Thursday, September 17, 2009
I've Moved!
I am very excited to announce my move to mannuscript.com . Having my own URL gives me a little more freedom to expand my blog and extend its reach, plus the new name is just so much easier to remember!
Thanks again for all your support, comments and visits. Please check out the new site, and as always, feedback is sincerely appreciated.
If you would like to join my mailing list please drop me a line at sara.mann@hotmail.com or just join the RSS feed at mannuscript.com .
See you on the on the other side!
Sara
Wednesday, September 9, 2009
Giving it all Away...Another Labor Day is Over
Once again, another Labor Day has come and gone. Parade routes are no longer blocked off. Cookouts and picnics are over. Old women can no longer wear white. It's Thursday and the holiday is in the past. We may end up putting the garbage out a day later, but other than that minor inconvenience we will move on and we will not think of this particular Monday until next year.
Labor Day has been on my mind since May. That's because in May I had the pleasure of visiting Paris, France. This was not my first time to the city of lights but this particular visit will be inextricably linked to Labor Day in my mind forever. It was on this trip that I watched a fellow union member stand in front of a bus full of coworkers and brag about how easy it was for him to bow out of his labor union. He spoke eloquently and passionately. Did they know they could do this? Did they know they could stop union dues from being taken out of their paychecks? They should pass this information on to other workers... let them know they don't have to be a part of their union. Weren't they fed up with their union? He was a socialist when he was young and idealistic but he has since learned the merits of capitalism. He went on... and on... and on.
As I sat and listened to this man tout the merits of self-representation I happened to look at my watch and realize that this was May 1st, May Day. How funny, I thought, that here we were in Paris, one of the birth places of middle class revolution, on the very day they use to recognize labor rights and we were toying with the idea of dismantling the only bargaining tool we have as American workers.
In Paris, May Day is a national holiday commemorating the advent of the eight hour work day, officially introduced on April 23, 1919. Also known as Labor Day, it is considered an occasion to campaign for and celebrate worker's rights. What many people forget, is that the eight hour work day did not begin in France but rather it came about in the city of Chicago, where 40,000 workers went on strike to fight for a fair work day on May 1, 1886.
After two striking workers were shot and killed by police at the McCormick Harvesting Machine Co. the labor movement banded together and planned a protest in Chicago's Haymarket Square. The protest began peacefully, and was intended to inform workers about the eight hour work day plan. Organizer, August Spies, insisted protesters remain calm and not fall prey to the rumors that workers were there to riot or intimidate. Unfortunately, as police came to break up the protest, an unknown anarchist threw a pipe bomb at the police line, resulting in chaos. Police attacked workers, some of them armed, some of them unarmed.
Each account of the story is different but in the end eight police officers died in the Haymarket riot, all from bullet wounds. The number of worker casualties is not known. Eight protesters (anarchists) were arrested. Four were put to death, one committed suicide in prison, two were given life in prison and one got 15 years in prison. They came to be known as the Haymarket eight. They died for their belief in the eight hour work day. They were martyrs to the cause of labor rights.
I give this brief account of this significatnt historical event because I think back to that guy on the bus and wonder how much we will give away before we have nothing left to give. We even gave away our Labor Day. We don't celebrate it in May. This is because when Labor Day was made a national holiday president Grover Cleveland was worried that workers would relate it to the Haymarket riot and negative feelings of labor abuse would again rise to the surface. We gave away the holiday.
We certainly gave away the eight hour work day. It's rare that I meet someone who works an eight hour day. If they do work that mythical eight hour day they often don't make a livable wage and are forced to hold two jobs, working sixteen hours a day to make ends meet. No eight hour day for eight hours pay, that's for certain.
How much can we surrender? How far can we go? The idea of pensions has become a fairy tale, something my generation heard about but will never experience. Employers have reduced contributions to 401K retirement plans. Education reimbursement is a thing of the past. Workers get fewer paid sick days, fewer vacation days, more stringent and stressful work environments. Companies run on less workers with more work. That health care insurance... did it always have a copay? Was the deductible always so high? We give and we give and we give. Soon there will be nothing left for them to take.
I don't dare imply that unions are without fault, but remember this: a union is only as strong as its weakest member. Why work so hard and sacrifice so much only to throw it all away? I'd rather sit at the table than under it. I'd rather have the meal than the scraps. If we turn our unions over to those who scream "socialists" when we only demand a reasonable work day we will be choosing to sit at the feet of masters who may or may not feed us, may or may not kick us. If we turn our labor rights over to those who call us starry-eyed idealists when we only fight for dignified wages than we will not be worth the deaths of the workers who came before us.
I remembered this in Paris last May and I remember it here in Illinois this September. How relevant and foreshadowing are the final words of August Spies, the man who started it all. As he stood on the gallows he looked to the crowd and said "The time will come when our silence will be more powerful than the voices you strangle today!" Now, as labor rights are slowly unraveled and dismantled, his silence is truly deafening.
First time reader? Want to see where it all began?
Obama's Speech to School Children
Ok... So this is Fake... Don't get all excited
God Help Us!
Advance Text of Obama's Big Speech
By CARL G. ESTABROOK
This text was mistakenly faxed to Carl Estabrook by Robert Gibbs.
ADVANCE TEXT OF OBAMA'S WEDNESDAY SPEECH
http://www.whitehouse.gov/briefing_room
Remarks of President Barack Obama – As Prepared for Delivery Address to Joint Session of Congress Wednesday, September 9, 2009
Madame Speaker, Mr. Vice President, Members of Congress, and the First Lady of the United States:
I come before you tonight in a spirit of remorse -- which, I find, requires more audacity than hope does.
When my administration entered into office, we faced three overwhelming problems:
[1] a financial crisis and recession;
[2] a war in the Middle East on several fronts; and
[3] an unresolved healthcare crisis for many Americans.
We immediately addressed these problems with the following actions, respectively:
[1] we bailed out financial institutions and corporate entities too big to fail with massive subventions, which found their way into the pockets of the richest people in the country;
[2] we increased the killing in the Mideast by carrying out the previous administration's plans for Iraq, sharply escalating President Bush's war in Afghanistan, and extending it into Pakistan; meanwhile we gave our client Israel a free hand to turn Gaza into a prison camp;
[3] we allowed certain cosmetic changes to the American healthcare system to be discussed while making sure that that profits of the medical/financial complex would be protected and increased.
Listening to the advice of the American people, I have concluded -- to my vast dismay -- that all of these initiatives were mistaken. They exacerbated the problems that they purported to solve.
Therefore, tonight, I am announcing a Change of Course in all three areas.
[1] Financial institutions and corporate entities that have been bailed out with public monies will have new boards of directors, charged with the responsibility of running those enterprises for public benefit rather than private profit. General Motors, for example, will turn its attention to mass transit. The same will be true of financial institutions: mortgage holders, for example, will be charged with keeping people in their homes; the housing market will be revived in part by ending foreclosures.
[2] U.S. troops, allies, and contractors will be withdrawn from Iraq and Afghanistan as quickly as possible consistent with their safety and the wishes of the local populations. A Mr. Richard Feder of Fort Lee, New Jersey, wrote to me to ask, "How will we ever get our troops out of the Middle East?" I replied in the words of the late Herb Caen -- "Ships and planes." All military aid to Israel will be ended, and non-military aid will resume only when Israel complies with international law by withdrawing from the occupied territories.
[3] Medicare will be improved and extended to all Americans. Its 45-year history and the experience of the other industrialized counties show us how to do it. When you need medical care, you will go to the doctor or healthcare provider of your choice, and the federal government will pay the bill. There will be no need for you or your employer to provide private medical insurance, and the money saved from premiums will be greater than any increase in taxes. Existing insurance companies will be acquired by the government to the extent that they have assets -- for example, expert personnel -- useful to the community.
In each of these matters we have resolved to Change the Course in a direction that polls indicate is approved by a majority of Americans. And so I call upon all Americans to impress on their Congressional representatives the need for these reforms.
There is much more to do. Forty years ago the most progressive U.S. administration since World War II proposed a negative income tax and a guaranteed annual income for all Americans, and the proposal almost made it through Congress. It is time to renew and fulfill that promise.
Next week I will ask the Congress once again for time to speak, to outline a vast revision of the tax laws to achieve that end. The goal is nothing less than the securing of the inalienable rights of life, liberty and the pursuit of happiness to all Americans -- in a practical and not merely theoretical manner.
There is much to do, and the time is short.
On this Change in Course, in the words of a great American port, we have promises to keep, and miles to go before we sleep.
God help us, and God save the United States of America. Good night.
C. G. Estabrook conducts "News from Neptune" on Urbana (IL) Public Television. He can be reached at carl@newsfromneptune.com.
Saturday, August 29, 2009
Wednesday, August 12, 2009
Health Care Rumors: Science Fiction Run Wild

The health care debate has had many of us laying awake at night. Personally, I have found it difficult to turn the news off and get to sleep. I've learned to resort to watching fluff just before bedtime. This is why I was so happy the other night when I found myself laying in bed watching a movie called Logan's Run. I saw the movie years ago, and I thought for certain this was the one; this was the flick that would take me to REM.
Boy was I wrong. If there was ever a movie relevant to our current health care crisis and debate it is the 1976 science fiction movie "Logan's Run". Logan's Run tells the story of a post-apocolyptic world in 1974. A recovered Utopian society is built within a dome, shielded from the outside world. Supplies and space are obviously scarce so the society develops one rule for this perfect world- no one can live past 30. Age-indicating chips, called life-clocks, are implanted into the hands of citizens. Once an individual reaches the ripe old age of 30 they are forced to participate in a ceremony where they are told they are "renewed". They are, in fact, incinerated.
There is one other option for the people of this domed paradise. They can decide to run. Rumors of a placed called "sanctuary" lure "runners" to flee. These people then become criminals. This is where the elite police force called "the sandmen" come in to play. Their job is to chase the runners and return them to their proper fate. When one of the sandmen, Logan, is given an undercover job as a runner his life-clock is bumped up a few years and he learns that he too must now run. I won't spoil the end of the movie for those of you now interested.
It's a brief synopsis, to be sure, but I watched it at three in the morning in an attempt to sleep. As I mentioned, the movie did not help lull me to dreamland because all I could think about was how close it came to so many of those outlandish rumors surrounding health care reform. Namely, I think about the misunderstanding regarding end of life care and I think about the frequent use of the word Nazi to describe supporters of health care reform legislation offering end of life counseling. "Logan's Run" was a sci-fi pic, something from the vivid imagination of authors William F. Nolan and George Clayton Johnson. Now it seems conservatives have drawn from this movie and made it their own, without perhaps even knowing it.
There is not currently, nor will there be in the future, "government encouraged euthanasia", as worded by two house GOP leaders. The reality behind the end of life issue is that the legislation would order Medicare to pay for consultations between patients and doctors on end-of-life decisions, which it currently doesn't cover. Anyone who's ever had a loved one in hospice care can appreciate this. There are people who may not know or understand that when they are terminally ill they have the option to die peacefully, at home, with their loved ones. They have the option to be relieved of pain or suffering instead of fighting. The key word here being option. Option. Option. Option. I cannot stress it enough. No one is forcing the elderly to go before what Sarah Palin calls "a death panel". They are simply suggesting that medicare pay for an end of life consultation between patients and their doctor.
I think we have to beat the dead horse here. We have to spell out each and every word. Debates are becoming so loud that no one is being heard. Take the sentence apart piece by piece:
The legislation would order Medicare to pay for consultations between patients and doctors on end-of-life decisions, which it currently doesn't cover.
The legislation would order medicare... Medicare would be ordered to pay for the consultations. Patients would not be required to have the consultations. Medicare is the one being ordered to do something here. No one is requiring patients to visit their doctor to discuss end of life issues. The patient can sit at home and grow old for the rest of their days. The patient can visit the doctor regarding any matter: their liver, their heart, their foot, without the slightest mention of end of life care. The idea is simply that the option for this particular meeting between a patient and their doctor should be covered.
...between patients and doctors... The consultations would take place between patients and their doctors; not bureaucrats, not politicians, not a death panel. Those opposed to health care reform should be pleased with this idea. After all, they are screaming (literally screaming) that doctors and patients should be making health care decisions. Scream no more. This legislation is an attempt to increase the chance that doctors and patients will be the making one of the most important health care decisions. This can be whether to pursue further treatment for terminal illness or to begin end of life care such as simply addressing pain and comfort for the dying.
...end of life care... People die. They shouldn't have their lives ended prematurely. They shouldn't be sent to an extermination ceremony at the age of 30, a la Logan's Run, but people do die. An "advanced directive" is used to tell health care providers what life-prolonging measures an individual may or may not want taken should they become ill. This can be something immediate like CPR or something long term like life support. These directives are important because they make a patients wishes known. This way a wife is not fighting when she tells a doctor that her husband never wanted to be on life support. She is supported by his authorization. The terminally ill cancer patient who has a heart attack can use his Do Not Resuscitate order (DNR) to let doctors know that he does not wish for his life to be prolonged.
Currently, only 40% of medicare patients have an advanced directive. 75% of seniors polled said they would interested in one, and felt such consultations with their doctor are important. How many seniors have had to undergo various medical procedures in their last year of life, not knowing that there were other options available to them?
These are personal decisions. However one may feel about life support and life-sustaining mechanisms, surely we can all agree that every patient deserves the right to make their wishes known and to discuss and explore their decisions with an experienced, knowledgeable, trained health care professional. Doctors have no motivation to encourage seniors to end their lives. This legislation offers no such incentive. It simply addresses the 60% of seniors who do no currently have advanced directives. It simply attempts to give them an option. There's that word again, option.
The decision to pursue life-prolonging care or hospice care is, by law, a patient's decision. The government does not make this decision. Doctors do not make this decision. This particular part of health care reform is simply a suggestion that medicare pay for the meeting in which this topic is discussed between a patient and their doctor. I have seen ad after ad claiming that we are disrespecting our elderly; forsaking them and all they have done to pull our nation through some of the most trying times we have known. The true disservice to our seniors is the current system, in which medicare does not pay for them to discuss options with their doctor. By not allowing them to make informed decisions about their illnesses and options we are taking away their rights. The current system is failing to allow our seniors to live with dignity or die with dignity. By not paying for these consultations we strip them of their right to decide if they want to continue with chemotherapy, breathing tubes, respirators and any other life-sustaining method or to pursue pain management and a comfortable death. Shouldn't we at least allow them the choice?
Option. Choice. Right. Opportunity. Decision. We are not merely tossing these words at one another but rather we are hurling them. They are being yelled at town hall meetings. They are being cried out at press conferences. They are no longer words but they are desperate pleas, and rightfully so. We are a nation founded on the word "right"; founded on the word "opportunity". This is why it is so confounding that we would even think twice about this particular aspect of health care reform. According to one ad, "our seniors deserve better". I agree. Our seniors do deserve better. They deserve to the right, the chance, the opportunity to sit down with their doctor and discuss all of their options. They deserve the right to make informed decisions regarding their lives.
Like Logan's Run, these ads and rumors opposing health care legislation can be entertaining. Who doesn't enjoy a good scare every now and then. This, however, is really happening to us and we must not confuse a fictional post-apocalyptic world with reality. We can't let baseless fear and paranoia govern our decisions. Let the movies put you to sleep. Enjoy the stories, but take them for what they are, science fiction, based on reality and steeped in fantasy. No need to start running.
Wednesday, August 5, 2009
Friday, July 31, 2009
Thursday, July 23, 2009
Chicken Soup for the Worker's Soul
My rage comes not only from a place within me but from my mail, sitting on my desk. It's based in reality. It saddens me that there is even debate at this time and it saddens me that the debate is simply another tool being used to confuse the middle class. Here are a few questions I have for people watching ads against a public health care option.
Can you choose your own doctor now? I can't. I have fairly good health insurance, by any standards. It's affordable. My co-pays are small but I cannot see a doctor of my choosing. That decision is made for me. If I want to see my doctor I have to be very specific when I make the appointment. If I am scheduled to see him for the flu and we discuss my knee the appointment is not covered by my "fairly good insurance". I have to call my insurance company before I go to the emergency room to make sure my visit will be covered. I have to make sure that if I have an emergency it's near the hospital my insurance has designated as my Primary Care Facility... otherwise... whoops! No payment! This is all from someone who has "fairly good insurance".
What about the people with no insurance? I talk to others about insurance and the story is not the same. I know two people, in their sixties, who are without health insurance. Both of them are unemployed. This isn't because they have no skills. One is a union electrician! They tried to survive on COBRA but after nearly losing their home they simply couldn't afford their health insurance. When there is no money there is simply NO MONEY. Now they are terrified of being sick. Everyday is a stressful reminder that they simply can't afford to live.
Government will make health decisions for you? Who makes your health care decisions now? I dare anyone with health insurance... bad, good, excellent... any health insurance, to go get a cat scan. Women, go get a mammogram. Men, go for a colonoscopy. It won't be covered. I guarantee it. No one with private health insurance makes their own health care decisions. Dot your I's. Cross your T's. It won't happen. Sure, most of that mammogram or colonoscopy will be covered if you're of a certain age, if it's a certain time of year, if you go to a certain facility or if the moon is in line with Jupiter. Sure, there's a chance it will be covered but it's not by your choice. Keep in mind the individual working in that tall black building downtown somewhere has every incentive to find a loophole on your form. They have every incentive to deny your claim.
Who would you rather make health care decisions? Health insurance, public or private, only works as a collective. We all pay in so some of us can take out every now and then. That's how it works. Because of this we must concede that somewhere down the line someone is going to have to make a decision on the insured's behalf. It is inevitable with so much money and so many different cases involved. That being acknowledged I think we need to ask ourselves this very important question: Would you rather have officials, elected by the people, help to make decisions for the people or would you rather a CEO (who stands only to profit) make decisions for the people.
I prefer the elected officials. If they make bad decisions let's just get them out of office. There's a lot of talk about the inefficacy of government. We forget that we are the government! We hold sovereignty. Each time that we believe or fall prey to these ads suggesting that government does not work we hand another piece of our country over to corporate America. Only... be careful. Corporate America is not really even corporate "America" anymore. It's corporate-China. It's corporate Mexico. It's corporate Bangladesh. These companies that apparently care so much for our health care system and care so much about out autonomy as patients don't care enough about us to keep our jobs here or to even keep their money here. They are here to funnel it out, into international investments and cheap labor. They are not advocating for your rights as a worker.
This brings me to the popular book series, Chicken Soup for the Soul. Anyone who has ever walked past or into the inspirational or self-help section of a bookstore knows about these heartwarming little books. The books are compilations of stories and anecdotes relating to a certain profession or perhaps a certain stage in life. I've seen Chicken Soup for the Nurse's Soul, Chicken Soup for the Mother's Soul, Chicken Soup for the Teenager's Soul, and many others. The stories in these books are always feel-good. The title describes them perfectly. One reads them and feels warm and comfortable. They are full of light-hearted, feel-better tales, kind of like a warm bowl of homemade chicken soup.
I suggest that corporate America is putting out a gift book of their own: Chicken Soup for the Worker's Soul. It's warm. It's caring. It's delightfully full of crap. It's wrapped up in a patriotic book jacket and flying off the shelves. They want us to believe this is non-fiction. They want workers to believe that we're all the same, on the same side- wall street and main street, those who shower before work and those who shower after work. The tales they fill this book with are outlandish and exceptional stories of women who could not get medical treatment in Canada, people in Sweden who are forced to travel for flu vaccines and elderly people being denied treatment because of their age. It's a perversion of comfort to be sure. The anecdotes are scare tactics but Americans are buying it up. It's a best-seller, marketed as inspiration.
Chicken Soup for the Worker's Soul. It's a nice idea but sew it on a pillow or put it in a greeting card and leave us to do the work that so desperately needs to be done. Meanwhile, I will walk away from TV and try to stick to something a little less inspirational, a little less warm and comforting... the newspaper.
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