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The New Campus McCarthyism

There’s a McCarthyite campaign in full spate across higher education in the U.S. today.  For every headline case, like Norman Finkelstein or Joseph Massad, there are three or four less-publicized smear campaigns. In the sights of the witch-hunters are faculty targeted as “anti-Israel”, as terror-symps, as leftists. In our latest newsletter we feature the personal history of Victoria Fontan, a Frenchwoman who came to a US campus from field work in the back alleys of Fallujah and found out just how devastating academic warfare can be.  ALSO --  Saving the Florida Everglades – Alan Farago reports from the battlefront. PLUS -- They aimed at Moscow, They Hit Kabul:  Serge Halimi on Sarkozy and  NATO’s Mission Creep. Get your new edition today by subscribing online or calling 1-800-840-3683 Contributions to CounterPunch are tax-deductible. Click here to make a donation. If you find our site useful please: Subscribe Now! CounterPunch books and gear make great presents.

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Today's Stories

April 14, 2009

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The Afghan Rubik's Cube

April 13, 2009

Patrick Cockburn
Iraqi Militia Fear Reprisals After US Exit

Uri Avnery
Our Dissonance

Jeremy Scahill
A Test Case for Habeas Corpus: Will Obama Prosecute the Somali Pirate in a US Court?

Martha Rosenberg
Suicide Syndrome: Are VA Protocols Behind Iraq Vet Suicides?

Karl Grossman
A Radioactive Extension for Aging Nuclear Plants

Nadia Hijab
Still Waiting: Obama and American Muslims

Sam Smith
America's Cultural Bear Market

James McEnteer
Peru's Shining Example

Sean McMahon
Globalizing Politicide: Israel's Strikes on Sudan

Namihei Odaira
Makota's "Campaign Against Poverty"

John V. Walsh
Bossnapping

Website of the Day
Declining IRS Audits for Big Financial Houses

April 10 / 12, 2009

Alexander Cockburn
Resurrection and Revenge

Chris Floyd
Hope Abandoned: Obama Protects CIA Torture Memos

Mike Whitney
"Liquidate the Banks; Fire the Executives!" Warren's Devastating Report to Congress

Saul Landau
How the Media Bought the Surge

M. Reza Pirbhai
Obama's Afghanistan Plan and India-Pakistan Relations

Franklin Spinney
The Art of the Scam: Wall Street and the Pentagon

Rannie Amiri
Iran's Elections: Why Arab Leaders Want Ahmadinejad to Win

William Blum
The Ideology of Barack Obama

Matt Vidal
Why Card Check Would Help the Economy

Jeff Howison
Death of the Square Deal

Jeff Leys
Resisting the Af-Pak War: the Creech Air Base Arrests

Dave Lindorff
America's Imperial Wars: Why We Need to See the Horrors

Ramzy Baroud
Israel Investigated: But Will It Repent?

Missy Beattie
The Grateful Dead, Wounded and Displaced

Fred Gardner
Fakes Left, Goes Right: Obama's Crossover Dribble on Marijuana Policy

Harvey Wasserman Another $50 Billion for Rust Bucket Nukes?

Suzan Mazur
A Revolution in Biology: an Interview with Nobel Laureate Paul Nurse

Bernard Umbrecht
German Capitalists Take Fire

David Macaray
A Word Clooney, Hanks and Baldwin Should Learn: Solidarity

Janet Kauffman
How to Starve (or Feed) a River

Ron Jacobs
Daring to Struggle, Failing to Win

Norman Solomon
Getting a Death Grip on Memory

Michael Winship
Let the Railsplitter Awake!

Richard Rhames
Empire, Ennui and Extra Cheese

Wanda Fucha
Brother, Can You Spare a Million Bucks?

David Yearsley
My Journey to the Heart of Rahman

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April 9, 2009

Mike Whitney
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Patrick Cockburn
What It Would Take to Mend Fences with Islam

Stephen Soldz
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Israel's Master Plan for Transfer

Gareth Porter /
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Saving GM From Bankruptcy--With the Stroke of a Pen

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My Meeting with the Black Caucus

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April 8, 2009

John Prados
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Bill Moyers /
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Changing the Rules of the Blame Game

Winslow T. Wheeler
The Tooth Fairy and the Defense Budget

Russell Mokhiber
PBS Lashes Back

Kathy Sanborn
Depression Fury

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James McEnteer Rashomon and the Binghamton Shooter: the Rush to Interpret Jiverly Wong's "Statement"

Nadia Hijab
Olmert's Nightmare

Adam Turl
Card Check on the Ropes

Kevin Zeese
Escaping the Drug War Quagmire

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Walk Score Your Neighborhood

April 7, 2009

David Price
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Uri Avnery
Who's the Boss?

Chris Floyd
Talking Peace in Prague, Dropping Bombs in Pakistan

Winslow T. Wheeler Defense Cuts: Gates and the System

Marjorie Cohn
Prosecuting the Bush Torture Team: Spain Leads the Way

Dean Baker
Hands Off Social Security

Diana Johnstone
NATO, Strasbourg and the Black Block

Dave Lindorff
Politicizing Accounting

Martha Rosenberg
Life on HBO's Factory Hog Farm

Evelyn Pringle
Motherhood and the Psycho-Pharmaceutical Complex

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Gaza: Closed Zone

April 6, 2009

Michael Hudson
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Andy Worthington Bagram: Guantánamo's Dark Mirror

Ray McGovern
Profiles in Cowardice: Eric Holder and Colin Powell

Deepak Tripathi
The Pakistan Enigma

Mike Whitney
Bernanke's Financial Rescue Plan: a Glide-Path to Destitution

Norman Solomon
Meet the New Escalators: the Democrats and the Afghan War

Jonathan Cook
Israel Railways Accused of Racism in Firing of Arab Workers

Judith Bello
Justice for the Developmentally Disabled

Deena Metzger Blackwater in Liberia

Dr. M. Kamiar
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Prison Talk

April 3-5, 2009

Alexander Cockburn
From Twin Towers to Twin Camelots

Kathy Kelly /
Brian Terrall

Getting a Closer Look at the Killer Drones

Sue Sturgis
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Peter Morici
Girding for a Depression

Kathy Sanborn
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Andy Worthington
Britain's Guantánamo: Fact or Fiction?

Rob Larson
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Saul Landau
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Steve Early
An Evening with Andy Stern

John Goekler
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Rannie Amiri
Arab League Reconciliation Summit a Bust

Dave Lindorff
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Lee Ballinger
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Ron Jacobs
Artifacts for Survival

David Macaray
AIG Plays the Sympathy Card

John Wight
G20: Capital's New World Symphony

Keeanga-Yamahtta Taylor
Race in the Obama Era

Mychal Bell
Surviving Jena Six

Missy Beattie
Hoop Hopes, War and Peace

Reza Fiyouzat
The Iran/US Rapproachment Dance

Michael Boldin
The War on Drugs is a War on You

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Charles R. Larson
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Susie Day
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Stephen Martin
Gordon Brown's Chicken Run at the G20

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David Yearsley
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Phyllis Pollack
An Interview with Legendary Rock Producer Chris Kimsey on Working with the Stones, Ronnie Wood, Jimmy Cliff, Peter Tosh and Saint Jude

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April 2, 2009

Robert Weissman
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Eric Toussaint /
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A G20 Meeting for Naught

George Bisharat
Israel's Impunity Must End

Russell Mokhiber
Something is Rotten at PBS

Franklin Lamb
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Gareth Porter
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David Macaray
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Chris Genovali
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Sam Smith
The Politics of Adulation

Suzan Mazur
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April 1, 2009

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Stanley Heller
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Jonathan Cook
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Eric Walberg
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Richard Morse
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Don Fitz
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March 31, 2009

Uri Avnery
The Deception Tango

Peter Lee
Ghosts in the Machine: the World's Hottest Cyberwar Battlefield

Nicholas Dearden
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Dave Lindorff
The Obama Betrayal

Joanne Mariner
"We'll Make You See Death"

Ron Jacobs
Obama's Pakistan Gambit

Wiliam S. Lind
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Who Says the GOP Doesn't Have a Plan?

Benjamin Dangl
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Johnny Barber
Meditation in Orange

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March 30, 2009

Michael Hudson
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Patrick Cockburn
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Henry A. Giroux
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Ralph Nader
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Paul Craig Roberts
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Jeremy Scahill
The Logistical Nightmare in Iraq

Robert Bryce
The Cellulosic Ethanol Delusion

Jonathan Cook
Remembering Land Day in Palestine

Ray McGovern
Obama Bombs

Website of the Day
Hersh: Syria Calling

 

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April 14, 2009

An Open Letter to the New York Times

Why Has the Press Failed Us in Reporting on Health Care Reform?

By BENJAMIN DAY

For the first time in the span of a generation, national health care reform is back on the horizon, and I’m writing to you to step back for a moment into the history of the Times’sreporting on health care reform.  Last year I began a research project with two researchers from Harvard Medical School, Drs. David Himmelstein and Steffie Woolhandler, to look at the history of major state health reforms such as TennCare, the Oregon Health Plan, MinnesotaCare, and many others. A sweeping health reform bill had been passed into law in Massachusetts in 2006 that was being hailed as a unique, first-of-its-kind bipartisan strategy to achieve universal or near-universal health coverage without raising taxes or adding new regulations on the health care industry. We initially set out to find how unique the Massachusetts health reform law really was compared to previous state efforts, and to see if by analyzing the outcomes of those earlier reform efforts we could learn some lessons about what to expect in Massachusetts.

What we found surprised us, and a summary write up of our findings was published in the International Journal of Health Services. We found that, aside from the “individual mandate” in Massachusetts requiring many of the uninsured to purchase their own private health plan or face tax penalties, many reforms in other states – indeed, even in our own state in the recent past – were almost identical to the Mass plan in their goals and structure. They also all failed to achieve their stated goals of reducing the uninsured population in their respective states and/or of controlling rising health care costs. The most ambitious of these, TennCare in 1994 and a large Medicaid expansion in Massachusetts also in the mid-1990s, were able to reduce the uninsured in their respective states for a period of several years. However, the financing of these plans all proved unsustainable over time, enrollment was often capped or benefits eroded, and a few short years after passage every state found itself back where it started: with high and rising health care costs and a large and growing uninsured population. We titled our article “State Health Reform Flatlines.”

What we found even more surprising than this history of failed reform efforts, though, was media coverage of the legislation. Articles by our most respected news organizations hailed state reform after state reform as pioneering, likely to serve as models for the nation, and designed to control costs and extend health coverage to the uninsured. No reasonable reader of the news available at the time these laws were passed would expect that they might fail entirely to reduce the uninsured over time, or that they might not succeed in controlling costs at all.

Florida in April 1993 launched the first of what would be many “managed competition” plans for controlling costs and extending health coverage, a scheme that would serve as virtually the only cost control component of Bill Clinton’s proposed health reform bill of 1994. The New York Times wrote “The Florida Legislature approved a sweeping overhaul of the state's overburdened health-care system early today, making Florida the first state in the nation to combine free market competition and government regulation in a way similar to the Clinton Administration's plans for controlling soaring medical costs… Florida's plan, which will try to cover most people eventually and at the same time to control health costs, is taking place on a larger scale than anything seen elsewhere.” Managed competition did not control costs in Florida or anywhere else, nor was the uninsured population reduced.

Exactly one year previous in April of 1992 Minnesota passed its “HealthRight” plan – later renamed “MinnesotaCare.” USA Today wrote of it: “Minnesota is about to embark on a plan to solve the health-insurance crisis that could hold lessons for other states and the nation… HealthRight… will begin signing up families with children in the fall and will be fully open to Minnesota's estimated 370,000 eligible uninsured by 1994.” The Associated Press wire coverage of the law repeated state estimates that almost 40 percent of those uninsured should be covered by 1997, and quoted the head of the National Conference of State Legislatures calling the bill "the first complete reform proposal in the United States." MinnesotaCare did not reduce the percentage of uninsured in Minnesota even in the short-term.

A few other quotes should be enough to convey the sense that there is a recurring problem in the news we receive on health reform in America. A Vermont bill also passed in 1992 elicited this opening description in the New York Times: “Gov. Howard Dean, the only governor who is a physician, signed a law Monday in Bennington that sets in motion a plan to give Vermont universal health care by 1995.” The Oregon Health Plan of 1992, which attempted to reduce benefits for Medicaid beneficiaries in order to expand coverage to the uninsured, was described in a Washington Post article as “The most far-reaching health care reform in the nation.” The New York Times began its coverage by stating that “The Clinton Administration today approved Oregon's proposal to guarantee health services for poor people by rationing care.” Neither Vermont’s reform nor Oregon’s reduced the percentage of uninsured in the state, and the poor in Oregon were not covered.

These are selective quotes: the broader coverage has often provided good descriptions of what the laws are intended to accomplish. Moreover, they have included extremely effective reporting on the politics of the health reform process – particularly when the process is contentious, or where well-organized groups have mobilized opposition. However, in the United States we have a long history of reforms that have survived the political process only to fail economically, and it is clear in retrospect that the media sources – both local and national – with large market share have not done their due-diligence in reporting on the economic viability of health reform efforts. I believe this would be borne out by analyzing coverage of many other significant reforms in Washington, Tennessee, Massachusetts, Hawaii, Maine, California, Utah, and nationally.

This becomes particularly clear by comparing coverage of health care reform with medical reporting in virtually any paper. The Christian Science Monitor on April 8, for example, carried a story that is typical of this approach to health politics reporting entitled “Healthcare battle brewing: political groups gear up: A public insurance alternative is likely to be the most contentious of the reform proposals.” The story states that the Obama administration hopes to introduce a Medicare-like public buy-in plan available to individuals and businesses as an alternative to private health coverage. It goes on to cite the Heritage Foundation’s opposition to the plan, the support of groups such as MoveOn.Org and Democracy for America, and public polling from Harvard Professor Robert Blendon. The article follows a “he-said/she-said” format, with the Heritage Foundation contending that such a plan would not allow private insurance to compete on a level playing field, advocates urging that it will bring down costs and hold the private insurance industry accountable, and the CEO of Families USA urging that both sides attempt to find a common ground.

What is missing from this narrative of contending arguments is a discussion of evidence about the likely impacts of a public plan option. There have been forms of public-private health insurance competition implemented under Medicare for a number of years, and there are many other countries that allow competition between public and private health insurers. Peer-reviewed studies of public-private competition are not hard to find, nor are experts with varying opinions. Compare the CSM discussion with almost any medical news story in the New York Times Health Section on the same day: there is a report on a new study by two Stanford professors assessing the impact of George W. Bush’s AIDS Relief program in Africa; two studies about the impact of light exercise for heart failure patients; three reports on the role of “brown fat” in burning calories; and others. In short, medical reporting and the coverage of public disagreements revolve around evidence, there are standards for credible sources, and it is common to read about the limitations of available evidence. Although I am personally an advocate and an organizer coming from a single-payer health care perspective, what strikes me most after reading hundreds of news reports on health reform is the lack of academic perspectives, held to academic standards, concerned with basic questions of the economic efficacy and sustainability of health policy proposals.

At the state level this has often been exacerbated by bi-partisan legislation. Many of the reforms that have failed to achieve or even approach their stated goals have been passed with support from the Democrats and Republicans holding one or both legislative houses or the governor’s office. This has a particularly chilling effect on politics-based health reform coverage. Reporting on the Oregon Health Plan, for example, focused almost exclusively on the attempt to ration services for Medicaid enrollees – would this plan harm the disabled or the poor, was it just? – while the basic question of whether the law, even taking rationing for granted, would succeed in reducing the uninsured in the state, went unasked. In Tennessee, similarly, the spectacle of almost one million Medicaid enrollees being moved into managed care plans occluded the basic question of whether the proposal to extend coverage to another half a million uninsured residents was economically viable, or if it would succeed in reducing the state’s uninsured over time – these latter goals being the entire point of moving Medicaid recipients into managed care plans in the first place.

This shortcoming has also been exacerbated by the subject material. Increasing access to health care is what makes health reform morally compelling for most people, but financing and cost controls are what make efforts to expand access sustainable or unsustainable. These are topics not well-suited to personal interest stories, and they are often bewilderingly complex.  In Massachusetts alone, residents have been promised universal health care or dramatic reductions in the uninsured at least four times in the last twenty years. A few years after each reform passes, the dry logic of costs and financing has left residents back where they started, and yet when the politics of health reform begin again we are provided with very little information in the public sphere to sort out the snake-oil from the genuine, sustainable reform proposals.

I write to you not because I believe the New York Times is particularly at-fault in leaving its reading public unprepared to determine the viability of different health reform proposals, but because the scope of the Times’s coverage has meant that it has reported on a wide range of state and national efforts, which gives us a good window on the history of health reform coverage in the United States. This year, many national commentators are measuring the ongoing process of health policy development against the failed Health Security Act of the Clinton era. This has led many advocates to be particularly concerned with crafting politically viable proposals. I believe this makes the burden on reporters to effectively assess whether the proposals are likely to achieve their stated goals sustainably all the more important.

I would urge the Times not to report health policy disputes in a he-said/she-said format divorced from evidence-based standards. Reporters should challenge interviewees to source their economic claims, include those sources in their write-ups, and not shy away from evaluating the quality of evidence offered from different perspectives. Furthermore, we have learned time and again that where there is political harmony, there is not necessarily economic rationality. The burden of evidence-based evaluation of health policy cannot stop at the borders of political skirmishes.

I thank you for your consideration of this open letter,

Sincerely,

Benjamin Day
Executive Director
Mass-Care: The Massachusetts Campaign for Single Payer Health Care
Email: info@masscare.org

Notes.

Steffie Woolhandler, Benjamin Day, and David U. Himmelstein, “State Health Reform Flatlines,” International Journal of Health Services, Volume 38, Number 3, Pages 585–592, 2008. Available online at http://www.pnhp.org/states_flatline/

Larry Rohter, “Florida Blazes Trail to a New Health-Care System,” The New York Times, April 4, 1993, Sunday.

Kevin Anderson, USA Today, April 21, 1992.

Fox Butterfield, “UNIVERSAL HEALTH CARE ADOPTED IN VERMONT,” New York Times News Service, May 12, 1992.

Michael Abramowitz, “Oregon Blazes a Trail; Doctor/Legislator John Kitzhaber Sets Off Political Fireworks With His Plan to Ration Medical Services While Expanding Coverage,” The Washington Post, June 9, 1992, Tuesday.

ROBERT PEAR, “U.S. Backs Oregon's Health Plan for Covering All Poor People,” The New York Times, March 20, 1993, Saturday.

Alexandra Marks, “Healthcare battle brewing: political groups gear up: A public insurance alternative is likely to be the most contentious of the reform proposals,” The Christian Science Monitor, April 8, 2009.

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