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The Achievements of Hugo Chavez

By CHARLES MUNTANER, JOAN BENACH, MARIA PAEZ VICTOR | CounterPunch | December 14, 2012

While Venezuela’s president Hugo Chávez is fighting for his life in Cuba, the liberal press of both sides of the Atlantic (e.g., El Pais ) has not stopped trashing his government. The significance of his victory (12 points ahead of his contender) has yet to be analyzed properly, with evidence. It is remarkable that Chávez would win, sick with cancer, outgunned by the local and international media (think of Syriza’s Greece election) and, rarely acknowledged, an electoral map extremely biased towards the middle and upper classes, with geographical barriers and difficult access to Ids for members of the working classes.

One of the main factors for the popularity of the Chávez Government and its landslide victory in the re-election results of October 2012, is the reduction of poverty, made possible because the government took back control of the national petroleum company PDVSA, and has used the abundant oil revenues, not for benefit of a small class of rentiers as previous governments had done, but to build needed infrastructure and invest in the social services that Venezuelans so sorely needed.  During the last ten years, the government has increased social spending by 60.6%, a total of $772 billion [i].

Poverty is not defined solely by lack of income nor is health defined as the lack of illness. Both are correlated and both are multi-factorial, that is, determined by a series of social processes. To make a more objective assessment of the real progress achieved by the Bolivarian Revolution in Venezuela during the last 13 years it is essential to review some of the key available data on the social determinants of health and poverty: education, inequality, jobs and income, health care, food security and social support and services.

With regard to these social determinants of health indicators, Venezuela is now the country in the region with the lowest inequality level (measured by the Gini Coefficient) having reduced inequality by 54%, poverty by 44%. Poverty has been reduced from 70.8% (1996) to 21% (2010). And extreme poverty reduced from 40% (1996) to a very low level of 7.3% (2010). About 20 million people have benefited from anti-poverty programs, called “Misiones” (Up to now, 2.1 million elderly people have received old-age pensions – that is 66% of the population while only 387,000 received pensions before the current government.

Education is a key determinant of both health and poverty and the Bolivarian government has placed a particular emphasis on education allotting it more than 6% of GDP. UNESCO has recognized that illiteracy been eliminated, furthermore, Venezuela is the 3rd most literate country in the region. There is tuition free education from daycare to university; 72% of children attend public daycare and 85% of school age children attend school. There are thousands of new or refurbished schools, including 10 new universities. The country places 2nd in Latin America and 5th in the world with the greatest proportions of university students. In fact, 1 out of every 3 Venezuelans are enrolled in some educational  program. [ii] . It is also a great achievement that Venezuela is now tied with Finland as the 5th happiest country in the world [iii] .

Before the Chavez government in 1998, 21% of the population was malnourished. Venezuela now has established a network of subsidized food distribution including grocery stores and supermarkets. While 90% of the food was imported in 1980, today this is less than 30%.  Misión Agro-Venezuela has given out 454,238 credits to rural producers and 39,000 rural producers have received credit in 2012 alone.  Five million Venezuelan receive free food, four million of them are children in schools and 6,000 food kitchens feed 900,000 people.  The agrarian reform and policies to help agricultural producers have increased domestic food supply. The results of all these food security measures is that  today  malnourishment  is only 5%, and child malnutrition  which was  7.7% in 1990 today is at 2.9%. This is an impressive health achievement by any standard.

Some of the most important available data on health care and public health are the following [iv], [v], [vi]:

*infant mortality dropped from 25 per 1000 (1990) to only 13/1000 (2010);

*An outstanding 96% of the population now has access to clean water (one of the goals of the revolution);

*In 1998, there were 18 doctors per 10,000 inhabitants, currently there are  58, and the public health system has about 95,000 physicians;

*It took four decades for previous governments to build 5,081 clinics, but in just 13 years the Bolivarian government built 13,721 (a 169.6% increase);

*Barrio Adentro (i.e., primary care program with the help of more than 8,300 Cuban doctors) has saved approximately 1.4 million lives in 7,000 clinics and has given 500 million consultations;

*In 2011 alone, 67,000 Venezuelans received free high cost medicines for 139 pathological conditions including cancer, hepatitis, osteoporosis, schizophrenia, and others; there are now 34 centers for addictions,

*In 6 years 19,840 homeless have been assisted through a special program; and there are practically no children living on the streets.

*Venezuela now has the largest intensive care unit in the region.

*A network of public drugstores sell subsidized medicines in  127 stores with savings of 34-40%.

*51,000 people have been treated in Cuba for specialized eye treatment and the eye care program “Mision Milagro”; has restored sight to 1.5 million Venezuelans.

An example of how the government has tried to respond in a timely fashion to the real needs of its people is the situation that occurred in 2011 when heavy tropical rains left 100,000 people homeless. They were immediately sheltered temporarily in all manner of public buildings and hotels and, in one and a half years, the government built 250,000 houses. The government has obviously not eradicated all social ills, but its people do recognize that, despite any shortcomings and mistakes, it is a government that is on their side, trying to use its resources to meet their needs. Part of this equation is the intense political participation that the Venezuelan democracy stands for, that includes 30,000 communal councils, which determine local social needs and oversee their satisfaction and allows the people to be protagonists of the changes they demand.[vii]

The Venezuelan economy has low debts, high petroleum reserves and high savings, yet Western economists that oppose President Chávez repeat ad nauseam that the Venezuelan economy is not “sustainable” and predict its demise when the oil revenues stop. Ironically they do not hurl these dire predictions to other oil economies such as Canada or Saudi Arabia. They conveniently ignore that Venezuela’s oil reserves of 500 billion barrels of oil is the largest in the world and consider the social investment of oil revenues a waste or futile endeavor. However, these past 13 years, the Bolivarian government has been building up an industrial and agricultural infrastructure that 40 years of previous governments had neglected and its economy continues to get stronger even in the face of a global financial crisis.

An indication of the increasing diversification of the economy is the fact that the State now obtains almost as much revenue from tax collection as from the sale of oil, since it strengthened its capacity for tax collection and wealth redistribution.

Economic milestones these last ten years include reduction in unemployment from 11.3% to 7.7%; doubling the number of people receiving social insurance benefits, and the flourishing of cooperatives has strengthened local endogenous economies.  In general, the Venezuelan economy has grown 47.4% in ten years, that is, 4.3% per annum. [viii].

Today many European countries would look jealously at these figures. Economists who studied the Venezuelan economy in detail for years indicate that, “The predictions of economic collapse, balance of payments or debt crises and other gloomy prognostications, as well as many economic forecasts along the way, have repeatedly proven wrong… Venezuela’s current economic growth is sustainable and could continue at the current pace or higher for many years.” [ix] .

According to Global Finance and the CIA World Factbook, the Venezuelan economy presents the following indicators [x]: unemployment rate of  8%; 45.5% government (public) debt as a percent of GDP (by contrast  the European Union debt/GDP is 82.5%); and a real GDP growth: GDP per capita is $13,070.

In 2011, the Venezuelan economy defied most forecasts by growing 4.2 percent, and was up 5.6 percent in the first half of 2012. It has a debt-to-GDP ratio comfortably below the U.S. and the UK, and stronger than European countries; an inflation rate,  an endemic  problem during many decades, that has fallen to a four-year low, or 13.7%, over the most recent 2012 quarter. Even The Wall Street Journal reports that Venezuela’s stock exchange is by far the best-performing stock market in the world, reaching an all-time high in October 2012, and Venezuela’s bonds are some of the best performers in emerging markets.

Hugo Chavez’s victory had an impact around the world as he is recognized as having spearheaded radical change not only in his own country but in all Latin America where progressive governments have also been elected, thereby reshaping the global order. The victory was even more significant considering the enormous financial and strategic help that the USA agencies and allies gave to the opposition parties and media.  Since 2002, Washington channeled $100 million to opposition groups in Venezuela and this election year alone, distributed US$ 40-50 million there. [xi]  But the Venezuelan people disregarded the barrage of propaganda unleashed against the president by the media that is 95% privately owned and anti-Chavez. [xii]. The tide of progressive change in the region has started to build the infrastructure for the first truly independent South America with political integration organizations such as Bank of the South, CELAC, ALBA, PETROSUR, PETROCARIBE, UNASUR, MERCOSUR, TELESUR and thus have demonstrated to the rest of the world that there are, after all, economic and social alternatives in the 21st century [xiii]. Following a different model of development from that of global capitalism in sharp contrast to Europe, debt levels across Latin America are low and falling.

The changes in Venezuela are not abstract. The government of President Chávez has significantly improved the living conditions of Venezuelans and engaged them in dynamic political participation to achieve it [xiv]. This new model of socialist development has had a phenomenal impact all over Latin America, including Colombia of late, and the progressive left of center governments that are now the majority in the region see in Venezuela the catalyst that that has brought more democracy, national sovereignty and economic and social progress to the region [xv]. No amount of neoliberal rhetoric can dispute these facts.  Dozens of opinionated experts can go on forever on whether the Bolivarian Revolution is or is not socialist, whether it is revolutionary or reformist (it is  likely to be both ), yet at the end  of the day these substantial achievements remain. This is what infuriates its opponents the most both inside Venezuela and most notably, from neocolonialist countries. The “objective” and “empiricist” The Economist will not publicize this data, preferring to predict once again the imminent collapse of the Venezuelan economy and El Pais, in Spain, would rather have one of the architects of the Caracazo (the slaughter of 3000 people in Caracas protesting the austerity measures of 1989), the minister of finance of the former government Moises Naim, go on with his anti-Chávez obsession. But none of them can dispute that the UN Human Development Index situates Venezuela in place #61 out of 176 countries having increased 7 places in 10 years.

And that is one more reason why Chavez’s Bolivarian Revolution will survive Venezuela’s Socialist leader.

Carles Muntaner is Professor of Nursing, Public Health and Psychiatry at the University of Toronto. He has been working on the public health aspects of the Bolivarian Revolution for more than a decade including Muntaner C, Chung H, Mahmood Q and Armada F. “History Is Not Over. The Bolivarian Revolution, Barrio Adentro and Health Care in Venezuela.” In T Ponniah and J Eastwood The Revolution in Venezuela. Harvard: HUP, 2011

María Páez Victor is a Venezuelan sociologist, specializing in health and medicine.

Joan Benach is a professor of Public Health at the Universitat Pompeu Fabra, Barcelona. He has collaborated in a number of studies on the public health policies of the Bolivarian Revolution.

~~~

[i] Páez Victor, Maria. “Why Do Venezuelan Women Vote for Chavez?” Counterpunch, 24 April 2012

http://www.counterpunch.org/2012/04/24/why-do-venezuelan-women-vote-for-chavez/print

[ii] Venezuela en Noticias, Venezuela en Noticias <venezuelaennoticias@minci.gob.ve> Venezuela en Noticias, Venezuela en Noticias venezuelaennoticias@minci.gob.ve

[iii] Gallup Poll 2010

[iv] Muntaner C, Chung H, Mahmood Q and Armada F. “History Is Not Over. The Bolivarian Revolution, Barrio Adentro and Health Care in Venezuela.” In T Ponniah and J Eastwood The Revolution in Venezuela. Harvard: HUP, 2011 pp 225-256; see also 4, Muntaner et al 2011, 5, Armada et al 2009; 6, Zakrison et al 2012

[v] Armada, F., Muntaner, C., & Navarro, V. (2001). “Health and social security reforms in Latin America: The convergence of the world health organization, the world bank, and transnational corporations.” International Journal of Health Services, 31(4), 729-768.

[vi] Zakrison TL, Armada F, Rai N, Muntaner C. ”The politics of avoidable blindness in Latin America–surgery, solidarity, and solutions: the case of Misión Milagro.”Int J Health Serv. 2012;42(3):425-37.

[vii] Ismi, Asad. “The Bolivarian Revolution Gives Real Power to the People.” The Canadian Centre for Policy Alternatives Monitor , December 2009/January.http://www.policyalternatives.ca/publications/monitor/latin-american-revolution-part-iv

[viii] Carmona, Adrián. “Algunos datos sobre Venezuela”, Rebelión, March 2012

[ix] Weisbrot, Mark and Johnston, Jake.  “Venezuela’s Economic Recovery: Is It Sustainable?”  Center for Economic and Policy Research, Washington, D.C., September 2012.

[x] Hunziker , Robert. “Venezuela and the Wonders of Equality”.  October 15th, 2012

[xi] Golinger, Eva. “US$20 million for the Venezuelan Opposition in 2012”, http://www.chavezcode.com/2011/08/us-20-million-for-venezuelan-opposition.html

[xii] Páez Victor, Maria. “Chavez wins Over Powerful Foreign Conglomerate Against Him”, Periódico América Latina, 11 October, 2012

[xiii] Milne, Seumas.  “The Chávez Victory Will be Felt Far Beyond Latin America” , Associate Editor, The Guardian, October 9, 2012:

[xiv] Alvarado, Carlos, César Arismendi, Francisco Armada, Gustavo Bergonzoli, Radamés Borroto, Pedro Luis Castellanos, Arachu Castro, Pablo Feal, José Manuel García, Renato d´A. Gusmão, Silvino Hernández, María Esperanza Martínez, Edgar Medina, Wolfram Metzger, Carles Muntaner, Aldo Muñoz, Standard Núñez, Juan Carlos Pérez, and Sarai Vivas. 2006. “Mission Barrio Adentro: The Right to Health and Social Inclusion in Venezuela”. Caracas: PAHO/Venezuela.

[xv] Weisbrot, Mark.”Why Chávez Was Re-elected”. New York Times. Oct 10th 2012

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December 14, 2012 Posted by | Deception, Economics, Mainstream Media, Warmongering, Timeless or most popular | , , , , , , | Leave a comment

Family denies Hebron teen killed by Israel was carrying toy gun

Ma’an – 14/12/2012

BETHLEHEM – Relatives and a Palestinian human rights group on Thursday disputed Israel’s claim that a Palestinian teenager killed in Hebron was carrying a toy gun.

An Israeli border guard shot dead Muhammad al-Salaymeh on Wednesday, his 17th birthday.

Israeli police spokesman Mickey Rosenfeld told Ma’an on Thursday that he had nothing to add to initial findings immediately after the shooting that Muhammad pointed a fake gun at forces at a checkpoint in the southern West Bank city.

An investigation by the Palestinian Center for Human Rights found that Muhammad was on his way home from buying a birthday cake when he arrived at the checkpoint.

PCHR found that another child, who had a plastic pistol, was being detained by troops. When Muhammad reached the checkpoint he was shot by a border guard at close range, killing him immediately, PCHR said.

The teen’s uncle, also named Muhammad Salaymeh, said the Israeli police’s version of events did not ring true.

“We live in a place which is like a military base for Israeli forces; dozens of soldiers are spread out over the area, checkpoints and cameras are everywhere to watch our movements,” he told Ma’an.

“Every resident knows exactly the difficulties anyone will have for just carrying a black plastic bag, we’re being searched and watched constantly … Muhammad lived in this area and was aware that any unusual movement will put him in trouble.”

His uncle continued: “The boy went to the store to buy his gift in order to celebrate his 17th birthday with his mother, father and siblings. Why would he pull out a weapon and point it at soldiers? ”

“Plastic guns are for toys for children under the age of 10, why would Muhammad hold a fake gun?”

Israeli forces kept al-Salaymah’s body for over two hours before handing him over the Palestine Red Crescent Society, releasing the body on condition the teenager was not buried in the al-Raas cemetery near the family home, relatives and PCHR said.

197754_345x230Al-Salaymah was laid to rest Thursday in a cemetery in Limboa in northern Hebron.

Meanwhile, Muhammad’s colleagues from his sporting career expressed grief at losing the talented teenager.

“The Palestinian sporting community lost a promising hero,” Abdul Arim al-Jaabari, director of the Palestinian union for wrestling, told Ma’an.

Al-Salaymah represented Palestine in international wrestling tournaments and had won gold and silver medals, al-Jaabari said.

He had also studied to with the Palestinian Circus School for nearly two years, learning to perform juggling, acrobatics and the human pyramid, the school’s manager Shadi Zmorrod told Ma’an.

“He was completely in love with the circus … every Saturday he was the first student waiting for the trainers to arrive,” Zmorrod said.

“Muhammad was super kind, polite, a very gentle little person. He was was totally different to other students who come from Hebron’s Old City where they frequently come across violence — that is what shocked us (about his death.)”

Just days ago Muhammad was pestering Zmorrod to set up a circus event for young children in Hebron’s Old City, he said.

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December 14, 2012 Posted by | Ethnic Cleansing, Racism, Zionism, Subjugation - Torture | , , , | Leave a comment

Reuters deplores Israeli mistreatment of journalists

Press TV – December 14, 2012

Israeli forces have assaulted two cameramen working for Reuters news agency in the occupied West bank, forcing them to strip on the street.

Yousri Al Jamal and Ma’amoun Wazwaz said on Thursday that an Israeli military patrol stopped them as they were on their way to a checkpoint in the West Bank city of al-Khalil, where a Palestinian youth had been earlier killed by Israeli forces.

The cameramen added that the Israeli troops punched and hit them with the butts of their guns after they made the cameramen get off their vehicle, which was marked as belonging to “TV.”

The two were also wearing blue flak jackets with the word “Press” printed on them.

The soldiers who attacked the Reuters employees accused them of working for B’Tselem, an Israeli human rights organization which documents human rights violations in the occupied West Bank.

However, the cameramen said the forces did not give them the chance to show their identification cards and made them strip and kneel down on the road.

Wazwaz was overcome by the fumes and taken to a hospital after the Israeli forces dropped a tear gas canister and ran away from the scene.

According to the cameramen, two other Palestinian journalists working for local news agencies were also arrested by Israeli soldiers at the same location.

Stephen J. Adler, chief editor of Reuters News said, “We deplore the mistreatment of our journalists and have registered our extreme dismay with the Israeli military authorities.”

The Israeli military has offered no explanation for the attack on the journalists and says it will investigate the issue.

On Thursday, Israeli troops shot dead a Palestinian teenager on his birthday after he allegedly threatened them with a toy gun in the occupied West Bank.

December 14, 2012 Posted by | Ethnic Cleansing, Racism, Zionism, Full Spectrum Dominance, Illegal Occupation, Subjugation - Torture | , , , , , | Leave a comment

Does Hugo Chavez Keep Fooling Venezuelans?

By Peter Hart – FAIR – December 13, 2012

The New York Times updates readers today (12/13/12) on the health status of left-wing Venezuelan president Hugo Chávez, and the political implications for his country. But the paper starts out by suggesting that the people who keep electing him must have some kind of problem.

According to the Times’ William Neuman, life in Venezuela is pretty dismal. Christmas tree shipments were fouled up, a government ice cream factory closed down,  and “all of this happened while the economy was growing — before the slowdown many predict next year.”

He writes:

Such frustrations are typical in Venezuela, for rich and poor alike, and yet President Hugo Chávez has managed to stay in office for nearly 14 years, winning over a significant majority of the public with his outsize personality, his free-spending of state resources and his ability to convince Venezuelans that the Socialist revolution he envisions will make their lives better.

So people believe that, somewhere in the future, life will get better thanks to Chávez? But it’s already happened for the majority of Venezuelans. As Mark Weisbrot wrote (Guardian, 10/3/12):

Since 2004, when the government gained control over the oil industry and the economy had recovered from the devastating, extra-legal attempts to overthrow it (including the 2002 US-backed military coup and oil strike of 2002-2003), poverty has been cut in half and extreme poverty by 70%. And this measures only cash income. Millions have access to healthcare for the first time, and college enrolment has doubled, with free tuition for many students. Inequality has also been considerably reduced. By contrast, the two decades that preceded Chávez amount to one of the worst economic failures in Latin America, with real income per person actually falling by 14% between 1980 and 1998.

It’s not that Neuman is unaware of this. Deep in the piece– after saying that “Mr. Chávez’s own record is mixed”– he admits, in between all the hand-waving and caveats, that maybe there’s something that explains Chávez’s popularity:

He has used price controls to make food affordable for the poor, but that has contributed to shortages in basic goods. He created a popular program of neighborhood clinics often staffed by Cuban doctors, but hospitals frequently lack basic equipment.

There is no doubt that living conditions have improved for the poor under Mr. Chávez, and that is the greatest source of his popularity. But the improvements came at a time when high oil prices were pouring money into the country and fueling economic growth, which some analysts say would have led to similar improvements under many leaders, even some with more market-friendly policies.

So life is better for the vast majority of the country. That’s a far cry from the point he stressed at the beginning, that Chávez has somehow sold people on the questionable idea that the outlook would someday improve. The Times has to downplay that reality so you’ll take away the message:  things are bad there. Or, if they’re not, someone else with superior, “market-friendly policies” could have achieved the same results, if not better.

December 14, 2012 Posted by | Deception, Economics, Mainstream Media, Warmongering | , , , , , | Leave a comment

Vast New Spying Program Was Started in Secret on a Bogus Pretext

By Chris Calabrese | ACLU | December 13, 2012

The Wall Street Journal today published (alternate link) an in-depth review of a new, relatively unknown program run by the National Counterterrorism Center (NCTC). Although we have been warning about the dangers of the program for months, and I testified before Congress about the issue in July, the Journal’s story conveys how controversial the program was even inside the government. It also describes the broad scope of new authority the government is granting itself.

As the Journal reports, under new guidelines issued by the Attorney General back in March,

The rules now allow the little-known National Counterterrorism Center to examine the government files of U.S. citizens for possible criminal behavior, even if there is no reason to suspect them. That is a departure from past practice, which barred the agency from storing information about ordinary Americans unless a person was a terror suspect or related to an investigation.

Now, NCTC can copy entire government databases—flight records, casino-employee lists, the names of Americans hosting foreign-exchange students and many others. The agency has new authority to keep data about innocent U.S. citizens for up to five years, and to analyze it for suspicious patterns of behavior. Previously, both were prohibited.

The changes also allow databases of U.S. civilian information to be given to foreign governments for analysis of their own. In effect, U.S. and foreign governments would be using the information to look for clues that people might commit future crimes.

The program is striking in so many ways. Innocent people can be investigated and their data kept for years. It can be shared with foreign governments. All of this in service of not just terrorism investigations but also investigations of future crimes. In effect, the U.S. government is using information it gathers for its ordinary business to turn its own citizens into the subjects of terrorism investigations.

Meanwhile, all of this is supposed to be against the law. The Privacy Act of 1974 says that information collected by the federal government for one purpose is not supposed to be used for another. However, agencies are attempting to circumvent these rules by publishing boilerplate notices in the Federal Register. Sadly, that practice has become far too common.

Government officials who have a firsthand look at how the program works are stunned by it:

“It’s breathtaking” in its scope, said a former senior administration official familiar with the White House debate.

And from Mary Ellen Callahan, then the Chief Privacy Officer at the Department of Homeland Security:

the rules would constitute a “sea change” because, whenever citizens interact with the government, the first question asked will be, are they a terrorist?

Worse, all of this happened in secret, approved by National Security Advisor John Brennan and signed off on by Attorney General Eric Holder. No public debate or comment and suddenly, every citizen can be put under the terrorism microscope.

Ironically, all of these changes to the rules came in response to an attempted attack that had nothing to do with information collection or a U.S. citizen. The government cites the attempted 2009 Christmas bombing by Umar Farouk Abdulmutallab as the impetus for the changes. However, as the Journal story makes clear, Abdulmutallab wasn’t a U.S. citizen, and collecting information on him wasn’t a problem. Instead, his own father had identified him to the U.S. government as a potential terrorist. In short, an attack by a known foreign terror suspect was used to justify changes to rules about collecting information on U.S. citizens.

Finally, credit must be given to those who fought the program. It’s clear that DHS, especially the Privacy Officer, Mary Ellen Callahan, and the Office of Civil Rights and Civil Liberties pushed back hard against this. Nancy Libin, the chief privacy officer at the Department of Justice, also expressed serious reservations and fought an internal battle against the changes. It’s probably not a surprise that none of them are still in government.

If you want to learn more here is a simple guide to the main changes created by the 2012 NCTC guidelines. And here are the Freedom of Information Act documents that we have gathered on NCTC—we will post more as we receive additional records.

December 13, 2012 Posted by | Civil Liberties, False Flag Terrorism, Timeless or most popular | , , , , , | Leave a comment

CIA Rendition & Torture Victim Wins European Human Rights Case

ACLU | December 13, 2012

NEW YORK ­– In a historic ruling, the European Court of Human Rights today condemned Macedonia’s illegal transfer of Khaled El-Masri into CIA custody and found that his abusive treatment at Macedonia’s airport by the U.S. rendition team “amounted to torture.” The court also found that his abduction and detention – including the time he was in U.S. custody – constituted “enforced disappearance” under international law.

“Today’s landmark decision is a stark reminder of America’s utter failure to hold its own officials accountable for serious violations of both U.S. and international law. Continued lack of accountability is turning the United States into an outlier among its European allies, which is an appalling outcome for a nation that prides itself as a global leader on the rule of law and human rights,” said Jamil Dakwar, director of the American Civil Liberties Union’s Human Rights Program. “Today’s ruling makes it harder for the United States to continue burying its head in the sand and ignoring domestic and global calls for full accountability for torture. This remarkable decision will no doubt put greater pressure on European nations to fully account for their complicity in cooperating with the illegal CIA ‘extraordinary rendition’ program, and to hold responsible those who violated the human rights of El-Masri and those like him.”

El-Masri is a German citizen who in 2003 was mistaken for another person and abducted by Macedonian authorities at a border crossing and held incommunicado for 23 days. He was then handed over to CIA operatives who put him on a secret flight to a “black site” in Afghanistan where he was secretly held, tortured and abused for about four months.

The ACLU currently represents El-Masri in a case against the U.S. now being considered by the Inter-American Commission on Human Rights, and also represented him in a lawsuit in U.S. federal court, which was dismissed. His case before the ECHR was brought by the Open Society Justice Initiative.

In a unanimous decision awarding El-Masri 60,000 Euros, the European court said that the court “underlines the great importance of the present case not only for the applicant and his family, but also for other victims of similar crimes and the general public, who had the right to know what had happened… The concept of ‘State secrets’ has often been invoked to obstruct the search for the truth. State secret privilege was also asserted by the US government in the applicant’s case before the US courts.”

The court’s ruling is available at:

www.aclu.org/files/assets/el_masri_ruling.pdf

CONTACT: (212) 549-2666; media@aclu.org

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December 13, 2012 Posted by | Civil Liberties | , , , , , , | Leave a comment

Israeli forces kill teenager on his 17th birthday in Hebron

International Solidarity Movement, West Bank | December 12, 2012

Palestinian youth Mohammad Ziad Awwad Salayme was shot dead on his 17th birthday in Hebron. Live ammunition was fired injuring another man and several journalists had to be hospitalised after being beaten on the street. Clashes between Palestinians and the Israeli Occupation forces erupted throughout the city and surrounding areas.

At around 7:30 pm on Wednesday 12 December 2012 a soldier of the Israeli army shot dead Mohammad Salayme, killing him with two bullets to the body and head in the Salayme neigbourhood of Hebron near to the Ibrahimi mosque. Mohammad had spent the day in school and was on his way to buy some cake for him and his family to celebrate his birthday, when suddenly his life was cut short. Another Palestinian man was shot with live ammunition and injured, he was taken to a hospital in the city. The Israeli military claimed Mohammad Salayme was carrying a fake gun, therefore shot him. Mohammad’s father who rushed to administer first aid to his son said he saw no fake gun on him. Sound bombs, tear gas and rubber bullets were fired at Palestinians who tried to help the dying teenager.

The Israeli military closed off all the streets around the area where Mohammed was killed to prevent any journalists from reaching the incident. A car carrying four journalists was hit with several rounds of live ammunition and the journalists were stopped and forced from their car. The journalists, two from Youth Against Settlements, one from Reuters and one from Palmedia were forced to strip to their underwear in the cold evening air. The soldiers took their cameras and physically beat up the journalists resulting in them needing hospital treatment. A filmmaker who works for the Israeli peace group Btselem who lives close to the shooting was surrounded by 12 soldiers, beaten up and arrested. Officers from the District Coordination Office For Military Affairs informed local activists the cameras would be returned to them tomorrow after being checked for evidence.

The Israeli military flooded the city with an enormous amount of soldiers who attempted to clear the streets in a very aggressive manner, throwing sound bombs into groups of remonstrating Palestinians, shooting tear gas and rubber coated steel bullets. This behaviour only antagonised the residents of Hebron turning the tense situation into outright confrontation as clashes erupted throughout the city. The areas of Salayme, Bab Al-Zawiya, Qtoun and Dar Al Binzaid all echoed to the sound of live ammunition, concussion grenades, tear gas and rubber coated steel bullets. Clashes were reported in the nearby city of Yatta and in Dura.

Tensions in Hebron are rising as the Israeli occupation forces are using increased levels of violence in the city ever since the recent Israeli assualt on Gaza. Hamdi Alfalah was killed on November 20th and many people have been injured. Hebron will see another funeral on Thursday 13th of December.

December 13, 2012 Posted by | Ethnic Cleansing, Racism, Zionism, Subjugation - Torture | , , , , | Leave a comment

Sudan says it is in the US best interest to forge good relations

Sudan Tribune | December 12, 2012

KHARTOUM – The ruling National Congress Party (NCP) in Sudan blasted the U.S. administration saying it is relying on tactics rather than its strategic interests in its handling of Sudan and is interfering in its affairs under the pretext of improving bilateral ties.

The head of the NCP external relations sector Ibrahim Ghandour said that his country is keen on establishing normal relations with the U.S. based on mutual respect and non-interference in its internal affairs.

Ghandour stressed that Sudan accepted U.S. role as a mediator due to its influence and clout in the world but is not desperate to normalize ties under Washington’s terms.

The NCP official was responding to statements this week by outgoing U.S. special envoy to Sudan Princeton Lyman in which he stressed that Washington would not normalize ties with Khartoum without resolutions to conflicts in Darfur, Blue Nile and South Kordofan.

Lyman proposed a roadmap to normalize bilateral ties including allowing humanitarian access to the Nuba Mountains, settlement of the conflict in the three areas and to resolve the outstanding issues with South Sudan.

But Ghandour said that Sudan is more keen than the U.S. on finding solutions to these problems adding that it is in Washington’s best interest to forge good ties with it.

“We hope that the U.S. realizes that Sudan led by the federal Government will continue, through its geographical position with political and economic abilities and its influence in the region, as a state which is very important to be for the U.S. administration to have relations with” he said.

In October 1997, the US imposed comprehensive economic, trade and financial sanctions against Sudan in response to its alleged connection to terror networks and human rights abuses. Further sanctions, particularly on weapons, have been imposed since the 2003 outbreak of violence in the western Darfur region.

Washington promised Khartoum last year that should the South Sudan referendum go peacefully it would quickly remove the East African nation from the list of states that sponsor terrorism as early as July 2011.

The US has yet to de-list Sudan from the terrorism designation, a decision which appears to be in light of the new conflicts that have erupted last year in South Kordofan and Blue Nile.

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December 13, 2012 Posted by | Aletho News | , , , , , | Leave a comment

Susan Rice is Bad News for Africa

By Glen Ford | Black Agenda Report | December 3, 2008

Barack Obama’s nominee for United Nations Ambassador is a very aggressive woman – militarily speaking. Susan Rice is “more bellicose” than George Bush when it comes to threatening Sudan over the plight of the people of Darfur, “while simultaneously backing a savage U.S.-Ethiopian assault that causes an even larger humanitarian calamity in Somalia.” One is forced to conclude that “Susan Rice’s brand of ‘humanitarian intervention’ is a farce, a pretext to justify military aggression under the guise of preventing human suffering.”

If you believe that Barack Obama will pursue a policy in the Horn of Africa that is substantially different than that of George Bush, you are in for a deep disappointment. Only weeks after Ethiopia’s U.S.-instigated invasion of Somalia almost two years ago, Susan Rice, Obama’s choice for Ambassador to the United Nations, endorsed the aggression – an atrocity that has resulted in the displacement of 1.5 million Somalis and impending starvation of 3.5 million more.
Rice is a proponent of so-called “humanitarian military intervention” – but supports a U.S. Somalia policy that created “Africa’s worst humanitarian crisis,” according to the United Nations.

There is every reason to believe she will counsel the next president to continue George Bush’s policies in the Horn of Africa. In January, 2007, while Ethiopian troops attempted to crush Islamists who had brought a brief period of relative peace and stability to Somalia, and U.S. air and sea forces pounded the countryside with missiles and bombs, Rice revealed herself to be an apostle of George Bush’s War on Somalia (and the so-called War on Terror in general). Rice told the PBS News Hour that U.S. collaboration with the Ethiopian invaders was justified by what she called America’s “counterterrorism imperatives,” which she said “really are real in the context of Somalia.” In Rice’s words, “We have to go after the terrorist cells where we find them.”

The Bush regime gave no estimate of how many persons with ties to Al Qaida were operating on Somali soil, but the number appears to have been very small. The main goal of the Americans and their Ethiopian allies was to crush the government that had been created by Somali Islamists. The Islamic Courts regime, as Abukar Arman writes in the journal Global Politician, operated “schools, hospitals, and for six months before the occupation removed every checkpoint in Mogadishu and brought a semblance of peace.” Two years after the invasion, the Islamists have retaken much of southern and central Somalia, and the Ethiopians appear poised to withdraw – after killing, starving and displacing millions in partnership with the United States.

The “humanitarian” component of Susan Rice’s militarism is quite selective.

She has long been a super-hawk on punishing Sudan for its behavior in Darfur. Back in October, 2006, Rice declared, “It’s time to get tough” with the government in Khartoum.” In a Washington Post column, she advised the Bush regime to give Sudan “an ultimatum: accept unconditional deployment of the U.N. force within one week or face military consequences.”

On Darfur, Rice is more bellicose than Bush. She sees no contradiction in calling for military action against Sudan, supposedly to end a “humanitarian crisis” in Darfur, while simultaneously backing a savage U.S.-Ethiopian assault that causes an even larger humanitarian calamity in Somalia. Rice claims to seek safety for civilians in Darfur, while supporting a total absence of security for Somali civilians. Darfur is a military/political convenience for “real-politic” operatives like Susan Rice. As Bruce Dixon wrote in his November 2007 BAR article, “If stopping genocide in Africa really was on the agenda, why the focus on Sudan with 200,000 to 400,000 dead rather than Congo with five million dead?”

Rice’s behavior in Africa has always been morally inconsistent. She was a member of Bill Clinton’s National Security Council during the 1994 Rwandan genocide against the Tutsi minority. Later, she “swore” she would go “down in flames” if necessary to prevent future genocides. But after her promotion to Assistant Secretary of State for Africa, she failed to publicly advocate action against U.S. allies Uganda and by then Tutsi-ruled Rwanda – the main perpetrators in an ongoing war that his killed millions

Susan Rice’s brand of “humanitarian intervention” is a farce, a pretext to justify military aggression under the guise of preventing human suffering. She has amply demonstrated that her sole concern is projection of U.S. power by any means – or pretext – that is available.

Rice embraces a policy that causes mass death and starvation in Somalia and ongoing genocide in Congo. Although she’s no blood relative of Condoleezza Rice, on African issues she seems headed in the same direction as the current Secretary of State.

BAR executive editor Glen Ford can be contacted at Glen.Ford@BlackAgendaReport.com

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December 12, 2012 Posted by | Militarism, Progressive Hypocrite, Timeless or most popular | , , , , | Leave a comment

Syrian rebels set to execute Ukrainian journalist

RT | December 13, 2012

NGOs are urging Syrian rebels to release a Ukrainian journalist, Anhar Kochneva, who is set to be executed Thursday. Meanwhile the group behind the kidnapping warned it would now target all Russians, Ukrainians and Iranians on Syrian soil.

The Committee to Protect Journalists (CPJ), ARTICLE 19, the International Press Institute and Reporters Without Borders issued a joint statement expressing deep concern about Kochneva’s life and urging the leadership of the Free Syrian Army and of the Syrian Opposition Coalition to ensure that the journalist is safe and set free.

The groups also called on the French, British and US governments, as well as the European Union to work with the Syrian opposition to facilitate her release.

Kochneva, who has reported critically about the Syrian rebels for Russian and Ukrainian news outlets, was captured in the beginning of October near the restive city of Homs. The kidnappers, allegedly members of the Free Syrian Army, threatened to kill her on December 13 if a US$ 50 million ransom is not paid.

On Tuesday, Ukrainian authorities urged Damascus to work more actively to help free the journalist. The Ukrainian Foreign Ministry’s spokesman Aleksandr Dikusarov said that Kiev expects “concrete results” in attempts to release her.

In response to the Ukrainian demands, Kochneva’s kidnappers posted a video in which they threatened to target the embassies of Ukraine, Russia, as well as all Russians, Ukrainians and Iranians in Syria.

“We urge not to let a single Russian, Ukrainian or Iranian alive out of Syria,” the rebels said in the video, aired by Ukrainian news channel Ukraina.

The rebels label Kochneva a spy, claiming that she was carrying arms and worked as an interpreter for the Russian officers.

The Ukrainian Foreign Ministry did not issue comment on the latest video, saying its authenticity cannot be verified, according to Ukraina news channel.

A month after the kidnapping, a video message from Kochneva was published online in which she appealed to the Embassies of Ukraine and Russia, as well as the Syrian government, to meet the demands of the kidnappers.

On the 28 November, in the second video, Kochneva read a text in Arabic admitting to having participated in the fighting, working as a military interpreter with Syrian and Russian officers.

CPJ, ARTICLE 19, the International Press Institute and Reporters Without Borders doubt the objectiveness of these videos. “We are deeply concerned that in both video appeals the journalist seems to be speaking under pressure,” they said in their statement released on Wednesday.

December 12, 2012 Posted by | Full Spectrum Dominance, War Crimes | , , , | Leave a comment

Why to Say No to Susan Rice

By Ray McGovern | Consortium News | December 3, 2012

President Barack Obama should ditch the idea of nominating U.S. Ambassador to the U.N. Susan Rice to be the next Secretary of State on substantive grounds, not because she may have – knowingly or not – fudged the truth about the attack on the poorly guarded CIA installation in Benghazi, Libya.

Rice’s biggest disqualification is the fact that she has shown little willingness to challenge the frequently wrongheaded conventional wisdom of Official Washington, including on the critical question of invading Iraq in 2003. At that pivotal moment, Rice essentially went with the flow, rather than standing up for the principles of international law or exposing the pro-war deceptions.

In fall 2002, as President George W. Bush and his administration were pounding the drums for war, Rice wasn’t exactly a profile in courage. A senior fellow at the centrist Brookings Institution, she echoed the neoconservative demands for “regime change” in Iraq and doubted the “need [for] a further [U.N. Security] Council resolution before we can enforce this and previous resolutions” on Iraq, according a compilation of her Iraq War comments by the Institute for Public Accuracy.

In an NPR interview on Dec. 20, 2002, Rice joined the bellicose chorus, declaring: “It’s clear that Iraq poses a major threat. It’s clear that its weapons of mass destruction need to be dealt with forcefully, and that’s the path we’re on. I think the question becomes whether we can keep the diplomatic balls in the air and not drop any, even as we move forward, as we must, on the military side.”

Rice also was wowed by Secretary of State Colin Powell’s deceptive speech to the United Nations on Feb. 5, 2003. The next day, again on NPR, Rice said, “I think he has proved that Iraq has these weapons and is hiding them, and I don’t think many informed people doubted that.”

After the U.S.-led invasion in March 2003, Rice foresaw an open-ended U.S. occupation of Iraq. In a Washington Post online forum, she declared, “To maximize our likelihood of success, the US is going to have to remain committed to and focused on reconstruction and rehabilitation of Iraq for many years to come. This administration and future ones will need to demonstrate a longer attention span than we have in Afghanistan, and we will have to embrace rather than evade the essential tasks of peacekeeping and nation building.”

Only later, when the Iraq War began going badly and especially after she became an adviser to Sen. Barack Obama’s presidential campaign, did Rice take a less hawkish position. She opposed President Bush’s troop “surge” in 2007, a stance in line with Obama’s anti-Iraq War posture. During Campaign 2008, she also mocked one of Sen. John McCain’s trips to Baghdad as “strolling around the market in a flak jacket.”

The Ambitious Staffer

In other words, Rice fits the mold more of an ambitious staffer – ever mindful of the safe boundaries for permissible thought in Official Washington and eager to serve one’s political patron – than of a courageous foreign policy thinker who can see around the corners to spot the actual threats looming for the United States and the world.

Though Rice’s defenders might say there is nothing unusual in an aspiring foreign policy operative following the consensus or the instructions of a superior, there are plenty of troubling examples of innocent people getting killed when careerism overwhelmed wisdom and judgment. For instance, in 2003, CIA Director George Tenet, a malleable former congressional staffer, helped pave the way for the disastrous Iraq War.

Ironically, Rice’s eagerness to play the Washington game also landed her in the middle of the current “scandal” over her statements regarding the Sept. 11, 2012, attacks on the U.S. mission in Benghazi which left four Americans dead, including U.S. Ambassador Christopher Stevens.

On Sept. 16, Rice appeared on five (count them) Sunday TV shows, adhering closely to the CIA-provided “talking points,” which cited the likelihood of a spontaneous protest preceding the violent assault but which alluded to the tenuousness of the evidence available at the time.

Blinded by the limelight, Rice seems to have blundered into the controversy, giving little thought to the possibility that she was being put out front by then-CIA Director David Petraeus and Obama’s counter-terrorism adviser John Brennan, who is the usual administration spokesman regarding terrorist attacks.  Brennan immediately flew off to Libya on a fact-finding trip, leaving Rice in the unaccustomed role of ‘splaining the attack in Benghazi.

Rice also wasn’t overly curious as to why Secretary of State Hillary Clinton begged off on grounds she was “not going to offer any hypothetical explanations.”

Was Ambassador Rice too ambitious and/or too naïve?  For her it is a cruel irony that by letting her vision be blurred by the allure of five sets of klieg lights in one day, and the opportunity to embellish her persona for the top job at State, she has imperiled her own candidacy.

Loyal functionaries like Rice, with a penchant for doing whatever they are told do not expect to be mouse-trapped by their colleagues. But, if you can’t see that kind of thing coming – particularly when folks like Brennan and Petraeus are involved – you should not expect to become Secretary of State.

Understanding Benghazi

It also might have been smart for Rice to have taken the trouble to learn what U.S. officials were doing in Benghazi.  Did she know that, as House minority leader Nancy Pelosi has revealed, the word “consulate” in the draft “talking points” was carefully changed to “mission”?

A prospective Secretary of State should know the difference. A “mission” is a group of officials abroad normally headed by a diplomat while a consulate is headed by a consul who normally handles commercial interests, serves the needs of citizens abroad and issues visas.

The difference between consulate and mission is more than semantic. Consulates, understandably, perform consular duties. Missions can do whatever. As my former CIA analyst colleague, Melvin A. Goodman pointed out in “The Why Behind the Benghazi Attack,” the hidden reality in Benghazi was not the alleged deception by Rice or the inadequate security measures.

The key secret was that the U.S. government had transformed the Benghazi “mission” into an operational CIA base spying on and seeking to neutralize extremist militias operating in eastern Libya. Thus, the “mission” was an inviting target for attack. In a limited sense, one could say the primary security failure was in not adequately anticipating this risk.

The more significant point is that, because of the anger resulting from U.S. policy in the area and the CIA role in implementing it, there is great doubt that “missions” like the one in Benghazi can ever be protected from the kind of organized assault launched on Sept. 11, 2012. And that probably includes gigantic, fortified installations like the U.S. embassies in Baghdad and Kabul.

A month before the U.S. presidential election, House Government Affairs Committee chair Rep. Darrell Issa, R-California, conducted a public hearing, in an attempt to prove that with adequate security measures the attack on the Benghazi “mission” could have been thwarted and American lives saved.

Issa’s star witness, State Department Regional Security Officer Eric Nordstrom, joined others in bemoaning State’s refusal to provide additional security (partly due to congressional refusal to appropriate all the requested funds).

But Nordstrom shot a wide hole in the notion that more security could have saved the day. A 14-year veteran of State’s Diplomatic Security Service, Nordstrom said the kind of attack mounted in Benghazi could not have been prevented.

“Having an extra foot of wall, or an extra half-dozen guards or agents would not have enabled us to respond to that kind of assault,” Nordstrom said. “The ferocity and intensity of the attack was nothing that we had seen in Libya, or that I had seen in my time in the Diplomatic Security Service.” [See Consortiumnews.com’s “The Real Blame for Deaths in Libya.”]

Whether media pundits are conscious of this or not, the interminable focus on what Susan Rice said and when she said it, as well as the inadequate security, divert attention from what the CIA was doing in Benghazi. No Establishment figure or media pundit wants to focus on that. And, as Sen. Lindsey Graham, R-South Carolina, recently conceded, no politician wants to risk appearing reluctant to support covert action against “terrorism.”

But a source with excellent access, so to speak, to former CIA Director David Petraeus, his biographer/mistress Paula Broadwell, said publicly on Oct. 26 that the CIA was interrogating prisoners in Benghazi and that this may have been the reason the CIA base was so brutally attacked. More bizarre still, her comments were corroborated by Fox News!

If Sens. John McCain and Lindsey Graham were genuinely interested in what happened in Benghazi and why, would they not wish to look into that?

A C-Minus on Substance

President Obama has defended Rice against those who would “besmirch” her reputation, saying she “has done exemplary work. She has represented the United States and our interests in the United Nations with skill, professionalism, and toughness, and grace.”

Obama also said she had “nothing to do with Benghazi.” However, this does not appear to be entirely accurate. It is an open secret that Susan Rice, together with Hillary Clinton and Samantha Power, now ensconced at Obama’s National Security Council, were big promoters of the so-called “responsibility to protect” and thus acted as prime movers behind the U.S. excellent adventure in Libya.

The charitable explanation is that last year, with a thoroughly naïve “Gaddafi-bad-guys-vs.-maybe-good-guys” approach, blissfully unaware of which elements they might be “protecting” or “liberating” in Benghazi, and with little planning regarding who might replace Gaddafi, they made their mark on Libya.

Are we to believe that they gave not a thought to the imperative felt by key NATO partners to exploit the fledgling “Libyan Arab spring” to ensure the continuing flow of high-grade crude? And did none of them take any lessons from the excellent adventure of going into Iraq with no serious plan for what might come next?

As for Ambassador Rice, as some have suggested, her judgment may be compromised by well-deserved guilt at having done nothing to stop the killing of 800,000 Rwandans in 1994 when she was White House referent for African affairs at the NSC under President Bill Clinton and acquiesced in his reluctance to call genocide “genocide.”

This presumably was why, when President Bill Clinton nominated Susan Rice to be Assistant Secretary of State for African Affairs in 1997, the Congressional Black Caucus objected to the nomination, citing her membership in “Washington’s assimilationist black elite.”

The caucus got that right. Susan Rice has moved up the ladder by demonstrating an uncanny ability to ignore the interests of the oppressed – black or brown – whether in Rwanda or in Gaza. Her selective judgment on when to intervene in a foreign crisis normally follows the conventional wisdom of Official Washington, such as with Iraq in 2003 and Libya in 2011.

Ignoring Palestine’s Plight

Thus, her empathy for the “good guys” (whoever they may be) in Libya does not extend to the Palestinians. Like other myopic policymakers and spokespersons, Rice ignores the misery in Gaza and the West Bank because to do otherwise would cast her outside Official Washington’s perceived wisdom, which holds that no smart politician or pundit confronts Israel too directly or too frequently.

However, the fact that last Thursday the United States could muster only eight votes (beside its own), from the 193 member states of the General Assembly, to oppose giving Palestine the status of non-member observer state is surely a harbinger of defeats to come on this key issue.

Rice’s one-sided defense of Israel as it pummeled the defenseless Gazans last month was not only unconscionable, but in the long run counterproductive – not only for the U.S. but for Israel. Granted, Rice was speaking for the Obama administration but there are no indications that she has used her influence with the President to reshape U.S. policy significantly.

Her failure to dissent, which would surely undo her careful construction of a Washington career, continues even as Israeli Interior Minister Eli Yashai has acknowledged that Israel’s goal was to “send Gaza back to the Middle Ages” and other Israeli officials casually liken their periodic bloodletting in Gaza to “mowing the grass.” [See Consortiumnews.com’s “Likening Palestinians to Blades of Grass.”]

Washington’s public support for the carnage no doubt has left Israeli Prime Minister Benjamin Netanyahu with a sense of invulnerability even in the face of the stinging vote in the U.N. Thus, he retaliated for the U.N.’s affront by authoring 3,000 new homes for Jewish settlers and plans for thousands more in the West Bank and East Jerusalem.

On Friday, White House spokesman Tommy Vietor replied lamely, “We reiterate our longstanding opposition to settlement activity and East Jerusalem construction and announcements.”

As the Biblical advice states: By their fruits shall you know them. So look at the fruits of Rice’s policy making, including her one-sided defense of Israel before a world audience increasingly aware of U.S. hypocrisy, particularly on the key issue of Palestine.

It can surely be assumed that Susan Rice is intelligent enough to understand the moral depravity of U.S. policy on Palestine. Then why does she fall so easily in with extreme pro-Israel hawks and neocons on such issues? Presumably, she understands that such positioning is how to get ahead.

In playing for support from her fellow hawks, Rice remains the ambitious staffer more than the wise diplomat. And like an ambitious staffer, she senses that hawkishness is usually a safer career path than thoughtful diplomacy. This is not the kind of person anyone should want as Secretary of State.

Ray McGovern served as an Army officer and then a CIA analyst for a total of 30 years and now serves on the Steering Group of Veteran Intelligence Professionals for Sanity (VIPS).

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December 12, 2012 Posted by | Militarism, Progressive Hypocrite, Timeless or most popular | , , | Leave a comment

Why Is Cuba’s Health Care System the Best Model for Poor Countries?

By Don Fitz – Black Agenda Report – 12/12/2012

Furious though it may be, the current debate over health care in the US is largely irrelevant to charting a path for poor countries of Africa, Latin America, Asia and the Pacific Islands. That is because the US squanders perhaps 10 to 20 times what is needed for a good, affordable medical system. The waste is far more than 30% overhead by private insurance companies. It includes an enormous amount of over-treatment, making the poor sicker by refusing them treatment, creation of illnesses, exposure to contagion through over-hospitalization, and disease-focused instead of prevention-focused research. [1]

Poor countries simply cannot afford such a health system. Well over 100 countries are looking to the example of Cuba, which has the same 78-year life expectancy of the US while spending 4% per person annually of what the US does. [2]

The most revolutionary idea of the Cuban system is doctors living in the neighborhoods they serve. A doctor-nurse team is part of the community and know their patients well because they live at (or near) the consultorio (doctors’ office) where they work. Consultorios are backed up by policlínicos which provide services during off-hours and offer a wide variety of specialists. Policlínicos coordinate community health delivery and link nationally designed health initiatives with their local implementation.

Cubans call their system medicina general integral (MGI, comprehensive general medicine). Its programs focus on preventing people from getting diseases rather than curing them after they are sick

This has made Cuba extremely effective in control of everyday health issues. Having doctors’ offices in every neighborhood has brought the Cuban infant mortality rate below that of the US and less than half that of US Blacks. [3] Cuba has a record unmatched in dealing with chronic and infectious diseases with amazingly limited resources. These include (with date eradicated): polio (1962), malaria (1967), neonatal tetanus (1972), diphtheria (1979), congenital rubella syndrome (1989), post-mumps meningitis (1989), measles (1993), rubella (1995), and TB meningitis (1997). [4]

The MGI integration of neighborhood doctors’ offices with area clinics and a national hospital system also means the country responds well to emergencies. It has the ability to evacuate entire cities during a hurricane largely because consultorio staff know everyone in their neighborhood and who to call for help getting disabled residents out of harms way. At the same time New York City (roughly the same population as Cuba) had 43,000 cases of AIDS, Cuba had 200 AIDS patients. [5] More recent emergencies such as outbreaks of dengue fever are quickly followed by national mobilizations. [6]

Perhaps the most amazing aspect of Cuban medicine is that, despite its being a poor country itself, Cuba has sent over 124,000 health care professionals to provide care to 154 countries. [7] In addition to providing preventive medicine Cuba sends response teams following emergencies (such as earthquakes and hurricanes) and has over 20,000 students from other countries studying to be doctors at its Latin American School of Medicine in Havana (ELAM, Escuela Latinoamericana de Medicina). [8]

In a recent Monthly Review article, I gave in-depth descriptions of ELAM students participating in Cuban medical efforts in Haiti, Ghana and Peru. [9] What follows are 10 generalizations from Cuba’s extensive experience in developing medical science and sharing its approach with poor countries throughout the world. The concepts form the basis of the New Global Medicine and summarize what many authors have observed in dozens of articles and books.

First, it is not necessary to focus on expensive technology as the initial approach to medical care. Cuban doctors use machines that are available, but they have an amazing ability to treat disaster victims with field surgery. They are very aware that most lives are saved through preventive medicine such as nutrition and hygiene and that traditional cultures have their own healing wisdom. This is in direct contrast to Western medicine, especially as is dominant in the US, which uses costly diagnostic and treatment techniques as the first approach and is contemptuous of natural and alternative approaches.

Second, doctors must be part of the communities where they are working. This could mean living in the same neighborhood as a Peruvian consultorio. It could mean living in a Venezuelan community that is much more violent than a Cuban one. Or it could mean living in emergency tents adjacent to where victims are housed as Cuban medical brigades did after the 2010 earthquake in Haiti. Or staying in a village guesthouse in Ghana. Cuban-trained doctors know their patients by knowing their patients’ communities. This differs sharply from US doctors, who receive zero training on how to assess homes of their patients.

Third, the MGI model outlines relationships between people that go beyond a set of facts. Instead of memorizing mountains of information unlikely to be used in community health, which US students must do to pass medical board exams, Cuban students learn what is necessary to relate to people in consultorios, polyclínicos, field hospitals and remote villages. Far from being nuisance courses, studies in how people are bio-psycho-social beings are critical for the everyday practice of Cuban medicine.

Fourth, the MGI model is not static but is evolving and unique for each community. Western medicine searches for the correct pill for a given disease. In its rigid approach, a major reason for research is to discover a new pill after “side effects” of the first pill surface. Since traditional medicine is based on the culture where it has existed for centuries, the MGI model avoids the futility of seeking to impose a Western mindset on other societies.

Fifth, it is necessary to adapt medical aid to the political climate of the host country. This means using whatever resources the host government is able and willing to offer and living with restrictions. Those hosting a Cuban medical brigade may be friendly as in Venezuela and Ghana, hostile as is the Brazilian Medical Association, become increasingly hostile as occurred after the 2009 coup in Honduras, or change from hostile to friendly as occurred in Peru with the 2011 election of Ollanta Humala. This is quite different from US medical aide which, like its food aide, is part of an overall effort to dominate the receiving country and push it into adopting a Western model.

Sixth, the MGI model creates the basis for dramatic health effects. Preventive community health training, a desire to understand traditional healers, the ability to respond quickly to emergencies, and an appreciation of political limitations give Cuban medical teams astounding success. During the first 18 months of Cuba’s work in Honduras following Hurricane Mitch, infant mortality dropped from 80.3 to 30.9 per 1000 live births. When Cuban health professionals intervened in Gambia, malaria decreased from 600,000 cases in 2002 to 200,000 two years later. And Cuban/Venezuelan collaboration resulted in 1.5 million vision corrections by 2009. Kirk and Erisman conclude that “almost 2 million people throughout the world … owe their very lives to the availability of Cuban medical services.” [7]

Seventh, the New Global Medicine can become reality only if medical staff put healing above personal wealth. In Cuba, being a doctor, nurse or support staff and going on a mission to another country is one of the most fulfilling activities a person can do. The program continues to find an increasing number of volunteers despite the low salaries that Cuban health professionals earn. There is definitely a minority of US doctors who focus their practice in low income communities which have the greatest need. But there is no political leadership which makes a concerted effort to get physicians to do anything other than follow the money.

Eighth, dedication to the New Global Medicine is now being transferred to the next generation. When students at Cuban schools learn to be doctors, dentists or nurses their instructors tell them of their own participation in health brigades in Angola, Peru, Haiti, Honduras and dozens of other countries. Venezuela has already developed its own approach of MIC (medicina integral communitaria, comprehensive community medicine) which builds upon but is distinct from Cuban MGI. [10] Many ELAM students who work in Ghana as the Yaa Asantewaa Brigade are from the US. They learn approaches of traditional healers so they can compliment Ghanaian techniques with Cuban medical knowledge.

Ninth, the Cuban model is remaking medicine across the globe. Though best-known for its successes in Latin America, Africa and the Caribbean, Cuba has also provided assistance in Asia and the Pacific Islands. Cuba provided relief to the Ukraine after the 1986 Chernobyl meltdown, Sri Lanka following the 2004 tsunami, and Pakistan after its 2005 earthquake. Many of the countries hosting Cuban medical brigades are eager for them to help redesign their own health care systems. Rather than attempting to make expensive Western techniques available to everyone, the Cuban MGI model helps re-conceptualize how healing systems can meet the needs of a country’s poor.

Tenth, the new global medicine is a microcosm of how a few thousand revolutionaries can change the world. They do not need vast riches, expensive technology, or a massive increase in personal possessions to improve the quality of people’s lives. If dedicated to helping people while learning from those they help, they can prefigure a new world by carefully utilizing the resources in front of them. […]

Discussions of global health in the West typically bemoan the indisputable fact that poor countries still suffer from chronic and infectious diseases that rich countries have controlled for decades. International health organizations wring their hands over the high infant mortality rates and lack of resources to cope with natural disasters in much of the world. [3]

But they ignore the one health system that actually functions in a poor country, providing health care to all of its citizens as well as millions of others around the world. The conspiracy of silence surrounding the resounding success of Cuba’s health system proves the absolute unconcern by those who piously claim to be the most concerned.

How should progressives respond to this feigned ignorance of a meaningful solution to global health problems? A rational response must begin with spreading the word of Cuba’s New Global Medicine through every source of alternative media available. The message needs to be: Good health care is not more expensive — revolutionary medicine is far more cost effective than corporate controlled medicine.

Notes

1. Fitz, D. (December 9, 2010). Eight reasons US healthcare costs 96% more
than Cuba’s—With the same results.
http://www.alternet.org/health/149090/eight_reasons_us_healthcare_costs_96%25_more_than_cuba%27s–with_the_same_results
2. Dresang, L.T., Brebick, L., Murray, D., Shallue, A. & Sullivan-Vedder, L. (July-August, 2005). Family medicine in Cuba: Community-Oriented Primary Care and Complementary and Alternative Medicine, Journal of the American Board of Family Medicine 18 no. 4: 297-303.
3. Cooper, R.S., Kennelly, J.F. & Orduñez-Garcia, P. (2006). Health in Cuba, International Journal of Epidemiology, 35: 817–824.
4. Pérez, J. (May 15, 2012). Gender and HIV Prevention. Slide presentation at the Pedro Kouri Institute of Topical Medicine, Havana, Cuba.
5. Whiteford, L.M. & Branch, L.G. (2008). Primary Health Care in Cuba: The Other Revolution. Lanham: Rowman & Littlefield Publishers, Inc.
6. Fitz, D. (February 14, 2012). Med School Classes Cancelled in Havana.
http://blackagendareport.com/content/med-school-classes-cancelled-havana
7. Kirk, J.M. & Erisman, M.H. (2009). Cuban Medical Internationalism: Origins, Evolution and Goals. New York: Palgrave Macmillan.
8. Fitz, D. (March, 2011). The Latin American School of Medicine Today: ELAM. Monthly Review 62 no. 10: 50–62.
9. Fitz, D. (September, 2012). Cuba: The New Global Medicine. Monthly Review 64 no. 4: 37–46.
10. Brouwer, S. (2011). Revolutionary Doctors: How Venezuela and Cuba are Changing the World’s Conceptualization of Health Care. New York, Monthly Review Press.

Don Fitz can be contacted via fitzdon@aol.com

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December 12, 2012 Posted by | Economics, Science and Pseudo-Science, Solidarity and Activism | , , , , | Leave a comment

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