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Health Care

How Effective Is The Government’s Campaign Against Hospital Mergers?

In recent months, federal antitrust regulators have notched some notable achievements, blocking four hospital mergers. Those actions follow the announcement of a major change in antitrust philosophy, embodied by President Joe Biden’s executive order last year aimed at promoting competition. That order criticized hospital consolidation for the ways in which it has left “many areas, particularly rural communities, with inadequate or more expensive healthcare options.” Suddenly, antitrust regulators seem to have swagger. News articles have described the Federal Trade Commission, whose job is to stop anti-competitive behavior, as being “unleashed” under its aggressive new chief, Lina Khan. Republicans have responded with complaints of “radical” policies.

After Platinum Health Took Control, All Hospital Workers Were Fired

The news, under Noble Health letterhead, arrived at 5:05 p.m. on a Friday, with the subject line: “Urgent Notice.” Audrain Community Hospital, Paul Huemann’s workplace of 32 years, was letting workers go. Word travels fast in a small town. Huemann’s wife, Kym, first heard the bad news in the car when a friend who’d gotten the letter, too, texted. “Your termination was not foreseeable,” said the letter, dated Sept. 8 and signed Platinum Health Systems, adding that the firing was permanent “with no recourse” and that the “medical facility will be shuttered.” “I don’t know what my next steps are,” said 52-year-old Huemann, who supervised the laboratory at the Audrain hospital. The future for the Huemanns, hundreds of other workers, and thousands of patients in two small Missouri towns began to unravel long before that afternoon.

Phoenix Mental Health: A Therapist Worker Cooperative

Max is joined by Jeff and Eric, 2 of 7 worker-owners of a therapist worker cooperative in Minneapolis, Minnesota called Phoenix Mental Health. In their collective, everyone keeps 100% of the money they earn from seeing clients, and everyone pitches in money to pay for rent, bills, credentialing, billing, and accounting. They use consensus decision making in meetings, and people know them to be a "non-hierarchical, social justice" minded therapy practice. Members tend to lean "left" but don't necessarily identify with left-wing labels such as anarchist, socialist, Marxist (etc), although some do. How is Phoenix different from the ordinary capitalist mental health business enterprise? What motivates them to operate how they do?

Listening Through The Social Stethoscope

Antwerp, Belgium - Workers from Medics for the People’s (MPLP/GVHV) health center in the district of Deurne in Antwerp are currently providing care from an alternative location, while their original building is being expanded. The idea behind the reconstruction is to create a space where patients can access care but also meet health workers and participate in planning joint actions for the improvement of health conditions in Belgium. Social determinants of health are one of the core concepts around which Medics for the People’s work is organized. Physicians, nurses, and other workers employed by MPLP take an active role in organizing at the community level, speaking in favor of strengthening public infrastructure and protecting workers’ rights.

Nurses At LGBTQ-Affirming Healthcare Provider Are Planning To Strike

Unionized nurses at Howard Brown Health, a Chicago network of LGBTQ-affirming healthcare clinics, are set to go on strike Monday, Oct. 3 after what workers say are months of stalled contract bargaining negotiations.  The union is comprised of 30 nurses across 10 clinics, who are bargaining for their second contract, the first of which expired in August. The nurses’ union, the Illinois Nurses Association, says that since June they have been negotiating with management on a weekly basis and have reached tentative agreements on more than 30 items, including staffing levels and a commitment to vaccinate workers against monkeypox. But, the union alleges, these conversations — now daily — have failed to progress to securing workers’ chief demands: Increased pay competitive with other nurses in the city, and retention bonuses. 

New Rail Deal May Still Be Doomed Over Scheduling Issues

Does this seem like a good way to attract loyal, dedicated, satisfied workers? Come work for the railroad. It’s a great job, decent pay. Hours may be a bit long. You’ll spend weeks at a time away from home in cheap motels and miss important family events, kids sports games, birthdays, recitals and vacations, weddings and funerals. You can get called up at any time, so don’t even try to make plans. Stay healthy because you’ll be punished or even fired for an unexpected medical event. Also, great pension…if you live that long. Aaron Hiles, a locomotive engineer, for BNSF didn’t live that long. Aaron Hiles, a locomotive engineer, told his wife he “felt different,” though he couldn’t say exactly how. He made an appointment to see a doctor, his family said. But then his employer, BNSF, one of the largest freight rail carriers in the nation, unexpectedly called him into work.

US Court Rules QR Codes In Lieu Of GMO Labeling Are Unlawful

A U.S. District Court has held that the U.S. Department of Agriculture (USDA)’s decision to allow genetically engineered (GMO) foods to only be labeled with a “QR” code was unlawful and that USDA must instead add additional disclosure options to those foods under USDA’s National Bioengineered Food Disclosure Standard. The Court sent back to the agency the QR code portions of the 2018 Trump administration rules for GMO labeling that went into effect on January 1, 2022, which hindered consumer access with burdensome electronic or digital disclosures. “This is a victory for all Americans,” said Meredith Stevenson, Center for Food Safety (CFS) staff attorney and counsel in the case. “Today’s decision marks a key step toward ending the food industry’s deceptive and discriminatory GMO food labeling practices, which have kept consumers in the dark by concealing what’s in their products.”

As Public Hospitals Crumble, French Health Workers Demand Action

On September 22, Thursday, health workers and those working in associated sectors in France organized mobilizations and protests as part of a national day of action in different cities across the country. The protesters demanded increased salaries, more staff, improved and safe working conditions, job security, and sufficient funds and other resources for hospitals. The call for the mobilization was given by several groups in health sector, including the Association des Médecins Urgentistes de France (AMUF), CGT Santé Action Sociale, the CFE CGC Santé-Social, Printemps de la psychiatrie and Collectif Inter-Urgences. Mobilizations took place in the cities of Paris, Marseille, Nancy, Tours, Poitiers, Angers, Lille, and Nantes, among others. The French Communist Party (PCF) and La France Insoumise (LFI) extended support and solidarity to the protesting workers.

Pirate Care, A Syllabus

Alarmed that certain types of caring for people has been criminalized, a large group of Europeans assembled a course syllabus in 2019 on what they call “Pirate Care.” As the convenors of the project explained, “We live in a world where captains get arrested for saving people’s lives on the sea; where a person downloading scientific articles faces 35 years in jail; where people risk charges for bringing contraceptives to those who otherwise couldn’t get them. Folks are getting in trouble for giving food to the poor, medicine to the sick, water to the thirsty, shelter to the homeless. And yet our heroines care and disobey. They are pirates.” Hence the idea of “pirate care” – and the need to offer humanitarian or lifesaving care even if the state chooses to criminalize it. 

Despite What Biden Says, The Pandemic Isn’t Over

On Sunday night, Joe Biden declared in an interview on CBS’s 60 Minutes that the Covid-19 “pandemic is over.” Not so coincidentally, this statement comes right after existing federal pandemic response funding has run out, and after attempts at approving more money were routinely removed from spending bills in order to designate more money for Ukraine. If the pandemic is “over,” the government can be excused for failing to provide additional support. But while official cases, hospitalization, and death counts are all much lower now compared to the peak of the Omicron wave in January, and while vaccines continue to mitigate the severity of illness, the Covid-19 virus is still wreaking havoc in the United States. The pandemic continues to still not be over.

The Fed’s Secret Plan To Suck Workers Dry

We’re still getting over a pandemic. Healthcare costs are totally out of control. Everyone’s in debt and hates their job. The insects are disappearing, which feels like a bad sign. I have to watch a Jeff Bezos interview just to see bug eyes anymore. On top of all that, the bankers at the Federal Reserve have decided they’re going to make things way worse. As reported in Common Dreams, “Federal Reserve Chair Jerome Powell said… that the U.S. central bank is ready to inflict ‘pain’ on households as it continues to fight inflation, remarks that drew widespread backlash from experts who warned the Fed appears poised to spark a devastating recession and mass layoffs.” The Federal Reserve – the privately owned central bank of the U.S. – wants to screw us all some more. So the Fed claims it’s raising interest rates to fight inflation, but that isn’t why they’re doing it.

US Leaders Moralize About Alleged Human Rights Abuses In Russia And China To Justify Proxy Wars

Jonny, a pseudonym for a 45-year-old man currently being held in pretrial detention in Miami’s Federal Detention Center (FDC Miami), believes that prison authorities are trying to kill him. Maria, Jonny’s partner of three years, tells me in a series of interviews translated by her teenage daughter that she is also concerned for his life, given FDC Miami’s cruel mismanagement of his grave medical condition. As a pretrial detainee, Jonny’s innocent until proven guilty and protected by the Fifth and Sixth Amendments of the U.S. Constitution, but you wouldn’t know this from the inhumane treatment he receives at the prison. Jonny’s detention should not deprive him of life, liberty, or property without due process, and it certainly shouldn’t subject him to punishment since he has not been convicted of a crime.

A Minnesota Nurse Speaks Out About Exploitative Working Conditions

Hello, my name is Danielle and I’m a nurse at Methodist Hospital. I want to speak a little about the situation we are seeing currently which has led to this strike. HealthPartners permanently closed seven clinics putting 200 people jobless during the pandemic as the company seeks to put profit first—and accessibility for healthcare last. HealthPartners closed thirty pharmacies and left 300 people jobless while also selling their patients to Walgreens pharmacies before the pandemic. HealthPartners bought Park Nicollet Hospital in order to consolidate and control the market. They created an insurance company that double dips into our communities’ wallets. This has resulted in higher prices for medical services and greater leverage to negotiate higher prices from health insurance providers, leading to ever-increasing health care costs for individuals and families.

Life Expectancy: The US And Cuba In The Time Of Covid

Recent data shows that between 2019 and 2021, life expectancy (LE) in the US plunged almost three years while for Cuba it edged up 0.2 years. Yet, in 1960, the year after its revolution, Cuba had a LE of 64.2 years, lower by 5.6 years than that in the US (69.8 years). As I document in Cuban Health Care, the island quickly caught up to the US and, from 1970 through 2016, the two countries were nip and tuck, with some years Cuba and other years the US, having a longer LE. But neither country was ever as much as one year of LE ahead of the other. This continued through the beginning of Covid, which sharply changed the pattern. LE in the US suddenly dropped behind that in Cuba. Bernd Debusmann Jr.of BBC News wrote, "LE in the US fell “to the lowest level seen since 1996. Government data showed LE at birth now stands at 76.1 compared to 79 in 2019. That is the steepest two-year decline in a century.”

Life Expectancy And Human Development In The 21st Century

Life expectancy is one of the best measures of human development.  In hunter-gather societies, on average, about 57-67% of children made it to 15 years. Then 79% of those 15 year-olds made it to 45 years.  Finally, those remaining at 45 years could expect to reach around 65-70 years. So we can see that life expectancy at birth in these societies was very low, given high child mortality. But some 40% did make it to about 65 years on average.  It seems to have been worse in the class-based feudal and slave societies.  The average medieval life expectancy for a peasant was only a mere 35 years of age at birth, but it was closer to 50 years on average for those who made it beyond 15 years. You can see that measuring life expectancy at birth is not a perfect guide to how long humans did live in pre-capitalist societies.  Nevertheless, there is no doubt that life expectancy on average rose sharply once science came to bear on hygiene, sewage, knowledge of the human body, better nutrition etc. 
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