A
Nation at War Against Itself
Two
years after 9/11—with armed conflict and vague threats of
terrorism still hogging media attention—the Bush administration
quietly continues its domestic assault on ordinary Americans
It’s
war, stupid. Or at least that has been the unrelenting message
from Washington and the media for the past two years. But
while Americans have been caught up in the very real concerns
of terrorism and overseas invasions, the Bush administration
has not been giving foreign policy its whole attention.
On the home front, with surprisingly little uproar, Bush
and company have been agressively pursuing industry-friendly
and radically right-wing policies that are going to hit
average Americans hard in every aspect of their lives. The
following stories deal with a half-dozen general areas in
which the administration is inflicting significant damage:
the environment, health, civil liberties, poverty, the privitization
of services, and the federal judiciary.
Bush
to Business: This Land Is Your Land
Last
month, Georgie Rancher went off on a Western jaunt designed
to boost his image as a good steward of America’s environment,
and targeted key election states that he carried narrowly
in 2000.
“The
decades of neglect, the decades of failed policy have meant
that our forest fires are incredibly hot, incredibly catastrophic,”
said President Bush, flanked by Arizona park rangers and
surrounded by charred forest. “Our job is to slice through
the red tape and to get thinning projects moving forward.”
Translation: Ditch the safeguards. Let in the loggers. The
policy failures and neglect he mentioned are conservation
law and lack of logging in sensitive preserves. While thinning
is a necessary form of forest management, what Bush means
is more serious and points to a much bigger set of problems
than a forest in Arizona.
George W. Bush has the worst environmental record of any
president since the EPA was created in 1971 and no one cares.
The current administration has been on a tireless and nefarious
campaign to gut environmental-protection policies, expand
the exploitation of our natural resources—including some
that happen to be in protected land—and come off sounding
green at the same time. The administration exclusively advances
environmental policies embraced by the gas, oil, mining,
and logging industries, but not by the nation’s conservation
groups.
The Bush agenda started early in his term, by withdrawing
the United States from the Kyoto treaty on global warming
and advancing a plan to seek energy independence by drilling
in the Arctic National Wildlife Refuge. For now ANWR was
spared, thanks to citizen outcry, but Bush has made a point
of looking at the United States as a vast resource that
should be open for the taking; to be stripped of protections,
and strip mined for all she is worth—economically speaking,
of course.
Under various initiatives, protected areas are now up for
logging or drilling, not the least of which are red-rock
desert in Utah, sequoias in California, rainforests in Alaska
and even parts of Grand Canyon Monument. Furthermore, many
programs are suffering from the tax-cut blues; national
parks don’t have enough money for basic upkeep, and the
federal Superfund program is vastly underfunded, leaving
the states with the cleanup requirements for these neglected
sites.
Thanks to Bush, more arsenic is allowed in tap water, polluters
go unpunished, and his campaign promise to cut carbon-dioxide
emissions was taken back saying it was a “mistake,” and
those are just the beginning.
“I
have sent you a comprehensive energy plan to promote energy
efficiency and conservation, to develop cleaner technology,
and to produce more energy at home. I have sent you Clear
Skies legislation that mandates a 70-percent cut in air
pollution from power plants over the next 15 years. I have
sent you a Healthy Forests Initiative, to help prevent the
catastrophic fires that devastate communities, kill wildlife,
and burn away millions of acres of treasured forest,” said
President Bush in his 2003 State of the Union Address.
The reality: Clear Skies is expected to result in over 40
million tons more pollutants into the air over the next
15 years, creating public health hazards and thereby costing
millions in tax dollars. The Healthy Forests Initative seeks
to open many forests to roads for logging, supposedly to
help prevent forest fires, although the evidence indicates
roads actually increase the risk of fire.
In the cases of water and air pollution, the administration
severely weakened key provisions of the long-standing Clean
Water and Clean Air Acts. Up to 20 million acres of wetlands,
lakes and streams will be opened to development under a
proposal lifting federal protection of “isolated waters.”
Polluters are increasingly getting off easier when it comes
to clean-up, while states are being forced to pick up the
task and the tab. The newest, perhaps most outrageous, development
in the chain of dastardly deregulation and preposterous
PR campaigning was the rolling back of a vital section of
the Clean Air Act last month.
The Bush administration signed a rule permitting changes
to industrial plants without simultaneously installing new
anti-pollution controls—even if the changes will increase
pollution—provided that the replacements cost less than
20 percent of the plant’s core production equipment. Under
the Clean Air Act’s “new source review” provision, new pollution
control devices were required when over 20 percent of a
plant was being replaced.
New York Attorney General Eliot Spitzer filed suit, along
with 13 other attorneys general, in federal court this year
to preserve and reinstate effective new source review. After
the new rules were enacted, Spitzer said in a statement,
“Relaxing pollution regulations to legalize harmful smokestack
emissions that have been illegal for decades is like relaxing
accounting rules to solve the Enron fiasco.”
And what’s worse? The administration tore up the Clean Air
Act under an interim EPA administrator. So no one will have
to take the blame for gutting the act, especially not the
nominated replacement for Christine Todd Whitman, Utah Gov.
Mike Leavitt. While Whitman had a respectable record as
a moderate Republican interested in greener business practices,
Leavitt has no such credentials. As a governor, he advocated
far less regulation at the federal level, and the use of
financial incentives rather than protection standards. Leavitt’s
Senate confirmation hearings will be later this month.
The Bush administration, packed with business-friendly players
at every level, will continue removing the teeth from 40
years of environmental-protection regulations, as well as
from the EPA itself. Its policies have so far successfully
flown below the radar of the public and the media while
attention focused overseas, in what can only be called de
facto deception. This administration’s abhorrent record
has been far more dedicated to advancing the interests of
industry and business than it is to protecting our environment.
As Mike Smith, an assistant secretary in the Department
of Energy, told the Independent Oil and Gas Association
of West Virginia last year, “The biggest challenge is going
to be how to best utilize taxpayer dollars to the benefit
of industry.”
—Ashley
Hahn
Everything
Must Go
Want
to buy a passenger railroad? Step right up and buy a piece
of a special oil reserve designed to protect consumers from
winter shortages. For you sharp-eyed state governors and
legislators, there’s a 40-year-old anti-poverty program
soon to be available in tasty, easily digestible block-grant
form. Perhaps, instead, some of you multinational reps might
be interested in bidding on the jewel of this fire sale:
employment contracts for nearly a million federal jobs.
Come one, come all: The Bush administration (and its neoconservative
fellow travelers) would love to talk to you. It’s privatization
time.
Ronald Reagan liked to say that he wanted to get government
off of the backs of the American people; Bush the Younger
wants to wrestle government to the ground and slit its throat.
The most stunning example of this is the Bush administration’s
plan, announced in November 2002, to privatize approximately
850,000 federal government jobs that the Office of Management
and Budget described as “commercial in nature.” The plan—which
was put into effect through directives from the OMB—is to
put these positions out to bid. Employees in nearly every
arm of the government would be affected, from Justice Department
policy analysts to employees of the National Park Service.
The high-minded, stated motive is cost savings. “This is
inherent,” the Associated Press quoted OMB spokesperson
Trent Duffy as saying, “to getting the taxpayers the best
deal for their dollars and the best service from the government.”
Naturally, the affected workers don’t see it this way. A
rally held on May 20, 2003 (at the time the privatization
initiative formally went into effect), brought together
a coalition of civil rights groups and federal-employee
unions. They expressed concerns about job security, possible
downward pressures on wages, and the danger that formerly
nonpolitical jobs could be hijacked by those with an ideological
agenda.
A beautifully simple question about “competitive bidding”
with regard to federal employment was raised earlier (in
December 2002) by a particularly trenchant editorial in
the St. Petersburg Times (Fla.): “What model
of federal contracting does the president seek to emulate?”
The editorial went on to wonder if the administration wanted
to repeat some of the worst excesses of federally sponsored
competitive bidding: “The $2.69 self- locking nut the Defense
Department bought from its contractor for $2,185.50? The
30 contractors that were identified by the Project on Government
Oversight as having been fined $3.4 billion for federal
violations while continuing to keep government contracts
worth more than $100 billion? The four corporations that
last year raked in $2.7 billion in federal contracts while
using Panama and Bermuda as their headquarters to avoid
paying U.S. taxes?”
In a stunning reversal for the Bush administration on Sept.
9, 2003, the House of Representatives passed a measure that
kills these new competitive- bidding privatization rules.
The House also, against the wishes of the president, voted
a 4.1-percent raise for federal employees. The true believers
in the West Wing are unfazed, however: A presidential veto
has been threatened.
Every day, George W. Bush, his administration and the rest
of their government- and think-tank-based ideological ilk
reveal another facet of a truly jaw-dropping radicalism.
To paraphrase columnist Maureen Dowd, they want to take
us back to the ’50s—the 1850s. These unapologetic reactionaries
seem to believe that the best form of government is that
which essentially ceases to exist. Consider:
In July 2000, after a particularly tough winter that saw
a spike in the price of home heating oil, then-President
Clinton established a special “home heating oil reserve,”
which could be released into the marketplace in case of
emergency. It took George W. Bush exactly a month and a
half in office before he suggested privatizing the management
of the reserve. Congress has so far resisted this plan.
As of this writing, Congress is debating the reauthorization
of the Head Start program for low-income preschoolers. Republicans
and Democrats generally agree that this still-extant remnant
of Lyndon Johnson’s Great Society, which offers nutrition,
health and education services, is a success. The Bush administration
has proposed, however, a pilot plan that would turn the
money and administration over to the states in the form
of block grants. At the very worst, critics see this as
a backdoor way to begin the dismantling of Head Start; at
least, they fear that a lack of federal control will dilute
Head Start’s mission.
Also as of this writing, the Bush administration is locked
in a game of chicken with the Congress over the national
passenger railroad, Amtrak. The administration wants to
break up Amtrak into three companies: a private passenger
railroad that operates under state contracts, another company
that would operate the Northeast Corridor, and an Amtrak
“shell” that would retain the corporate name and compete
with the private sector to operate passenger services.
Never mind that the freight railroads—over whose track Amtrak
must operate—are opposed. Never mind that a similar privatization
plan undertaken by the United Kingdom a decade ago was a
disaster. Never mind that Sen. Kay Bailey Hutchison (R-Texas)—a
passenger-rail advocate—has said that “if you turn Amtrak
over to the states, it’s gone.” Nothing deters the Bushies;
according to a July 29, 2003, report in the Associated Press,
an unnamed Department of Transportation official insisted
that the program, though it may require “a leap of faith,”
will work.
Faith. For these believers, as Iraq has so definitively
illustrated, it’s all about faith-based policymaking. (Let’s
not even mention the recent Bush-appointed postal commission
plan to gut the United States Postal Service.) As moderate
Republican commentator and historian Kevin Phillips has
observed, red-meat, unregulated capitalism is especially
at home in George W. Bush’s Texas, “where market fundamentalism
and religious fundamentalism have joined to create a uniquely
strident culture.” “In Texas,” Phillips wrote, “government
doesn’t get in the way of ‘bidness.’ ”
To George W. Bush, the bidness of government is bidness.
—Shawn
Stone
Do
You Feel More Secure?
In
the two years that have followed the Sept. 11 terrorist
attacks, our government has peddled a number of bureaucratic
fixes to make the homeland more secure and quiet the nerves
of the American people.
A congressional inquiry into intelligence lapses that may
have led to the attacks was undertaken and, at the request
of victims’ families, a citizens’ commission was formed
to offer independent verification to Congress’s official
report. In an attempt to better focus domestic defense and
intelligence, the Bush administration created the Department
of Homeland Security, a mammoth, umbrella bureaucracy overseeing
most of the nation’s security organizations. The vein in
the forehead of Ashcroft’s Department of Justice seethed
as the attorney general expressed rabid enthusiasm for tracking
and punishing enemy combatants and “domestic terrorists.”
These steps were supposed to ensure that America was a better,
safer place in the post-Sept. 11 era. But questions have
surfaced with these measures: Has the Bush administration
been withholding information from the independent citizens’
commission? Is the federal government doing enough to ensure
domestic security? Do the plans for stopping further terrorist
attacks go too far?
The independent 9/11 commission was to start with the official
congressional inquiry into what was known by U.S. intelligence,
and when, and how that information could have been used
to stop the horrific events of Sept. 11. When Congress’s
report was issued in July, the independent commission’s
investigators were infuriated, but not surprised, to find
28 consecutive blacked-out pages that are said to fault
the Saudi Arabian government for being soft on extremist
groups within its borders.
The move didn’t come as too much of a surprise to the independent
investigators who for months had been claiming that the
White House was dragging its feet on document and interview
requests. Members of the 9/11 commission are seeking memos,
interoffice communications and other documents explaining
what the Clinton and Bush administrations knew of terrorist
intentions in the years leading up to the attacks. But despite
initial claims from the White House that the independent
commission would be given unfettered access to sensitive
and classified intelligence, a DOJ-minder has been put in
charge of reviewing all of the commission’s document requests.
As of yet, no information requests have been denied, but
the process has been considerably slowed.
Thomas H. Kean, former Republican governor of New Jersey
who serves as chairman of the independent commission, recently
issued a report stating that his group may not complete
its inquiry by the strict deadline imposed by the White
House, of May 2004. As for an extension, Kean told The
Wall Street Journal on July 8 that “the White House
has made it known they don’t want it to go into election
period.”
The amount of money Washington has allocated for homeland
defense and emergency preparedness since the creation of
the Homeland Security Department has come under fire as
well. The Council on Foreign Relations, a relatively moderate
think tank, issued a report June 30 stating that Washington
was planning on shirking its responsibility to fund homeland
defense and emergency first-responders nationwide, spending
one-third of what it should.
As predicted, a few weeks later both houses of Congress
passed an appropriations bill dedicating approximately $39
billion dollars to be doled out to states in grants over
the next five years. The council’s report called for $98.4
billion to be spent on emergency preparedness over the next
five years, a number that the Department of Homeland Security
called inflated. The council’s report said that these grants
should cover or reimburse local governments for providing
adequate breathing apparatus and communications equipment
to fire and police departments and could also help local
hospitals equip their facilities with cordoned-off units
to deal with victims of chemical or biological attacks.
Emergency-preparedness officials across the country obviously
don’t find the council’s figures inflated, as stories have
been cropping up nationwide about local first-response teams
being unprepared to deal with a terrorist attack.
“I
think, on a countywide basis, we’re poorly prepared,” Capt.
Steven Wilson, a member of Westchester’s Disaster Preparedness
Committee, told the Journal News, an online newspaper
for Putnam, Rockland and Westchester counties. “Funds coming
into Westchester, be it from the federal government or the
state, are very little. There’s a lot of empty promises.”
Under the adopted federal spending bill, which ensured that
all states received money rather than focus funds on states
likely to be attacked, New York received the highest dollar
amount of funding, about $321 million. But according to
an AP analysis of the funding formula, the state of Wyoming
received more than double the amount of money per capita,
$36, than did New York, $17. Some, like New York’s Democratic
Senators Hillary Clinton and Chuck Schumer, have called
for a threat-based funding formula, but the idea didn’t
amount to much more than a press release.
The bright spot in the homeland security appropriations
bill though was a buried passage repealing one of the nastier
provisions of Ashcroft’s Patriot Act, following on the heels
of three states and over 158 legislative bodies nationwide
who’ve called for the repeal of all or parts of the act.
Congress nullified the legislation’s so-called “sneak and
peak” provision that allowed law-enforcement officials to,
without warrants, enter the homes of “domestic terrorists,”
a term so broadly defined in the act that it could encompass
social activists.
Critics have assailed the Patriot Act, a voluminous piece
of legislation hastily passed after the Sept. 11 terrorist
and Capitol Hill anthrax attacks in 2001, for weakening
many constitutional checks on law enforcement, like the
need for warrants and probable cause. The act, which is
being challenged in federal court by the American Civil
Liberties Union, gives the FBI and other law-enforcement
agencies easier access to citizens’ medical, student and
library records.
But instead of a national debate on the merits of trading
civil liberties for “safety,” instead of answers to lingering
questions about homeland security spending and the defanged
9/11 commission, we get sales pitches. As this goes to press,
the attorney general of the United States is making a nationwide
bus tour trying to sell the Patriot Act, hocking the idea
that civil-liberties infringements are helping us win the
war on terrorism. Are you buying?
—Travis
Durfee
Fervor
in the Court
The
process of judicial nominations is always contentious.
As vacancies appear in the federal judiciary, which consists
of 645 district judges, 179 appellate judges, and nine Supreme
Court Justices, all with lifetime appointments, the sitting
president nominates candidates to fill the void. In our
system of checks and balances, the Senate is responsible
for ensuring that the president’s selections are fit to
decide some of the country’s most important cases.
When there is political balance in Washington, circumstance
forces the president to nominate judges who won’t create
partisan waves. But such circumstance is not ours. Republicans
control the White House and hold slim majorities in both
houses of Congress. When the stampede of elephants trampled
into D.C. in January, critics began sounding the alarms.
With such an imbalance in legislative and executive power,
went the warning cry, Republicans might be able to stack
the courts with conservative, activist judges in an attempt
to overturn a number of longstanding decisions like Roe
v. Wade. If those were the warning cries, Bush is certainly
living up to his end of the bargain, according to Vincent
Bonventre, a professor at Albany Law School.
“The
Bush administration has nominated some individuals who are
just clearly unacceptable,” Bonventre says. “Not all or
even most of their nominees are unacceptable, but some,
for example Miguel Estrada, Priscilla Owen from Texas, Bill
Pryor from Alabama, I mean these are right-wing ideologues
far out of the mainstream.”
While it is typically the job of the judicial branch of
the government to enforce existing laws, circuit and appellate
judges often have the power to make decisions on landmark
cases that could change the laws as they are written.
In reality, only a handful of Bush’s judicial nominations
have been blocked by Senate Democrats on the grounds that
the nominees are too conservative, have shown a racial bias
or are opposed to abortion.
On his Web site, Sen. Patrick Leahy (D-Vt.), the ranking
Democrat on the Senate Judiciary Committee, keeps a tally
of judicial nominations since Bush took office. Of Bush’s
196 nominees, 146 have been confirmed and three have been
“stalled,” reads the site—numbers that Bonventre says shows
that not all Bush nominees have faced such challenges.
“When
Bush nominated Richard Wesley, a member of New York Court
of Appeals,” Bonventre says, “he went through unanimously
with the backing of [Sens.] Schumer and Clinton. The reason
was because he’s not a nut, he is not an ideologue.”
Two of the three judges mentioned, Estrada and Owen, have
faced the strongest opposition with Democrats in the Senate
Judiciary Committee enacting a filibuster that has halted
hearings on their nominations for the past two years. Critics
said Estrada, who just last week withdrew his name from
consideration, offered little written record to explain
his judicial philosophies. Senate Democrats said without
such information they could not properly evaluate Estrada.
Owen, a State Supreme Court Justice in Texas, was criticized
for being an outspoken opponent of Roe v. Wade.
The Senate Dems’ attempts to block judges like Owen and
Pryor—who backed Alabama Chief Justice Roy Moore’s refusal
to remove a monument emblazened with the Ten Commandments
from one of the state’s judicial buildings—has infuriated
the Bush administration. Republicans in Washington, conservative
groups and right-wing talk shows have attempted to paint
Senate Democrats as unprecedented obstructionists impeding
the country’s criminal justice system, a claim that isn’t
quite true, according to Bonventre.
“You
know the Republicans do the same thing when you have a Democratic
president,” he says. “This kind of thing has been going
on since the beginning of the republic.” Bonventre adds
that Republicans gave President Clinton an equal if not
more difficult hassle when they gained control of Congress
in 1994.
But Bonventre says that the Republican criticism is more
than just faulty short-term memory; it is a calculated political
strategy. Bonventre explains that by pushing such ideologically
biased judicial candidates, Democrats are forced into the
obstructionist role.
“The
political gain is that there are only so many filibusters.
There are only so many nominees that the Democrats can hold
up without there being the possibility of considerable public
backlash,” Bonventre says. “If he can convince the American
public that the Democrats are impeding the proper filling
of judicial vacancies, well then it will be a lot easier
for Bush to nominate who he chooses.”
—Travis
Durfee
And
Getting Poorer
Editor’s
note: Over the past week and a half, two new reports have
been released presenting compelling evidence that more and
more Americans are slipping into poverty. A U.S. Census
Bureau report reported that the number of Americans living
below the poverty line increased by more than 1.3 million
last year, despite economists’ reports that the country
technically edged out of a recession. And many of those
left behind—more than 600,000, according to the Census—were
children. Overall, 19.8 percent of American children under
age 5 live below the poverty line.
Another study, by Washington, D.C.-based advocacy group
the National Low Income Housing Coalition, titled Out of
Reach 2003, reported that in 40 states, renters need to
earn at least twice the federal minimum wage in order to
afford basic housing. With both unemployment and deficits
on the rise, experts noted, the two most likely routes to
more people being able to afford rents—increased housing
subsidies and higher wages—do not appear to be on the horizon.
In light of these reports, Bush administration critics noted
the irony of his recently enacted child-tax credits, which
gave nothing to approximately 6.5 million low-income working
families with children.
Break
out the champagne on Wall Street! A new report is out called
Labor Market Left Behind, coauthored by Economic
Policy Institute senior economist Jared Bernstein and the
institute’s president, Lawrence Mishel. “Unemployment has
continued to trend upward, from 5.6 percent in November
2001 to 6.2 percent in July 2003. . . . (There are) three
unemployed people for every job opening. . . . Unemployment
has risen 0.6 percentage points overall and 1.3 points among
African Americans,” according to Bernstein and Mishel.
And get this: “Employment opportunities have declined more
for college graduates than for high school dropouts. Underemployed
workers—those working fewer hours than they want to or in
a job for which they are overqualified—reached double digits
(10.2 percent) in July 2003.” And that doesn’t include the
2 million workers who’ve stopped looking for work in this
abysmal job market.
Fortunately for the Bush administration, the question “Who
would Jesus bomb?” is crowding other important inquiries,
such as, “How do we end poverty as we know it?”
Loyola University’s distinguished professor of law, William
P. Quigley, addresses the latter question in his new book
Ending Poverty As We Know It (Temple University Press).
You should check it out, even if you’re too busy trying
to make ends meet.
The book is full of facts kept safely away from the consciousness
of the voting public. For starters, Quigley reports: “There
are approximately 30 million people in the United States
who are working full-time but earning poverty-level wages.”
Now, add to that the 15 million or so who are either out
of work or are working part-time but would love to be working
full-time, and we’ve got one big, good-news story for the
investors who, like a teenager reading Penthouse,
get their jollies from reports of surplus labor.
“Historically,
the first response to poverty has been to advise the poor
to work. But if the poor are already working or cannot find
a job, what’s the next response? Usually, silence. And because
of that silence, more and more people join the ranks of
the poor,” Quigley writes.
Of course, we have this persistent belief that work is the
way out of poverty and into affluence. “While I applaud
the sincerity of these beliefs,” Quigley observes, “as a
longtime student of poverty issues I know that they simply
are not true.”
Then he suggests we ask ourselves the following questions:
Do you think that every person who wants to work should
have the opportunity to do so? And, do you think that every
person who works full-time should earn enough to be self-supporting?
In speaking in various venues across the country, Quigley
gets an overwhelming “yes” to those questions.
The problem, as was so pointedly stated by University of
Washington professor Diana Pearce, “this is not about people
doing a bad job of budgeting or making bad choices. They
simply don’t have enough to make it.”
Quigley’s solution? A Constitutional amendment guaranteeing
a right to a job with a living wage. You’ll have to read
the book to understand his proposal and how it would work.
The idea is not a new one. Martin Luther King made similar
proposals back in the ’60s.
Speaking of which, since 9/11, we’ve had two Martin Luther
King Days and two “celebrations” of his Aug. 28, 1963 “I
Have a Dream” speech. Yet, somehow, we manage to forget
that King was assassinated while working in solidarity with
unionized Memphis sanitation workers seeking a living wage.
As we follow policies that lead us further down the path
of escalating violence and destruction, we take time out
to get all warm and fuzzy, holding hands singing kumbaya,
congratulating ourselves about integration or bad-mouthing
the goals of affirmative action while citing King’s famous
“content of our character” line, which our neoconservative
brothers and sisters have shamelessly wrenched out of context.
—Sean
Gonsalves
Sean
Gonsalves is a Cape Cod Times
staff writer and a syndicated columnist.
Prescription
for Disaster
Profit
motives and rigid moral proscriptions have a bad record
of keeping anyone healthy—but if the current administration
has its way, that may be all Americans have to go on. From
privatizing major health programs to investigations of local
organizations, ideology is being hidden inside a thin veneer
of concern for Americans’ health.
The battle over prescription drugs for Medicare is perhaps
the top health priority for the Bush administration, says
Richard Kirsch, executive director of Citizen Action of
New York, and it is the most fundamental health-care battle
since the Clinton reform attempts in the mid-’90s. Everyone
wants a prescription-drug benefit for seniors added to Medicare,
and many groups like the AARP are pushing hard for it to
be delivered. But the details of the current bills, especially
the one that passed the House of Representatives, clearly
show that the driving force is something other than getting
seniors affordable prescriptions.
Kirsch and others say that the underlying motivation of
the prescription-drug bill appears to be the privatization
of Medicare. The prescription benefits (which are quite
weak, due to high deductibles and gaps in coverage) are
delivered through private insurance companies, and the bills
forbid the government to negotiate for reduced prices with
the pharmaceutical companies like the Canadian government
(or our own Veterans Administration) does. Such negotiations
have saved veterans 40 percent on drug costs.
But more troubling is that embedded in the House’s prescription
drug bill is a provision that will force the traditional
Medicare program to bid competitively against private insurance
plans, beginning in 2010. Those who are accepted—the younger
and healthier—are likely to enter private insurance programs,
says Kirsch, leaving the public system straddled with those
with the worst needs, decreasing its ability to compete
and increasing its premiums.
“The
thing that’s ironic is that Medicare has a better history
of controlling costs than private insurance even though
it deals with older, sicker people,” Kirsch says. The privatization
of Medicare would be an immeasurable setback for anyone
supporting universal national heath care.
The privatization provisions are not in the Senate version
of the bill, and Ron Pollock of Families USA is optimistic
that the Senate version—which also contains better provisions
for low-income seniors—will prevail.
At least Medicare has a bastion of supporters. More vulnerable,
according to some observers, is Medicaid, which has also
come under ideological attack. Earlier this year, Republicans
were attempting to change Medicaid from an entitlement program
to a block grant program. As it stands now, the federal
government guarantees to the states a matching percentage
of the full cost of coverage for people who qualify. With
block grants, there would be a cap on the program, and states
would get a finite amount of money to spend as they see
fit—possibly even on things other than health care for the
poor.
The cover for this attack was providing fiscal relief to
struggling state governments. But in the face of an active
campaign against the proposal, Democratic governors—whose
support was considered crucial—didn’t buy it. The bill has
not been withdrawn, but it is not likely to be acted on
this year. Still, Pollock says it’s certain to come up again.
When it comes to reproductive rights, the administration’s
ideology is rather more well-known, but it is still being
pushed harder than may appear on first blush. The Unborn
Victims of Violence Act, for example, which has been proposed
several times in the past and is now being considered again
by both houses of Congress with administration support,
is supposedly about “protecting women and children.” It
makes an embryo or fetus a person for the purpose of criminal
law. But reproductive-rights activists, and even many people
who work on domestic-violence issues, are opposed to the
bill, says Robert Jaffe, spokesman for the National Abortion
Rights Action League, because it doesn’t actually reduce
violence, but does set a dangerous precedent of legally
recognizing embryos as people.
“It’s
a false attempt to protect women from violence. It’s an
attempt to play with the American public, sneak something
through whose goal is ending legal abortion,” says Jaffe.
UVVA supporters are coy about the connection. Sen. Orrin
Hatch (R-Utah), a supporter of the act, told CNN in May,
“They say it undermines abortion rights. It does undermine
it. But that’s irrelevant.”
NARAL and other reproductive-rights advocates are supporting
additional penalties for anyone who attacks a pregnant woman.
The “partial-birth abortion” ban, which has been passed
by both houses and is in conference committee, also is more
aggressive than it seems. “Partial-birth abortion is a made-up,
nonscientific term,” says Jaffe. Most people think it refers
to a specific procedure that happens in the third trimester,
he says, when in fact it is incredibly vague in a “very
creative, ingenious effort to incorporate abortions that
happen in the second trimester.”
Bush’s opposition to abortion is well-known, and he made
it even clearer on Aug. 29 when he extended the “global
gag rule” to state department money. The gag rule, an executive
order, prevents U.S. AIDS funding from going to any group
that provides or encourages abortion. But this administration’s
moral absolutism is not limited to the abortion debate.
Quietly, while reaping qualified praise for finally directing
some funds to fighting AIDS in Africa, the Bush administration
has been imposing its rigid sexual mores on the fight against
AIDS at home.
A recently announced policy at the Centers for Disease Control
and Prevention is redirecting AIDS funding toward identifying
and tracking people who are HIV-positive rather than providing
comprehensive risk-prevention and education. “This is going
to defund programs in minority-controlled organizations
that are doing culturally and linguistically appropriate
outreach,” says Mark Hayes, statewide organizer for Housing
Works. They want to “identify and track, with no means to
put people into care,” he continues, saying that he gets
quite nervous hearing “this administration talk about a
. . . national behavior surveillance system.”
Even more chilling, the New York City newsmonthly City
Limits reported in its Sept./Oct. issue that the administration
has launched investigations into and audits of a number
of prominent AIDS-prevention organizations, accusing them
of using CDC money for “promoting sex” in their education
work.
From the insidious to the absurd, there are multiple fronts
to the health care battle, and among advocates on every
side, there’s a sense that the onslaught is just beginning.
—Miriam
Axel-Lute