healthcare

Canadian Oligarchy: How the Super-Rich Rule "Socialized" Healthcare

By Miranda Schreiber


At the intersection of College St. and University St. in Toronto, six hospitals crowd together over five blocks. Although they are public institutions, most of their various departments are named by both speciality and private donor. In fact, nearly every center for care, research center, ‘wellness gallery,’ and atrium - even the nearby medical school - bears the name of its wealthy Canadian financier. Papered onto bus stops and the temporary barriers around construction sites are hospital fundraising campaigns, sometimes containing the stories of patients who feel particularly served by a given institution. Testaments to the power of private capital are everywhere.

In many ways this philanthropic basis of public healthcare is a virtually unquestioned aspect of the Canadian system, which is partially dependent on sporadic ‘gifts’ of millions of dollars from the highest echelons of the capitalist class. Major hospitals repeatedly characterize such events as generous, rather than reflective of the system that causes much of the sickness they spend their time treating. The Canadian situation is an example of the limits of public services under fundamentally capitalist conditions, the ways that the super-rich rule even ‘socialized’ systems.

Like many other kinds of capitalist infrastructure, the public healthcare system is useful to Canadians. However, it was designed to serve profit, not working people. An institution that has existed since the 1960s, it is easy to forget that it was not a gift from the government, a sign of an enlightened national character, but a concession from the capitalist class. Public healthcare did not simply appear due to a moment of moral clarity on parliament hill, it was demanded.

The history of Canadian medicine reveals this. Capitalist expansion onto Indigenous land led to the state-sanctioned destruction of food systems and smallpox epidemics; Indigenous nations were coerced into signing treaties in the midst of famine, allowing material resources to be expropriated by the settler state. [1] The Canadian government’s refusal to meet basic treaty obligations facilitated the spread of tuberculosis in substandard living conditions on reserves and in residential schools, internment camps where thousands of Indigenous children perished. [2] [3] Since its founding Canada’s existence as a capitalist colony has been contingent on the spread of disease. [4] This was simultaneous with the attempted destruction of Indigenous medicine and healthcare.

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After the first world war, the Canadian settler population became increasingly conscious of class warfare as their economic exploitation accelerated, frightening the capitalist class. “It seems strange now but at the time the possibility of a socialist or communist revolution was a viable threat to the ruling classes everywhere internationally,” says Tyler Shipley, author of Canada and the World. Revolutions in the USSR and Latin America revealed the possibility for working people to seize the means of production. As Alex Birrell explains on the podcast Unmaking Saskatchewan, the rapid spread of infectious disease among settlers led to grassroots organizing for the purposes of establishing public clinics in rural Saskatchewan for the treatment of diseases like tuberculosis. [5] In the 1930s during the depression, farmers who could not pay off medical debts unionized and formed the Farmer’s Labour Party, demanding social security and socialized medicine from the provincial government. [6] Even while farmers faced starvation due to drought, the medical establishment - specifically insurance companies and regulatory bodies representing urban doctors with wealthier patients - resisted public clinics from their inception, fearing a reduction in profits. [7] As Birrell explains on the podcast, “We had to drag the government around and force them to care, force them to act.” The first medicare bill was dramatically diluted by representatives of the medical establishment and commerce, so that “moderates won the battle over what medicare would look like….it was a victory built to be moved to the right.” A more comprehensive medicare plan was rejected in favor of one that placed more power in the hands of physician regulatory boards and industry.

Socialized healthcare in Canada came about at a time of capitalist crisis, as a concession, and so an aberration, of a fundamentally exploitative system that has required human deprivation from its beginning. As Shipley explains, the creation of Canadian healthcare, along with the rest of its social welfare system, stove off revolutionary activity and permitted the social reproduction of labor, offering enough care and security primarily to keep people looking for work. In the sixty years since medicare was passed, this Canadian social security net has been slowly stolen away, as the very forces that resisted public healthcare in the first place have reclaimed the infrastructure they reluctantly handed over to the working class. Over six decades, although more rapidly since the 1980s, the Canadian state has cut back government services and civil service employment while transferring power to private capital in the mass sale of public infrastructure and increases in tax breaks. [8] [9] Public health has been targeted at two ends: in the destruction of the resources that keep people healthy, and the sale of aspects of the healthcare system to private industry. Since 1985, housing and public sector pensions have been consistently clawed back, drug companies have been permitted to monopolize pharmaceutical drugs over generic brands, and thousands of civil service jobs have been eliminated while unemployment insurance has been cut. [10] [11] Grants to advocacy groups supporting the environment, Indigenous people, women, and children have been slashed, and occupational safety training programs have been defunded along with health and welfare grants.  At the same time, the wealthy have received massive tax breaks and government shares in transportation, universities, colleges, and communications have been sold off to private ownership.

The healthcare system is whatever remains after this attempt to maximize surplus profits, which has only hastened in the last several years. This is what explains the absurdly common event in Canadian healthcare in which a person who does not have a house is sent back out into freezing temperatures after receiving a free medical procedure. It clarifies the government decision to offer citizens care for ears but not for eyes, and a free patient-intake interview but not free medicine. There is no moral justification for this with the explanatory power of class analysis.

The story that healthcare makes Canada extraordinary is circulated in the media, in textbooks, and in political rhetoric. Another story we are often told is that people who can’t work but need healthcare are responsible for social misery. Patients are chided for ‘poor lifestyle choices’ and ‘wasting government resources’ by a healthcare system that effectively resents having to treat them. Predominant leaders in healthcare continue to collaborate with the philanthropists who are responsible for increasing homelessness and poverty. These multi-millionaires and billionaires have stolen from the public once through the theft of surplus value and the destruction of the public welfare state, and again in an evasion of just taxation. They donate to hospitals to expedite exploitation, not to end it; it’s just PR and a tax write-off. Representatives of commerce who are price-gouging groceries during a housing crisis like Galon Weston sit on hospital boards, claiming the system. [12] They name every medical building in their image.



Notes

[1] Clearing the Plains pg 24-29 (More in depth chapter 5, chapter 9)

[2] Clearing the Plains pg 27

[3] https://globalnews.ca/news/9432774/saddle-lake-cree-nation-residential-school-investigation-report/

[4] Clearing the Plains pg 24-29 (More in depth chapter 5, chapter 9)

[5] Unmaking Saskatchewan

[6] Ibid

[7] Ibid

[8] https://www.sfu.ca/~mcohen/publications/Polecon/dismantl.pdf

[9] Stephen McBride and John Shields, Dismantling a Nation: Canada and the New World Order (Halifax: Fernwood, 1993), Table 2.4.

[10] Stephen McBride and John Shields, Dismantling a Nation: Canada and the New World Order (Halifax: Fernwood, 1993), Table 2.4.

[11] Federal Budgets 1985 to 1995; Canadian Council on Social Development, Canada's Social Programs are in Trouble, (Ottawa 1989);

[12] https://sunnybrook.ca/team/member.asp?m=948&page=4071

Forcing the Vote on Medicare for All: A Proven and Imperative Strategy

[Photo credit: CNN]

By Karthik Pasupula

Republished from Michigan Specter.

14.6 million. That’s the lower estimate of the number of Americans who have lost their health insurance during this pandemic. Want to guess the number of people in the same situation in other developed countries? Zero if you live in Canada, the UK, Germany, France, Australia, Japan, South Korea, Taiwan, Denmark, Finland, Norway, etc.

You’ve probably seen the polls. More than 70% of Americans believe that the government should be responsible for insuring all Americans, with around 88% of Democrats supporting a single-payer system. Support for government healthcare has risen across the board, presumably because pandemic-induced mass unemployment has exposed the folly of employer-based insurance.

Yet, the fight for Medicare for All isn’t happening in the halls of Congress right now. And that is a huge mistake. National media is dominated by coverage of an inept administration whose will to govern has been broken by the (un)dynamic duo of Senators Manchin and Sinema. The constant ceding of ground must end. It’s time to #ForceTheVote in order to put public pressure on establishment politicians and get them on the record.

Ever since the emergence of “The Squad” in 2018, interest in Medicare for All (M4A) has soared. This is especially relevant to Michigan voters, since 16% of residents live in poverty, including one in four children and 17% of senior citizens. These problems are especially bad in Detroit where around 30.6% of people live below the poverty level — the highest among big cities. The insane grip that corporate health insurance companies have on America harms more than just America’s very poorest. One in five voters struggle to pay their medical bills and one in three fear that they won’t be able to pay for healthcare. In order to pay those bills, they have to resort to extraordinary measures: dipping into savings, borrowing money, selling jewelry, crowdsourcing, etc. This would not exist under a single-payer system.

A single-payer healthcare system would also set prices for each service. This solves one of the biggest problems of our healthcare system, which is the variety in rates for different services. An appendectomy, for example, can cost anywhere from $1,529 to $186,955. Under single-payer, that rate would be much lower and consistent across hospitals. Administrative costs for doctors and hospitals would also go way down due to the reduction of negotiation costs. As of 2017, administrative spending made up 34.2% of total health expenditures in the United States. That is more than twice what Canada spends.

But how do we win a cheaper and more efficient healthcare system? The strategic and principled move is to demand a floor vote from House Speaker Nancy Pelosi. This would prompt an “on-the-record” vote on M4A from all representatives. Right now, there are 221 Democrats in the House and 211 Republicans (and three vacancies). There are more than enough progressives to threaten the stoppage of any legislation Democrats propose. And they could use that leverage to demand a vote on M4A. But one of the main arguments against a floor vote for M4A is that it would just be an immediate flop.

So? When M4A polls so well, why should we be worried about if it flops or not? The viability of a piece of legislation is in the hands of the people, and the people have spoken: they support M4A. Putting elected representatives on the spot and showing how they’re actively voting against their constituents is absolutely crucial. If the bill fails, then it immediately lets progressives know which representatives they need to primary.

Opponents of this strategy have said that we can just look at the cosponsor list to ascertain who supports M4A. Senators Cory Booker and Kamala Harris have both cosponsored an M4A bill. But, when pressed on the issue during the Democratic presidential primary, they immediately backed down. It would be reasonable to assume many other cosponsors would do the same if forced to vote.

Moreover, a message that certain representatives argued against healthcare coverage for Americans during a pandemic would help progressives in future elections. With our healthcare system absolutely failing during this crisis, American citizens will be more open than ever to healthcare reform. With media coverage of liberal representatives voting to deny them coverage, voters will be reminded of the necessity to elect more progressives to Congress.

Historically, the president’s party tends to lose seats during midterms. Obama lost 63 House seats in 2010, the largest loss since FDR, after his Wall Street bailout. Forcing a vote on M4A would make it much easier to capitalize on dissatisfaction with the president’s party during the midterm elections. 2022 would be the perfect time to campaign against incumbent Democrats, as history shows they are weaker during midterms.

Not only that, but forcing a vote on M4A would use the exact same tactics the Tea Party used to ultimately excise former House Speaker John Boehner. The Tea Party tried to repeal Obamacare numerous times, to no avail, but they rode the enthusiasm from those failed attempts to enormous wins and quickly became a force to be reckoned with in Congress. By blocking nearly every piece of legislation, and thereby tying Boehner’s hands behind his back, the Tea Party effectively forced him to resign. In short, Boehner stepped down because the Tea Party used the leverage they had. Progressive Democrats should use similar leverage to bring Chuck Schumer and Nancy Pelosi to their knees.

If you disagree with forcing the vote, then what is your plan to bring M4A into effect? What do you think we need to do before getting a vote on M4A? How do we do this, and what is the timeline? These questions are not being answered by sitting politicians. All we have are ideologies; not action on those ideologies. Denying this strategy means denying that the Tea Party was successful in being a commanding presence, and that is verifiably false. The incremental approach that doesn’t utilize the bully pulpit is failing. Everything that Biden “compromised” with progressives on during the campaign trail is falling dead in its tracks: $15 minimum wage (God save the Parliamentarian), ICE detention facilities, $2,000 checks, foreign policy, etc. Playing nice with the establishment does not work and that has been proven time and time again.

Democrats in Congress argued that we needed to impeach Donald Trump to hold him accountable for inciting the Capitol riots. Even though they didn’t have the votes to convict, I agreed with the motivations behind impeachment because it’s a moral imperative to get every single representative and senator on the record to keep them and Trump accountable. The same reasoning applies to forcing a vote on M4A.

Even recently, vote-forcing strategies have been successful at putting pressure on establishment politicians. Senator Bernie Sanders recently forced a vote and got eight senators, all of whom caucus with the Democrats, on the record as opposing a $15 minimum wage.

At this stage, opponents of this strategy complain that there is not enough thought given to step two. However, there’s a clear plan. We get politicians on record, and then exert political pressure on a popular issue. In this way, even if the bill fails, the issue only gets heightened. Just one piece of evidence is the huge outcry and shaming of Senator Sinema for her thumbs-down vote.

And what comes after this, you ask? The ammunition to primary these corrupt individuals is readily provided on an issue that the vast majority of Americans have a solid stance on. Denying a living wage is one thing, but denying healthcare during a pandemic will carry even graver consequences for Democrats who take that stance.

Something I’m completely against is calling opponents of this strategy corrupt. AOC and other members of “The Squad” have said that they are against forcing a vote on M4A because of aforementioned counterarguments, but they aren’t corrupt like the majority of DC. Progressives do NOT take money from super PACs, and that’s the main separator. We won’t always agree on everything, but we will agree on basic, reasonable political positions.

The foundations of #ForceTheVote are both principled and strategic. It’s principled because we’re fighting for something at a time when people need it most. Even if it’s “doomed to fail,” fighting for something that you believe is right is simply the morally principled action. And it’s strategic because, even if the vote fails, it gets representatives on the record as denying basic improvements in quality of life. That sets us up well to pressure incumbents and mount serious primary challenges against them.

The 2020 election showed that anti-Trump rhetoric by itself does not work. Democrats lost seats in the House and Biden won by smaller margins in swing states than Trump did in 2016. Sticking with their tradition of strategic cluelessness, the DNC recently announced that their primary focus will be on QAnon next election cycle.

Enough of this culture war bullshit, it’s time to fight for real policy. We need to have substantive arguments and a floor vote provides us with the ammunition, especially if it fails. The failure will not fall on progressives, it will fall on Democrats who voted no and they will be punished for it through democracy. There is nothing to lose from this strategy.

Keep in mind the 14.6 million people who have lost health insurance. Keep in mind the huge number of people who were already uninsured or underinsured. Keep these things in mind while consistently calling out politicians, so we can keep them accountable when the opportunity arises.

On the Ideal Canada and its Consequences

By Miranda Schreiber

 

So many things have been proposed as constitutive of the Canadian identity, “the north” being one, or public healthcare. What these propositions omit is the role the United States plays in Canada’s self-definition. In part we feel we are in the north because we are north of the United States; our healthcare system seems unique because the U.S. doesn’t have it. Always refracted through the lens of American hegemony, Canada seems to be what America is not. We even voted the “father of socialized healthcare,” Tommy Douglas, the greatest Canadian in 2004. The former premier of Saskatchewan is often described as a Canadian hero.

What accounts of Douglas’ legacy often fail to include is that, for much of his life, Douglas was also a eugenicist. His masters thesis, The Problems of the Subnormal Family, recommended the sterilization of the disabled, sex workers, and “delinquents” with police records. And Douglas, the architect of socialized healthcare, used healthcare to make his point. On page ten of his masters thesis he wrote: “In addition to the cost of keeping these families, is the cost of their medical attention….The cost of bringing most of their children into the world is borne by the city. The cost of dental work, eye correction, and operations is borne by the citizens’ relief organization.” These violent eugenic ideals endorsed by Douglas, and other “Canadian heroes,” are not relegated to history. They continue to have material consequences. The sterilization of Indigenous people in Canada is still occurring.

Americans and Canadians alike refer to an ideal Canada, one which is defined as it diverges from the United States. This idealized country is habitually alluded to on both sides of the border. Senator Ted Kennedy, arguing in favor of single-payer healthcare in 1979, said, “the best evidence is in Canada…the last country that implemented national health insurance and one with which we have shared values and a shared standard of living.” Forty years later in 2019 Bernie Sanders crossed the Canadian border to purchase insulin at one tenth of the cost. During the debates for Democratic leadership in 2019, Sanders said, “…my neighbor fifty miles to the north Canada somehow has figured out how to provide healthcare to every man, woman, and child.” Sanders continued, “in our country, it is a much different story”. On December 4, Alexandria Ocasio-Cortez tweeted about COVID relief: “Canada did $2000/monthly. The US is the richest nation earth and a 2nd stimulus check is getting blocked.”

Justin Trudeau engages in the same style of comparative rhetoric. On January 27, 2017 Trump instituted the Muslim ban. The next day Trudeau tweeted: “To those fleeing persecution, terror & war, Canadians will welcome you, regardless of your faith. Diversity is our strength.” Trudeau used the hashtag #WelcomeToCanada. But when over 11,000 people crossed into Canada on foot from the United States, Trudeau suddenly retracted his message. “For someone to successfully seek asylum it’s not about economic migration,” he told the press. He said, “You must follow the rules.”

The ideal Canada exists abstracted from everything else; it plays no role in the displacement of people. But in reality transnational Canadian mining companies are currently involved in the extraction of resources from Haiti, the country 85% of the migrants Trudeau criticized were from. In 2019, a report accused six Canadian peacekeepers of sexually assaulting Haitians. Afterwards, nothing happened.

The ideal Canada, which no one has visited, which exists nowhere, seems to serve everyone but the oppressed. For in reality the glare of this Canada obscures a settler-colonial state on stolen land. The $2000/month checks Ocasio-Cortez praised were withheld from disabled Canadians who weren’t working. Medical racism, homophobia, and transphobia flourish in our healthcare system. The mayor of Toronto tweets about Toronto’s diversity while overseeing mass evictions during a pandemic and presiding over an anti-Black police force. Trudeau speaks about reconciliation while appealing court rulings to give Indigenous children compensation. At a point “better than America” begins to mean very little.

And the idealized Canada doesn’t just serve Canadian politicians. American politicians gesture towards “Canada” as a model for healthcare and argue the United States is wealthy enough to have a similar system. This of course is true. But why is the United States so wealthy in the first place? The economic structure which creates American hegemony is never discussed; Americans are just encouraged to integrate public healthcare into an existing capitalist order. In 1979 Ted Kennedy described Canada as a country with shared values and standards of living. Implicitly, places like Cuba, which also had single-payer healthcare, were not aligned with capitalist American values. The ideal Canada is perfect for these sorts of arguments because it in no way contradicts a neocolonial agenda. It presents an aspirational image for leftist American politicians which can be imitated without compromising the United States’ accumulation of capital. Therefore this ideal Canada, which isn’t a country because it doesn’t exist, becomes a perfect national myth. The fantasy serves a mutually beneficial function for politicians occupying Turtle Island, allowing them espouse progressive politics while maintaining white supremacist oppressive structures.

In 2010, Weyburn Saskatchewan unveiled a statue of their former premier, Tommy Douglas, father of Canadian medicare and author of the thesis The Problems of the Subnormal Family. There is an ongoing campaign to put his face on the $5 bill. The statue of Douglas outstretches its hand, gesturing almost towards the sky. The inscription reads simply, the Greatest Canadian.

As the Global Hegemon Collapses, Can Private Property Be Far Behind?

[PHOTO: Al Drago/Getty]

By Steven Miller

Tuesday’s Presidential debate showed the world how the politics of collapse are determining the election of the next President of the US. It was reminiscent of the Roman Senate when the Goths sacked Rome in 410 AD. Senators gathered in the Forum, protected by the Praetorian Guards. Suddenly one Senator would leap up and cry, “I propose a law making sacking the city illegal.” Everyone voted and the resolution passed unanimously.

The world was watching Tuesday and was shocked at how low the politics have sunk in the US.

There are actually real issues these days — COVID, systemic economic collapse, institutional racism, rampant police murder. But instead we saw the leadership of the most powerful country in the world, the global hegemon for the last 70 years, collapsing in real time right there on television. The candidates could not have an intelligent discussion of the tremendous issues that face the country. No vision, no ideas, no dialogue, no programmatic solutions. The Democrats, of course, agree with Trump on 80% of the issues and therefore dare not make programmatic attacks. The debate proved nothing more than the old adage that when you lay down in the gutter, you do not wind up smelling like a rose.

Meanwhile the organs of the State are fighting themselves. This is characteristic of an objectively revolutionary situation. The FBI openly counters and reports to the American people to disprove the President. The President constantly usurps authority he does not legally have, including creating his own private police force aided and abetted by the most privatized elements of ICE and Homeland Security. The CDC, the Post Office and the Justice Department, every organ of the State, are politicized and coerced into being part of Trump’s election campaign.

The Senate and the House are in stalemate and cannot figure out how to help the American people now that 50 million are unemployed, have lost their healthcare, and are facing a looming Rent Apocalypse. Paralysis is another characteristic of an objectively revolutionary situation. The Republicans are risking losing the Senate as they try to jam through a new Supreme Court Justice before the election. People are beginning to see that these “honored institutions of democracy” are far from neutral.

Twenty-six million people hit the streets in righteous wrath over the murders of George Floyd, Breonna Taylor and so many others. Their demands crystalized around defunding or abolishing the police, which acts like an occupying army in a country that treats non-violent civilians with the tactics of the War of Terror, while white supremist vigilante gangs stalk them in the dark.

The institutions of the US State were forged in slavery and infused with structural racism. One of these, the Electoral College, was established to prevent the popular vote from determining the President. It will begin to tear itself apart after election day on November 3. No one knows whether or how the institutions of government will hold up in the coming months before a President is inaugurated on January 20… or after.

A major indicator of how things are going will be the actions of the corporate media industrial complex, perhaps the most sophisticated thought-control apparatus ever devised. These corporations have given Trump billions of dollars of free advertising, and give credence to his slightest whim. They now work in tandem with social media, which openly operates with malign intent to confuse the situation even more. It was therefore significant that one day before the debate, the New York Times, released information about Trump’s taxes that reveal he doesn’t pay any.

Property Depreciation as a Legal Invention

Now the political exposures are beginning to enter the sacred zone of private property, an issue the capitalist class prefers to keep in the dark. The very State, legal system and tax code that is coming under public scrutiny is designed to give uber privileges to private property. This is what the Trump crime family exploits, as does every corporation in America.

Tax laws allow tangible private property, used for business, to be depreciated. Personal property, like a home, cannot be depreciated, but a landlord can depreciate rental property because the theory is that tangible property is “used-up” over time, so the property owner can “depreciate” it.

But depreciation is simply a legal figment. How do we know? When an owner sells business property, the depreciation starts all over again from the top! And anyone who is forced to rent knows quite well that the value of property appreciates and gets more expensive over time. It doesn’t depreciate at all.

Then the property owner gets to deduct the cost of maintaining the property, so s/he gets a double dip. And since depreciation is a business expense, it is a deduction from business income. The law allows the owner to get cash generated in the current year without paying any tax on an amount of income equal to the amount of depreciation.

The legal scam then is elaborated. Trump (and every corporation) borrows money to purchase property, like a golf course, say for $100 million. They take the depreciation of course. Then they get an appraisal of the property that claims the property is actually worth $300 million. The appraisal, say, is three times what it should be, but the inflated appraisal can be used to provide collateral for additional loans.

In other words, the happy capitalist buys property with other peoples’ money, gets paid in tax breaks, ie public money, to depreciate it, and then falsely appreciates the value, to borrow more money to buy more property, etc etc. What a deal!

Inanimate private property in itself has these rights, not people. They are not the rights of the owner, because if the owner sells the property, they no longer get the privilege of depreciating it. So private property is a legal entity that has far more rights than human beings, just because the law says so. OMG – if ordinary citizens can challenge a system of legal institutions that are infused with systemic racism, how far can they go? That is part of the transformative power and the danger to the capitalists of this moment.

Alone in the world in its COVID response, the US put private property in control of the emergency. America is learning the hard way that there are issues that absolutely need a federal government to take control, propose a single strategy and coordinate resources. This is something that private property can never do.

Extractive Capitalism

Since the capitalist system collapsed in 2008, it has been sustained on life support by public money. US corporations, especially the financial sector, have received $25 trillion to $39 trillion in direct payments (David Sirota, Jacobin, “We've Always Had the Money for Medicare for All - We've Just Given It to Corporations Instead”, 18 June 2020). Capitalists got to onshore $23 trillion of profit two years ago. Add in direct subsidies through the military budget of $1+ trillion a year and massive billion-dollar subsidies to the petroleum and pharmaceutical industries.

Yet the economy collapsed after the advent of the virus in one week, the biggest collapse in history. Add in the actions of a criminal President and suddenly the wheels are coming off the bus. Or are they?

Is it really true that the most powerful capitalist class in history, with an unsurpassed military and three centuries of experience in maintaining its rule both legally and illegally, is so inept that they can do nothing about an unpredictable leader that destabilizes everything?

The government is clearly the last profit center left in capitalism. Just as with depreciation, the actions of government alone can create the legalities that create markets for private property. Hence the battles within the government and the State apparatus. The various capitalist gangs do not have real strategic differences, but they certainly differ tactically on whether to maintain bourgeois democracy to achieve their goals.

Corporations merged with the government long ago; now they are rapidly merging with the State, as the provision of police services are increasingly under the control corporations. Since 2003, the Department of Homeland Security has been spending billions a year to affect this change. Private property is unified in the vision of disaster capitalism: take advantage of the situation to re-organize society to augment private profits. They are not moving slowly. They are re-creating the economy as an extractive industry.

Trump’s Secretary of the Treasury, Steve Mnuchin, for example, was instrumental in creating the “rentership society”. After 2008, financiers understood that there could never be broad home ownership again in the United States. So they evicted millions from their homes, while graciously letting some stay as long as they paid rent, a sum that was dramatically higher than what they paid before. These policies drove millions out of the communities they had lived in for decades even as large amounts of new housing was built. But that housing was built to be empty, to be speculative property that supported hedge funds and not people. That is an extractive industry that sucks wealth out of communities, just as petroleum corporations extract wealth out of the ground.

US capitalism has big plans to transform other branches of the economy into an extractive machine. Constant privatization of every aspect of life is the method. Serious observers of England’s Brexit insanity recognize that when the dust settles, US-style privatized health care intends to invade and try to take over. Trump’s new Supreme Court nominee will likely vote to end Obamacare, and eliminate health care for another 25 million people or so. What can possibly arise to fill the void? What can allow US corporations to further invade public European health care systems?

Maybe it’s the new Apple watch?

Apple released the latest device during all this turmoil, and proudly stated that it was after long discussions with their “partners” in the insurance industry. Why? Could it be because the insurance industry is the main organizer of health care in the US? What is the connection here?

Haim Israel is a strategic director of Bank of America and head of the report, “The World After Covid Primer.” (www.bofaml.com/.../the_world_after_covid.pdf)

The report notes that 1/3 of the world’s data resides in the healthcare industry. It notes that value of data to the economy will increase from 30l billion euros in 2018 to 829 billion euros in 2025.

“We found that while the data generated is rising exponentially, just 1% of it is analysed or monetised effectively. The post Covid era could benefit technology companies who can analyse and monetise such data, but adoption is likely to vary by region owing to privacy concerns and regulations.”

And..  

“Big Government: a new social contract -- Growing surveillance, inequality and the current inadequacy of some healthcare systems versus others highlighted by the current crisis will act as a catalyst for change in politics, furthering populism trends and increasing the risk of social unrest. Covid-19 has handed governments a new social mandate to protect their citizens. Governments will exert greater influence on businesses with shareholder supremacy potentially eroding in favour of stakeholders. Further, this crisis has made the technology industry useful – if not vital – for implementing government power. We think this is unlikely to reverse…”

How far can this go? Vandanta Shiva reports in her article, “The Pandemic Is a Consequence of the War Against Life” (September 21, 2020):

On March 26, 2020, at a peak of the coro­n­avirus pan­dem­ic and in the midst of the lock­down, Microsoft was grant­ed a patent by the World Intel­lec­tu­al Prop­er­ty Orga­ni­za­tion (WIPO). Patent WO 060606 declares that ​“Human Body Activ­i­ty asso­ci­at­ed with a task pro­vid­ed to a user may be used in a min­ing process of a cryp­tocur­ren­cy system….”

The ​“body activ­i­ty” that Microsoft wants to mine includes radi­a­tion emit­ted from the human body, brain activ­i­ties, body flu­id flow, blood flow, organ activ­i­ty, body move­ment such as eye move­ment, facial move­ment, and mus­cle move­ment, as well as any oth­er activ­i­ties that can be sensed and rep­re­sent­ed by images, waves, sig­nals, texts, num­bers, degrees, or any oth­er infor­ma­tion or data.

Intellectual property rights, which is what a patent is, are just as much a creation of government as depreciation. It is another form of privilege for private property.

This step turns health care based on bio-data, especially privatized health care, into an extractive industry. We see this approach as well as corporations racing to develop vaccines. Corporations have long developed vaccines for pets and farm animals, but have resisted developing human vaccines, since they do not produce much profit as compared to “treatments” that you pay for across your lifetime.

One reason that government becomes the market of last resort is because economic production is increasingly done by computer systems and robots. As machines replace human labor, that labor cannot be exploited, which is the source of capitalist private profit. But maybe monetized data and data devices allow humans to be exploited for their information, not dissimilar to the exploitation of animals.

So — given these very real developments, with future potential for private profit, is it really likely that the financial industry, which is the major shot-caller in capitalist planning, going to put up with an incompetent, narcissistic, erratic fool for a US President? These boys have run the world since the advent of the Marshall Plan that re-built Europe after World War II. Are they going to give up now? Without even hardly trying?

Unlikely.

The battles we are living through today are a prelude to the battles that will ensue, regardless of who wins the election. The capitalist agenda will remain on the table. They fully intend to culminate their strategy of total privatization. But the story is not over, and the man behind the curtain is private property. The US hegemon is truly fumbling. The rising global popular movement to hold government accountable for public safety and the basic necessities of life in a time of collapse may be diverted for a bit, but it cannot be stopped.

All it requires is class consciousness and abandoning the notions that the status quo will maintain, that incrementalism and piecemeal solutions work and that we can reform our way into a world that puts healing at the top of the agenda.

COVID-19 Discussions Over The U.S. Healthcare System

Pictured: Volunteers from the International Christian relief organization Samaritan’s Purse set up an Emergency Field Hospital for patients suffering from the coronavirus in Central Park across Fifth Avenue from Mt. Sinai Hospital on March 30, 2020 in New York. (Bryan R. Smith / AFP)

By Ekim Kılıç

Since the beginning of January 2020, COVID-19, aka Coronavirus, has continued to devastate peoples’ lives, specifically working classes across the world. Internationally, a prominent aspect of the pandemic is that all working people feel a similar level of fear and anxiety, even to some extent petty-bourgeois classes despite their considerable economic privileges. It has created an unprecedented platform in which more working people and intellectuals tend to see and discuss the inability of capitalist political economic system to address itself to a health crisis and its understanding of public health system.

One of the most affected countries is the United States, which has almost one-third of the international cases, with 815,491 as an outcome of 4,162,922 tests by April 21. On this date, the number of death reached 45,097. The total number of recovered patients is 82,620. This means that there are 2,464 cases and 136 deaths per 1M people.[1] One-third of the national cases are from the State of New York.[2] In the U.S., the primary reason that the epidemic spread like a wildfire is the weak healthcare system along with several other political and social problems here. Especially, the pandemic shook the base, revealed lack of organized working class, fetishism over individualism combined with puritan work ethic, a healthcare system abandoned at the mercy of banks and companies, widespread and dire mental health problems, homelessness, structural racism, a violent prison-industrial complex, a divided American political system over extremely libertarian federal system, and the discourses of nationalist functionalism and blind petty bourgeois ethicism.

The pandemic came as if a “god’s gift” in a time when economic measures have been taken by and for capital to prevent the deepening consequences of the 2008 financial crisis and the present galvanizing crisis. The extortion of abortion rights in several states and the elimination of union elections by the National Labor Relations Board (NLRB), escalating interventionist moves against Venezuela, cutting financial support to World Health Organization (WHO), and expectation for the presidential executive order to suspend immigration reveals for whose benefit the pandemic process was used.[3][4][5][6][7] Even American exceptionalists face stark contradictions, as countries such as China, Vietnam, South Korea, and Cuba have effective attitudes towards the epidemic, Russia’s military aircraft to aid the US with medical equipment, then from Vietnam, and the US’s seizure of medical equipment to Barbados, called modern piracy.[8][9][10][11][12]Also, President Trump’s attempts to blame the pandemic on Chinese conspiracy remark their unpreparedness and desperation to get away with their responsibilities, later framed COVID-19 as “Chinese Virus.”[13]

Although unions, which have a strong bureaucracy, cannot lead the workers, and the government disregards urgent measures for “essential workers,” they, especially healthcare and logistics workers, feel compelled to struggle for vital, urgent demands.[14] In that sense, the working class politics’ wave of the last years definitely shows its effect. Coinciding with the Bernie Sanders campaign in a country where even the limited healthcare demand of “Medicare for All” was almost a joke, universal healthcare became a major part of public agenda. However, in a country where nurses have to make protective uniforms out of big garbage bags due to lack of personal protective equipment (PPE), it turned out that the lives of workers and laborers, who are called “essentials,” hypocritically, are worthless. One has to remember that political elites have always been shamelessly outspoken with their disdain for workers.[15][16][17]

Even after the $2 trillion stimulus package is distributed, details reveal the gap between what was promised and what the reality is. For example, $1,200 aid for individuals and $2,400 for couples is much more meaningful in the Southern states, where the taxes are lower than the states like New York and California. It has to be said that these checks will almost certainly go for student loans, and rent, besides given the fact that almost 1/3 of the country didn’t pay rent for the last month and has that rent due.[18] Students that were graduated last summer or winter, are not be able to get checks. In this regard, and in these new and challenging times, it is a calamity that will trigger millennials and generation Z to question “meaning, morality and mortality in ways they never did before.” This generation has experienced life-altering disruptions, such as 9/11, the Great Recession, the decline of American prestige to a housing affordability crisis, global warming to crushing student debt according to academics at the University of Southern California.[19]

An Overview of the U.S. Healthcare System

The U.S. has always been named as the most developed capitalist country with a liberal democracy that has been perceived alongside western European liberal democracies.[20] Relying on individual liberty in a libertarian sense, the U.S. understanding and structure of organizing daily affairs leave everything to the individual, including healthcare services. Healthcare is a responsibility of the individual, not the state and society. Because of this individualistic conception, it can be said that the U.S. is the most developed country with the worst skewed and insufficient healthcare system.

Becoming an emergent discussion in the wake of former Democratic 2020 presidential primary candidate Bernie Sanders’ campaign, healthcare has been a privilege in the U.S. for a long time except for some reforms called Obamacare, the Patient Protection and Affordable Care Act, which became law on March 23, 2010. Nevertheless, the main requirement of having health insurance with sufficient coverage is to have a full-time employment.

After emerging from the 1929 Great Depression, the Franklin Delano Roosevelt (FDR) government and state institutions utilized the conditions of World War II to provide opportunities for the social democratic expansion of capital. In 1942, the Stabilization Act “limited the amount of wage increases employers could grant, but at the same time permitted the adoption of employee insurance plans.”[21] By 1949, employers benefits programs became common in collective bargaining agreements.[22] In the meantime, the Internal Revenue Service (IRS) decided that, “employer contributions to health insurance premiums were tax free, which meant workers paid less out of their pocket.”[23] After FDR, President Harry Truman signed the National Mental Health Act, which called for the establishment of a National Institute of Mental Health.[24] Under the Johnson presidency, Medicare and Medicaid programs were set up in 1965. By accepting the Health Maintenance Organization Act of 1973, the Nixon government unleashed healthcare as a profitable industry.[25]

The Obama presidency evoked hope among the US people over the crumbling healthcare system. However, insurance companies were the one which benefited from a developing market, although his reforms alleviated the situation a little by extending children on their parents coverage and mandating mental health coverage one very plan, those without insurance were burdened with the tax penalties and forced into high deductible plans.[26] Since 2016, the Trump government began to repeal Obamacare by redoing the enabling acts.[27] While it is claimed that it lessens the tax burden coming from healthcare payments, it is also constricting the accessibility to healthcare.[28]

Recently, there were around 800,000 people with “freelance contracts” working in New York. According to the contract, the employer does not have to make a person’s health insurance because the character of their job is temporary and in a limited time. If the person works at or above the 32-33 hour limit, it is considered full-time. Therefore, bosses are able to force flexible employment without any reservations, being aware of the fear of unemployment or underemployment that dominates the US job market. This exemplifies how the messy system has worsened the crisis substantially.

federal As another example, unemployment climbed by another 5 million people this week, increasing the total number of people who have applied for unemployment to 22 million in the last month. According to the Economic Policy Institute, “approximately 9.2 million workers have likely lost their employer-provided health care coverage in the past four weeks.”[29]

Neo-liberal policies in the healthcare system have left the working class and laborers vulnerable to the epidemic. However, the Trump administration focused on the economy to function as smoothly as possible, rather than taking measures that could be taken more or less against approaching epidemic. They refrained from taking the necessary precautions. Even then, for example, the statements of Trump continue to insist for reopening country on May 1, despite major obstacles from authorities.[30] His persistence on reopening the country was also a matter on April 12.[31] Several expressions of political and economic elites are supportive of this: “I’d rather die’ from coronavirus ‘than kill the country.”[32][33][34] As one of the countries that experienced the 2008 crisis deeply, the sensitivity of the USA to the capitalist capital accumulation in the face of the epidemic caused more people to die.

 An article from the American prospect addresses, for example, the share in the stimulus package for businesses. Out of $2 Trillion package, $500 billion will be used for companies. $75 billion goes to the airline industry and the mysteriously named “businesses critical to national security.” The rest $425 will be used to capitalize a $4.25 trillion, leveraged lending facility at the Federal Reserve.[35] Additionally, seven other industries are lobbying for more stimulus, such as tourism, restaurants, mortgage servicers, hotels, airlines, franchises, and distillers.[36]

Other Aspects of the Crisis

Although we have listed the other problems that have accelerated the severity of the crisis, once again, those have to be elaborated to make sense in their context. To begin with, fetish over individualism elicits an “I don’t care, no-one can decides for me” mentality, which disregards social well-being and solidarity. This fundamental bourgeois idea frustrated many people at the beginning due to its ignorance of the crisis, and refusal to heed the advice of healthcare workers. Different aspects of this same idea might be felt over the larger, individual based healthcare system: “It is every (hu)man for himself.”

Similar to this “I don’t care” individualism, even the excessive mental health problems have been treated “as an individual’s incapacity to function normally within a given setting” by serious academic researches. These problems can be found mostly among poor whites and blacks who are more prone to mental disorders than richer classes.[37] Combining with homelessness, and other problems stemming from unemployment, the mental health question requires urgent social attention, especially during the crisis. People, who are relying on social circles, families, and solidarity, are isolated, trapped, and helpless. On the other hand, homelessness, specifically student one, made states hesitate to cancel schools at the beginning. Many college students were also thrown out of their dorm, with nowhere else to go.

Over all these, as another aspect of “American” values, nowadays, right-wing demonstrators have called to end quarantine by blocking roads with caravans, carrying Confederation and Nazi flags, utilizing the 18th century American revolutionary slogan of “Give me liberty, or give me death!” The other, “liberal” side of American nationalism is not innocent in weaponizing the crisis and its human costs, framing healthcare workers as “heroes,” food and workers from other vital industries as “essentials,” “frontliners,” “soldiers,” who are, fundamentally, expendable. Even the liberal call for “stay home” and “practice social distancing” is full of lack of consideration and clarity, solely blind ethicism, a performative virtue.

Workers’ and the lives of the poor are at the stake, which involves racial and gender issues, too.[38] In the center of epidemic in the country, New York City, most of cases and deaths are coming from poor working class neighborhoods.[39] According to formal data, those who have died have been 34% Hispanic, 28% blacks, 27% white and 7% Asian.[40] Economically and racially segregated neighborhoods are particularly vulnerable in this crisis. These groups’ share in the population are 29%, 22%, 32%, and 14%, respectively. The prison-industrial complex also has figured prominently in the crisis. According to activist and journalist Shaun King, the U.S. is the only nation in the world with 250% more prison cells than hospital beds.[41] That complex is another example of structural racism: “These racial disparities are particularly stark for Black Americans, who make up 40% of the incarcerated population despite representing only 13% of U.S residents.”[42] In other words, it is not surprising that places where COVID-19 has been most devastating, are generally black neighborhoods and towns.[43] Beyond racial lines, the rate of incarceration for women incarceration follows that of the black population: “The same is true for women, whose incarceration rates have for decades risen faster than men’s, and who are often behind bars because of financial obstacles such as an inability to pay bail.”[44] During the pandemic, the issue of rising domestic abuse of women trapped at their home receive almost no public or media attention. Additionally, the LGBTQ population is not independent from same abusive behavior. They are also vulnerable to discrimination, homelessness and other economic problems that increase the likelihood of contracting COVID-19.[45]

There are a considerable amount of cases and deaths especially among transportation, food and market workers.[46] Lack of protective equipment and the government’s token appreciation to workers has pushed many workers to take several actions, from warehouses to hospitals. Until now, over 100 workers’ actions are recorded since the beginning of the pandemic.[47] The most unique one is that General Electric workers’ struggle for their company to shift to produce ventilators.[48] Beyond all, the common quality of workers actions are mostly led by millennial generations. In that sense, it can be counted as a sign which generation of the working class might lead advanced struggles post-pandemic. However, in terms of youth struggle, it is hard to say what might happen, because online education may continue in fall 2020, and beyond.

All in all, other aspects of the crisis are complex and entangled, and reflect all the emergent demands of the US people and working class. However, the struggle against pandemic has been shaped by the political struggle between democrats and republicans towards the 2020 Presidential Elections. The governors of Illinois, New York and several other state governors’ have critiqued president Trump for not utilizing the Defense Production Act exemplifies the tension between democrats and republicans along with federal and state fault lines.[49] For instance, while some smaller states have made commitments to end quarantine on May 1, New York and California are against that, and the federal government doesn’t necessarily intend for imposing an extension to quarantine.

Conclusion

It has been discussed that the working class as we know it is gone, especially by the liberal intellectuals of all spectrum in defense of cold war theories. There was also an illusive reality, in which public spaces has been dominated by petty bourgeoisie and some upper sections of working class. It should be noted that another reason to this for the USA and Western Europe is the surplus value they transfer from the dependent countries through the imperialist exploitation mechanism. While this post-cold war argument has lost credibility for a long time now, it is shattered with the COVID-19 crisis.

The U.S. is experiencing a moment of “the king is naked,” where petty bourgeois classes retreated from streets, and left working class people to fulfill busses, train cars, factories, warehouses, workplaces, and unemployment lines. On the one hand, framing some sections of working class as “essentials,” primarily “hero” healthcare workers, and on the other, failing to provide essential protective equipment to these “essentials,” shows one certain aspect in the contradictions of classes: “Workers’ lives do not matter.”

Due to the same reason, it can be said that president Donald Trump is backing up right-wing demonstrators, who wants to lift the quarantine. Concurrent with deepening polarization of the U.S. political system through several impasses between the Democrats and Republicans, the presidency plays with the libertarian positioned citizen-against-the-government to take advantage of the crisis to gather and energize its avid supporter base for the upcoming elections. However, the statements of the government to end quarantine aim to make people reconcile the situation, while continuing to infuriate workers and saturate the air with fear and resentment.

Ekim Kilic is a Kurdish journalist from Turkey, and regularly reporting to the daily working-class newspaper of Turkey, Evrensel Daily. He also takes an active role as a member of the NY steering committee at the National Writers' Union UAW Local 1981. He is an MA graduate from International Affairs and Global Justice major at CUNY Brooklyn College / New York. He wrote a master thesis on a comparative analysis of working class support for right-wing nationalism in the U.S. and Turkey.

Notes

[1]  United States. (n.d.). Retrieved April 21, 2020, from https://www.worldometers.info/coronavirus/country/us/

[2] Ibid.

[3] Smith, K. (2020, March 25). Abortion-rights groups sue Texas over abortion ban amid coronavirus outbreak. Retrieved April 25, 2020, from https://www.cbsnews.com/news/abortion-rights-planned-parenthood-lawsuit-texas-non-essential-ban/?fbclid=IwAR2biSYvfz_dejWzV5P1bzlwQBCm24yeV5zmrmt9klpVFcoE8-tpUynR8hI

[4] In Midst of a Pandemic, Trump’s NLRB Makes it Nearly Impossible for Workers to Organize a Union. (n.d.). Retrieved April 25, 2020, from https://portside.org/2020-04-02/midst-pandemic-trumps-nlrb-makes-it-nearly-impossible-workers-organize-union?fbclid=IwAR24Xbuzw2sHuLdM155e96xVuX6RntvpQgsDLOMIxbMhLM57Z2H570q8M7I

[5] Borger, J. (2020, March 31). US ignores calls to suspend Venezuela and Iran sanctions amid coronavirus pandemic. Retrieved April 25, 2020, from https://www.theguardian.com/world/2020/mar/31/us-ignores-global-appeals-suspend-sanctions-coronavirus-pandemic-iran-venezuela

[6] Sullivan, P. (2020, April 15). Trump WHO cuts meet with furious blowback. Retrieved April 25, 2020, from https://thehill.com/policy/healthcare/492997-trump-who-cuts-meet-with-furious-blowback

[7] Stelloh, T., Welker, K., Pettypiece, S., & Bennett, G. (2020, April 21). Trump says he is suspending immigration over coronavirus, need to protect jobs. Retrieved April 25, 2020, from https://www.nbcnews.com/politics/donald-trump/trump-says-he-suspending-immigration-over-coronavirus-need-protect-jobs-n1188416?fbclid=IwAR1GpqyKHb9TJHPDs4f5yQSq8jAu9ui4N-S2CByFRp9mdVE_qGy9sADrYwM

[8] Lisnoff, H. (2020, April 6). American Exceptionalism in the Face of Covid-19. Retrieved April 25, 2020, from https://www.counterpunch.org/2020/04/09/american-exceptionalism-in-the-face-of-covid-19/

[9] Kuttner, R. (2020, March 24). The End of American Exceptionalism. Retrieved April 25, 2020, from https://prospect.org/coronavirus/the-end-of-american-exceptionalism/

[10] (n.d.). Retrieved April 25, 2020, from https://www.bloomberg.com/news/articles/2020-04-01/putin-sends-military-plane-with-coronavirus-aid-to-help-u-s

[11] Sweeney, S. (2020, April 16). Vietnam ships 450,000 protective suits for U.S. health care workers. Retrieved April 25, 2020, from https://www.peoplesworld.org/article/vietnam-ships-450000-protective-suits-for-u-s-health-care-workers/?fbclid=IwAR3cV9CBQMWO-TS1ehCi_rXl5jhmqXDO31gv35qz9P9oSYupMg6Ki6a49Lg

[12] Steve SweeneyMonday, A. 6. (2020, April 6). US accused of ‘modern piracy’ after seizing ventilators bound for Barbados. Retrieved April 25, 2020, from https://morningstaronline.co.uk/article/w/us-accused-modern-piracy-after-seizing-ventilators-bound-barbados

[13] Tisdall, S. (2020, April 19). Trump is playing a deadly game in deflecting Covid-19 blame to China. Retrieved April 25, 2020, from https://www.theguardian.com/us-news/commentisfree/2020/apr/19/trump-is-playing-a-deadly-game-in-deflecting-covid-19-blame-to-china

[14] Chediac, J. (2020, April 20). Essential worker strike wave: ‘We fight COVID-19 for ourselves &… Retrieved April 25, 2020, from https://www.liberationnews.org/essential-worker-strike-wave-we-fight-for-ourselves-and-for-the-public/?fbclid=IwAR3aVocvBL2JZCLrY04peKRVpMR3UyHc2fbgqfw6OATRFp7IYc0JVWONzz4

[15] Montanaro, D. (2016, September 10). Hillary Clinton’s ‘Basket Of Deplorables,’ In Full Context Of This Ugly Campaign. Retrieved April 25, 2020, from https://www.npr.org/2016/09/10/493427601/hillary-clintons-basket-of-deplorables-in-full-context-of-this-ugly-campaign

[16] Gruenberg, M. (2019, April 25). GOP lawmaker’s idiotic remark about nurses goes viral and backfires. Retrieved April 25, 2020, from https://www.peoplesworld.org/article/gop-lawmakers-idiotic-remark-about-nurses-goes-viral-and-backfires/

[17] Alternet. (2019, April 9). When the GOP uses the word “bartender” to mock Alexandria Ocasio-Cortez, it shows its ugly classism. Retrieved April 25, 2020, from https://www.salon.com/2019/04/09/when-the-gop-uses-the-word-bartender-to-mock-alexandria-ocasio-cortez-it-shows-its-ugly-classism_partner/

[18] Bahney, A. (2020, April 11). New data shows more Americans are having trouble paying their rent. Retrieved April 25, 2020, from https://www.cnn.com/2020/04/09/business/americans-rent-payment-trnd/index.html

[19] Polakovic, G. (2020, April 3). How does coronavirus affect young people’s psyches? Retrieved April 25, 2020, from https://news.usc.edu/167275/how-does-coronavirus-affect-young-people-psyches/

[20] The Economist Intelligence Unit. (n.d.). Retrieved April 25, 2020, from https://www.eiu.com/topic/democracy-index

[21] Scofea, L. A. (1994). The development and growth of employer-provided health insurance. Monthly Labor Review, 3–10. Retrieved from https://www.bls.gov/opub/mlr/1994/03/art1full.pdf

[22] Ibid.

[23] How did we end up with health insurance being tied to our jobs? (2019, April 29). Retrieved April 25, 2020, from https://www.marketplace.org/2017/06/28/how-did-we-end-health-insurance-being-tied-our-jobs/

[24] National Institute of Mental Health (NIMH). (2017, February 17). Retrieved April 25, 2020, from https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh

[25] Gruber, L. R., Maureen, S., & Polich, C. L. (n.d.). From Movement To Industry: The Growth Of HMOs. Retrieved April 25, 2020, from https://www.healthaffairs.org/doi/full/10.1377/hlthaff.7.3.197

[26] Amadeo, K. (n.d.). Pros and Cons of Obamacare. Retrieved April 25, 2020, from https://www.thebalance.com/obamacare-pros-and-cons-3306059

[27] Simmons-Duffin, S. (2019, October 14). Trump Is Trying Hard To Thwart Obamacare. How’s That Going? Retrieved April 25, 2020, from https://www.npr.org/sections/health-shots/2019/10/14/768731628/trump-is-trying-hard-to-thwart-obamacare-hows-that-going

[28] Gonzales, R. (2019, October 5). Trump Bars Immigrants Who Cannot Pay For Health Care. Retrieved April 25, 2020, from https://www.npr.org/2019/10/04/767453276/trump-bars-immigrants-who-cannot-pay-for-health-care

[29] 9.2 million workers likely lost their employer-provided health insurance in the past four weeks. (n.d.). Retrieved April 25, 2020, from https://www.epi.org/blog/9-2-million-workers-likely-lost-their-employer-provided-health-insurance-in-the-past-four-weeks/

[30] Trump’s plans to reopen the country face major obstacles. (n.d.). Retrieved April 25, 2020, from https://www.politico.com/news/2020/04/18/trump-reopen-country-coronavirus-193182

[31] Harris, J. F. (n.d.). ‘I’d love to have it open by Easter’: Trump says he wants to restart economy by mid-April. Retrieved April 25, 2020, from https://www.politico.com/news/2020/03/24/trump-wants-to-restart-economy-by-mid-april-146398

[32] Samuels, A. (2020, April 21). Dan Patrick says “there are more important things than living and that’s saving this country”. Retrieved April 25, 2020, from https://www.texastribune.org/2020/04/21/texas-dan-patrick-economy-coronavirus/

[33] Fredericks, B. (2020, April 15). Congressman says US should reopen economy – even if more would die. Retrieved April 25, 2020, from https://nypost.com/2020/04/15/lawmaker-says-us-should-reopen-economy-even-if-more-will-die/

[34] Concha, J. (2020, March 25). Glenn Beck: ‘I’d rather die’ from coronavirus ‘than kill the country’ from economic shutdown. Retrieved April 25, 2020, from https://thehill.com/homenews/media/489472-glenn-beck-id-rather-die-from-coronavirus-than-kill-the-country-from-economic

[35] Dayen, D. (2020, March 25). Unsanitized: Bailouts, A Tradition Unlike Any Other. Retrieved April 25, 2020, from https://prospect.org/api/amp/coronavirus/unsanitized-bailouts-tradition-unlike-any-other/

[36] Gangitano, A. (2020, April 2). 7 industries lobbying for more stimulus. Retrieved April 25, 2020, from https://thehill.com/business-a-lobbying/business-a-lobbying/490736-7-industries-lobbying-for-more-stimulus

[37] Baran, P. A. & Sweezy P. M. (2020, March). The Quality of Monopoly Capitalist Society: Mental Health. Monthly Review. Volume 71. Pg. 41-43.

[38] Conn, M., Kelly, J., & Heimpel, D. (2020, April 3). Lack of Shelter Beds in New York for LGBTQ Youth During Pandemic. Retrieved April 25, 2020, from https://chronicleofsocialchange.org/coronavirus/lgbtq-youth-struggle-for-shelter-from-coronavirus/41999?fbclid=IwAR0Rko479SG4K9eBvZZTWNXVZxo0Xa4HYpxoyUSNYc-xhWUD2Ri0GO35B80

[39] Virus Hits NYC Hardest in a Few Working-Class Neighborhoods. (n.d.). Retrieved April 25, 2020, from https://www.usnews.com/news/health-news/articles/2020-04-02/coronavirus-hits-harder-in-poorer-nyc-neighborhoods

[40] Workbook: NYS-COVID19-Tracker. (n.d.). Retrieved April 25, 2020, from https://covid19tracker.health.ny.gov/views/NYS-COVID19-Tracker/NYSDOHCOVID-19Tracker-Fatalities?:embed=yes&:toolbar=no&:tabs=n

[41] SHAUN KING: The United States is the Only Nation in the World with 250% More Prison Cells Than Hospital Beds. (2020, March 30). Retrieved April 25, 2020, from https://www.thenorthstar.com/shaun-king-the-united-states-is-the-only-nation-in-the-world-with-250-more-prison-cells-than-hospital-beds/

[42] Sawyer, W., & Wagner, P. (n.d.). Mass Incarceration: The Whole Pie 2020. Retrieved April 25, 2020, from https://www.prisonpolicy.org/reports/pie2020.html

[43] Johnson, A., & Buford, T. (n.d.). Early Data Shows African Americans Have Contracted and Died of… Retrieved April 25, 2020, from https://www.propublica.org/article/early-data-shows-african-americans-have-contracted-and-died-of-coronavirus-at-an-alarming-rate

[44] Ibid.

[45] Conn, M., Kelly, J., & Heimpel, D. (2020, April 3). Lack of Shelter Beds in New York for LGBTQ Youth During Pandemic. Retrieved April 25, 2020, from https://chronicleofsocialchange.org/coronavirus/lgbtq-youth-struggle-for-shelter-from-coronavirus/41999?fbclid=IwAR0Rko479SG4K9eBvZZTWNXVZxo0Xa4HYpxoyUSNYc-xhWUD2Ri0GO35B80

[46] Chediac, J. (2020, April 20). Essential worker strike wave: ‘We fight COVID-19 for ourselves &… Retrieved April 25, 2020, from https://www.liberationnews.org/essential-worker-strike-wave-we-fight-for-ourselves-and-for-the-public/?fbclid=IwAR3aVocvBL2JZCLrY04peKRVpMR3UyHc2fbgqfw6OATRFp7IYc0JVWONzz4

[47] Elk, M. (2020, April 23). COVID-19 Strike Wave Interactive Map. Retrieved April 25, 2020, from https://paydayreport.com/covid-19-strike-wave-interactive-map/?fbclid=IwAR0hqgq8wEeYT-Y8VRFcaJocbzRNd4vb_13bd32_3fZFxqYv3OO7gf6uynQ

[48] GE Workers Protest, Demand to Make Ventilators. (2020, April 16). Retrieved April 25, 2020, from https://labornotes.org/blogs/2020/04/ge-workers-protest-demand-make-ventilators?fbclid=IwAR2_qnmATx97jmyVzESlZ_B7KGce1YtQV4uH86rHXxHEOs3s1G0r-ygXF1w

[49] Trump, Facing Criticism, Says He Will Increase Swab Production. (2020, April 19). Retrieved April 25, 2020, from https://www.nytimes.com/2020/04/19/us/coronavirus-updates.html

Why Coronavirus Could Spark a Capitalist Supernova

By John Smith

Republished from Open Democracy. This article is part of Open Democracy’s 'Decolonising the economy' series.

“Global yields lowest in 500 years of recorded history. $10 trillion of negative rate bonds. This is a supernova that will explode one day,” tweeted Bill Gross, the ‘bond king’, in 2016.

This day has come closer. Capitalism now faces the deepest crisis in its several centuries of existence. A global slump has begun that is already devastating the lives of hundreds of millions of working people on all continents. The consequences for workers and poor people in Asia, Africa, and Latin America will be even more extreme than for those living in Europe and North America, both with respect to lives lost to coronavirus and to the existential threats to the billions of people already living in extreme poverty. Capitalism, an economic system based on selfishness, greed and dog-eat-dog competition, will more clearly than ever reveal itself to be incompatible with civilisation.

Why is supernova – the explosion and death of a star – an apt metaphor for what could now be about to unfold? Why could the coronavirus, an organism 1000th the diameter of a human hair, be the catalyst for such a cataclysm? And what can workers, youth and the dispossessed of the world do to defend ourselves and to ‘bring to birth a new world from the ashes of the old’, in the words of the US labour hymn, Solidarity Forever?

To find answers to these questions, we need to understand why the ‘global financial crisis’ that began in 2007 was much more than a financial crisis, and why the extreme measures taken by G7 governments and central banks to restore a modicum of stability – in particular the ‘zero interest rate policy’, described by a Goldman Sachs banker as “crack cocaine for the financial markets” – have created the conditions for today’s crisis.

Global capitalism’s ‘underlying health issues’

The first stage of a supernova is implosion, analogous to the long-term decline in interest rates that began well before the onset of systemic crisis in 2007, which has accelerated since then, and which fell off a cliff just as coronavirus began its rampage in early January 2020. Falling interest rates are fundamentally the result of two factors: falling rates of profit, and the hypertrophy of capital, i.e. its tendency grow faster than the capacity of workers and farmers to supply it with the fresh blood it needs to live. As Marx said, in Capital vol. 1, “capital’s sole driving force [is] the drive to valorise itself, to create surplus-value… capital is dead labour which, vampire-like, only lives by sucking living labour, and lives the more, the more labour it sucks.”

These two factors combine to form a doom loop of awesome destructive power. Let us examine its most important linkages.

Many things both mask and counteract the falling rate of profit, turning this into a tendency that only reveals itself in times of crisis, of which the most important has been the shift of production from Europe, North America and Japan to take advantage of the much higher rates of exploitation available in low-wage countries. The falling rate of profit manifests itself in a growing reluctance of capitalists to invest in production; more and more of what they do invest in is branding, intellectual property and other parasitic and non-productive activities. This long-running capitalist investment strike is amplified by the global shift of production – boosting profits by slashing wages rather than by building new factories and deploying new technologies. This enables huge mark-ups, turbo-charging the accumulation of vast wealth for which capitalists have no productive use – hence the hypertrophy of capital.

This, in turn, results in declining interest rates – as capitalists compete with each other to purchase financial assets, they bid up their price, and the revenue streams they generate fall in proportion – hence falling interest rates. Falling interest rates and rising asset values have created what is, for capitalist investors, the ultimate virtuous circle – they can borrow vast sums to invest in financial assets of all kinds, further inflating their ‘value’.

Falling interest rates therefore have two fundamental consequences: the inflation of asset bubbles and the piling up of debt mountains. In fact, these are two sides of the same coin: for every debtor there is a creditor; every debt is someone else’s asset. Asset bubbles could deflate (if productivity increases), or else they will burst; economic growth could, over time, erode debt mountains, or else they will come crashing down.

Since 2008, productivity has stagnated across the world and GDP growth has been lower than in any decade since World War II, resulting in what Nouriel Roubini has called “the mother of all asset bubbles,” while aggregate debt (the total debt of governments, corporations and households), already mountainous before the 2008 financial crash, has since then more than doubled in size. The growth of debt has been particularly pronounced in the countries of the global South. Total debt for the 30 largest of them reached $72.5tn in 2019 – a 168% rise over the past 10 years, according to Bank of International Settlements data. China accounts for $43tn of this, up from $10tn a decade ago. In sum, well before coronavirus, global capitalism already had ‘underlying health issues’, it was already in intensive care.

Global capitalism – which is more imperialist than ever, since it is both more parasitic and more reliant than ever before on the proceeds of super-exploitation in low-wage countries – is therefore inexorably heading to supernova, towards the bursting of assets bubbles and the crashing of debt mountains. Everything that imperialist central banks have done since 2008 has been designed to postpone the inevitable day of reckoning. But now that day has come.

10-year US Treasury bonds are considered the safest of havens and the ultimate benchmark against which all other debt is priced. In times of great uncertainty, investors invariably stampede out of stock markets and into the safest bond markets, so as share prices fall, bond prices – otherwise known as ‘fixed income securities’ – rise. As they do, the fixed income they yield translates into a falling rate of interest. But not on March 9, when, in the midst of plummeting stock markets, 10-year US Treasury bond interest rates spiked upwards. According to one bond trader, “statistically speaking, [this] should only happen every few millennia.” Even in the darkest moment of the global financial crisis, when Lehman Brothers (a big merchant bank) went bankrupt in September 2008, this did not happen.

The immediate cause of this minor heart attack was the scale of asset-destruction in other share and bond markets, causing investors to scramble to turn their speculative investments into cash. To satisfy their demands, fund managers were obliged to sell their most easily-exchangeable assets, thereby negating their safe-haven status, and this jolted governments and central banks to take extreme action and fire their ‘big bazookas’, namely the multi-trillion dollar rescue packages – including a pledge to print money without limit to ensure the supply of cash to the markets. But this event also provided a premonition for what is down the road. In the end, dollar bills, like bond and share certificates, are just pieces of paper. As trillions more of them flood into the system, events in March 2020 bring closer the day when investors will lose faith in cash itself – and in the power of the economy and state standing behind it. Then the supernova moment will have arrived.

The left’s imperialism-denial, and its belief in the ‘magic money tree’

The gamut of the left in imperialist countries – the Jeremy Corbyn-led wing of the Labour Party in the UK; the motley crew of left-Keynesians such as Ann Pettifor, Paul Mason, Yanis Varoufakis; supporters of Bernie Sanders in USA – are united on two things: they all acknowledge, to one degree or another, that imperialist plunder of colonies and neocolonies happened in the past but do not acknowledge that imperialism continues in any meaningful way to define relations between rich and poor countries.

And they believe in one or other version of the ‘magic money tree’, in other words, they see the decline of interest rates into negative territory not as a flashing red light showing the extremity of the crisis, i.e. not as the implosion phase of a supernova, but as a green light to borrow money to finance increased state investment, social spending, a Green New Deal, and even a bit more foreign aid. In fact, there is no magic money tree. Capitalism cannot escape from this crisis, no matter how many trillions of dollars governments borrow or central banks print. The neoliberals rejected magical thinking, now they embrace it – this shows the extent of their panic, but it does not make magical thinking any less fantastical. The trillions they spent after 2007-8 bought another decade of zombie-like life for their vile system. This time they will be lucky to get 10 months, or even 10 weeks, before the explosion phase of the supernova begins.

Coronavirus – catalyst for cataclysm

The coronavirus pandemic occurred at the worst possible time: growth in the eurozone had shrunk to zero; much of Latin America and sub-Saharan Africa were already in recession; the sugar-high from Trump’s huge tax-giveaways to US corporations was fading; the US-China trade war was causing serious disruption to supply chains and was threatening to entangle the EU; and tens of millions of people joined mass protests in dozens of countries across the world.

Interest rates are now deep in negative territory – but not if you are Italy, facing an enormous increase in its debt/GDP ratio, not if you are an indebted corporation trying to refinance your debts, not if you are an ‘emerging market’. Since March 9, corporate interest rates have gone through the roof; in fact few corporations can borrow money at any price. Investors are refusing to lend to them. Corporations are now facing a credit crunch – in the midst of global negative interest rates! That’s why the ECB decided to borrow €750 billion from these same investors, and use it to buy the corporate bonds which these same investors now refuse to purchase, and why the USA’s Federal Reserve is doing the same on an even bigger scale. Italy’s (and the EU’s) fate now depends on the willingness of the Bundesbank to replace its private creditors. Their refusal to do this would be the final stage of the EU’s death agony.

During the middle two weeks of March, imperialist governments announced plans to spend $4.5 trillion bailing out their own bankrupt economies. An emergency online summit of the G20 (the G7 imperialist nations plus a dozen or so ‘emerging’ nations, including Russia, India, China, Brazil, and Indonesia) on 26 March, declared “we are injecting over $5 trillion into the global economy.” These are weasel words; by ‘global’ they actually mean ‘domestic’! The response of the ‘left’ in the imperialist countries is to clap its hands and say, we were right all along! There is a magic money tree after all! – apparently not realising that this is exactly what happened post-2008: the socialisation of private debt. Or that, unlike post-2008, this time it will not work.

Yet, as imperialist governments belatedly mobilise – and monopolise – medical resources to confront the coronavirus crisis in their own countries, they’ve abandoned poor countries to their fate. The left in the imperialist countries (or we could just say ‘imperialist left’, for short) has also ignored the fact that there is nothing in these emergency cash injections for the poor of the global South. If you are an ‘emerging market’, well, fuck off and join the queue for an IMF bail-out! As of March 24, 80 countries were standing in this queue, waiting for some of its $1tr lending capacity. $1 trillion sounds like a lot of money, and indeed it is, but, as Martin Wolf, chief economic correspondent for the Financial Times, points out, “the aggregate external financing gaps of emerging and developing countries are likely to be far beyond the IMF’s lending capacity.”

Furthermore, as Wolf suggests, the purpose of IMF loans is to help with “external financing gaps” – in other words, to bail out imperialist creditors, not the peoples of debtor nations; and they invariably come with harsh and humiliating conditions that add to the crushing burden already pressing down on the peoples of those countries. In this sense, they are just like the vast government bailouts of private capital in the rich countries – but without anything added on to finance welfare payments or partially replace wages. The aim of the latter is to purchase the docility of the working class in the imperialist nations, but they have no intention of doing this in Africa, Asia and Latin America.

On March 24, the United Nations issued an appeal for $2bn to fight the coronavirus pandemic in Africa, Asia and Latin America. This money, which the U.N. hopes to raise over the next nine months, is 1/80 of the annual budget of the U.K.’s NHS, and less than 1/2000 of the $4.5tr they plan to spend keeping their own capitalist economies alive. It is also less than 1/40 of the money which imperialist investors have taken out of ‘emerging markets’ during the first three weeks of March, “the largest capital outflow ever recorded,” according to IMF managing director Kristalina Georgieva.

The maximum extent of relief for the collateral effects of the coronavirus epidemic on the peoples of poor countries in Africa, Asia and Latin America was indicated by World Bank president, David Malpass, who said after the G20 summit ended that his board is putting together a rescue package valued at “up to $160 billion” spread out over the next 15 months – a minuscule fraction of the economic losses that the coming global slump will impose on the peoples of the absurdly-named ‘emerging markets’.

“We have a revolutionary duty to fulfill" – Leonardo Fernandez, Cuban doctor in Italy

So, what is to be done? Instead of applauding the bailout of big corporations, we should expropriate them. Instead of endorsing a temporary moratorium on evictions and the accumulation of rent arrears, we should confiscate real estate so as to protect workers and small businesses. These, and many other struggles to assert our right to life over the rights of capitalists to their property, are for the near future.

Right now the priority is to do whatever is necessary to save life and defeat the coronavirus. This means extending solidarity to those who are most vulnerable to the pandemic – homeless people, prisoners, asylum seekers enduring ‘hostile environments’ – and to the dispossessed and victims of imperialism in the slums, shantytowns and refugee camps of the global South. Raghuram Rajan, former governor of the Bank of India, points out that “pending a cure or a reliable vaccine, the world needs to fight the virus into submission everywhere in order to relax measures anywhere.” The Economist concurs: “If covid-19 is left to ravage the emerging world, it will soon spread back to the rich one.”

The coronavirus pandemic is just the latest proof that we need not so much an NHS, but a GHS – a Global Health Service. The only country that is acting on this imperative is revolutionary Cuba. They already have more than 28,000 doctors providing free health care in 61 poor countries – more than the G7 nations combined – and 52 in Italy, 120 more to Jamaica, and are helping scores of other countries to prepare for the pandemic. Even the far-right Bolsonaro government in Brazil, which last year expelled 10000 Cuban doctors, branding them terrorists, is now begging them to return.

To defeat coronavirus we must emulate Cuba’s medical internationalism. If we are to defeat this pandemic we must join with its revolutionary doctors and revolutionary people, and we must prepare do what Cuba did to make this internationalism possible – in other words, we must replace the dictatorship of capital with the power of working people. The coronavirus supernova makes socialist revolution – in imperialist countries and across the world – into a necessity, an urgent practical task, a life and death question if human civilisation is to survive and if the capitalist destruction of nature, of which the coronavirus epidemic is merely the latest symptom, is to be ended.

Thanks to Andy Higginbottom, Shih-yu Chou, and Walter Daum for comments on earlier drafts of this article.

Resistance in the Time of Cholera: Preliminary Notes on Viral Dialectics

By Bryant William Sculos

In Gabriel García Márquez’s classic Love in the Time of Cholera, cholera is both literal and metaphorical. So too is COVID-19. Not the virus itself necessarily (though its complicated emergence and uneven spread and effects surely implicates our current system), but the massive and largely preventable or treatable harms of the virus that have thus far gone largely unprevented and untreated are the metaphor. Not merely a metaphor, of course. Not a metaphor in the sense of being immaterial or unreal. Metaphor in the sense of representing something much more than itself, symbolizing that which is beyond itself.

Metaphor. Representation. Microcosm. Heuristic. Epitome. Choose your label. The key point is that we must pay attention to the important reality that if we focus exclusively on the COVID-19 pandemic from a medical or public health perspective we are going to miss most of what we must learn from and through this crisis. Unlike the bacterial cholera, the viral COVID-19 is not as easily treatable or preventable, though with an eventual vaccine it can become more preventable. Cholera persists for the same systemic reasons why COVID-19 and the flu persist. This is what global capitalism’s demands of sadistic efficiency and perverse profit-seeking produce. What these infections share is their dialectical imbrication within the same system that contains the potential technical means to humanely resolve various harms, but profits off of their continuation.

COVID-19 is only on our radar such as it is because of the inability of our unjust, unequal, irrational, sadistic, and undemocratic political economic system to care for all the people who need and deserve care in this world. It is the match on an accelerant-soaked woodpile. We should be paying attention less to the match and more on the precursory conditions. And this isn’t a suggestion we don’t also pay attention and attempt to organize around the specifics of the harmful effects of COVID-19 and the systemic failures specifically related to the current crisis. To not prioritize these immediate concerns would be ethically unconscionable and politically unsound. People have immediate needs. This is instead a call, as I’ve written before in a different context, to focus on the forest and the trees.

What can resistance look like before we regain the option to gather in public together and protest and lead campaigns for the necessary radical reforms needed in the short-term? What can it look like given that we then must necessarily aim towards the more systemic, revolutionary changes needed to produce a democratic, egalitarian post-capitalist world – a genuinely democratic, socialist world?

Theodor Adorno wrote of the splinter in the eye that becomes a magnifying glass. Who has the splinters in their eyes right now (beyond the everyday splinters that all precarious workers, poor, and oppressed peoples have in their eyes)? The immunocompromised. The elderly. Those without insurance or are underinsured. The otherwise at-risk. The already-infected. Our healthcare workers. Logistics, factory, and warehouse workers.

These people are already facing the tip of the spear. For many, the spear has already pierced the skin. These are the best sites of contestation and struggle at the moment. For those in other industries who are not on the front lines of the current crisis, what can we do? We can prepare for the post-social distancing struggles. We can support those who are in need and in struggle today. And we can engage in a wider array of solidarity-building activities that reach those people who are waking up politically during this pandemic. These are our best tools—and they are tools that are not unique to this crisis.

Right now, basically all forms of conventional public resistance would do more harm than good—perhaps with the exception of strikes (or preferably, strong strike-threats that are more likely than ever to be acceded to without need to resort to an actual work stoppage). It is hard to imagine a more sympathetic group of workers at the moment, with greater power to inspire fundamental systemic change, than our front-line healthcare workers. So long as they are put at disproportionate risk, not wholly different from their pre-pandemic workplace experiences no doubt, they could and should demand the world.

This isn’t just about leveraging this crisis to win previously needed workplace safety reforms and benefit increases though, while “essential workers” have much more power that they have ever had before (or at least experiencing a greater awareness of their latent political-economic power). The fights that were on-going before the crisis remain. In the US, we have immigrants in concentration camps. We have a racialized mass incarceration system. Endless warfare remains endless. Most people are struggling week-to-week to make ends meet, often to no avail. We are also seeing states like Texas and Ohio prohibit abortion procedures under the guise of bans on non-essential medical procedures. Shove a fetus inside one of these wealthy white, straight male GOP lawmakers and see if they don’t think its removal is essential. We need to keep our eyes open and voices loud, however we can.

While there are many aspects of the variable and uneven government responses to stopping the spread of COVID-19 (“flattening the curve” through differentially enforced “social distancing” and “test, track, and trace” approaches) that are absolutely vital to avoiding a more massive death toll than anyone wants to think about; they should not be viewed as permanently inviolable rules that all should follow as long as they’re told. They are also not innocuous, even so long as we are participating. Even a necessary policy is not necessarily wholly virtuous. There are questions of privacy and data-profiteering to be concerned about. While we should always be skeptical of enhancements to the power of the national security state, it does seem like compliance is the lesser evil at the moment. That may change, if things get far worse and governments fail to response adequately and justly. I write this not be produce this outcome sooner. I write it so you will be prepared to think differently about the current public health demands being placed on billions of people around the world. No one must stay home to die when acting publicly can save lives.

That said, people won’t—or shouldn’t—long withstand the demand from the capitalist class and their ideological snake oil salespeople that people go to work and die for the short-term profits of corporations, nor will they stay home and suffer, perhaps to death. At least, I see enough reason to be optimistic that people will not tolerate either of these developments. People have been made—conditioned—to withstand much over many, many decades of capitalist violence and exploitation, suffering irrationally without any sense of what possible alternatives are achievable in practice. While it is possible people will “choose” to suffer more, I have hope that this time things will be different. Either genuine socialist demands are won, or capitalism should not be allowed to be resuscitated. Either the people are resuscitated and healed, made more whole than capitalism ever allowed before, or capitalism should be allowed to die—and a new order built on its ungrievable ashes.

We are in a paradoxical, indeed dialectical, moment (though, within capitalism, when aren’t we?). The response we need to this crisis—the twin-crisis of COVID-19 and capitalism—is organized, collective, mass democratic action. Yet this is precisely what good public health guideline compliance prohibits. Still, we must comply. Compliance today is solidarity. Even if that may change, today it is undeniably true. Stay home. Wash your hands. Use the technologies available to check-in on others. This is what we can do. But the contradictions of organizing within capitalism, the extreme difficulty in getting people to show up and stand out, are not particular to the COVID-19 pandemic. We cannot do what must be done, but too many people weren’t doing what was politically necessary two months ago either. This is something we must reflect on and be honest about. This is not an indictment. It is a call for political growth.

We can use technologies to do some things, but not what is fully-required in this moment. If you’re reading this right now and are thinking, “he is wrong and I have the answer,” please speak up. We need questions and critique as ever before, but we also need answers and alternatives perhaps more than ever before. At least as much as before.

Of course, it is a cruel irony that for many people for whom work is a major time and energy occupier during “normal” times, for whom work is the primary barrier to more fully committed organizing and activist, that these people who have more time to spend on political activities are now required to stay home. I know for many people there is no irony at all; either their work responsibilities have remained unchanged (or increased) or their care and home labor obligations have increased in precise quantity to the amount their waged work requirements have diminished. For many, both sides have increased. This is not a cruel irony. It is, simply, a cruelty.

However, the cruelest irony is that we continue to live in a global society that could, actually quite easily provide for all the basic needs, and possibly beyond, for all people on this planet, and yet we are compelled to live within a system that prevents that from becoming a reality; a system that actively undermines that possibility at nearly every turn.

Postscript

I was wrong several weeks ago when I compared COVID-19 to the flu (though at that time the data was so sketchy and testing so incomplete, the 1% morality rate seemed like an exaggeration. Globally, today the percentage is closer to .5%, which is still roughly five times higher than the flu). When I said what I said, it was not to diminish the suffering or severity of COVID-19, but a somewhat misguided attempt to highlight just how many people die from the flu every year. Compare the typical response and outrage to annual flu death to that of COVID-19, and you would be left with the sad truth that no one fucking cares if people die from the flu, apparently. COVID-19 is both more contagious and deadly, but at some point we should probably have a conversation about why so many people die unnecessarily from the flu….

Bryant William Sculos, Ph.D. is a Visiting Assistant Professor of global politics and theory at Worcester State University and also teaches as an adjunct professor at Florida International University. He is a contributing editor for the Hampton Institute and founding curator of  LeftHooked, a monthly socialist media aggregator and review powered by the Hampton Institute. Bryant is also the Politics of Culture section editor for the open-access journal Class, Race and Corporate Power. He is the co-editor (with Mary Caputi) of Teaching Marx & Critical Theory in the 21st Century (Brill, 2019; Haymarket 2020), and author of “Dialectical Ends and Beginning: Why Barbarism at the End of Capitalism Means Barbarism Beyond Capitalism” in Postcapitalist Futures: Political Economy Beyond Crisis and Hope (eds. Adam Fishwick and Nicholas Kiersey, forthcoming with Pluto Press).

Coronavirus: A Potential Disaster of Capitalism's Making

By Ben Hillier

Republished from Red Flag.

What to do if confronted with an extremely contagious virus that medical experts say they have not seen before and don’t understand, and which is fast spreading and killing hundreds of people? a) Take precautionary measures to stop the virus spreading and prepare the health system for a potential shock? Or b) Ignore it, blithely assert – without any evidence – that it is little different from the common flu, accuse your adversaries, who are taking it more seriously, of scaremongering for political gain and then, when a pandemic is imminent and doctors still can’t say exactly how bad the virus is, tell everyone that everything’s under control despite little to nothing having been done to prepare for a local outbreak?

If you are the current president of the United States, it’s been choice “b”. Aside from temporarily denying entry to foreign nationals who visited China prior to their arrival, any talk about the US facing a problem was, in Donald Trump’s mind, a Democratic Party and fake news media conspiracy to undermine his presidency and bring down the stock market. He was backed, of course, by right wing media whose main concern is to overhype the threat of immigration and combat threats to the president rather than threats to national health. For a period, Trump’s position was also echoed by writers in outlets normally critical of the White House. An early February Washington Post headline read: “Get a grippe, America. The flu is a much bigger threat than coronavirus, for now”. “Don’t Worry About the Coronavirus. Worry About the Flu”, offered BuzzFeed a few days earlier.

From the beginning, medical experts were clear that they simply did not know how bad or otherwise the virus was, yet many non-experts seemed to have an opinion. “Why so many journalists must act like propagandists rather than independent thinkers is a question for another time”, Vanity Fair contributor T.A. Frank aptly wrote in a mid-February response, before noting that the mortality rate is believed to be about 20 times that of the flu – about the same as Spanish flu, which killed tens of millions in 1918-20. And, as Frank also noted, unlike the flu, the rate of critical cases is high enough to overwhelm emergency departments.

When the pressure to take action became too great, Trump appointed vice president Mike Pence to oversee the US response, which tells us a lot about the seriousness with which the outbreak was being taken. Pence is known for a certain “anti-alarmism” when it comes to public health crises. When running for Congress in 2000, he wrote such credible lines as: “Despite the hysteria from the political class and the media, smoking doesn’t kill” and “Global warming is a myth ... CO2 is a naturally occurring phenomenon in nature”. As governor of Indiana from 2013 to 2017, he oversaw an HIV epidemic linked to needle sharing among opioid addicts, having cut funding for the last HIV tester in the county where the epidemic exploded, and having resisted calls for needle exchanges. “Sadly, this outbreak was preventable, given all that we know about HIV and its links to opioid addiction, yet adequate treatment resources and public health safeguards were not in place”, the National Institute on Drug Abuse wrote at the time.

The same thing could have been written about the coronavirus, which is reaching pandemic proportions. Adequate treatment resources and public health safeguards were issues in Wuhan, China, where the outbreak began, and will be issues in many places as the virus spreads. According to several witness accounts, and the evaluation of medical observers, the initial response from those in power in China was denial, which led to a failure to prepare an adequate health system response. Authorities in Wuhan were too concerned about an upcoming political conference and celebration to allow doctors’ warnings to spoil the party (sounds eerily like Trump). After several weeks, when the epidemic became too big to ignore, denial was replaced by panic. The largest quarantining experiment in human history followed, but the health system was unprepared and totally swamped. Who knows how different the course of the outbreak would have been if, in those first crucial weeks after the virus was discovered, authorities had acted decisively to contain the outbreak and prepare the medical system?  

The ruling Communist Party imposed a massive lockdown on hundreds of millions of people to stop the contagion. Those in Hubei have suffered enormously for the authorities’ botched response. The World Health Organization’s Bruce Aylward, who led an international mission to China, told Science magazine that the aggressive containment bought time for other provinces to prepare and prevented “probably hundreds of thousands” of cases across the country. Yet, instead of doing all it could to avoid a repeat of Wuhan by using the time to prepare the US health system, the White House was thinking of the economic opportunities China’s crisis was offering. Commerce secretary Wilbur Ross said the outbreak “will help to accelerate the return of jobs to North America”, while the president’s trade adviser Peter Navarro said that there would be no tariff relief even if the Chinese economy began to tank because of the epidemic. Reportedly, officials have been leaning on US companies with operations in China to repatriate them to the US as part of Trump’s “America First” nationalist project.

By the end of February, the virus had breached all of China’s internal containment lines, and the US and most of the world seem ill-prepared. The US opened quarantine sites at Travis Air Force Base and March Air Reserve Base in California for US citizens returning from China. But a whistleblower filed a complaint alleging that protocols were lax and staff were put at risk. “I soon began to field panicked calls from my leadership team and deployed staff members expressing concerns with the lack of ... communication and coordination, staff being sent into quarantined areas without personal protective equipment, training or experience in managing public health emergencies, safety protocols and the potential danger to both themselves and members of the public they come into contact with”, the whistleblower wrote. Soon after, the New York Times reported on the first US case in a patient with “no known contact with hot zones or other coronavirus patients” emerging near Travis Air Force Base.

Jason Schwartz, an assistant professor at Yale School of Public Health, recently told the Atlantic’s James Hamblin that authorities should have been preparing since the SARS outbreak of 2003. “Had we not set the SARS-vaccine-research program aside, we would have had a lot more of this foundational work that we could apply to this new, closely related virus”, he said. A vaccine is at least 12 months away, underlining the point Hamblin, also a lecturer at Yale School of Public Health, went on to make: “Long term government investments matter because creating vaccines, antiviral medications, and other vital tools requires decades of serious investment, even when demand is low. Market-based economies often struggle to develop a product for which there is no immediate demand and to distribute products to the places they’re needed”.

The US health system is the embodiment of market-based capitalist logic: for-profit, user-pays and dominated by the pharmaceutical and private insurance industries. It is the only major developed economy without guaranteed paid sick leave and universal health care. That makes it probably the most ill equipped of all countries in the developed world to deal with an outbreak. How on Earth are infected people to self-isolate for 14 days if they live paycheck to paycheck without leave entitlements? How are they supposed to be diagnosed if they have to pay more than $3,000 to be tested – which is what happened to a Florida man who returned from China in February, according to the Miami Herald. How will an epidemic be contained if half the people infected can’t afford medicines or hospital care?

That’s the question facing the US. As Western governments defund public health systems, give subsidies to the private health sector to move to user- and insurer-pays systems, and attack workers’ rights and conditions of employment, it’s increasingly a question facing even those countries with good public health records, which are likely to be relatively unscathed by this coronavirus. It doesn’t bear thinking about the carnage that could unfold in countries with worse health systems than China if they too are faced with an epidemic. With more than 3,000 people dead, many countries are instituting or extending containment measures.

“At some point the expectation that any area will escape effects of COVID-19 must be abandoned”, Hamblin concluded. “The disease must be seen as everyone’s problem.” Yet it’s reasonable to assume that those with economic resources – multi-millionaires, executives at insurance and pharmaceutical companies, politicians – won’t see it quite that way if the pandemic is particularly vicious. More likely it will be poor and working class people shunted into inadequate, hastily constructed mass quarantines away from the better care of private clinics catering to the wealthy.

And working class people will face stark choices that those with money will not: the choice between poverty and risking infection. Casualisation and short term contract work – precariousness – are a feature of a large section of the workforce in every country. Those people already go to work with the flu and other illnesses every year because they can’t afford not to. Often, they live in apartment blocks or shared accommodation. They don’t have the money to pay for other family members to ship out to a hotel for a week or two if one of them gets sick. By contrast, those with resources have greater flexibility to take time off work. They have the means to sustain themselves in isolation and hire people to do chores for them. They live in large houses rather than cramped apartments, so are naturally more quarantined from human contact when needs be.

Like every other recent health crisis, there is nothing about the coronavirus pandemic that will likely change many establishment minds about the need for workers and the poor to have more rights and more resources – universal and free health care, a month of paid sick leave every year and so on – let alone a world run to satisfy human needs rather than expand the egos of political leaders or the bank accounts of health industry executives.

The Nurses' Union That Made Medicine Sick: How the Oligarchs Hypnotized Labor Leaders to Betray Working-Class Communities of Color

By Jon Jeter

Opened in 1889, O'Connor Hospital was the first in the city of San Jose, and the second in California to be chartered and managed by the Daughters of Charity, a 400-year-old Catholic mission founded by St. Vincent de Paul. Its benefactor, Judge Myles P. O'Connor, made his fortune in mining and he and his wife, Amanda, were two of Silicon Valley's first philanthropists. They had originally planned to open an old-age home and an orphanage, but the local Archbishop convinced the couple that the needs of what would grow to become the state's third most populous city were far too prolific to address only that which vexed the very young, and the very old.

For the next 125 years, the Daughters of Charity faithfully served San Jose's sick, pregnant, and poor, the hospital's fortunes rising and falling in tandem with that of Santa Clara County's laboring classes. With paychecks buoyed by postwar productivity and assertive trade unions, the order built a new, state-of-the art campus on the city's east side in 1953, just as Americans were bursting at the seams with hope, and babies.

Similar to the protagonist in Ernest Hemingway's novel, The Sun Also Rises, however, O'Connor went broke, gradually at first, and then suddenly, as good-paying jobs dried up, culminating in the ruinous 2008 recession that left millions of Californians unable to pay their hospital tab. Forced to borrow heavily just to stay afloat, the Daughters of Charity Health System announced in 2014 what would've once been unthinkable: a sale of its network of six hospitals.

More jarring still was the colorful streetscape that greeted morning commuters on Forest Avenue as they approached O'Connor's main gate in the first days of 2015. As the low-watt January sun doused the Santa Cruz mountains in a champagne-colored dew, motorists were visibly puzzled, some even scratching their heads as they passed by.

On the campus' north lawn, nearly 100 protesters clad in robin's-breast red, chanted, cheered and hoisted placards that read: "Nurses and nuns agree: Approve the Sale."

To the south, maybe 20 yards away, stood another 100 or so demonstrators clad entirely in blue, brandishing signs that read: "Save our Hospital; Reject the Sale."

The dueling rallies prefaced a public hearing by California's State Attorney General Kamala Harris, who is legally required to approve the sale of nonprofit hospitals, and pitted one powerful labor union - the California Nurses Association in red - against another - the Service Employees' International Union, in blue.

Dubbed by the Nation Magazine as the country's most progressive trade union, the CNA and its umbrella organization, National Nurses United, endorsed a proposal by Daughters of Charity executives to sell the chain to Prime, a southern California-based healthcare provider with a reputation for ripping off Medicaid, its patients, and its workforce. A 2014 federal audit of Prime hospitals, for instance, found 217 cases of improperly diagnosed kwashiorkor, a form of malnutrition that is seldom seen in the US, and typically found only in the global South. Unsurprisingly, Medicaid reimbursement rate for the the disease is quite high when compared with other maladies.

The SEIU, on the other hand, favored a sale to a Wall Street hedge fund named Blue Wolf with no management experience in the healthcare industry, but a demonstrated proficiency for dismantling businesses and auctioning its parts off to the highest bidders.

But here's the thing: San Jose's working-class communities - a Benetton- blend of Latinos, south Asians, Blacks and Whites - wanted neither, Prime least of all.

Had they bothered to show up for any of the dozen or so community stakeholder meetings held in 2014, the CNA's leadership might have known this. But Bob Brownstein, the executive director of the civic organization, Working Partners USA, could only remember seeing a CNA labor representative at a single meeting, and if he chimed in on the discussion, Brownstein couldn't recall.

Labor representatives for the SEIU, on the other hand, and Blue Wolf executives were fixtures at the stakeholders' meetings.

"I don't think either union did much of anything," Brownstein recalled more than a year later, "but SEIU was clearly more comfortable in dealing with the community. As I recall, there was someone from Blue Wolf and the SEIU at every meeting and they answered every question that everyone put to them. They were clearly trying to generate answers and they even made some changes to the original proposal" to win the community's approval.

"Their offer was more opaque but they did a much better job than Prime did in acknowledging community concerns. We never trusted Blue Mountain but the community was much more worried about Prime."

So much so that a coalition of 15 civic groups wrote a joint letter to Harris urging her to veto the sale to Prime. The stakeholders' clear preference was Santa Clara County which had bid on O'Connor, and whose health care network had a regional reputation for providing quality care to the uninsured that was second only to O'Connor's.

But Daughters of Charity executives did not want to break up the set, so-to-speak, and preferred selling all six hospitals to a single bidder.

"I don't know why the California Nurses Association didn't help us push the county's bid," said Grace-Sonia E. Melanio, Communications Director for Community Health Partnership, which was one of the authors of the letter to the attorney general's office.

"I assume it was because they don't represent county nurses but I don't know that for a fact."

By January of 2015, Brownstein, Melanio and others knew that shifting the conversation from the two labor-backed bidders to the county's bid was a longshot, at best.

Still, Melanio recalls her astonishment at seeing the the tsunami of red and blue as she pulled into the O'Connor parking lot ahead of that January public hearing.

"I was shocked," she said, "to see that the unions had the community outnumbered by roughly 100 to 1."


"You Got to Dance with Them That Brung You"

The question of who killed organized labor in the US has always been something of a whodunit for me, until I went to work as a communications specialist for the California Nurses Association in January of 2015.

The action at O'Connor was my first week on the job and the hospital's ultimate sale to a Wall Street hedge fund was tantamount to an exhumation. After examining the cadaver close up, I can report that all evidence identifies the killer beyond a shadow of a doubt:

It was a suicide.

What proved the undoing of the labor movement was not the bloodlessness of conservatives, but the faithlessness of liberals; not the 1 percent's dearth of compassion, but the 99 percent's failure of imagination; not the corruption of the managerial class but trade union leaders' desertion of the very communities that made the American labor movement a force to be reckoned with in the first place.

"You got to dance," the immortal Molly Ivins once wrote, " with them what brung you." After collaborating with workers of all races to create a middle-class that stands as the singular achievement of the Industrial era, unions switched dance partners mid-song.

In championing Prime Health Care, the nurses' union, and its Executive Director, RoseAnn DeMoro, carried water for a venal corporate class in much the same fashion that the Democratic Party, and its titular leader, Hillary Clinton, runs interference for Wall Street, leaving the people of San Jose to choose from the lesser of two evils, just as voters in next week's presidential ballot have no good options.

This is no coincidence. Beginning in earnest with Wall Street's 1975 takeover of New York City's budget, corporate executives have wooed both Democrats and labor union leaders with increasing assertiveness, in a concerted effort to thwart the interracial labor movement that is the only fighting force to ever battle the plutocrats' to a draw.

To put only slightly too fine a point on it, financiers' courtship of labor in the postwar era mirrors Napoleon's recruitment of Haiti's mulattoes to help put down the island's slave mutiny. Both counter- revolutions drove a wedge through the opposition with a psych-ops campaign that can be reduced to a question of identity:

Are you a worker, or are you white?


No More Beautiful Sight

The Bay area can make a credible claim to being the birthplace of the modern labor movement. When West Coast longshoremen went on strike at the height of the Great Depression, Blacks who had consistently been rebuffed in their efforts to integrate the docks, jumped at the chance to work, albeit for smaller paychecks than their white peers.

Confronted with a failing strike, the head of the longshoremen's union, an Australian émigré named Harry Bridges, toured African American churches on both sides of the Bay bridge, according to the late journalist Thomas Fleming.

From the pulpit, Bridges acknowledged the union's historical mistreatment of Blacks, but promised skeptical parishioners that if they respected the pickets, they would work the ports up and down the West Coast, earning the same wage as white dockworkers.

They did, and the strike's subsequent success triggered a wave of labor militancy that not only imbued the economy with buying power, but connected workers' discontent with broader political struggles for affordable housing, free public education, infrastructure improvements, and civil rights.

"Negro-white unity has proved to be the most effective weapon against the shipowners," the historian Philip S. Foner quoted a dockworker saying in his book, Organized Labor and the Black Worker, "against the raiders and all our enemies."

When Oakland's two chic department stores, Kahns and Hastings, denied pay raises to their mostly women employees in 1946, nearly 100,000 union members - mostly men - walked off the job in solidarity.

But they didn't stop there, shutting down the whole of Alameda County for the better part of two days, ordering businesses to close, and turning back deliveries of everything other than essential medical supplies and beer, which they commandeered to hold a bi-racial bacchanal in the streets of Oakland, dancing, singing, and exulting in the power of the many.

It was the last general strike in US history; within months, Congress overrode President Truman's veto of the Taft-Hartley Act which, among other things, outlawed so-called sympathy strikes, and mandated trade unions to expel Communists from their ranks.

Still, the working class maintained its swagger for another generation.

Invoking eminent domain, the San Francisco Redevelopment Agency razed thousands of structures in the city's "blighted" Fillmore neighborhood, forcing nearly 10,000, mostly Black households to relocate, and transforming Geary Street into an eight-lane monstrosity which sealed off the Fillmore from the whiter and wealthier Pacific Heights.

In a 1963 interview with the Boston television station WGBH, about his iconic documentary, Take This Hammer, James Baldwin said this:

"A boy last week - he was 16, in San Francisco - told me on television….He said, "I've got no country. I've got no flag." Now, he's only 16 years old, and I couldn't say, "You do." I don't have any evidence to prove that he does. They were tearing down his house because San Francisco is engaging - as most Northern cities now are engaged - in something called urban renewal, which means moving the Negroes out."

Among those who took notice of the Fillmore's gentrification was Lou Goldblatt, who was, at the time, the second-in-command of the International Longshore and Warehouse Union, the very same union that had integrated the West Coast's docks.

"There was no reason why the pension funds should just be laying around being invested in high-grade securities, Goldblatt later recalled. I thought there was no reason why that money shouldn't be used to build some low-cost housing."

The ILWU created the Longshore Redevelopment Corporation to pounce on the three city blocks-out of a total of 60- that the city had set aside for affordable housing.

In her 1964 letter to the San Francisco Chronicle, Josephine Solomon described her new digs: "I've just moved into my new home in St. Francis Square…and living here is quite clearly going to be exhilarating and, more important, the best possible place in which I can raise my children. About 100 families have already moved in…and we have representatives of all races and colors living together as neighbors. There is no more beautiful sight in this town than our marvelous, mixed-up collection of white, brown, and yellow children playing together in the sunny community square every afternoon."


Who's The Boss?

"C'mon people, what are some more nurses values?"

I was nearly four months into my stint at the CNA when I found myself in a half-lit, mildewed, second-floor conference room in the union's downtown Oakland office, seated among a clutch of maybe 7 or 8 other communications staffers, all but two of us-an Asian woman and myself-who are non-white.

The task this late April afternoon was to identify "nurses values," which I had assumed meant that I would help pore over the results of a nurses' questionnaire to produce a coherent ad campaign.

Instead, the communications manager, Sarah Cecile, stood astride an easel that leaned like a sprinter at the finish line, her magic marker poised to add to the wan list of nouns that glared accusingly at me, reducing Hegelian dialectical inquiry to a game of fucking charades.

"Wait," I said, "we're telling the nurses what their values should be? Shouldn't we be asking the nurses what their values are, you know, like in a survey, or a poll?"

"That's a bad word for us," said a graphic artist who'd worked for the CNA for several years. "Polling is frowned upon here."

"Maybe they know something I don't," I said sarcastically, "but if we're telling the rank and file what to do, doesn't that make the union just another boss that the nurses have to answer to?

Should communications organize a coup of sorts?" I asked provocatively.

When I returned to my office 30 minutes later, I had an email from De Moro's secretary, summoning me to a meeting with the executive director the following morning.

This was extraordinary for a couple of reasons, not the least of which was that despite sharing the same floor as the executive staff, it was an unwritten rule that communications was to have no contact with top management. This directive went so far as to prohibit communications from either emailing executives directly, or from entering or exiting through the executives' north wing.

Moreover, I was told that both the executive staff, and the board, were almost all lily-white, save for one Latino and one African-American on each.

What I remember most about the next day's meeting is the mirthless half-smile that DeMoro wore like a mask for nearly the entire 45-minutes, reminding me of Sir Richard Burton's description of Lucille Ball as "a monster of staggering charmlessness."

She began by asking me if I had any ideas for trying to improve the union's communications effort, which was odd, since she'd blown off an email with my suggestions for doing exactly that only weeks earlier.

"Anything we could do to make this more of a bottom-up effort would be to the union's benefit," I recall saying. "It seems we spend an awful lot of time trying to talk to people who really aren't interested in what we have to say, and not enough rallying and organizing the community to put pressure on decision makers."

By this time, California's Secretary-of-State, Harris had already, effectively vetoed the sale to Prime by attaching such stringent conditions to the transaction that she knew no corporation would accept the terms. I had publicly predicted as much months earlier; knowing that Harris would rely heavily on Wall Street to finance her US Senate campaign, I'd proposed, unsuccessfully, writing articles interrogating the investment firm's mishandling of other businesses it had acquired.

But DeMoro's communications' director, a walking mediocrity named Chuck Idelson, had all of the imagination of a lamp post, and only half the personality. His idea of media relations was sending out at least one anemic press release per day, then marshaling the entire communication staff for two days to badger journalists we had no relationship with to cover news conferences that were wholly absent any news. A North Carolina rally for the Robin Hood tax on Wall Street transactions was attended by two people, the parents of Cecile, the communications manager.

As presidential hopefuls began campaigning in Iowa ahead of that state's all important caucus, the nurses' union planned to launch an ad campaign against Wisconsin's Republican Governor Scott Walker.

"Why in the world would you do that?" I asked Idelson one day in early 2015 just as the primary season was beginning to take shape.

"Well, Walker is really bad on labor," Idelson said.

"All the Republicans are bad on labor," I said. "All the Democrats too. You're gonna tell the rank-and-file that you spent a quarter-of-a-million dollars to help send union-busting Hillary Clinton to the White House? Why don't they spend that money on organizing, or on an ad campaign to support Black Lives Matter. Police violence against people of color is a public health crisis," I said. "Who is more credible on that issue than nurses?"

Moreover, I said, a California-based trade union buying ads in Iowa with union dues will surely be used as a cudgel with which to beat organized labor upside the head.

I repeated my concerns to DeMoro, but with that awkward smile on her face, she made it clear that she shared neither my faith in the rank-and-file, or the community.

"The nurses have some issues," she said at our meeting. "We need for more of them to support the Democrats and to work the phone banks and things like that," she said. "And frankly," she said, abandoning all pretense now, her smile dissolving into a contemptuous frown, "they need to be more progressive, more radical and to take more chances."

DeMoro's annual salary at the time was $359,000, more than triple the average nurse's yearly pay.


You Ain't White

Portraying Leftists as subversives, the 1947 Taft-Hartley Act required trade unions to weed out suspected communists, according to the historian Foner, by asking Black workers questions like:

"Have you ever had dinner with a mixed group?"

And this: Have you ever danced with a white girl?"

Whites were asked if they had ever entertained Blacks in their homes, and witnesses, Foner wrote, were asked "Have you ever had any conversations that would lead you to believe (the accused) is rather advanced in his thinking on racial matters?"

Dorothy Height, president of the National Council of Negro Women, would later acknowledge that this purge of communists from trade unions was akin to severing the umbilical cord while the baby was still in the womb, starving the most democratizing social movements of a vital fuel-source.

Much of the labor movement's bandwidth however, could not be measured in muscle, or union-dues, but in imagination, as demonstrated by the ILWU's Goldblatt's vision of a Beloved Community, fashioned from the stevedores' pension fund.

"So let's all be careful," United Auto Workers President Walter Reuther once said, "that we don't play the bosses game by falling for the Red Scare."

And then Reuther went on to play the bosses game, expertly, chasing Marxists from the union, isolating Black workers, and reverting to the anodyne reforms that characterized the ineffective, segregated unions before the 1934 San Francisco General Strike. So disillusioned were Black autoworkers with Reuther's tripartite alliance with Detroit's industrialists and the Democrats that by the late 1960s, many had begun to joke that the acronym UAW stood for "U Ain't White."

The tipping point, however, occurred in the midst of the 1975 fiscal crisis, when New York bankers hatched a scheme to recoup their losses on bad real estate investments from the wages, pensions, and subsidies shelled out to city employees and the working class. The facts were not on their side, and so the financiers played the only hand they knew to play: race.

Doubling down on the Birth-of-a-Nation narrative, the city's oligarchs, and their friends in the media, portrayed Blacks as a menace to the civic project, exploiting racial resentment of a Black polity that had found its voice mostly through labor unions.

In a 1976 episode of the NBC television series, McCloud, titled "The Day New York Turned Blue," the stetson-wearing New Mexico sheriff- an avatar for white, male supremacy- almost single-handedly rescues Gotham from ruin, largely by convincing an Italian cop named Rizzo to cross a picket line, and help repel an attack by the mafia, who ambush police headquarters to kill a mob attorney-turned state's witness.

Aside from the mafia, the villains in this urban morality tale are the police union-led by the Bad Nigger that 1970s America loved to hate, Carl Weathers-which refuses to call off a labor walkout in the city's time-of-need, and a prostitute who is drugging her clients-one an accountant visiting New York to audit federal bailout money-with a fatal, suffocating blue paint.

Playing the role of Rizzo in real-life was the head of the city's largest municipal union, Victor Gotbaum. In his book, Working Class New York, the historian Joshua B. Freeman wrote of Gotbaum and his partner, Joe Bigel:

"Having seen the power of the financial community,the hostility of the federal government, and the divisions within the union movement, they shied away from a militant, independent labor strategy which might have led to them being blamed for a city bankruptcy. Instead, they preferred to make concessions and invest their members' pension money in city debt in return for a place at or near the table, where discussions about the city's future were being made by financiers, businessmen, and state and federal officials. Gotbaum became so entranced by the power elite . . .that within a few years he and (investment banker Felix) Rohatyin were calling each other best friends, even holding a joint birthday party in Southampton."

DeMoro is an heir to Gotbaum, not Goldblatt. If she or any of her lieutenants had an ounce of imagination I never saw it. Consider that at no time during the Daughter's of Charity sale, did I ever once hear anyone mention the possibility of pushing for legislation to convert O'Connor to a worker, or community-managed health co-op, similar to the ILWU's response to the Fillmore's housing crisis.

Shortly after Harris nixed the Prime deal, DeMoro called an emergency all-staff meeting in March of 2015, in which she bluntly asked the 65 or so staff members for their suggestions.

"If we don't do something different now, we're going to die," she said.

A young Latina labor organizer raised her hand, and said: "Why don't we start to build partnerships with the immigrant rights community that's politically active and organizing across California," I recall her saying. "We could really strengthen our own organizing capacity and deepen our roots in a community that is looking to join forces with institutional allies."

You could've heard a gnat piss on cotton in Georgia.

Later, the young organizer would tell me privately me that had she been a white, male labor organizer, and replaced immigrant rights community with some off-brand faction of Silicon Valley white liberals, say Facebook founder Mark Zuckerberg, DeMoro would've been over the moon.

"Everybody knows that RoseAnn loves her white boys," she said.

As for me, I was fired a week after proposing a coup because "you don't seem happy here."

It was May 1, or May Day.



This was originally posted on Jon's personal blog.


Jon Jeter is the author of 'Flat Broke in the Free Market: How Globalization Fleeced Working People,' and the co-author of 'A Day Late and a Dollar Short: Bright Nights and Dark Days in Obama's Postracial America.' He is a former Washington Post Bureau Chief in southern Africa and South America, a former producer for This American Life, and twice a finalist for a Pulitzer Prize.