FacebookTwitterGoogle+RedditEmail

Trumpcare: An International Embarrassment

Paul Ryan justifies the current Trumpcare bill as promoting freedom—the right not to have to buy health insurance and thus be “free” to be unhealthy. It’s a revolting position to take, not to mention inhumane and short-sighted, reminiscent of Marie Antoinette’s infamous advice to the starving French masses: “let them eat cake.” A large, unhealthy population—52 million by 2026, including millions of children—guarantees a less educated, skilled, and healthy workforce, more desperation and crime, and more impoverished families and communities needing all kinds of social-welfare help.

Of particular urgency is that Trumpcare will tear apart the largely successful health care net for children—Medicaid, the Children’s Health Insurance Program (CHIP), and the Affordable Care Act. According to the Children’s Defense Fund, 94 percent of children have access to health care because of these three programs. The threat now, as two writers (one a physician) in Pennsylvania put it, is that “changes such as federal funding caps or a block grant may pit kids against the disabled, seniors or even their parents. We cannot afford to go backward and the state doesn’t have the resources to fill the gap.”

The Congressional Budget Office report predicts that if, as Trumpcare proposes, federal funding for Planned Parenthood ends for one year, thousands of additional births to parents on Medicaid will result. That will put a huge new strain on Medicaid’s budget, which already is under attack by conservatives. The planned cut will also mean loss of women’s access to critical prenatal and preventive health services that Planned Parenthood provides.

The International Dimension

Less often considered is that Trumpcare tramples on international law. Enacting Trumpcare will put the United States in violation of the Universal Declaration of Human Rights and the Convention on the Rights of the Child (CRC).

Consider Article 25 of the Universal Declaration, which all UN members must accept:

Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

Under Trumpcare, the US would also be in violation of several articles of the 1990 Convention on the Rights of the Child. True, the US has not ratified the CRC; in fact it is the only country in the world that has not ratified it (thanks to Republicans in the Senate who traditionally reject any notion that US law or practice should be subordinate to what the rest of the world accepts). But the US is a signatory to the CRC, thanks to Bill Clinton in 1995, and thus a globally responsible president would at least heed the convention’s most basic requirements, which are surely in the national interest.

Here are the CRC articles relevant to children’s health:

Article 3

States Parties shall ensure that the institutions, services and facilities responsible for the care or protection of children shall conform with the standards established by competent authorities, particularly in the areas of safety, health, in the number and suitability of their staff, as well as competent supervision.

Article 6

States Parties recognize that every child has the inherent right to life.

States Parties shall ensure to the maximum extent possible the survival and development of the child.

Article 24

States Parties recognize the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. States Parties shall strive to ensure that no child is deprived of his or her right of access to such health care services.

States Parties shall pursue full implementation of this right and, in particular, shall take appropriate measures:

(a) To diminish infant and child mortality;
(b) To ensure the provision of necessary medical assistance and health care to all children with emphasis on the development of primary health care.

There is a campaign for US ratification of the CRC.

Of course the president and his minions care not a whit about international law, any more than they show concern about human rights. Our children, and all children, deserve better.

More articles by:

Mel Gurtov is Professor Emeritus of Political Science at Portland State University, Editor-in-Chief of Asian Perspective, an international affairs quarterly and blogs at In the Human Interest.

September 25, 2018
Kenneth Surin
Fact-Finding Labour’s “Anti-Semitism” Crisis
Charles Pierson
Destroying Yemen as Humanely as Possible
James Rothenberg
Why Not Socialism?
Patrick Cockburn
How Putin Came Out on Top in Syria
John Grant
“Awesome Uncontrollable Male Passion” Meets Its Match
Guy Horton
Burma: Complicity With Evil?
Steve Stallone
Jujitsu Comms
William Blum
Bombing Libya: the Origins of Europe’s Immigration Crisis
John Feffer
There’s a New Crash Coming
Martha Pskowski
“The Emergency Isn’t Over”: the Homeless Commemorate a Year Since the Mexico City Earthquake
Fred Baumgarten
Ten Ways of Looking at Civility
Dean Baker
The Great Financial Crisis: Bernanke and the Bubble
Binoy Kampmark
Parasitic and Irrelevant: The University Vice Chancellor
September 24, 2018
Jonathan Cook
Hiding in Plain Sight: Why We Cannot See the System Destroying Us
Gary Leupp
All the Good News (Ignored by the Trump-Obsessed Media)
Robert Fisk
I Don’t See How a Palestinian State Can Ever Happen
Barry Brown
Pot as Political Speech
Lara Merling
Puerto Rico’s Colonial Legacy and Its Continuing Economic Troubles
Patrick Cockburn
Iraq’s Prime Ministers Come and Go, But the Stalemate Remains
William Blum
The New Iraq WMD: Russian Interference in US Elections
Julian Vigo
The UK’s Snoopers’ Charter Has Been Dealt a Serious Blow
Joseph Matten
Why Did Global Economic Performance Deteriorate in the 1970s?
Zhivko Illeieff
The Millennial Label: Distinguishing Facts from Fiction
Thomas Hon Wing Polin – Gerry Brown
Xinjiang : The New Great Game
Binoy Kampmark
Casting Kavanaugh: The Trump Supreme Court Drama
Max Wilbert
Blue Angels: the Naked Face of Empire
Weekend Edition
September 21, 2018
Friday - Sunday
Alexandra Isfahani-Hammond
Hurricane Florence and 9.7 Million Pigs
Andrew Levine
Israel’s Anti-Semitism Smear Campaign
Paul Street
Laquan McDonald is Being Tried for His Own Racist Murder
Brad Evans
What Does It Mean to Celebrate International Peace Day?
Nick Pemberton
With or Without Kavanaugh, The United States Is Anti-Choice
Jim Kavanagh
“Taxpayer Money” Threatens Medicare-for-All (And Every Other Social Program)
Jonathan Cook
Palestine: The Testbed for Trump’s Plan to Tear up the Rules-Based International Order
Jeffrey St. Clair
Roaming Charges: the Chickenhawks Have Finally Come Back Home to Roost!
David Rosen
As the Capitalist World Turns: From Empire to Imperialism to Globalization?
Jonah Raskin
Green Capitalism Rears Its Head at Global Climate Action Summit
James Munson
On Climate, the Centrists are the Deplorables
Robert Hunziker
Is Paris 2015 Already Underwater?
Arshad Khan
Will There Ever be Justice for Rohingya Muslims?
Jill Richardson
Why Women Don’t Report Sexual Assault
Dave Clennon
A Victory for Historical Accuracy and the Peace Movement: Not One Emmy for Ken Burns and “The Vietnam War”
W. T. Whitney
US Harasses Cuba Amid Mysterious Circumstances
Nathan Kalman-Lamb
Things That Make Sports Fans Uncomfortable
George Capaccio
Iran: “Snapping Back” Sanctions and the Threat of War
Kenneth Surin
Brexit is Coming, But Which Will It Be?
FacebookTwitterGoogle+RedditEmail