Single-payer, not-for-profit health care system

Dennis Kucinich, Ohio, July 31, 2009:

Mr. Speaker, I've listened to the health care debate, as all Members have, for the last few months. And what's very interesting about it is that in this debate, we've essentially talked past the single most effective way to reduce costs and to provide health care for all Americans, and that is to create a single-payer, universal not-for-profit health care system.

Such a system is envisioned in and provided for in H.R. 676, Medicare for All, a bill that I had the privilege of writing with John Conyers of Michigan, a bill that is supported by 85 Members of Congress, by hundreds of community organizations and labor unions, by over 14,000 physicians, and a bill which represents an idea whose time has come.

Some basic facts require discussion when we're speaking about our health care system. And that is that we spend about $2.4 trillion on health care in America, all spending. That amounts to about 16 to 17 percent of our gross domestic product. Clearly health care is a huge item in the American economy.

If all of that money, all of that $2.4 trillion went to care for people, every American would be covered. But today, not every American is covered. As a matter of fact, there are 50 million Americans without health insurance and another 50 million underinsured. Why is it in this country which has so much wealth in this country, which has given so much of its wealth to people at the top, we can have 50 million Americans without insurance? By and large, it's because people cannot afford private insurance.

Why not? Well, it's very simple. When you look at the fact that an individual can pay $300 to $600 a month or more for a premium, when you look at the fact that a family can pay $1,000, $2,000 a month or more for a health care premium, when you consider that a family budget cannot in any way countenance the kind of health care expenses that most families can run into, when you understand that any family can lose its middle class status with a single illness in that family, you come to understand the dilemma that we have in America.

Why isn't health care a basic right in a democratic society? Why do we have a for-profit health care system? I will tell you why. Because out of that $2.4 trillion that is spent every year in health spending, $1 out of $3, or $800 billion a year, goes to the activities of the for-profit system for corporate profits, stock options, executive salaries, advertising, marketing, the cost of paperwork; 15 to 30 percent in the private sector as compared to Medicare's 3 percent.

This is what this fight is about in Washington. This is why the insurance industry is hovering around Washington like a flock of vultures. $800 billion a year is at stake. And so they will do anything that they can to be part of this game so that the government can continue to subsidize insurance companies one way or another.

One out of every $3 goes for the activities of the for-profit system. If we took that $800 billion a year and put it into care for everyone, we'd have enough money to cover every American. Not just basic health care, with doctor of choice, but dental care, mental health care, vision care, prescription drugs, long-term care, all would be covered. Everything.

People say how is that possible? It's because we're already paying for the universal standard of care. We're just not getting it.

Israeli violations of international law must not be acknowledged

House resolution "opposing any endorsement or further consideration of report of the United Nations fact finding mission on the Gaza conflict" (the "Goldstone report") -- Nov. 3 -- Peter Welch of Vermont boldly votes "present".

human rights, Vermont

Canadian wind industry's cynical dismissal of health concerns

Deconstructing CanWEA Health “Research”

On October 6, 2008, the industry trade group Canadian Wind Energy Association (CanWEA) posted a press release titled “Scientists conclude that there is no evidence that wind turbines have an adverse impact on human health” in response to news coverage of Dr. Nina Pierpont's work describing and explaining "wind turbine syndrome", stating:

[T]he Canadian Wind Energy Association (CanWEA) has compiled a list of articles and publications on the subject from reputable sources in Europe and North America. ...

These findings clearly show that there is no peer-reviewed scientific evidence indicating that wind turbines have an adverse impact on human health.

In May, Wind Concerns Ontario reviewed the seven articles cited by CanWEA, asking the following questions:

• Do they support the claim in the title of CanWEA’s press release?
• Do they support the conclusion of CanWEA’s press release?
• Do they refute Dr. Pierpont’s research?

None of the articles “conclude that there is no evidence that wind turbines have an adverse impact on human health”.

None of the articles state that “there is no peer-reviewed scientific evidence indicating that wind turbines have an adverse impact on human health.”.

None of the articles review Pierpont’s research.

Only one article mentions Pierpont’s case studies, stating that “One cannot discount the information”.

Six of the articles identify wind turbine noise as a health concern which must be considered.

Only one of the articles discusses noise in the assessment of adverse health effects related to various forms of electricity generation.

None of the articles study patients or reports of patients describing adverse health effects when exposed to wind turbines.

None of the articles consider recent research in addition to Pierpont's regarding health effects related to wind turbines.

The seven articles are:

1. Infrasound from wind turbines – fact, fiction or deception. Geoff Leventhall (noise and vibration consultant). Canadian Acoustics 2006;24(2):29-36.
2. Wind turbine facilities noise issues. Ramani Ramakrishnan (acoustician); prepared for Ministry of the Environment of Ontario. Aiolos report no. 4071/2180/AR155Rev3 (Dec 2007).
3. Wind turbine acoustic noise. Anthony Rogers (mechanical engineer), James Manwell (mechanical engineer), Sally Wright (mechanical engineer), Renewable Energy Research Laboratory, Department of Mechanical and Industrial Engineering, University of Massachusetts at Amherst. June 2002, amended Jan. 2006.
4. Research into aerodynamic modulation of wind turbine noise. Andy Moorhouse (acoustician), Malcolm Hayes (acoustics student), Sabine von Hünerbein (acoustician), Ben Piper, Mags Adams (social scientist), University of Salford; prepared for Dept. for Business Enterprise & Regulatory Reform, contract no. NANR233. July 2007.
5. Electricity generation and health. Anil Markandya (economist), Paul Wilkinson. Lancet 2007 (Sep. 15);370(9591):979-990.
6. The health impact of wind turbines: a review of the current white, grey, and published literature. David Colby (MD), Acting Medical Officer of Health, Chatham-Kent Public Health Unit; prepared for Chatham-Kent Municipal Council. June 2008.
7. Energy, sustainable development and health (background document, Fourth Ministerial Conference on Environment and Health). Anil Markandya (economist) et al. (no MDs). June 3, 2004.

Also posted at Wind Concerns Ontario is an assessment of CanWEA's press release by Wayne Gulden of Amherst Island Wind Information. (Gulden also analyzed the Chatham-Kent review, as did Dr. Robert McMurtry.)

CanWEA has included a quote from each of these sources that appears to support their contention. As any reader will quickly discover, however, these quotes generally have little to do with the gist of the article. It quickly becomes obvious that CanWEA has “cherry-picked” the articles for the most supportive sentence, completely out of context.

Anyone can play this game, and as an example I could take The Doctors’ position and use quotes out of the very same 7 references to support it. Such a statement might look something like:

There are numerous reports of health issues caused by wind turbines and we want to have an epidemiological study to determine the facts. We have compiled a list of articles and publications on the subject from reputable sources in Europe and North America.

1. Leventhall. “Attention should be focused on the audio frequency fluctuating swish, which some people may well find to be very disturbing and stressful, depending on its level.”

2. Ramakrishnan. “However, additional concerns still need to be addressed in the next round of revisions to their assessment process. These revisions may need to be addressed after the results from future research provide scientifically consistent data for effects such as meteorology, human response and turbine noise source character.”

3. Rogers. “Community noise standards are important to ensure livable communities. Wind turbines must be held to comply with these regulations.”

4. Salford. “The results showed that 27 of the 133 windfarm sites operational across the UK at the time of the survey had attracted noise complaints at some point.”

5. Lancet. “In varying degrees these [renewable] sources share four main drawbacks: ... and environmental effects, aesthetic effects, or both, that might in part off set the broader environmental and health gains derived from lower air pollution and greenhouse-gas emissions.”

6. Colby. “Despite extensive searching of the current literature, limited information is available on health concerns relating to wind turbines.”

7. WHO. “[H]ealth effects from wind energy are negligible, however issues such as sleep disturbance, school absenteeism, eventually resulting from noise in vicinity, could not be evaluated.”

Why don’t they? Aside from the time constraints of not having their livelihoods supplied by the wind energy industry, they have a different set of priorities. CanWEA’s main interest, perhaps their only interest, is making money for their clients and themselves.

With that goal, the appearance of being truthful is far more important that actually being truthful. The Doctors, on the other hand, deal with real people having real health issues,and the real truth is the basis of how they deal. And the real truth being conveyed by these seven references – most of which are, as CanWEA says, respectable – has very little to do with health issues and epidemiological studies for people living in the shadow of wind turbines.

To use these otherwise useful references in this way is fundamentally dishonest, but it creates a “he said, she said” confusion that serves the interests of the industry.

wind power, wind energy, wind turbines, wind farms, human rights

The New Vegetarian series

The Guardian (U.K.) has a superb series of weekly vegetarian recipes: www.guardian.co.uk/lifeandstyle/series/thenewvegetarian.

environment, environmentalism, animal rights, vegetarianism

Animal agriculture as climate killer

Note that organic animal farming is not much better than chemical-based and factory farming of animals. An organic meat diet adds 92% of the greenhouse gas equivalence of a "conventional" meat diet, compared with 13% by a vegan diet and 6% by an organic vegan diet.

environment, environmentalism, animal rights, vegetarianism

Solomon and Sheba, by Konrad Witz, 1435

For mine qvinne I thee giftake and bind my hosenband I thee halter.
(Finnegans Wake, page 62)

Folly dressed up as science

The Burlington Free Press describes the final presentations of "The Energy Project Vermont," a celebration of wind power by the ECHO museum and Burlington City Arts:

Bringing in the science behind wind power, Thomas Tailer, co-director of UVM's Engineering Institute, ... has worked in alternative energy and education since 1979. Tailer's passion for seeing engineering and environment at work together was clear throughout his presentation. ... Tailer said just as the iconic Quixote jousted windmills to fight the Industrial Revolution, people today are in denial of our changing climate and are fighting alternative energy sources. ... "The image of an angel is an icon, and to me the windmill is that kind of icon, an icon of a sustainable future for this planet."

First, Miquel Cervantes published the first volume of his history of Don Quixote 1605 (the same year William Shakespeare produced King Lear), long before the industrial revolution. Tailer may be thinking of William Blake's "dark Satanic Mills" (preface to Milton, 1804).

Second, if Don Quixote were nonetheless a proto-Luddite, then he has (like the English Luddites of Blake's time) been vindicated by the environmental and social devastation wrought by centralized industry, and his battle was not madness but prescience. To equate that with denial of the devastation thus foreseen therefore doesn't fly. It is Tailer who denies the devastation wrought by industrial windmills, and Don Quixote who is right to tilt against them.

Third, Tailer evokes angels only to denigrate them as mere icons. But so it must be with windmills. Their agency doesn't really exist. They serve only as symbols.

So let's get real. If large-scale wind actually worked, it wouldn't need all these twisted rationalizations to justify it. Tailer not only mocks Don Quixote and angels, he also makes a mockery of science.

wind power, wind energy, wind turbines, wind farms, environment, environmentalism, human rights, animal rights, Vermont, anarchism, ecoanarchism, anarchosyndicalism