients with pre-existing conditions, lowering pharmaceutical prices, improving gun safety through universal background checks. Reshaping the Senate by rejecting those who would rather play politics than address the nation’s needs would end gridlock and allow us to address the issues that affect all of us.

Equality: We could treat each other as true equals. Over the past few decades, the GOP has resorted to voter suppression tactics in order to choose their voters rather than allow voters to choose their candidates. They have relied on extreme Gerrymandering, restrictive voter IDs, purging of voter rolls, intimidation, reducing voting hours and closing polling places in poor and black areas, and taking voting rights away from those who have served prison time.

It’s time to end these repressive and undemocratic practices; to end discrimination of all kinds. We must reshape all of our governments – including city, county, state and federal – and commit to restoring democracy and civil rights for all.

Equal Representation: We could dismantle the archaic Electoral College that prioritizes geography over people – a system that gives a voter living in Wyoming nearly 4 times the representation of a voter living in California.

Climate Crisis: We could save our planet from the most severe impacts of climate change.

Though scientists have known about the dangers of our reliance on fossil fuels since the mid-1960s, the issue was mostly ignored until former Vice-President Gore released the documentary An Inconvenient Truth in 2006. By the 2008 presidential election, it had finally become a political issue with both candidates promoting a policy of cap and trade to reduce carbon emissions. Since then, only one party has shown any interest in addressing climate change. The other, supported by the fossil fuel industry, refers to it as a hoax.

Let’s suppose for a moment that the GOP is correct and climate change is a hoax (it isn’t), what would be the consequences of addressing the issue and embracing clean, renewable energy? The consequences would be many high-paying jobs, cleaner air, cleaner water and an end to wars over reserves of oil. Oh, and Big Oil would no longer exert such control over our government.

Ecosystem: We could save the diversity and the beauty of the many species that share our planet.

Many parts of our ecosystem are collapsing. Bees, which pollinate our fruits, vegetables and grains, are dying as a result of the use of pesticides. There is a dead zone in the Gulf caused by the runoff of fertilizers from our farms. Glysophate, a known carcinogen used to control weeds permeates our drinking water and our foods. Fracking fluids have leaked into the aquifers many rely on for drinking water. Many of our coral reefs, home to most of our oceans’ fish, are bleaching and collapsing due to climate change. Our oceans are also showing the ill effects of decades of use as garbage dumps. Deforestation and trophy hunting has forced thousands of species to the brink of extinction. I could go on. Yet the GOP seems uniquely unmoved by the devastation.

Replacing GOP politicians with those who believe in science, who will fight for ecological understanding and justice, may be the only way to save thousands of species from extinction…including our own.

Military: We could use much of our gigantic $718 billion military budget to improve conditions for the citizens of our nation and elsewhere. And we could, for one of the very few times in our nation’s history, wage peace.

For those who think that reducing the military budget would leave us vulnerable, consider that our budget is equal to that of the next 8 countries’ combined. And 6 of those are allies. Moreover, we benefit from the more than $305 billion in military spending of the other 28 members of the NATO mutual defense organization. Finally, our military budget doesn’t include the more than $50 billion budget of the Department of Homeland Security or the nearly $220 billion for Veterans Affairs.

That means we’re currently spending nearly $1 trillion annually on defense and military-related issues. And we benefit from $305 billion more.

Healthcare: We could provide universal health care for all of our citizens and save thousands of lives.

Pharmaceuticals: By allowing the government, as the provider of universal health care, to negotiate with manufacturers and distributors, we could make necessary and life-saving pharmaceuticals affordable for all those who need them.

Religion: We could provide true religious freedom, including freedom from religion for non-believers. As Thomas Jefferson once wrote, “It does me no injury for my neighbor to say there are twenty gods or no God.”

Immigration: We could, once and for all, solve the issue of immigration by providing a path to citizenship for those who were brought here as children and have spent most of their lives in the US. We could create a system of work permits for those who are needed to raise and harvest our crops and to fill the jobs most US citizens don’t want. We could improve our system for those seeking asylum from violence and starvation in their home countries.

Economy: We could transform our economy from a plutocracy to a democracy that will work for all Americans. Not just the powerful and the wealthy. By eliminating the need for corporations to pay for their employees’ healthcare, we could demand that their savings be used to pay all employees a living wage. And, by asking the wealthy to pay their fair share of taxes, we could invest in many other things that could benefit our nation, such as low-cost college education while, at the same time, decreasing deficits.

Infrastructure: We could create high-paying jobs that cannot be off-shored by committing to rebuild our aging and decrepit infrastructure: Streets, roads, bridges, railroads, seaports, airports and the electric grid.

Violence: We could address gun violence by ending the sale of the weapons of war. We could implement universal background checks, waiting periods and red flag laws. And we could address the issues that lead to violence, such as poverty, discrimination, lack of opportunity and easy access to guns.

Taking The Profits Out Of Health Care.

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In the US, health care organizations were once required to be nonprofit. But, following WWII, companies were short of workers. To entice them, they began offering health insurance. At first, it was non-profit. But as the market for company-provided health insurance grew, it attracted for-profit competitors offering a variety of plans.

The inevitable consequence was to dramatically increase the cost of health care, making it unaffordable for an ever-growing number of Americans. And though the Affordable Care Act (aka Obamacare) has helped, the cost of health care rose from an average of $355 per person in 1970 to $11,172 in 2019. Accounting for inflation, that’s an increase of roughly 6-fold!

Indeed, according to the Center for Medicare and Medicaid Services (CMS), US spending on health care reached $3.6 trillion in 2018 (the most recent year for which data is available) 17.7 percent of our GDP. And the earnings of health insurance companies exceeded $236 billion in 2018.

Perhaps the biggest winner in the health care industry is big Pharma. According to Statista, Americans spent $360.3 billion on pharmaceuticals in 2019 – up $15.8 billion from the previous year. And up a whopping $239.3 billion from 2000. That increase is reflected in the cost of most medications. A case in point: For asthma patients like me (of which there are nearly 20 million in the US), the annual cost of preventative medication is roughly $2,500 per year – almost double what it cost less than 10 years ago. Has the drug changed or improved over that period? No, only the price has changed. And, of course, the profits for the manufacturer and their distributors.

The increase in the cost of many other pharmaceuticals is even more dramatic.

Pharmaceutical companies justify the increases by claiming that the money is needed for research and development. Yet, you, the taxpayer, contribute roughly 30 percent of the cost of development of pharmaceuticals. Despite the increased costs and your contributions, there has been little increase in FDA approvals for drugs in recent years. That’s mostly due to the companies’ focus on acquisition and mergers. In other words, the companies are investing their profits in stock buyouts rather than research and development.

Since 1996, there have been 46 mergers and acquisitions of the world’s pharmaceutical giants. Over that same period, big Pharma has spent billions to lobby the US government. According to Statista, the industry spent $281.4 billion to lobby our government in 2019. And big Pharma is not alone. Organizations representing doctors, nurses, hospitals, clinics, medical equipment manufacturers and health insurers all spent billions on lobbying.

In total, the health care industry spent $711.3 billion on lobbying for 2019.

Is it any wonder then that our health care costs keep rising at rates far greater than inflation? Is it any wonder that we pay 4 times more per person for health care in the US than any other country in the world while experiencing steadily declining results?

Far too much of your health care expenditures are going to support the multi-million dollar salaries of executives, lobbyists and the profits of shareholders.

So, when political candidates are asked how they expect to pay for the cost of single-payer health care such as Medicare For All, the answer is simple. You’re already paying for it. But, instead of the money being used for medical care and the development of new technologies and treatments. It’s being used to line the pockets of executives and investors.

By moving to a single-payer health care system like most of the world’s advanced nations, you will pay more in taxes. Nevertheless, your savings should be significant. You and your employer will no longer have to pay for health insurance, deductibles, and co-pays. You will not be billed for seeing your doctor, for laboratory tests, for visiting the Emergency Room, for treatments or for needed stays in a hospital. As the single-payer, the government will also be able to negotiate the cost of pharmaceuticals saving you even more money. So your savings will continue to add up over your lifetime.

And no American will ever be denied health care again.

There’s yet another benefit that’s seldom mentioned: By removing the responsibility for providing health insurance from employers, there will be less incentive for employers to move jobs offshore. (Currently, the cost of an employee’s benefits is roughly equal to the cost of an employee’s salary.) Indeed, employers could use the savings to increase salaries and pay a more livable wage. That would not only provide a substantial boost to our economy. It would result in greater tax revenue that could be used to rebuild our crumbling infrastructure and create even more high-paying jobs.

Trump’s Broken Promises. (Part Four – Military and Veterans)

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In contrast to the many Emails and Tweets emanating from The Trump White House labeled “Promises Made. Promises Kept,” the Trump has broken far more promises than it has kept. Following are just those that relate to military families and veterans:

Respect For Military: Before the 2016 election, Trump said, “There’s nobody bigger or better at the military than I am.” Yet he famously avoided service in Vietnam by paying a doctor to claim he had bone spurs. During the campaign he also insulted a Gold Star family who lost their son in Iraq. And he called Sen. John McCain a “loser” for being shot down over Vietnam.

Before the election, he said, “If they listen to the military people, we probably wouldn’t be having an ISIS right now.” Yet after taking office, he said he knows more about ISIS than the generals do.

Caring for Military Families: Trump promised that military service members and their families would have the best medical care, education and support – “both when they serve and when they return to civilian life.” And though he did increase the already bloated military budget, much of it going for weapons we don’t need, he also transferred $2.5 billion in military funds to build his wall on the southern border. Those particular funds were earmarked for military counterdrug programs and for the replacement of dilapidated buildings and schools for the children of military families. And Trump intends to divert yet another $7.2 billion in 2020.

Non-Citizen Soldiers: The US has had a long-standing policy of offering the opportunity to gain citizenship for immigrants who serve honorably in our military. There were 24,000 such service members in 2012 (the most current information available). But, following their service, the Trump administration has deported numerous such veterans. More recently, the administration stated that children born to non-citizen military and government personnel serving overseas will not automatically be considered US citizens.

VA Health Care: Trump promised to cut wait lists and scheduling backlogs at VA hospitals and clinics. But, instead of cutting wait lists, he cut VA funding. And he proposed cutting benefits for disabled vets once they reach the minimum age for Social Security benefits.

VA Hotline: Trump promised to set up a White House hotline to make sure no complaint about the VA would fall through the cracks. At this date, no such hotline exists.

Veterans’ Jobs: He promised to create jobs for veterans. Instead, he froze hiring for the federal workforce. That means federal agencies are unable to replace those who have retired from the federal workforce, eliminating job opportunities for more than 70,000 veterans per year. Many of these veterans are disabled making it difficult for them to find work elsewhere.

Wars: Trump promised to end the “endless wars” and bring our troops home. Yet, today, as a result of his failed diplomacy and ill-advised actions, we have more soldiers in the Middle East than when he took office.

Trump’s Broken Promises. (Part Two – Health Care)

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Of the thousands of falsehoods and misleading statements Trump has made since declaring his candidacy, many concern health insurance and health care. Following are but a few of his broken promises:

Insurance Premiums: Trump promised to allow individuals to deduct health insurance premiums from taxes. He hasn’t.

Affordable Care Act: Trump promised he’d repeal and replace the ACA with something “beautiful” that would provide “insurance for everybody.” But he has offered no replacement. Further, his administration has chosen to not defend the ACA in court against claims by several rightwing state Attorneys General that the ACA is unconstitutional. If the courts rule in favor of the plaintiffs, up to 20 million Americans will lose access to affordable health care.

Pre-Existing Conditions: Trump promised to protect all Americans who suffer from pre-existing medical conditions. But, if the ACA is ruled unconstitutional as Trump hopes, private insurers will, once again, be able to deny coverage to tens of millions of Americans for pre-existing conditions.

Medicare and Medicaid: Trump promised that he wouldn’t “cut Social Security or Medicare or Medicaid as other Republicans want.” But his 2020 budget cuts $1.5 trillion from Medicaid over the next 10 years, $845 billion from Medicare over 10 years, and $25 billion from Social Security over 10 years. Moreover, he recently said that he will take a look at more cuts to Medicare and Social Security at the end of this year, presumably after the election.

Social Security Disability Insurance: Despite Trump’s promises, his budget cut retroactive pay for disabled under Social Security Disability Insurance (SSDI) by 50 percent over a 10-year period which began in 2019. Retroactive pay covers the time between when people are unable to work and when they apply for benefits. These cuts, along with cuts to SNAP (food stamps), will impose great financial harm to the disabled.

Drug Prices: Trump promised he’d cut drug prices by negotiating “like crazy” with drug companies. He hasn’t. Instead, drug prices have gone up and the catastrophic Medicare Part D threshold (the so-called donut hole) has risen by $1,250 in 2020.

Given his many lies and broken promises, why would anyone trust anything Trump says? As Senator Romeny once said, “His promises are as worthless as a degree from Trump University.”