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"Imperial Crusades: a Diary of Three Wars" by Cockburn and St. Clair
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Today's Stories December 31, 2007 Alexander Cockburn December 29 / 30, 2007 Alexander Cockburn Tariq Ali Fawzia Afzal-Khan Gary Leupp China Hand Jacob Hornberger John Chuckman Missy Beattie Ralph Nader Fidel Castro Robert Fantina Greg Moses Catherine Lutz Kristin Van
Tassel Kim Nicolini Phyllis Pollack Poets' Basement Website of
the Weekend
December 28, 2007 Farzana Versey Wajahat Ali Binoy Kampmark Ayesha Ijaz
Khan Anthony DiMaggio Ray McGovern Jim Goodman Ron Jacobs Russell Hoffman John Murphy Website of the Day
December 27, 2007 Dilip Hiro Murtaza Shibli Stephen Soldz Bill Quigley Paul Craig Roberts Omer Subhani Marjorie Cohn Allan Nairn Jacob G. Hornberger Norman Solomon Patrick Irelan Ben Tripp Website of the Day
Charles Tripp Paul Armentano Rannie Amiri Stanley Heller John Walsh Martha Rosenberg Norman Madarasz Website of
the Day
December 25, 2007 Patrick Cockburn December 24, 2007 Andrea Peacock Tariq Ali Uri Avnery Jill Jameson Steve Melendez Mike Whitney Chuck Munson John Walsh Farzana Versey Richard Neville Website of the Day
Alexander Cockburn Ralph Nader Andy Worthington Ahmad Faruqui Bill Moyers Rev. William
E. Alberts Timothy J. Freeman Anthony DiMaggio Fred Gardner Paul Krassner Seth Sandronsky William Loren
Katz Michael Dickinson Ron Jacobs David Vest Poets' Basement Website of the Weekend
December 21, 2007 John Ross Jacob Hornberger Dick J. Reavis Jeff Cohen
Peter Morici Jack McCarthy Raúl Zibechi Steve Early David Macaray Patrick Bond Lakota Freedom Delegation Website of
the Day
December 20, 2007 David Rosen Alan Farago Laura Carlsen Ashley Dawson Wayne Smith Website of
the Day
December 19, 2007 Saul Landau Paul W. Lovinger Norman Solomon Dave Zirin Marjorie Cohn Sen. Russell
Feingold Sonja Karkar Anthony Papa Christopher Ketcham Davey D Website of
the Day
December 18, 2007 R. F. Blader George Wuerthner Steven Higgs Vijay Prashad David Macaray Ralph Nader Eva Liddell Martha Rosenberg Dave Lindorff Peter Morici Website of
the Day
December 17, 2007 Mike Whitney Tom Barry Uri Avnery Greg Moses Allan Nairn Patrick Bond Stephen Lendman Charles Jonkel Laray Polk Stephen Fleischman December 15 / 16, 2007 Peter Linebaugh Howard Zinn Standard Schaefer Raymond J.
Lawrence Alan Farago Saul Landau Jenna Orkin Ahmad Samih
Khalidi Robert Fantina Missy Comley
Beattie Ramzy Baroud James L. Secor Elijah Wald Website of
the Weekend
December 14, 2007 JoAnn Wypijewski John Ross Jacob Hornberger Andy Worthington Allan Nairn Dave Zirin Dave Lindorff Misty MacDuffee Ben Terrall Dr. Mustafa
Barghouthi Website of the Day
December 13, 2007 Paul Craig
Roberts Mike Whitney Ron Jacobs Norman Solomon Peter Morici Sandy Mayes Franklin Lamb Jacob Hornberger Nadim Rouhana Dave Zirin Website of the Day
Allan
Nairn Alan
Farago Ray
McGovern Winslow
T. Wheeler Evan
Jones James
Petras Joel
Hirschorn Joshua
Frank Sherry
Wolf Dan
Bacher Website
of the Day
December 11, 2007 Patrick
Cockburn Diana
Johnstone Paul
Craig Roberts David
Macaray Ralph
Nader Andy
Worthington Martha
Rosenberg Steve
Champion / Kim
Nicolini Michael
Dickinson Website
of the Day
Uri
Avnery Debbie
Nathan JoAnn
Wypijewski Steve
Kelly Donna
J. Volatile
December 8 / 9, 2007 Alexander
Cockburn Brenda
Norrell Saul
Landau R.
F. Blader Ray
McGovern Allan
Nairn Linn
Washington, Jr Paul
Craig Roberts
December 7, 2007 Sean
Penn Arthur
Versluis M.
G. Piety Pam
Martens Alan
Farago Allan
Nairn Col.
Dan Smith Alice
Slater Robert
Weissman Website
of the Day
December 5, 2007 Mike
Whitney Sharon
Smith James
Petras Ron
Jacobs Dave
Zirin John
V. Whitbeck Peter
Zinn Niranjan
Ramakrishnan Alan
Farago Heather
Gray Website
of the Day
December 4, 2007 Alexander
Cockburn Andy
Worthington Paul
Craig Roberts Ray
McGovern Winslow
T. Wheeler Allan
Nairn Russell
Mokhiber Nikolas
Kozloff John
V. Walsh Ghada
Ageel Stephen
Soldz Website
of the Day
December 3, 2007 Tariq
Ali Bill
Quigley Eric
Walberg Uri
Avnery Marjorie
Cohn Dave
Lindorff Stephen
Fleischman Martha
Rosenberg Website
of the Day
December 1 / 2, 2007 Alexander
Cockburn Jeffrey
St. Clair Mike
Whitney Shemon
Salam Roger
Burbach Benjamin
Dangl Brian
M. Downing Greg
Moses Sonja
Karkar Saul
Landau Margaret
Kimberley John
Ross Reza
Fiyouzat Judith
Scherr Lance
Olsen Christopher
Brauchli Robert
Fantina Dan
Bacher Michael
Donnelly Website
of the Weekend
November 30, 2007 Peter
Stone Brown Wajahat
Ali Allan
Nairn Alan
Farago John
Ross Corporate
Crime Reporter Lucia
Alvarez James
Rothenberg Website
of the Day
November 29, 2007 R.
F. Blader Ismael
Hossein-Zadeh Stephen
Soldz Sheldon
Richman George
Wuerthner Felice
Pace Col.
Dan Smith Harvey
Wasserman Nikolas
Kozloff Paul
Krassner Dave
Lindorff CP
News Service Website
of the Day November 28, 2007 James
Petras Jeff
Halper Pam
Martens Peter
Morici Mohammed
Khatib Helen
Redmond William
S. Lind Ben
Tripp Liaquat
Ali Khan Jeff
Berg Website
of the Day
November 27, 2007 Joe
DeRaymond Paul
Craig Roberts Marjorie
Cohn Mike
Whitney Ron
Jacobs Col.
Dan Smith Ralph
Nader Karim
Makdisi Christopher
Ketcham Ronan
Bennett Website
of the Day
November 26, 2007 Kathleen
and Bill Christison Paul
Craig Roberts David
Macaray Sameer
Dossani Roger
Burbach Mark
Scaramella Brian
McKinlay Rick
Kuhn Binoy
Kampmark Monica
Benderman Brenda
Norrell Website
of the Day
November 24 / 25, 2007 Alexander
Cockburn Robert
Fisk Saul
Landau Jeffrey
St. Clair Rannie
Amiri Christopher
Brauchli Daniel
Gross Mike
Whitney Marjorie
Cohn David
Rosen David
Michael Green Kenneth
Rexroth Muhammad
Iqbal Website
of the Day
Gary
Leupp Laura
Carlsen David
Macaray Andy
Worthington Clifton
Ross Seth
Sandronsky Dan
Bacher William
A. Cook Website
of the Day
November 22, 2007 Alan
Farago Greg
Moses Dave
Lindorff Mike
Ely Omar
Azfar
November 21, 2007 Vijay
Prashad Martha
Rosenberg Manuel
Garcia, Jr. John
Ross Brian
McKenna Stephen
Soldz Monica
Benderman Ben
Terrall Website
of the Day
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Weekend
Edition Why We Need Single-Payer Health CareDoes This Happen in Canada?By MARK T. HARRIS The story of 17-year-old Nataline Sarkisyan's recent death from liver failure was tragic. But it was a uniquely American brand of tragedy. Only in the United States would the medical fate of a sick child be left to some private company's idea of what constitutes necessary care. The Northridge, California, teenager died after her health insurer, Cigna Healthcare, spent critical weeks denying approval for the liver transplant her UCLA medical team said was her last hope. Only after public protests by her family and the California Nurses Association embarrassed Cigna did the company reverse its decision. But it was too late. The decision came the same day Nataline died. What is wrong with this picture? Like all insurers, Cigna relies on hired medical advisors to evaluate a treatment's medical appropriateness under the terms of a policy. In this case, Cigna's "evidence-based" medical guidelines led it to deny the recommended liver transplant, categorizing the procedure as "experimental." This was a complex medical situation, of course. But all the more reason why the patient's actual medical team should have been the only authority to determine the appropriateness of treatment. In fact, there was uniform support for the transplant from UCLA's medical experts. Instead, the insurer's conduct became a case study in the worst possible outcome that can result from the involvement of a for-profit insurer in medical decisions. But the case also suggests something is wrong even when things go right under the present health system. Obviously, insurance companies stay in business by paying most claims. No one would buy their products if they didn't. But they also stay profitable by trying to avoid sick people as customers, and whenever possible by not paying claims. Who among us cannot speak from personal experience about the frustrations of getting a legitimate claim paid? Years ago I once found myself in a hospital emergency room in Chicago with an acute kidney infection. I spent two days in the hospital and was successfully treated. I also ended up with about $4,000 in medical bills. Fortunately, I had health insurance through my employer. But fortunate can be a relative thing when you're dealing with an insurance company. Shortly after returning to work I received a letter from the insurer informing me that my hospital stay was not covered since it was for a "pre-existing condition." The plan excluded pre-existing conditions during my first year of coverage. By what stretch of the imagination could an acute infection and emergency hospitalization constitute a pre-existing condition? Was it because I had always had a kidney? This was the question I had when I called the company's claims department. The claims rep couldn't answer my question and said he would get back to me. A short while later I received another letter from the company informing me that my hospital stay would now be covered. The insurer's attempt to avoid paying my claim was clearly wrong. So why would they do it? Was it just an "oversight?" Or was there some cost-benefit analysis somewhere that showed if an insurer denies coverage in 100 similar cases, X number of policyholders could be expected not to challenge the decision, thus saving Y dollars? Insurance companies are not penalized for rejecting claims, of course, unless fraud can be proven in court. But the fact that insurers will often quickly reverse a rejected claim when the customer protests suggests the rotten core at the heart of their system. I also once sought chiropractic care, which my insurer covered at 70 percent of the cost of care. But the catch was that the insurer paid 70 percent of what they considered a reasonable fee for the particular service. Of course, their idea of a reasonable fee was always lower than the doctor's. The absurdity of this was brought home when my doctor actually lowered her per visit cost by a small amount. Naively, I thought my out-of-pocket costs would go down. Wrong. The insurance company responded by re-adjusting downward their definition of a "reasonable fee." All this is otherwise known as the "let's see what we can get away with" approach to quarterly profits. Such experiences among policy holders are hardly out of the ordinary, and they raise a pertinent question: Do we really want a health care system that encourages those who pay for care to find ways not to pay for care? Contrary to the free-market hype of Republicans, inefficiency runs rampant in a health system controlled by private companies. Lavish executive salaries, marketing costs, and stock dividends all eat up financial resources that could be used for actual health care services. But contrary also to the reform hype of most Democrats, a more closely regulated mishmash of private insurance and employer plans combined with new public benefits, tax credits, and subsidies is not going to resolve the current system's failings. Both Hillary Clinton and John Edwards propose mandates that will require the public to purchase health insurance, a potential boon in new profits the insurance industry can only welcome. In return, they expect the insurance industry to cooperate with reforms to improve their products. Barack Obama's health plan differs fundamentally only in leaving out a purchasing mandate. But either way the candidates are sidestepping reality: for-profit and health care go together like oil and water. In fact, as the California Nurses Association and other single-payer advocates note, mixed public-private systems always seem to end up favoring the private sector's efforts to corral the most profitable patients and services. Invariably less profitable patients and services become the burden of public resources. Unlike most modern nations, Americans have allowed their health care system to be undermined by a business culture that apparently sees no aspect of the human experience as off-limits to those who prefer dollar signs to social responsibility. Currently, millions of uninsured as well as insured Americans are not getting timely or adequate medical care because of unaffordable costs or concerns over high deductibles and co-pays. Or, sometimes, as one Northridge family learned, because their insurance company is more concerned about profits. The CEO of Cigna Healthcare's parent Cigna Corporation, H. Edward Hanway, earned about $21 million in total compensation in 2006. You just have to ask. Is this right? Do children who use the Canadian health care system die to make other people rich? Mark T. Harris is an editorial consultant to healthcare
organizations. He lives in Bloomington, Illinois. Visit his website:
www.Mark-T-Harris.com.
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