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JAMES BROWN: THE SOUL WILL FIND A WAY

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"Imperial Crusades: a Diary of Three Wars" by Cockburn and St. Clair

Today's Stories

December 31, 2007

Alexander Cockburn
Goodbye 2007 and Good Riddance!

December 29 / 30, 2007

Alexander Cockburn
Options in America: Kill Yourself or Have a Baby

Tariq Ali
Indignation and Fear Stalk Pakistan

Fawzia Afzal-Khan
My Encounter with Benazir Bhutto

Gary Leupp
The U.S. and Pakistan After 9/11: Blowback from an Unholy Alliance

China Hand
Pakistan Stares Into the Abyss

Jacob Hornberger
Stop Medddling in Pakistan

John Chuckman
Pakistan and the Failure of Quick-Fix Politics

Missy Beattie
Evaluating Bush with the Bhutto Corruption Standard

Ralph Nader
Who Will Take the Next Step?

Fidel Castro
There Hasn't Been a Day in My Life When I Haven't Learned Something

Robert Fantina
The Sham of Homeland Security

Greg Moses
Beauty from the Heart of Texas

Catherine Lutz
What We Can Not See: Art and Bombing

Kristin Van Tassel
Seeing in the Dark

Kim Nicolini
Redacted: Brian DePalma's Scream of Outrage

Phyllis Pollack
Keith Richards Runs With Rudolph Once More

Poets' Basement
Landau, Gibbons and Davies

Website of the Weekend
Driving Karachi in Search of the Perfect Naan

 

December 28, 2007

Farzana Versey
The Complex Electra

Wajahat Ali
A Pakistani Requiem

Binoy Kampmark
Death in Rawalpindi: Bhutto and Her Legacy

Ayesha Ijaz Khan
Not Dead Yet: The Pakistan People's Party Still Survives

Anthony DiMaggio
Turkey's Bombing of Iraq

Ray McGovern
Creeping Fascism

Jim Goodman
Biofuels, the Biggest Scam Going

Ron Jacobs
Transcending the Colonizer's History: Iran, a People Interrupted

Russell Hoffman
Mini-Nukes by Toshiba

John Murphy
Greens Gone Wild

Website of the Day
Guiliani Campaign Official: "Only Rudy Can Defeat the Muslims"

 

December 27, 2007

Dilip Hiro
A Tragedy Foretold: Will Bhutto's Death be a Boost for Her Party?

Murtaza Shibli
Who Killed Bhutto?

Stephen Soldz
Fallujah, the Information War and U.S. Propaganda

Bill Quigley
Locked Outside the Gates

Paul Craig Roberts
The Great American Lock-Up

Omer Subhani
Killing Bhutto: What Happens Next in Pakistan?

Marjorie Cohn
The Torture Tape Cover-Up: How High Does It Go?

Allan Nairn
Cataclysm By Money Whim

Jacob G. Hornberger
Smearing Ron Paul: Shame on the NYT

Norman Solomon
Channeling Suze Orman

Patrick Irelan
Rumsfeld Spills the Ink

Ben Tripp
Pass the Razor Blades

Website of the Day
Quagmire, For What It's Worth

 


December 26, 2007

Charles Tripp
From One Saddam to Fifty

Paul Armentano
No-Knock, You're Dead

Rannie Amiri
Lebanon in Search of a Government

Stanley Heller
Brzezinski and Charlie Wilson's War

John Walsh
Two Unreasonable Men

Martha Rosenberg
The Strange Career of Scott Gottlieb

Norman Madarasz
Bolivia Amends New Constitution and Faces Mutiny from Within

Website of the Day
Cockburn at the Battle of Ideas

 

December 25, 2007

Patrick Cockburn
Conscience and Empire

December 24, 2007

Andrea Peacock
A Dark Ride on the Border

Tariq Ali
Thinking of Edward Said

Uri Avnery
Help! A Ceasefire!

Jill Jameson
Burma is Not Back to Normal: A Trip from Rangoon to Mae Sot

Steve Melendez
Russell Means Goes to Washington

Mike Whitney
The Big Fix

Chuck Munson
Not Getting It About New Orleans

John Walsh
Clueless Crusaders

Farzana Versey
Tony Blair and the Hawking of Religion

Richard Neville
Dreaming of a White House Christmas

Website of the Day
Back in the USSR


December 22 / 23, 2007

Alexander Cockburn
Mike Huckabee's Ascending Chariot

Ralph Nader
Politics and Profits: How the Oil Cartel Gets Its Way

Andy Worthington
Intelligence Failures, Battlefield Myths and Unaccountable Prisons in Afghanistan

Ahmad Faruqui
The Comedian of Pakistan

Bill Moyers
Society on Steroids

Rev. William E. Alberts
Blessed are the Peacemakers

Timothy J. Freeman
From Kant to Lennon: Can War Really be Over?

Anthony DiMaggio
Democrats Continue to Capitulate on Iraq

Fred Gardner
Molecule of the Year, Cannabiodiol

Paul Krassner
Enhanced Hazing Techniques

Seth Sandronsky
17 Years of Meanness: Repealing California's Three Strikes Law

William Loren Katz
Christmas Eve Freedom Fighters: Recalling the Battle of Lake Okeechobee

Michael Dickinson
In the Dungeon of the Zabita

Ron Jacobs
Why Leon Russell Still Matters

David Vest
Doyle Bramhall's "Is It News?"

Poets' Basement
Orloski, Davies and Ford

Website of the Weekend
George W. Hates Santa

 

December 21, 2007

John Ross
New Massacres Loom in Mexico

Jacob Hornberger
Nothing Can Morally Justify the Invasion of Iraq

Dick J. Reavis
A Way Out of the Newspaper Abyss

Jeff Cohen
and Norman Solomon

The 2007 P.U.-litzer Prizes

Peter Morici
Business as Usual as Recession Looms

Jack McCarthy
Let Us Now Praise Judith Regan (Even If She Did Sleep with Bernie Kerik)

Raúl Zibechi
Sex and Revolution

Steve Early
How the Presidential Candidates Made Me an Atheist

David Macaray
Union Aftermath

Patrick Bond
Zuma, the Center-Left and the Left-Left in S. Africa

Lakota Freedom Delegation
A Declaration of Independence from the USA

Website of the Day
Solomon v. Beck: Tale of the Tape

 

December 20, 2007

David Rosen
Mitt Romney's Secret Life as a Pornographer

Alan Farago
The Huckster and the Wreckage: Jeb Bush and the Subprime Mortgage Crisis

Laura Carlsen
Standing Up to NAFTA

Ashley Dawson
The Return of the Bread Riot

Wayne Smith
and Jennifer Schuett
Cuba Changes, US Policy Stagnates

Website of the Day
How to Talk to a FoxNews Reporter

 

December 19, 2007

Saul Landau
Is the NIE Bush's Watergate?

Paul W. Lovinger
Hillary the Hawk

Norman Solomon
The Mad Corporate World of Glenn Beck

Dave Zirin
George Mitchell's Drugs of Choice

Marjorie Cohn
Bush Still Spinning Iranian Nukes

Sen. Russell Feingold
The Iraq War is Exhausting Our Nation

Sonja Karkar
A Christmas Reflection on Palestine

Anthony Papa
Open the Drug Gulags

Christopher Ketcham
Pave the Holy Lands with Good Intentions

Davey D
Britney's Little Sister is Pregnant: Should We Blame Hip Hop?

Website of the Day
When Republicans Use the F-Word on TV

 

December 18, 2007

R. F. Blader
The Politics of Teen Pregnancy

George Wuerthner
Gunning for Wolves in Idaho

Steven Higgs
Can the NAFTA Superhighway be Stopped?

Vijay Prashad
Encounters with Ghadar

David Macaray
The Free Rider Problem

Ralph Nader
Nine Books That Make a Difference: a Reading List for the Holidays

Eva Liddell
Privatizing War Abroad, Invading Privacy at Home

Martha Rosenberg
While the Bodies are Still Warm: Drugs, Shrinks and Shooters

Dave Lindorff
When Impeachment is Out of Print

Peter Morici
The Consequences the Trade Deficit

Website of the Day
Ron Paul: How Fascism Will Come to America

 

December 17, 2007

Mike Whitney
Staring Into the Abyss

Tom Barry
Planning the War on Immigrants

Uri Avnery
A Gaza Masada?

Greg Moses
Crossing the Line in Texas

Allan Nairn
Terrorism; Counter-
Terrorism: Excuses for Murder

Patrick Bond
South Africa's Fight Between Hostile Brothers

Stephen Lendman
Police State America

Charles Jonkel
Grizzly Right of Way

Laray Polk
An Inside-Out Crisis in Gaza

Stephen Fleischman
Pawns in Their Game

December 15 / 16, 2007

Peter Linebaugh
A People's Penny for the Magna Carta

Howard Zinn
Bomb After Bomb

Standard Schaefer
The Greening of Big Tobacco

Raymond J. Lawrence
Let's Take Christ Out of Christmas

Alan Farago
Down on Desolation Row: the Vultures and the Growth Machine

Saul Landau
Lord Byron and the Bad Tourists

Jenna Orkin
Lying to "Reassure" the Public: Bush's EPA and the Post-9/11 Toxic Air Cover-Up

Ahmad Samih Khalidi
Why a Palestinian "State" is a Punitive Construct

Robert Fantina
Politics By Photo-Op

Missy Comley Beattie
Resistance Amid the Ruins

Ramzy Baroud
Of Mormons and Muslims

James L. Secor
A Vision for China's Future

Elijah Wald
Ike Turner's Music Won't be Forgotten

Website of the Weekend
The Alliance for the Wild Rockies Needs (and Deserves) Your Support

 

December 14, 2007

JoAnn Wypijewski
The Dirty Cad: What Giuliani's Sex Life Tells Us About Him

John Ross
Iraqi Refugees Return: One Cruel Hoax

Jacob Hornberger
Terror Suspects Belong in Federal Court

Andy Worthington
Guantánamo and the Supreme Court: What Happened?

Allan Nairn
"Shoot Them on the Spot": Rewarding War Crimes

Dave Zirin
The Mitchell Report: Absolving the Owners

Dave Lindorff
The First Cut is the Deepest

Misty MacDuffee
Toxic Grizzlies

Ben Terrall
What Happened to Lovinsky Pierre-Antoine?

Dr. Mustafa Barghouthi
Prerequisites for Peace

Website of the Day
Sen. Kit Bond: "Waterboarding is Like Swimming"

 

December 13, 2007

Paul Craig Roberts
Shrinking the Dollar from the Inside-Out

Mike Whitney
Dershowitz for the Defense--of Waterboarding

Ron Jacobs
Blank Check DemocratsL the Great War Funding Conspiracy

Norman Solomon
The USA's Human Rights Daze

Peter Morici
The Dragon and the Toothless Dog: China Doesn't Flinch

Sandy Mayes
Blocking the Strykers: 13 Days of War Resistance at Port Olympia

Franklin Lamb
The UN in Lebanon: Whose Mission Is It Fulfilling?

Jacob Hornberger
Don't Reform the CIA, Abolish It

Nadim Rouhana
An Interloper in My Own Land

Dave Zirin
On Pigskin and Petrol

Website of the Day
Rachel's Needs (and Deserves) Your Support!


December 12, 2007

Allan Nairn
US Intelligence is Tapping Indonesian Phones

Alan Farago
How Sprawl Eats Its Young

Ray McGovern
Torture, Lies and Videotape

Winslow T. Wheeler
The Phony Pentagon Budget Cuts

Evan Jones
The Raid on Great Western: Why an Australian Bank Might Spell Doom for the US Farm Belt

James Petras
An Open Letter to Sarkozy on the Exchange of Political Prisonsers

Joel Hirschorn
The Horserace Fiction: Clinton, Obama and the Democratic Machine

Joshua Frank
Why Ron Paul Deserves Our Attention

Sherry Wolf
Why the Left Should Reject Ron Paul

Dan Bacher
Survey of a Fish Graveyard

Website of the Day
Men Eating Bugs

 

December 11, 2007

Patrick Cockburn
What's Really Happened During the Surge?

Diana Johnstone
The Next Kosovo War

Paul Craig Roberts
It's Waco All Over Again: Preventive Detention and the Constitution

David Macaray
Impasse in Hollywood

Ralph Nader
Gail Collins Versus the Underdogs

Andy Worthington
Guantánamo Britons to be Released: a Mixed Result

Martha Rosenberg
No Holiday for High Risk Sex Workers

Steve Champion /
Anthony Ross

Words for Our Brother, Tookie Williams

Kim Nicolini
Tangled Up in Dylan

Michael Dickinson
Say Goodbye to Purgatory: Pope Rat Gets Indulgent

Website of the Day
A Charming (and Worthy) Pitch


December 10, 2007

Uri Avnery
How They Stole the Bomb From Us

Debbie Nathan
The Perils of Journalism and Child Porn

JoAnn Wypijewski
Is There a Left Here Left? If So, What Can It Do?

Steve Kelly
Cheap Chips, Counterfeit Wilderness

Donna J. Volatile
Welcome to the Revolution

 

December 8 / 9, 2007

Alexander Cockburn
The Coup Against Bush and Cheney

Brenda Norrell
Seize the Land, Chain the Peace Activists

Saul Landau
The Ruins of Empire

R. F. Blader
A Rape in Every Drink?

Ray McGovern
Spinning Iran's Centrifuges

Allan Nairn
Imposed Hunger in Gaza, the Army in Indonesia

Linn Washington, Jr
Spotlight on Death Row

Paul Craig Roberts
When Will Bush Come Clean?

 

December 7, 2007

Sean Penn
Piano Wire Puppeteers

Arthur Versluis
Mining Water in the Desert

M. G. Piety
Racism and the American Psyche: Some Thoughts on Race and Intelligence

Pam Martens
Banksters Gone Wild

Alan Farago
Will the Free Market Kill Suburbia? Sprawl and the Credit Crisis

Allan Nairn
It Takes (Out) a Village

Col. Dan Smith
Bush, Iran and the Politics of Doomsday

Alice Slater
The Iran Opening

Robert Weissman
The Story of Stuff

Website of the Day
Something About Mitt

 

December 5, 2007

Mike Whitney
Why the CFR Hates Putin

Sharon Smith
The Anti-War Enablers: Tom Hayden and the Dead End Democrats

James Petras
Venezuela in the Aftermath

Ron Jacobs
The Iran Charade

Dave Zirin
Kicking a Dead Man: the Sliming of Sean Taylor

John V. Whitbeck
Two States or One? Time to Choose

Peter Zinn
Covered in New Orleans

Niranjan Ramakrishnan
Impeach Pelosi Instead

Alan Farago
The Credit Bomb Detonates in Florida

Heather Gray
US Meddling in Australian Politics

Website of the Day
A Donner Summit Night Before Xmas

 

December 4, 2007

Alexander Cockburn
Jackboot State Stubs Its Toe in Ann Arbor

Andy Worthington
Guantánamo and the Supreme Court

Paul Craig Roberts
The Lies at the End of the American Dream

Ray McGovern
No-Nuke Iran

Winslow T. Wheeler
Admiral Mullen and the Defense Budget: When White Elephants are Too Small

Allan Nairn
The Regime Still Stands in Burma, Where "the People Just Want Food"

Russell Mokhiber
The USA v. Al Arian

Nikolas Kozloff
As Chávez Falters: Raising the Stakes for the South American Left

John V. Walsh
Peace Movement Paralyzed

Ghada Ageel
Will Peace Cost Me My Home?

Stephen Soldz
The Facts be Damned!: Psychologists' President Defends Psychologist Involvement in Interrogations

Website of the Day
Hands Off the People of Iran

 

 

December 3, 2007

Tariq Ali
Venezuela After the Referendum

Bill Quigley
New Orleans: Bulldozers for the Poor, Tax Credits for Developers

Eric Walberg
The Bible and Middle East History

Uri Avnery
After Annapolis

Marjorie Cohn
Operation Iraqi Freedom Exposed

Dave Lindorff
Vengeance Isn't Sweet

Stephen Fleischman
Homeless in Paradise

Martha Rosenberg
Perp Walks for the Mink Clad on Chicago's Mag Mile

Website of the Day
So Just Lead!

 

December 1 / 2, 2007

Alexander Cockburn
Emblems of the Bush Age: Adrift in a Sea of Booze

Jeffrey St. Clair
The Bear Minimum: the Grizzly and the Future of the Rocky Mountain West

Mike Whitney
"Iraq Doesn't Exist Anymore": an Interview with Nir Rosen

Shemon Salam
A Visit From the FBI

Roger Burbach
The Battle in Bolivia

Benjamin Dangl
New Politics in Old Bolivia

Brian M. Downing
The Quiet on the Middle Eastern Front: How Much Credit Goes to the Surge?

Greg Moses
Night of the Living Redneck: a Texas Horror Story

Sonja Karkar
The "Never-Never" Peace Conference

Saul Landau
Ethics and Evil in South Boston

Margaret Kimberley
Black America Left Behind

John Ross
What are the Prospects for a New Mexican Revolution?

Reza Fiyouzat
Exit on the Left: When Che's Children Visited Iran

Judith Scherr
Berkeley Turns Right for the Holidays

Lance Olsen
Of Forests and Finance: Logging for the Wealthy

Christopher Brauchli
Mr. Bush and the Despots

Robert Fantina
Iraq as U.S. Colony

Dan Bacher
Fish Triage on Prospect Island

Michael Donnelly
Remembering How to be Human: John Trudell and the Music of Urgency

Website of the Weekend
Appalachian Voices

 

November 30, 2007

Peter Stone Brown
The Re-Packaging of Bob Dylan

Wajahat Ali
The Volatile Mistress: an Interview with Javed Jabbar, Pakistan's Former Minister of Information

Allan Nairn
Cold-Blooded Celebrity: Thomas L. Friedman and the Bali Bombers

Alan Farago
The Sorrows of Suburbia: Politics, Sprawl and the Housing Crash

John Ross
The Death of Latin America's First Revolution

Corporate Crime Reporter
America's Corporate Crime Capitals

Lucia Alvarez
Diego Gonzalez
Argentina's Political Future

James Rothenberg
The Iraqi Miracle

Website of the Day
Bio-Bling?

 

November 29, 2007

R. F. Blader
The Most Dangerous Kind of Bribe

Ismael Hossein-Zadeh
Distorting Fascism to Demonize Iran

Stephen Soldz
War on the Couch: Fear, Aggression and Empire

Sheldon Richman
Iraq 3.0

George Wuerthner
Forest Fires, Lies and Chainsaws

Felice Pace
Did All Things Considered Self-Censor on Annapolis?

Col. Dan Smith
The Meaning of Annapolis

Harvey Wasserman
Terror Target Nukes

Nikolas Kozloff
Primetime Hate Debate: Lou Dobbs, Immigration and Campaign '08

Paul Krassner
Huffington Post Bloggers Go On Strike!

Dave Lindorff
News Not Fit to Print: US Coup Planned for Venezuela?

CP News Service
The One State Declaration

Website of the Day
A Native View of Yellowstone Bison Slaughter

November 28, 2007

James Petras
CIA Destabilization Memo Surfaces on Venezuela

Jeff Halper
Annapolis: When the Roadmap is a One Way Street

Pam Martens
Crashing Citigroup

Peter Morici
Economy in Crisis: Avoiding a Recession

Mohammed Khatib
Separate and Unequal in Palestine

Helen Redmond
The Horror and the Hope: Health Care in America

William S. Lind
In the Fox's Lair: Quiet Before a New Iraq Storm?

Ben Tripp
We, the People: a Trope for All Seasons

Liaquat Ali Khan
Pakistan: First, Restore the Constitution and Reinstate the Judges

Jeff Berg
Holbrooke Says Bush Won't Attack Iran

Website of the Day
The Lies of Joe Klein

 

November 27, 2007

Joe DeRaymond
On the Road to the Torture School

Paul Craig Roberts
Meet the Only Two Candidates Worse Than Bush and Cheney: Hillary and Rudy

Marjorie Cohn
Remembering Victor Rabinowitz

Mike Whitney
A Dollar the Size of a Postage Stamp

Ron Jacobs
The Myths of Military Progress

Col. Dan Smith
The Pentagon's "People System" Still Doesn't Work

Ralph Nader
Family Learning

Karim Makdisi
Annapolis and the Unholy Alliance: the View from Beirut

Christopher Ketcham
Memo to Hollywood Writers: Strike Until You Drop

Ronan Bennett
Martin Amis Does a Coulter

Website of the Day
Celebrating the Uncensored Media

 

November 26, 2007

Kathleen and Bill Christison
Heading for Annapolis

Paul Craig Roberts
The End of All That

David Macaray
Enter Mediator

Sameer Dossani
Pakistan's Wounded Dictator

Roger Burbach
The Final Battle in Bolivia

Mark Scaramella
Guns and Greed in the Emerald Empire

Brian McKinlay
Howard's End

Rick Kuhn
The Fall of a Racist Union Buster

Binoy Kampmark
Ruddslide and Dull Alec

Monica Benderman
What Do You Know of War?

Brenda Norrell
Return to Alcatraz

Website of the Day
Ghostworld by DJ Spooky

 

November 24 / 25, 2007

Alexander Cockburn
The Ordeal of Catherine Wilkerson, MD

Robert Fisk
Darkness Falls on the Middle East

Saul Landau
Norman Mailer will Not R.I.P.

Jeffrey St. Clair
Justice Stephen Breyer, Cancer Bonds and the Origins of Neoliberal Environmentalism

Rannie Amiri
Beirut's Black Friday

Christopher Brauchli
Iraq Embassy as Gilded Palace

Daniel Gross
The Gap and Black Friday

Mike Whitney
"A Generalized Meltdown of Financial Institutions"

Marjorie Cohn
Iran and the 2008 Elections

David Rosen
Senior Sex: the Real Sexual Life of Aging Americans

David Michael Green
If Conservatism is the Ideology of Freedom ....

Kenneth Rexroth
When Euripides Played the Hindu Kush: Greeks and Buddhists in Afghanistan

Muhammad Iqbal
Trans. Shahid Alam

Ghazal

Website of the Day
Aerial Footage of Delta Fish Kill


November 23, 2007

Gary Leupp
Killing the Buddha in Pakistan's Swat Valley

Laura Carlsen
Coming to Terms with Diversity in Bolivia: an Interview with Alvaro Garcia, Bolivia's VP

David Macaray
Keeping Labor Unions Out

Andy Worthington
Former Guantánamo Detainee Seeks Asylum in Sweden

Clifton Ross
Trashing Chavez: Keith Olberman's Toxic Rant

Seth Sandronsky
Battling Sodexho

Dan Bacher
Death in the Delta: Thousands of Fish Stranded by Bureau of Reclamation

William A. Cook
The Myth of Middle East Peace

Website of the Day
Waiting for the Guards: Stress Techniques as Torture, a Short Film

 

November 22, 2007

Alan Farago
Who Lost America's Everglades?

Greg Moses
A Thanksgiving Basting

Dave Lindorff
Impeachment is Back on the Table

Mike Ely
Native Blood: the Myth pf Thanksgiving

Omar Azfar
Gore for President of Pakistan?

 

November 21, 2007

Vijay Prashad
Our Dictator, Their Democracy

Martha Rosenberg
Undercover at a Turkey Slaughtering Plant

Manuel Garcia, Jr.
Epiphany on the Glacier

John Ross
The Last Days of Mexican Corn

Brian McKenna
Cancer Terrorists Unmasked

Stephen Soldz
Isolation Torture Routine at Guatánamo

Monica Benderman
Needing Peace

Ben Terrall
Slavery in the Fields: The Real Price of Sugar

Website of the Day
Mercy for Animals

 

 

 

 

 

 

 

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Weekend Edition
December 31, 2007

Why We Need Single-Payer Health Care

Does 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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AMERICAN BOOK AWARD!


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Cassidy on Tour
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"The Case Against Israel"
Michael Neumann's Devastating Rebuttal of Alan Dershowitz


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Saul Landau's Bush and Botox World with a Foreword by Gore Vidal


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Grand Theft Pentagon
How They Made a Killing on the War on Terrorism

 

 

 

 


The Occupation
by Patrick Cockburn


Humanitarian Imperialism
By Jean Bricmont


 


CITY BEAUTIFUL
By Tennessee Reed

 

 


Bruce Springsteen On Tour
By Dave Marsh

 

The Book on 9/11 the White House Denounced as "ABSOLUTE GARBAGE"