AlterPolitics New Post

Amnesty International Condemns U.S. For Soaring Maternal Death Rates

by on Friday, March 12, 2010 at 4:00 pm EDT in Healthcare, Politics

In a scathing new report released today, Amnesty International calls on U.S. President Barack Obama to address its spiraling maternal mortality rates and soaring pregnancy related complications (which disproportionately affects minorities and those living in poverty):

More than two women die every day in the USA from complications of pregnancy and childbirth. Approximately half of these deaths could be prevented if maternal health care were available, accessible and of good quality for all women in the USA.

Maternal mortality ratios have increased from 6.6 deaths per 100,000 live births in 1987 to 13.3 deaths per 100,000 live births in 2006. […]

The USA spends more than any other country on health care, and more on maternal health than any other type of hospital care. Despite this, women in the USA have a higher risk of dying of pregnancy-related complications than those in 40 other countries, [including nearly all the industrialized countries]. For example, the likelihood of a woman dying in childbirth in the USA is five times greater than in Greece, four times greater than in Germany, and three times greater than in Spain. […]

A total of 1.7 million women a year, one-third of all pregnant women in the United States, suffer from pregnancy-related complications.

The report also revealed that severe pregnancy-related complications that nearly cause death — known as “near misses” — are rising at an alarming rate, increasing by 25 percent since 1998.

US Amnesty executive director Larry Cox weighs in:

“This country’s extraordinary record of medical advancement makes its haphazard approach to maternal care all the more scandalous and disgraceful. Good maternal care should not be considered a luxury available only to those who can access the best hospitals and the best doctors. Women should not die in the richest country on earth from preventable complications and emergencies.” […]

“Mothers die not because the United States can’t provide good care, but because it lacks the political will to make sure good care is available to all women.” […]

The group blasts the U.S. health care system as one that systematically creates barriers to keep pregnant women from getting coverage:

The way in which the health care system is organized and financed fails to ensure that all women have access to affordable, timely and adequate maternal health care. For many women, health care costs are beyond reach.

Half of all births are covered by private insurance. However, policies that exclude maternal care are not uncommon and most insurance companies will not provide coverage for a pregnant woman unless she had insurance before she became pregnant.

Some 42 percent of births are covered by Medicaid, the government-funded program for some people on low incomes. However, complicated bureaucratic requirements mean that eligible women often face significant delays in receiving prenatal care.  […]

Women who do not receive prenatal care are three to four times more likely to die of pregnancy-related complications than women who do. Those with high risk pregnancies are 5.3 times more likely to die if they do not receive prenatal care.

The group pointed out many other systematic failures, including:

  • Nearly 13 million women of reproductive age (15 to 44), or one in five, have no health insurance. Minorities account for just under one-third of all women in the US A (32 percent) but over half (51 percent) of uninsured women.
  • One in four women do not receive adequate prenatal care, starting in the first trimester. The number rises to about one in three for African American and Native American women.
  • A shortage of health care professionals is a serious obstacle to timely and adequate care, especially in rural areas and inner cities. In 2008, 64 million people were living in “shortage areas” for primary care (which includes maternal care).
  • Many women are not given a say in decisions about their care and the risks of interventions such as inducing labor or cesarean sections. Cesarean sections make up nearly one-third of all deliveries in the US A – twice as high as recommended by the World Health Organization.
  • The number of maternal deaths is significantly understated because of a lack of effective data collection in the USA.

Here’s a bird’s eye view of how countries rank on lifetime risk of death from pregnancy related causes (as reported by the World Health Organization:

1. Ireland 1 in 47,600

2. Bosnia and Herzegovina 1 in 29,000

3. Italy 1 in 26,000

4. Greece 1 in 25,900

5. Austria 1 in 21,500

6. Germany 1 in 19,200

7. Czech Republic 1 in 18,100

8. Denmark 1 in 17,800

9. Sweden 1 in 17,400

10. Spain 1 in 16,400

26. United Kingdom 1 in 8,200

41. United States 1 in 4,800

In its new report, Amnesty disclosed maternal mortality ratios (per 100,000 live births) for each of the 50 states, and the nation’s capitol:

51 — Washington, DC (34.9 deaths per 100,000 live births)
50 — Georgia (20.5)
49 — New Mexico (16.9)
48 — Maryland (16.5)
47 — New York (16.0)
46 — Louisiana (15.9)
45 — Mississippi (15.2)
44 — Arkansas (14.6)
42 — Delaware, Michigan (13.6)
41 — Florida (13.1)
40 — Nebraska (12.6)
39 — Oklahoma (12.3)
38 — Tennessee (11.7)
37 — North Carolina (11.4)
35 — New Jersey, California (11.3)
34 — W. Virginia (11.2)
32 — South Carolina, Idaho (11.1)
31 — Colorado (11.0)
30 — North Dakota (10.7)
28 — Missouri, Montana (10.5)
26 — Nevada, New Hampshire (10.4)
25 — Alabama (9.6)
24 — Rhode Island (9.2)
23 — Illinois (9.1)
22 — Kentucky (8.8)
20 — Texas, Utah (8.6)
19 — Pennsylvania (8.5)
18 — Ohio (8.4)
17 — Virginia (8.0)
16 — Wyoming (7.8)
15 — Washington (7.5)
13 — Arizona, Wisconsin (7.2)
12 — Iowa (7.0)
10 — Oregon, South Dakota (6.2)
9 — Kansas (5.9)
8 — Connecticut (5.1)
7 — Alaska (5.0)
6 — Hawaii (4.7)
5 — Minnesota (3.7)
4 — Indiana (3.3)
3 — Massachusetts (2.7)
2 — Vermont (2.6)
1 — Maine (1.2)

To put this in perspective, a pregnant woman in our nation’s capitol is fifteen times more likely to die from childbirth than a pregnant woman in Greece, twelve times more likely to die than a pregnant woman in Germany, and nine times more likely to die than her counterpart in Spain.  And yet, ironically many of our politicians who live and work in that very same city, continue to tout U.S. health care as the “best in the world.”

TAKE ACTION:

Generate an instant email (c/o Amnesty International) to Kathleen Sebelius @ the US Department of Heath and Human Services demanding immediate action.

With No Exit Polls, The “Why?” For Dem. Coakley’s Senate Defeat Gets Spun

by on Wednesday, January 20, 2010 at 3:44 pm EDT in Healthcare, Politics

One of the most vexing revelations to come from last night’s Senatorial contest in Massachusetts was the fact there were NO EXIT POLLS.  NONE!  Not a single news organization conducted exit polls to ascertain a “why?” for such a huge, significant upset.

Surely, the networks knew the significance of last night’s election before a single vote was cast, and they clearly saw Coakley’s sliding poll numbers since January 5, when Rasmussen released a survey showing Republican Scott Brown trailing Democrat Martha Coakley by only nine points.

Call me a cynic, but you just have to wonder if the absence of exit polls wasn’t somehow intentional.  Perhaps the beltway media establishment didn’t want to quantify the populist voter outrage which would likely incite a legislative turn to the Left, against entrenched interests.

By not conducting exit polling, the establishment accorded itself the opportunity to reframe the impending Democratic upset in the usual way: Obama needs to move further to the right to placate enraged Independents (whom they routinely misportray as nothing more than disaffected Republicans).

Ryan Grimm of the Huffington Post addressed the establishment’s reaction to last night’s Republican victory in Massachusetts as being focused entirely on the Independent voters; while largely ignoring the base:

With all the talk about “angry independents” deciding the special election in Massachusetts Tuesday night, the inclination among establishment Washington Democrats is to chase after them. Progressives, meanwhile, want the party to deliver on promises made during the campaign.

Not surprisingly, Democratic politicians are already indicating that they will likely shift rightward.  Barney Frank seemed to suggest to Rachel Maddow, in reaction to the upset, “that without support from at least some Republican senators, health care reform, at least in this iteration, wouldn’t happen.”  In other words, he interpreted this defeat as a need to appease the right — as if they haven’t been doing that all along.  That move would certainly help him to water down even further his current banking reform initiative (as would also be necessary to gain Republican votes).

Anthony Weiner “suggest[ed] on MSNBC that maybe it’d really be better to drop health care reform–and pivot to jobs.”

Digby points out that Chris Matthews, in reaction to Coakley’s defeat, has now joined the deficit-hawk choir:

The predicted reverberations are already being felt. Chris Matthews is already going on about deficits being the most important problem in the whole wide world and how his daughter is really worried about government spending and taxes.

And the Democrats are subsequently making it much more difficult to fix the economy by playing into this deficit propaganda themselves.

The usual conservative voices, as one would expect, are all too happy to capitalize on the absence of exit polls.

Here’s Michael Gerson at the Washington Post, suggesting that Obama’s “liberalism” has infuriated Independent voters:

It means that Rahm Emanuel’s “big bang” theory of legislative liberalism is the most foolish political strategy in recent memory. It means that spending political capital on health reform instead of economic recovery and growth was a dreadful error. It means that a crisis that Obama didn’t want to waste has largely been wasted. […]

There is only one explanation for this remarkable turn of events. Americans thought Obama was a moderate. He certainly sounded like one. But now he is attempting to remake one seventh of the economy in a quick march of party-line votes. In the process, he has alienated independents in large numbers — even in Massachusetts.

Did you get that?  According to Michael Gerson this isn’t about populist outrage from both the Left and Right; this is about Obama (who actually ran on a progressive populist platform) somehow misleading Independents into thinking he was more conservative than he really was.  To Gerson, it would seem Independents have suddenly awakened to discover that Obama and his “liberal” cohort Rahm Emanuel are governing as some kind of commie-liberals.

David Broder never once mentions populist outrage in his column; no talk of Wall Street bailouts while turning a blind eye to the plight of Americans; no mention of Health Insurance and Pharmaceutical Industry giveaways off the backs of hurting Americans.

First he mentions voter concerns about deficit spending, and then he describes just how Republican victor Scott Brown was able to capitalize on the current Health Care Reform bill before Congress:

This allowed Brown to argue that he would vote against the legislation pending in Washington, which by comparison looks more expensive and more bureaucratic and more partisan than the Massachusetts model.

Perhaps subtle to some, but the word “bureaucratic” is actually a lightening rod term within Conservative circles.  It conjures up images of an inefficient government run entity (i.e. the Republican stigmatization of a would-be public option — something which isn’t even part of the bill under consideration).  In reality, the Senate Bill is clearly a giveaway to the private “for profit” health insurance industry — a dream bill to a corporatist like Broder.

The only Democratic politicos Broder spoke to were the ones who seemed to parrot the White House talking points:

“They were critical of Coakley’s campaign, arguing that it was a serious miscalculation for her to break off campaigning and advertising after her easy victory in the primary.”

Like Gerson, Broder implies it is more about ideological differences; meaning the “liberal” Democratic Congress and President are imposing their will on a more “moderate” electorate, and it’s backfired.  Broder gives his readers two false choices to explain the Democratic upset: 1. voter repudiation of liberal initiatives (i.e. runaway spending and government ‘bureaucratic’ health care), or 2. a poorly run Coakley campaign (i.e. the White House talking points).  Yet he never mentions the visible outrage bubbling over from the left, as Obama continues to sell out the American people to serve his corporate masters.

The reality is President Obama has been governing from right of center since the moment he took office.  Liberals feel betrayed.  The Democratic base couldn’t be less energized — thanks to all of Obama’s broken promises, and his backdoor deals with entrenched interests.

Ryan Grimm contends that Independents and liberals have indicated they want essentially the same thing: CHANGE.

A review of surveys of independent and Democratic voters show that both want much the same thing: change. Both groups are deeply troubled by the state of the economy and angered that bailed-out Wall Street firms seem to be the only ones to have recovered from the crisis. […]

“If Scott Brown wins tonight, he’ll win because he became the change-oriented candidate,” Celinda Lake, pollster to losing Democratic candidate Martha Coakley, told HuffPost before the election results came in. “Voters are still voting for the change they voted for in 2008, but they want to see it. And right now they think they’ve got economic policies for Washington that are delivering more for banks than Main Street.”

Ezra Klein from the Washington Post perfectly sums up the frustration from the Left:

A Democratic Party that would abandon their central initiative this quickly isn’t a Democratic Party that deserves to hold power. If they don’t believe in the importance of their policies, why should anyone who’s skeptical change their mind? If they’re not interested in actually passing their agenda, why should voters who agree with Democrats on the issues work to elect them? A commitment provisional on Ted Kennedy not dying and Martha Coakley not running a terrible campaign is not much of a commitment at all.

Joe Trippi, a longtime party strategist and high-ranking official on the Howard Dean and John Edwards campaigns told the Huffington Post:

“This needs to be a wake up call that people are still demanding change.  I don’t think it is ideological, I don’t think it is left versus right. I think it is outsider versus insider. It is the new way versus people doing it the old way. That is still the carryover from 2008. And whether the Obama administration recognizes that is important. This is a wake up call that they can’t play the inside game.”

Glenn Greenwald weighs in on the establishment’s effort to reframe Coakley’s defeat as voter repudiation of the Left:

The very idea that an administration run by Barack Obama and Rahm Emanuel and staffed with centrists, Wall Street mavens, and former Bush officials — and a Congress beholden to Blue Dogs and Lieberdems — has been captive “to the Left” is so patently false that everyone should be too embarrassed to utter it. For better or worse, the Democratic strategy has long been and still is to steer clear of their leftist base and instead govern as “pragmatists” and centrists — which means keeping the permanent Washington factions pleased. That strategy may or not be politically shrewd, but it is just a fact that the dreaded “Left” has gotten very little of what it wanted the entire year.

Senator John Kerry — the quintessential Washington ‘insider’ — has wisely calculated the necessity in addressing populist angst, by attributing it to Coakley’s defeat:

I didn’t need any reminders, but this election encapsulated what was clear in 2006 and 2008 and remains clear today: Americans are angry. They’re mad at Washington and they’re mad at Wall Street. They’ve seen millions of jobs lost and been left no choice but to bail out those responsible. They’re tired of insurance companies that charge exorbitant premiums but don’t deliver decent coverage when they need it. They’re fed up with sending billions of dollars a day overseas for foreign oil. They hate knowing that they pay taxes while powerful interests evade taxes and hide money overseas in Cayman Island bank accounts. And they expect all of us, Democrat or Republican, to fight for them.

So what should those on the Left take away from these dueling-message efforts?  In the future, if Progressives intend to send a ‘resounding’ message by abandoning Democratic candidates, they’d be well served to at least hire an independent polling company to conduct exit polls that accurately quantify the “why?” for voter behavior.

If exit polls aren’t there to capture the true underlying motivation of the voters, then the beltway establishment will gladly define it for them.

UPDATE:

Thanks to cbsunglass at FireDogLake for pointing out a newly released Research 2000 Massachusetts Poll.

Though not an exit poll, it reveals exactly what we hoped to show. Fascinating how this has been largely overlooked by much of the press all day.

Here are some of the findings of that poll:

  • 95% of voters said the economy was important or very important when it came to deciding their vote.
  • 53% of Obama voters who voted for Brown and 56% of Obama voters who did not vote in the Massachusetts election said that Democrats enacting tighter restrictions on Wall Street would make them more likely to vote Democratic in the 2010 elections.
  • 51% of voters who voted for Obama in 2008 but Brown in 2010 said that Democratic policies were doing more to help Wall Street than Main Street.
  • Nearly half (49%) of Obama voters who voted for Brown support the Senate health care bill or think it does not go far enough. Only 11% think the legislation goes too far.


A Final Nail In The Public Option Coffin: Nancy Pelosi

by on Tuesday, January 5, 2010 at 5:36 pm EDT in Healthcare, Politics

The Democratic Party’s betrayal of the Left is effectively complete:

Speaker Pelosi (D-Calif.) showed flexibility Tuesday on the public option, acknowledging the political reality that such a plan probably couldn’t make it through the Senate.

A public plan, Speaker Pelosi said at a press conference, is meant to “hold insurance companies accountable and increase competition,” but Pelosi added that “there are other ways to do that.”

[…]

Good luck in 2010!  You’re gonna need it …

UPDATE:

Thought, I’d add a clip of Pelosi taking a little shot at the President, when she was asked about allowing C-SPAN to film the Senate-House negotiations in the Conference Committee, since Obama had promised this while on the campaign trail.  Pelosi responded:

Really?  There were a number of things we was ‘for’ on the Campaign trail.

[youtube]http://www.youtube.com/watch?v=lxUud3yOsSk[/youtube]

Obama’s Biggest Broken Promise: The One On Special Interests

by on Thursday, December 24, 2009 at 1:28 pm EDT in Healthcare, Politics

Barack Obama told the Washington Post that he never campaigned on the public option.  I recently provided resounding proof — as aggregated by Think Progress — and also included a new scathing ad being run by The Progressive Change Campaign Committee SHOWING Obama telling his supporters that he would only sign a plan that contained […]

New Ad Shows President Obama’s Broken Health Care Promises, In His Own Words

by on Wednesday, December 23, 2009 at 1:31 pm EDT in Healthcare, Politics

The two most controversial aspects of the recently passed Senate health care bill include the absence of a public option, and a mandate whereby the public will be required with penalty — to be enforced by the IRS — to purchase health insurance policies from the private, for-profit, health insurance industry; policies which may very […]

Bill Moyers Journal: Why Robert Kuttner’s ‘Party Line’ Mindset Ensures The Status Quo

by on Sunday, December 20, 2009 at 12:03 pm EDT in Healthcare, Politics

On Friday night Bill Moyers hosted a fascinating debate on the Senate’s health care bill between Matt Taibbi, contributing editor for Rolling Stone, and Robert Kuttner, co-editor of the American Prospect.  (The video can be viewed here:  Bill Moyers Journal).  Taibbi and Kuttner both describe the just-passed health care bill as disastrous.  They outline how […]

Watch: Dylan Ratigan Blasts Debbie Wasserman-Schultz For Spinning Health Care Bill

by on Friday, December 18, 2009 at 5:33 pm EDT in Healthcare, Politics

This is quite entertaining! Rep. Debbie Wasserman-Schultz (D-FL) goes on MSNBC’s ‘Morning Meeting’ with Dylan Ratigan, and starts reciting all the White House talking points in support of the ‘Liebercare’ health bill in the Senate.  She says she is going to “jump at this chance to pass it” in its current state. Ratigan then embarks […]

New Poll: Majority of Americans Reject ‘Obama-Lieberman’ Health Care Bill

by on Friday, December 18, 2009 at 2:46 pm EDT in Healthcare, Politics

New results from a national poll, conducted by Research 2000 between December 16 and 17, reveal that a majority of American voters are now AGAINST each and every aspect of the Senate’s ‘Obama-Lieberman’ health care bill — which President Obama is now urging for a quick passage. The questions asked in the poll follow below: […]

Health Care Reform: GOP’s “Kill Everything” vs. Obama’s “Pass Anything”

by on Thursday, December 17, 2009 at 12:53 pm EDT in Healthcare, Politics

This entire legislative debacle is proving to be nothing more than inner-Beltway political gamesmanship where the peoples’ interests have been entirely ignored — subverted to the self-interests of politicians and parties. From the very beginning the Republicans strategically decided to make Health Care Reform “Obama’s Waterloo,” by obstructing ANYTHING and EVERYTHING that the Democrats might […]

Health Care Reform: WTF Just Happened? The Left Weighs In

by on Wednesday, December 16, 2009 at 6:49 pm EDT in Healthcare, Politics

The reaction to Obama’s Health Care Reform fiasco is getting rather explosive on the Left.  There seems to be somewhat of a prevailing sentiment that Obama’s Administration bears the lions’ share of the blame for Lieberman and Blue Dog intransigence.  Here’s some of the reactions: Labor Unions: Sam Stein from the Huffington Post is reporting […]