“This is some of what we must do to reform our dysfunctional healthcare system”

Bernie Sanders

We are the wealthiest nation on Earth. There is no rational reason as to why we are not the healthiest nation on Earth

Over the past year, I’ve had the privilege of serving as chair of the US Senate committee on health, education, labor and pensions (Help). As I leave that position, let me reflect upon where I think our country should be going in healthcare, and the obstacles we face.

We are the wealthiest nation on Earth. There is no rational reason as to why we are not the healthiest nation on Earth. We should be leading the world in terms of life expectancy, disease prevention, low infant and maternal mortality, quality of life and human happiness. Sadly, study after study shows just the opposite. Despite spending almost twice as much per capita on healthcare, we trail most wealthy nations in all these areas.

If we’re going to reform our broken and dysfunctional healthcare system and “Make America healthy again”, this is some of what we must do.

Medicare for All

Healthcare is a human right. The function of a rational healthcare system is to guarantee quality healthcare to all, not huge profits for the insurance industry. The United States cannot continue to be the only wealthy nation that does not provide universal healthcare. It is not acceptable that, while spending almost 18% of our GDP on healthcare, millions of Americans delay going to the doctor and 60,000 Americans die each year because they can’t afford the care they need.

Lower the cost of prescription drugs

As Americans, we should not be paying, by far, the highest prices in the world for life-saving medications. It is absurd that while the pharmaceutical industry enjoys huge profits and benefits from US taxpayer research, one out of four Americans cannot afford to purchase the prescription drugs their doctors prescribe. We must cut prescription drug prices in half by making sure that we pay no more for medicine than the Europeans or Canadians.

Workers should not have to go to work when they are sick. Mothers and fathers should have ample time to stay home with their newborn babies. A parent should not get fired when they stay home with a sick child. We must guarantee at least 12 weeks of paid family and medical leave to every worker in America.

Reform the food industry

Large food corporations should not make record-breaking profits making children addicted to processed foods, which make them overweight and prone to diabetes and other diseases. As a start, we must ban junk-food ads targeted to kids and put strong warning labels on products high in sugar, salt and saturated fat. Longer term, we can rebuild rural America with family farms that are producing healthy, nutritious food.

Raise the minimum wage to a living wage

Millions of workers should not have to worry about how they’ll pay the rent or buy food for their kids. Working-class Americans live far shorter lives than the rich because of the stress of trying to survive on a paycheck-to-paycheck existence. Stress kills. Stress makes us sick. We must raise the minimum wage to at least $17 an hour.

Lower the work week to 32 hours with no loss of pay

People will live longer and healthier lives if they can spend more time with family and friends and have the opportunity to enjoy their leisure time. Advancements in technology, automation and artificial intelligence must benefit workers, not just billionaires on Wall Street or in Silicon Valley.

Combat the epidemic of loneliness, isolation and mental illness

Too many Americans are struggling with intense anxiety and “diseases of despair” – alcoholism, drug addiction and even suicide. Not only do we need to greatly increase access to mental healthcare, we must rebuild our sense of community and create a culture in which we better enjoy and appreciate each other as human beings. We must also take a very hard look at the impact smartphones and social media are having on our mental and physical health.

Address the climate and environmental crisis

Every American is affected when the Earth’s temperature rises and the air we breathe is polluted. Climate crisis and extreme weather disturbances will cause more widespread suffering and disease, economic disruptions and population dislocation. Air pollution is a major risk factor for respiratory and heart disease, cancer and other health problems. The fossil-fuel industry cannot be allowed to continue making us sick, shortening our lives and destroying the planet.

Create a high-quality public education system

Life-long education is a human right and should be obtainable for all in a wealthy nation like ours. Health, life expectancy and economic wellbeing are often tied to educational attainment. Instead of spending $1tn a year on the military we should make certain that all Americans, from childcare to graduate school, are able to enjoy free, high-quality education and job training.

Let’s be clear. The way forward to creating a healthy society is not radical or complicated. Many of the components that I’ve outlined already exist, in one form or another, in numerous countries throughout the world.

Our real problem is not so much a healthcare crisis as it is a political and economic one. We need to end the unprecedented level of corporate greed we are experiencing. We need to create a government and economy that works for all and not just the wealthy and powerful few.

  • Bernie Sanders is a US senator, and chair of the health education labor and pensions committee. He represents the state of Vermont, and is the longest-serving independent in the history of Congress

https://www.theguardian.com/commentisfree/2024/dec/31/bernie-sanders-healthcare-reform-opinion

Israeli Strikes Yemen’s Civilian International Airport | HasanAbi reacts

It’s Always Something.

How much fossil carbon is stored in our stuff?

Ellen Phiddian December 21, 2024

Human-made materials – the “technosphere” – are a deep store of fossil carbon – and possibly a ticking time bomb.

That’s according to a fascinating new study published in Cell Reports Sustainability.

“We have no idea of how much carbon has been accumulated in the technosphere, how long it stays and what might happen to it once it is released,” says co-author Professor Klaus Hubaeck, a researcher at the University of Groningen, the Netherlands.

The researchers found that the technosphere accumulated 8.4 billion tonnes of fossil carbon from 1995-2019.

Were all this carbon to be burned and sent into the atmosphere, it would be equivalent to 30 billion tonnes of CO2. The world’s annual greenhouse gas emissions into the atmosphere over that period were roughly 770 billion tonnes.

“Carbon is used as a feedstock everywhere in our daily items, even the laptop I type on, and we were wondering if there is a potential time bomb of all that carbon contributing further to climate heating as it gets released to the atmosphere,” Hubaeck tells Cosmos over email.

Human-made materials are often made from fossil carbon sources like oil and gas. Plastics, for instance, are 74% fossil carbon on average. When these items reach end of life, the carbon makes its way back into the environment via dumping – or into the atmosphere via combustion.

The researchers calculated the amount of fossil carbon stored in the technosphere in the year 2011, using economic data to judge how much was flowing in and out of various industries.

They found that most of this carbon was going into rubber and plastic (30%), while 24% was put in bitumen, and 16% in machinery and equipment.

They found that 9% of extracted fossil carbon was stored in the technosphere in 2011, or about 0.4 billion tonnes of fossil carbon.

The team extrapolated these findings to a 25-year time period (1995-2019), which told them that 8.4 billion tonnes of fossil carbon had been accumulated.

Hubaeck says that the technosphere is nearing the stage where it stores more carbon than the natural world.

“We are not far from that turning point. Indeed, the accumulated fossil carbon is in the same order of magnitude, and indeed already higher than that stored in animals.”

What happens to all of this carbon? The researchers estimate that 3.7 billion tonnes of fossil carbon was disposed of over this time period: 1.2 billion tonnes sent to landfill, 1.2 billion tonnes incinerated and sent into the atmosphere, 1.1 billion tonnes recycled, and the rest littered.

“On the one hand, you can consider it as a form of carbon sequestration if this fossil carbon ends up sequestered in landfill, but on the other hand, it poses an environmental hazard, and if you burn it, you increase carbon emissions,” says co-author Dr Franco Ruzzenenti, also from the University of Groningen.

This means it is very important to make sure the waste is being processed properly, according to the researchers. They say that product lifetimes and recycling rates need to increase, and landfill and waste discharges need to be minimised.

“It’s best to avoid or reduce the throughput in the first place,” says Hubaeck.

“Certainly in rich countries, we have too much stuff (whereas the Global South still needs to catch up), we should question the amount of durable products and (inefficient) infrastructure we produce.

“Shifting to bio-based carbon also has environmental impacts, land requirements, biodiversity, and impacts on food prices.”

The researchers say that circular economy strategies are important for reducing the amount of waste as well, alongside managing waste better after disposal.

Three Sam Seder clips that are important to watch

Before I share the clips a personal note.  I spend the morning with Ron.  We went to get blood work done.  Then we did some other things.  Then he went shopping while I did housework.  Then after he got home I started working on a computer project a friend asked me if I would do for him as he couldn’t do it.  I agreed to.  I still have a lot of work on it but I will get it done today I think.  

The lab work came back and I think I have a reason while I have been so tired, short of breath, and not able to concentrate or think clearly.   My blood work shows I am very anemic again.  I once had it get so bad I collapsed as I was entering my allergist office.  They thought I was having a heart attack and I ended up in the hospital.  Turned out my heart is great, but my damaged large bones don’t produce enough red blood cells.  Their solution was to eat more red meat and take iron supplements.  For a long time they watched for it but as I always managed to stay right inside the ok zone they stopped worrying about it.  But my diet changed, red meat got too expensive and I just don’t eat much anymore.  But my lab work showed my hematocrit is very low.  So I imagine the doctor will ask me to do some more tests.  I hope I don’t need a blood transfusion, that sucks.  Now on to the clips, enjoy.

The Chaos Monkeys Have Already Taken Over the Zoo by Paul Krugman

The peddlers of misinformation are high on their own supply Read on Substack

(Thanks to BruceDesertRat who comments here, for linking this really useful Substack!)

Well, I was going to post about proposals for bank deregulation, but I think that can wait for a bit. The news of the moment is the looming prospect that the federal government will shut down over the weekend.

We’ll have to see how much damage this does, but it’s already clear that assuming the worst happens — and it’s hard to see how it won’t — this will be the dumbest shutdown ever. I’d say that the incoming Musk administration (so far Musk, not Trump, appears to be calling the shots) is trying to hold itself up for ransom, but it doesn’t even rise to that level. This isn’t like 1995, when Newt Gingrich shut down the government in an attempt to extract cuts in Medicare and Medicaid — a move that seemed (and was) a foolish act of petulance, but at least had a ghost of motivation.

No, Musk is demanding — apparently successfully — that Republicans in Congress renege on a deal they had already agreed to, a continuing resolution that would keep the federal government going for the next few months. Why? Because, Musk says, of the outrageous provisions in that CR.

Except none of the items Musk is complaining about are actually in the bill. No, Congress isn’t giving itself a 40 percent raise. No, the bill doesn’t fund a $3 billion stadium in Washington. No, it doesn’t block future investigations into the Jan. 6 committee. No, it doesn’t fund bioweapons labs.

I have an embarrassing admission to make. I thought that Muskaswamy’s obvious problems with getting DOGE going would have inspired, not humility — never that — but at least a bit of caution. That is, I imagined that Musk would by now have at least an inkling of two things.

First, finding big-ticket examples of government waste is hard, because the government mostly spends money on things people want. Here’s a nice chart from the Center on Budget and Policy Priorities, showing where the money goes:

Yes, the federal government is an insurance company with an army.

Second, you shouldn’t trust claims about the budget coming from Some Guy on the Internet. You might have imagined that the world’s richest man could have a couple of fact-checkers on retainer to help ensure that he isn’t making clearly stupid assertions. But nooo.

In a barrage of posts on X Musk pushed misinformation about a more or less routine, place-holding bill that was basically a way to keep the ship of state afloat until Trump takes charge. Maybe this was in part a power play, an attempt to make Republicans in Congress show fealty to a man who clearly imagines that he’s the real president — and Trump, by meekly endorsing Musk’s position, did in fact convey the impression that Musk is leading the guy who is supposed to be in charge by the nose. But this political theater will have real consequences, for America, for Trump, and for Musk himself.

Musk has asserted that shutting the government down for a month would do no harm. And it’s true that Social Security, Medicare and Medicaid funding — which is where the bulk of the money goes — will continue. But many services people rely on will be disrupted, especially if the shutdown goes on for more than a month, which seems all too likely given Republicans’ razor-thin House majority and the dominance of misinformation in many members’ thinking.

Maybe Musk himself doesn’t expect to experience any hardship, but put it this way: I’m glad that I won’t need to renew my passport any time soon, that I don’t expect to be trying to get through airport security for a while, and especially glad that I don’t rely either on food stamps or on small business loans. For all of these things have been disrupted in past government shutdowns.

Do Musk and Trump know any of this? Almost surely not.

Beyond the specifics, my guess is that antics like the potential shutdown will do much more damage to the Musk/Trump administration than they realize. (There’s also this other guy — JV Dance or something? — but he clearly doesn’t matter.)

First, since the election financial markets have clearly been betting that Trump will do very little of what he promised during the campaign — that we won’t really have a trade war, just some minor trade skirmishes, that we’ll have symbolic deportations rather than a mass roundup of immigrants, and so on. Markets have, in effect, discounted the disastrous consequences that would follow if Trump honored his own promises.

But a government shutdown in response to completely false claims about what’s in an innocuous short-term funding measure suggests that the peddlers of misinformation are high on their own supply. Trump may really believe that foreigners will pay tariffs, that U.S. trade deficits subsidize the rest of the world, that there’s a reserve army of American workers available to fill the gaps deportation would create. I don’t want to put too much weight on the latest market fluctuations, but it is starting to look as if investors are questioning their own complacency.

Second, many, probably most people who voted for Trump believed that he really is the character he played on The Apprentice — a highly competent manager. The other day I said that Trump was elected by low-information voters; this wasn’t a slur on Americans’ intelligence, it was a reference to survey results showing that Trump’s edge depended entirely on support from voters who don’t pay much attention to politics:

How will these voters react if, as seems all too likely, the second Trump administration is instead marked by rolling chaos?

Anyway, it’s pretty remarkable. Inauguration Day is still a month away, yet the chaos monkeys have already taken over. (snip)

Cookies In The Oven

but this is so nice, I had to share it. Sorry about the cookies, though. Our moon isn’t full here until 3:01 Sunday AM.

december full moon by onecloud

fri 13, 2024 over richmond st. at spadina ave. Read on Substack

december full moon

over richmond at spadina

at 5 PM

under full moon 
traffic west bound
bound for home

at oxford st

at richmond

Covers Everything Well

Israel Executing Land Grabs In Syria

Here’s a cool thing-

Wheels of Good Fortune: Transforming Lives Through Free Wheelchairs

Don Schoendorfer’s nonprofit delivers more than free wheelchairs to people in developing countries. It delivers dignity and hope — and transforms lives.

Ken Budd

Wheel man: Don Schoendorfer shows off his foldable, third-generation wheelchair, which his charity distributes for free around the world. (Photo courtesy Free Wheelchair Mission)

The first thing they see are our feet,” says Don Schoendorfer. The organization he founded, Free Wheelchair Mission (FWM), delivers wheelchairs to people with disabilities in developing nations, from Uganda to Brazil. When Schoendorfer and his team arrive, recipients are often on the ground, lying on their stomachs. Some drag themselves with their hands.

“They’ve looked up at people their whole lives,” Schoendorfer says. “When you get them into a chair, they often break out in happy tears. And they look different than when they were on the ground. Suddenly the dignity they never had is coming back. You give them a hug and they don’t want to let go because they’re crying. And you look around and the whole family is crying.”

Schoendorfer has seen this “phenomenal change” on multiple continents. FWM has distributed over 1.4 million wheelchairs in 95 countries since he founded the nonprofit in 2001, driven by the low-cost wheelchair he designed and constructed in his garage. The wheelchairs have improved over the past 23 years, but they’re still cost-efficient. For just $96, the Irvine, California-based organization can build, ship, and deliver a wheelchair anywhere around the world.

Schoendorfer was the right man for this globe-trotting mission. “He has this scrappiness — he can make something out of nothing,” says Nuka Solomon, the organization’s CEO. And he was born to build: His father was a machinist for the New York Central Railroad.

“My father taught me and my two older brothers about mechanical things,” he says of family life in Ashtabula, Ohio. “I knew I was going to be an engineer.”

It wasn’t easy. When his two brothers went to college — one became a civil engineer, the other a chemical engineer — his parents told the then-eight-year-old Schoendorfer that little money would remain for his education. He needed to improve his grades and start saving money, Mom and Dad said. He did both. For 10 years, the future engineer had a paper route. He earned an undergraduate degree from Columbia University and a Ph.D. in mechanical engineering from MIT.

Two years later, he experienced a life-changing moment. He and his wife, Laurie, were on vacation in Tétouan, Morocco, when they saw a woman on the ground, crawling with her fingernails, digging them into a dirt road.

“She was pulling herself, one hand at a time, a few inches,” he remembers. “I suspect she had polio. She was bleeding. Her clothes were shredded. And people were stepping over her, not wanting to touch her, not wanting to help her, not wanting to talk to her.”

The woman disappeared down an alley. Schoendorfer and Laurie looked at each other and thought: Why did we see this?

The image was planted in his mind. But for the next 20 years, Schoendorfer continued a career in biomedicine. He enjoyed the work and holds more than 60 biomedical patents. His life started to change when the oldest of his three daughters, then 13, began a long struggle with bulimia. Schoendorfer had always been religious — his father was the sexton of a small Congregational Church — and as their daughter fought her illness, he and his wife “surrendered to the Lord.”

“I think we need to do this,” he told Laurie. “We’ve got to figure out how to get help from God.”

The battle with bulimia, he says, was a “dreadful” time for his family. But they were going to church on Sundays, and his spirituality was deepening. And then, God spoke to him.

“The way I sum it up, it was like a phone call in the middle of the night,” he says. The voice told him he was wasting his time; that he wasn’t using his gifts. “And then this vision of the woman trying to get across the dirt road was right in front of me,” he recalls. “It had been sitting there for 20 years.”

A world of difference: Free Wheelchair Mission has touched 95 countries, including Armenia, Morocco, Vietnam, and (shown here) Peru. (Photo courtesy Free Wheelchair Mission)

His priorities changed. Schoendorfer identified around 20 organizations that distributed wheelchairs. Together, however, the nonprofits had only donated about 100,000. That number seemed low. His idea: To increase donations by developing a less-expensive wheelchair.

He started at a local shopping center. Home Depot had white resin lawn chairs for $4 each. Toys’R’Us sold bicycles made in China for $60.

“From what I know about manufacturing, those wheels probably cost about $3 each to make in China,” he says. “So for $10, I had the two most important parts: The chair and the back wheels.”

He showed a prototype to the pastor of his church, who had just returned from a mission trip to the Democratic Republic of Congo. The timing was remarkable. The pastor had seen numerous people who needed wheelchairs — and it had weighed on him.

“There were people crawling, and here you walk in with a solution three days later,” the pastor told Schoendorfer.

That moment convinced Schoendorfer to keep working. Soon he had 100 homemade wheelchairs in his garage. Then his wife saw an announcement for a medical outreach trip to Chennai, India. He could only take four wheelchairs with him — and his fellow volunteers, mostly doctors and nurses, were not impressed.

“It didn’t even look like a wheelchair to them,” he says. “It was a bright white patio chair with mountain bike tires. And they tried to make me come to my senses by asking logical questions like, ‘Who’ll do the training? Where’s the money coming from? Who’s going to give them out? How are you going to deal with repairs?’ And I said, ‘Listen, my main point here is to prove this works.’”

That opportunity came on a visit to Chennai’s suburbs. A family had carried their son three miles on a dirt road to reach the team’s makeshift clinic. The son had advanced cerebral palsy. He seemed agitated. He had uncontrolled contractures of his arms and his legs, and he’d been carried by a hot body in 100-degree heat and 100 percent humidity. Schoendorfer pulled down a wheelchair from the top of the medical team’s white bus.

“The mom put her son in the wheelchair. She started pushing it around and he started to calm down,” he says.

They drove the family back to their village. The home was a roughly 8-by-10-foot cinderblock structure with a corrugated tin roof. Inside was a hammock and a pen on the dirt floor for their son. They were thrilled by the wheelchair — but suddenly, the medical mission’s director told Schoendorfer they needed to leave. Now. The team had forgotten to ask the elders for permission to enter the village. The group scrambled into their bus, but villagers blocked their path.

And then the boy’s mom approached with two glasses of water.

“We were leaving without the wheelchair, so she realized it was a gift,” he says. “And in her culture, you had to repay a gift with a gift. The only thing she could afford to give us was water.”

After that first experience — and similar emotional encounters when he distributed the other three wheelchairs — Schoendorfer’s mission changed. Originally he planned to conduct clinical trials in India and write a paper. But the medical mission’s local partners drove him through Chennai to show how many people were disabled.

“They wanted to be a distribution partner,” he says. “They wanted more wheelchairs. They were so far ahead of me. I never thought of anything like that. I wanted to just write that paper.”

Fate intervened. Two weeks later, back in California, Schoendorfer returned to work. It was a Monday morning, but the parking lot was empty: The company had gone bankrupt while he was in India. Meanwhile, at his church, the story of his donations had spread through the congregation. Schoendorfer planned to get another job — his wife wasn’t working at the time — but his fellow parishioners shared a different vision.

“They said, ‘No, no, you can’t do that. This is going to be your job,’” he says. “They knew what God was doing. I didn’t. They said, ‘These aren’t coincidences. I’m going to send you some money so you can make more wheelchairs.’ And I said, ‘Please don’t — I’ve still got 96 in the garage.’ But I started to think. … Maybe this is what God wanted me to do.”

After 15 years as a stay-at-home mom, Laurie went back to work, and Schoendorfer focused on wheelchairs. He bought a book — Nonprofits For Dummies — and founded FWM. That same year, he found a manufacturer in China.

The wheelchairs are distributed by local partners in each country where they work. “We’re giving them out as quickly as we can have them made — and as quickly as we can get the money to have them made,” Schoendorfer says.

The wheelchairs have evolved since that first simple model. The next two versions were more adjustable, more comfortable, and built to last in tough terrains. The third-generation model has a fold-up design, which makes it easier to carry on buses.

“We’ve also learned the importance of adjusting the wheelchair and training people on how to use it. That was something we didn’t do in the beginning,” he says. “If it doesn’t fit right, they won’t use it.”

The demand remains great. Roughly 80 million people worldwide — most in developing countries — need a wheelchair, according to the World Health Organization.

“It’s an emotional event because many have been waiting their whole life for a wheelchair,” Schoendorfer says. “And when they get one, many of them tell me… This is a miracle.”

(Note from me: This is not a religious post. Though helpful people feel that they’ve been led to do things, they did the things themselves. Either way, a great, great service is being done! That’s why I posted this story.)

As Ten Bears has reported-

How climate risks are driving up insurance premiums around the US – visualized

‘Tight correlation’ between premium rises and counties deemed most at risk from climate crisis, experts say

Concern over the climate crisis may evaporate in the White House from January, but its financial costs are now starkly apparent to Americans in the form of soaring home insurance premiums – with those in the riskiest areas for floods, storms and wildfires suffering the steepest rises of all.

mounting toll of severe hurricanes, floods, fires and other extreme events has caused average premiums to leap since 2020, with parts of the US most prone to disasters bearing the brunt. A climate crisis is starting to stir an insurance crisis.

Across all US counties, those in the top fifth for climate-driven disaster risk saw home premiums leap by 22% in just three years to 2023, compared to an overall average of a 13% rise in real terms, research of mortgage payment data has found. The Guardian has analyzed the study’s data to illustrate the places in the US at highest risk from disasters and insurance hikes. (snip)

“This has been the canary in the climate coalmine, and it’s now hitting households’ pocketbooks,” said Ben Keys, an economist at the University of Pennsylvania’s Wharton School and co-author of the research. “You can deny climate change for whatever motivations you have but when insurance is going up because you live in a risky area, that’s hard to deny.” (snip-MORE)

The graphics on this article are Amazing, and should be seen. But I couldn’t get them to embed this time, so please click through.

https://www.theguardian.com/environment/2024/dec/05/climate-crisis-insurance-premiums