Medicare (Dis)Advantage, Medical Blind Spots, & Supreme Court Stench

As the Medicare enrollment period gets underway again, we welcome Dr. Adam Gaffney to remind us the ways all those heavily advertised Medicare Advantage programs are ripping you off. Then we receive another house call from Dr. Marty Makary, author of Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health about the effect of medical groupthink on all kinds of accepted treatments from peanut allergies to opioid addiction. Finally, founder of Media Matters, David Brock stops by to discuss his latest book, Stench: The Making of the Thomas Court and the Unmaking of America.

Dr. Adam Gaffney is a physician, writer, public health researcher, and advocate. Dr. Gaffney practices at the Cambridge Health Alliance and is an Assistant Professor in Medicine at Harvard Medical School. A member of the Cambridge Health Justice Lab, his research focuses on healthcare financing, reform, and equity, and disparities in lung health. He writes about the policy, politics, and history of health care, and is the author of To Heal Humankind: The Right to Health in History.

The reality is we don't need Medigap. We could plug those holes with public coverage. There's no reason to have a role for private insurers to cover a slice of our healthcare when all seniors need the same thing—which is comprehensive universal care.  There's no need for these private stopgap measures, when what we need is a public system of universal care.

Dr. Adam Gaffney

I do think there’s growing interest among physicians in change. Their bosses are increasingly these for-profit companies whose mission is not really medicine. Their mission is money. And what we need to do is to rethink our healthcare system, so it serves communities, is owned by communities, and it returns us to the underlying reason why we went into this profession—which is to help patients, and not to pad the pockets of shareholders.

Dr. Adam Gaffney

Dr. Marty Makary is a Johns Hopkins professor and member of the National Academy of Medicine. He is the author of two New York Times best-selling books, Unaccountable and The Price We Pay. Dr. Makary has written for the Wall Street Journal, the Washington Post, and the New York Times, and he has published more than 250 scientific research articles. He served in leadership at the W.H.O. and has been a visiting professor at 25 medical schools. His latest book is Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.

For most of human history, doctors were respected, but maybe like you would respect your hairdresser, or maybe a clergy member in the community. And we didn't have many tools as doctors. We had a lancet, we had a saw to do amputations, we had a couple of drugs that didn't work or were counterproductive like digoxin. And then what happened in 1922 is Alexander Fleming discovered penicillin. And by the post-World War II era in the 1940s and '50s, we saw the mass production of antibiotics. That ushered in the white coat era of medicine. Doctors began to wear a white coat. They now had the power to prescribe a magical pill that could cure disease, make childbirth safe, enable surgeons to do procedures safer. And this ushered in this new unquestioned authority. And what happened was, physicians as a class took advantage of this unquestioned authority.

Dr. Marty Makary

David Brock is a Democratic activist and founder of Media Matters for America, a progressive media watchdog group. Following the 2010 elections, Mr. Brock founded the Super PAC American Bridge, which works to elect Democrats. He is a New York Times best-selling author, and his books include the memoir Blinded by the Right: The Conscience of an Ex-Conservative, Killing the Messenger: The Right Wing Plot to Hijack Your Government, and his latest book is Stench: The Making of the Thomas Court and the Unmaking of America.

The Federalist Society was originally founded by three rightwing law students. And it was pitched as a debating society. So I don't think in the original incarnation, they had a master plan. But soon enough, they realized that membership in the Federalist Society could confer on people a certain imprimatur for appointments—and that's appointments not only to the federal judiciary, but all through the executive branch.

David Brock

The scheme to overturn Roe has been going on for all these decades. There were setbacks, of course, because there were times when Republican appointees ended up being independent—Sandra Day O 'Connor, for example, David Souter, for example—and the right was defeated in their effort to overturn Roe. So it took a while and it took a lot of steadfast, patient spending of money on their crusade.

David Brock

[This is] a time when the Biden regime is supporting the destruction of the ancient land of Lebanon— whom he's called in prior years an ally. He's letting Netanyahu destroy Lebanon with the same tactics that Netanyahu applied to the genocide in Gaza.

Ralph Nader

In Case You Haven’t Heard with Francesco DeSantis

News 10/23/24

1. Last week, Israel announced they had killed longtime Hamas leader Yahya Sinwar. As NBC put it, the footage of his death released by Israel “showed Sinwar not hiding in a tunnel surrounded by hostages — as Israeli officials often claimed he was — but aboveground and hurling a stick at a drone with his last ounce of strength.” American political leaders, such as Kamala Harris and Bernie Sanders, are seeking to use Sinwar’s death to argue that Israel has accomplished its mission and should therefore conclude its genocidal campaign in Gaza. Israeli leaders however have made it abundantly clear that they have no intention of pulling out of Gaza, with Benny Gantz – chairman of Israel’s National Unity Party and among Prime Minister Netanyahu’s chief political rivals – stating that the Israeli military “will continue to operate in the Gaza Strip for years to come,” per Al Jazeera.

2. According to POLITICO, during an August 29th meeting in Washington Lise Grande, the top U.S. official working on the humanitarian situation in Gaza told the leaders of more than a dozen aid organizations that “the U.S. would not consider withholding weapons from Israel for blocking food and medicine from entering [Gaza].” It is illegal to block the delivery of humanitarian assistance under both American and international human rights law. As the paper notes, Grande’s “candid assessment…raises questions about the seriousness of recent Biden administration threats to [withhold arms].” One attendee told POLITICO “[Grande] was saying that the rules don’t apply to Israel.”

3. Meanwhile, Israel continues its war on the United Nations mission in Lebanon. On October 20th, UNIFIL released a statement saying “Earlier today, an IDF bulldozer deliberately demolished an observation tower and perimeter fence of a UN position in Marwahin…The IDF has repeatedly demanded that UNIFIL vacate its positions along the Blue Line and has deliberately damaged UN positions. Despite the pressure being exerted on the mission and our troop-contributing countries…We will continue to undertake our mandated tasks.” UNIFIL added “Yet again, we note that breaching a UN position and damaging UN assets is a flagrant violation of international law and Security Council resolution 1701.”

4. In a frankly dystopian story from the United Kingdom, British counterterrorism police “raided the home and seized several electronic devices belonging to The Electronic Intifada’s associate editor Asa Winstanley,” despite the fact that Winstanley has not been charged with any offense. Electronic Intifada reports the raid was conducted under sections 1 and 2 of the 2006 “Terrorism Act,” which deal with the “encouragement of terrorism.” Human Rights Watch has previously urged the British government to repeal the repressive provisions of the 2006 act noting that “the definition of the encouragement of terrorism offense is overly broad, raising serious concerns about undue infringement on free speech.” Electronic Intifada further notes “In August, Britain’s Crown Prosecution Service issued a warning to the British public to ‘think before you post’ and threatening that it would prosecute anyone it deemed guilty of what it calls ‘online violence.’” Winstanley is the author of Weaponising Anti-Semitism: How the Israel Lobby Brought Down Jeremy Corbyn and has been interviewed by the Capitol Hill Citizen.

5. According to the Libertarian magazine Reason, Bob Woodward’s new book War includes a passage about a “shockingly blunt conversation,” between President Biden and Republican Senator Lindsey Graham regarding “Biden's attempts to negotiate a ‘megadeal’ between the United States, Saudi Arabia, and Israel.” Per Reason “Graham reportedly said that only Biden could secure a U.S.-Saudi defense treaty, because it would ‘take a Democratic president to convince Democrats to vote to go to war for Saudi Arabia’” Biden’s response? “Let's do it.” Furthermore, reports indicate this security pact only fell apart after October 7th, with Saudi Crown Prince Mohammad Bin Salman seeing a prominent deal with Israel at that time as a major political liability. Reason cites an article from the Atlantic in January wherein Salman reportedly told Secretary of State Antony Blinken “Do I care personally about the Palestinian issue? I don't, but my people do…Half my advisers say that the deal is not worth the risk. I could end up getting killed because of this deal.”

6. In more international news, the Cuban energy grid collapsed on Friday, under strain from Hurricane Oscar. The complete grid collapse left the entire country of 10 million without electricity, per NPR. Reuters reports that over the weekend, the grid failed three more times as authorities sought to restore power. Brasil de Fato, or BdF, a Brazilian socialist news service, reports China, Venezuela, Mexico, Colombia, Russia and Barbados are offering support to Cuba amid the total blackout. BdF further reports “The Alba Movimientos platform, which brings together more than 400 organizations from 25 countries, issued a statement...[saying] ‘No one can attribute this virtual collapse of the Cuban electricity system to a specific measure by the US government – that would be too simplistic…this is’“the result of a long strategy of planned destruction of the material and spiritual living conditions of the Cuban population…with the financial resources denied to Cuba due to the blockade policy, 18 days of accumulated damages equal the annual cost of maintaining the country's electricity system.” According to the UN, the U.S. embargo cost Cuba $13 million US dollars per day between 2022 and 2023 alone.

7. A new scandal has rocked American Higher Education. Inside Higher Ed reports “Last week a lawsuit accused 40 colleges and universities, as well as the nonprofit College Board, of participating in a price-fixing conspiracy to jack up tuition rates” specifically, for children of divorced parents. The scheme itself had to do with consideration of the non-custodial parent’s income, but the larger issue at stake here is the fact that the universities entered into a “cartel” in violation of antitrust laws. As this piece notes this is the “second major price-fixing antitrust lawsuit filed against highly selective universities since 2022, when 17 institutions…were accused of illegally colluding to set common financial aid formulas. So far, 10 of those institutions have settled for a combined $248 million.”

8. Boeing has offered their striking machinists a new deal, which they hope will end their crippling strike. ABC reports “The new offer delivers a 35% raise over the four-year duration of the contract,” which is short of the 40% raise demanded by the International Association of Machinists and Aerospace Workers but considerably better than the aerospace titan’s previous offer of 25%. ABC continues “The proposal also hikes Boeing's contribution to a 401(k) plan, but it declines to fulfill workers' call for a reinstatement of the company's defined pension.” As this piece notes, the machinists overwhelmingly rejected Boeing’s previous offer last month; this week they will vote on the new proposal. Whatever the details of the final contract, this episode clearly demonstrates the power of a union, even going up against one of the most powerful corporations in America.

9. A stunning CNN investigation reveals the extent of predatory fundraising by the major parties off of elderly people suffering from dementia or other forms of cognitive decline in their old age. According to “More than 1,000 reports filed with government agencies and consumer advocacy groups… deceptive political fundraisers have victimized hundreds of elderly Americans…into giving away millions of dollars.” These heartbreaking stories concern “Donors…often in their 80s and 90s…[including] retired public workers, house cleaners and veterans, widows living alone, nursing home residents…[with] money…from pensions, Social Security payments and retirement savings accounts meant to last decades.” To cite just one just one shocking example: “[an] 82-year-old woman, who wore pajamas with holes in them because she didn’t want to spend money on new ones, didn’t realize she had given Republicans more than $350,000 while living in a 1,000 square-foot Baltimore condo since 2020.”

10. Finally, Congresswoman Rashida Tlaib has sent a letter to Rodney McMullen, Chairman and CEO of Kroger, decrying the company’s “decision to roll out surge pricing using facial recognition technology.” Specifically, Tlaib cites concerns about price manipulation based on external factors like supply as well as discrimination based on race, gender, and other criteria determined through facial recognition. Tlaib ends this letter with six key questions, including “Will Kroger use…facial recognition to display targeted advertisements…?…What safeguards will be in pace?…[and] Are there plans to sell data collected in the store?” among others. Grocery prices continue to be a source of everyday economic hardship for working Americans and corporations are increasingly interested in surge pricing for essential goods. There is some comfort in knowing at least one member of Congress is concerned about this dangerous combination.

This has been Francesco DeSantis, with In Case You Haven’t Heard.

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