A Revolution of Care: Exploring the Law of Single Payer

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nyha illustration - October 2017
NYC DSA Medicare For All logo, designed by Stephanie Monohan

In my last post, I gave a straightforward but ambitious directive: “The Left needs to shake its discomfort with wielding power and build the intellectual and political synthesis to gain power.” While I did not mention it in the post (which focused instead on net neutrality), I was inspired by a hopeful shift being enacted by the Democratic Socialists of America’s (DSA) Medicare for All campaign. Those who worked on the Affordable Care Act may remember how power rarely if ever entered into the conversation. The power of health insurance corporations and powerlessness of the people were assumed, and instead the discourse focused on how to navigate these dynamics rather than disrupt or eliminate them.

While there are some who want to return to these paltry discussions, Medicare for All could be a crucial first step for the Left towards taking power. That is why I and many others have poured so much time into it, from door-to-door canvassing to work with medical debt. There’s a great groundswell of volunteers. But that is just part one of my aforementioned directive. Medicare for All will not be won solely by the Left deciding that it should take power. We also need to create the intellectual and political synthesis to make it happen. To be clear, this is not needed to fulfill the mandates of Medicare for All’s critics. They have already shown they have no qualms criticizing strawmen rather than any policy put forth by the campaign. Rather, it is needed to make sure that when we pass Medicare for All that it is an unencumbered single payer system, that it withstands constitutional challenge, and that it does not foreclose the path towards fully socialized medicine.

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Mossack Fonseca and the Terrible, Horrible, No Good, Very Bad Day

mossack fonseca

“A blind domination founded on slavery is not economically speaking worthwhile for the bourgeoisie of the mother country. The monopolistic group within this bourgeoisie does not support a government whose policy is solely that of the sword. What the factoryowners and finance magnates of the mother country expect from their government is not that it should decimate the colonial peoples, but that it should safeguard with the help of economic conventions their own “legitimate interests.”” – Frantz Fanon, The Wretched of the Earth

“I did a lot of infrastructure development in my life. To fund them with foreign currency is madness. OK? Madness.” – Tidjane Thiam, CEO of Credit Suisse

Jürgen Mossack has had a good run. While Mossack and the firm he co-founded, Mossack Fonseca, will deny the illegality of their actions until the bitter end, it really does not matter. Their purpose, their utility to some of the most powerful and wealthy people of the world, was to keep their information and the information of their clients in the shadows. To not just protect capital from the oversight and taxes of the various applicable governments, but to protect these safe havens from scrutiny. While many of these accounts or the funds within them were illegal, what really matters here is that the capital has been exposed, and with that exposure it will be expected to re-enter various cycles of accumulation and consumption. The jig is up.

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