Further, we pay, by far, the highest prices in the world for prescription drugs with nearly 1 out of 4 patients unable to fill the prescriptions their doctors write. Despite spending more than twice as much on healthcare as the average developed country our health outcomes are worse than most. For example, our life expectancy is about 4.5 years lower than Germany’s and we have the highest infant mortality rate of almost any major country on earth. While the current system is not working for ordinary Americans, it is working VERY well for insurance and drug companies and their CEOs. Last year, the six largest health insurance companies in America made over $60 billion in profits, led by the UnitedHealth Group, which made $24 billion in 2021. The CEOs of 178 major health care companies collectively made $3.2 billion in total compensation in 2020 – up 31% from 2019.
United States Senator from Vermont since 2007
Bernard Sanders (born September 8, 1941) is an American politician who has served as the junior from Vermont since 2007. The for the state's at-large congressional district from 1991 to 2007, he is the longest-serving independent in U.S. congressional history and a member of the Democratic caucus. Sanders ran unsuccessfully for the 2016 and 2020 Democratic nomination for president.
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The United States has the most dysfunctional, inefficient, bureaucratic and expensive health care system in the world. That’s not just what I believe. That’s what the American people know to be true. According to a March 2022 survey by Gallup and West Health, an estimated 93 percent of American adults feel what they pay for health care is not worth the cost. That poll also showed that 64 percent of Americans are dissatisfied with the availability of affordable health care. Today, according to the Center for Medicare and Medicaid Services (CMS), we now spend an unbelievable $12,530 per person for health care. Yes. $12,530 for every man, woman and child in this country. Despite this huge expenditure, 30 million Americans have no insurance at all and 112 million struggle to pay for the health care they need.
Democrats will not win in 2022 with a demoralized base. There must be energy and excitement. Today, in these difficult times, the American people want to know that their elected officials have the courage to take on the powerful special interests and fight for their needs. And, when we do that, the fundamental differences between the two parties will become crystal clear. That’s how you win elections.
To my mind, in a democratic society, constituents have a right to know how their senators vote on some of the most important issues facing the country. If Manchin, Sinema and Senate Republicans want to sink the Build Back Better package and then go on vote against individual bills that do exactly what the American people want: lowering prescription drug costs, demanding the wealthy pay their fair share of taxes, expanding Medicare, improving home healthcare, extending the Child Tax Credit, building affordable housing, addressing the crisis of childhood poverty, making a wildly expensive child care system affordable and combating climate change, they should have that opportunity. And then they can go home and try to explain their votes to their constituents. That’s what democracy is supposed to be about.
The good news is that the House and an overwhelming majority of the Senate Democratic Caucus – as many as 48 out of 50 members – are prepared to pass strong and popular legislation that addresses the long-neglected needs of the working class. At a time when the top 1% is doing phenomenally well, we are ready to reform our regressive tax system and demand that the very rich and large corporations pay their fair share of taxes. We want to take on the greed of the pharmaceutical industry and substantially lower prescription drug prices, expand Medicare to cover hearing, dental and vision, address the crisis of childhood poverty and a dysfunctional child care system, improve the quality of home health care, build the affordable housing we desperately need and create millions of good jobs by combating the existential threat of climate change. The bad news is that two members of the Senate Democratic Caucus, Sens. Joe Manchin of West Virginia and Kyrsten Sinema of Arizona, have withheld their support. For six months, President Biden and many of us have engaged in endless negotiations with these senators. These never-ending conversations, which have gone nowhere, must end. The time for voting must begin.
The Republican Party is working overtime to suppress the vote and undermine American democracy. It is a party which ignores climate change, the existential threat to our planet and represents the interests of the wealthy and the powerful while turning its back on struggling working-class families. The GOP is the party that gives tax breaks to billionaires while pushing for cuts to Social Security, Medicare, Medicaid and other programs desperately needed by ordinary Americans. And yet, despite the outrageous behavior of leading Republicans and their reactionary and unpopular agenda, recent polling suggests that Republicans stand a strong chance to gain control of both the House of Representatives and the Senate and pick up additional seats in state legislatures throughout the country. Why is this happening? Why, despite the horrendous Republican record, are Democrats losing support among Latinos, young people and African Americans? How does it happen that a party that is supposed to stand for working families was rejected by over 75% of White voters without college degrees in the most recent gubernatorial race in Virginia? Democrats cannot ignore these realities and continue traveling down a failed road which will only lead to disaster.
It is no great surprise that not a single Republican in Congress supports this bill. After all, this is the party that four years ago provided $2 trillion in tax breaks to primarily benefit the wealthy and large corporations, and came within one vote of throwing up to 32 million Americans off their health care. So, in a tied Senate which has 50 members each of the Democratic and Republican caucuses and a House of Representatives which has a mere three-vote-majority for Democrats, the question of whether we finally deliver consequential legislation to improve the lives of working class families comes down to Democratic unity. Will all Democrats stand together to protect the interests of the elderly, the children, the sick and the poor? Will all Democrats stand together to take on the greed of the pharmaceutical industry, the health insurance companies, the fossil fuel industry, and wealthy campaign contributors? I certainly hope so.
Let’s be clear. The $3.5 trillion Build Back Better Act will not only expand Medicare, improve home health care for the elderly and disabled, lower prescription drug prices, combat climate change, and demand that the wealthy and large corporations pay their fair share of taxes. It will cut child poverty in half by extending the $300 a month direct payments for working class parents that expire in December. It will allow more than a million women to get back into the workforce by making sure that working families pay no more than 7 percent of their incomes on child care and make pre-school free for every 3 and 4 year old in America. It will end the international embarrassment of the United States of America being the only major country on earth not to guarantee paid family and medical leave as a human right. Under this legislation, we will no longer tell working moms that they must go back to work a week or two after giving birth in order to put food on the table and pay the rent. It will address the labor shortage in America by making community colleges tuition free so that young people have the opportunity to acquire the skills they need for the good-paying jobs that are going unfilled today. It will create hundreds of thousands of jobs by building the affordable housing we need so that millions of Americans are no longer paying over 50 percent of their limited incomes on housing and so 600,000 Americans are no longer sleeping out on the street or in homeless shelters.
But let’s be clear. Opposition to this bill is not just limited to the pharmaceutical industry. At a time when millions of senior citizens and people with disabilities cannot afford the home health care, dental care, hearing aids, and eyeglasses they desperately need, private health insurance companies are strongly opposed to this legislation. They are spending tens of millions of dollars to defeat this bill because they do not want Congress to expand Medicare to provide dental, hearing, and vision benefits and they apparently do not want seniors to receive the quality care they need in their own homes. And it’s not just the health care industry and big drug companies. The fossil fuel industry is launching a major advertising campaign to defeat this legislation because it seems to be more concerned about protecting their short-term profits than addressing the existential threat of climate change. At a time of record-breaking forest fires, drought, rising sea levels and extreme weather disturbances the fossil fuel industry has, since 2000, spent more than $2 billion on lobbying to protect its special interests and prevent the federal government from making cuts in carbon emissions to protect our planet. Further, at a time of massive wealth and income inequality – when the two richest people in this country own more wealth than the bottom 40 percent – the billionaire class is vigorously opposing this legislation because it wants to prevent Congress from making the wealthiest people and most profitable corporations finally start paying their fair share of taxes. The corporate elite seem to love the idea that billionaires have a lower effective tax rate than nurses or teachers and that, in a given year, there are dozens of profitable corporations that don’t pay a nickel in federal income tax.
At a time when working families continue to struggle, poll after poll shows that the vast majority of the American people support the provisions in President Joe Biden's $3.5 trillion Build Back Better Act. Some 88 percent believe we should lower the cost of prescription drugs, 84 percent believe we should expand Medicare to include dental care, hearing aids and eye glasses, 73 percent support establishing Paid Family and Medical Leave, and 67 percent want universal Pre-K. Further, 67 percent believe the federal government should raise taxes on high-income people and corporations to help pay for these desperately needed programs – which is what this legislation does. So, given this overwhelming support, why is it taking so long for Congress to pass this bill? The answer is simple. Follow the money. As part of our corrupt, big-money dominated political system, the pharmaceutical industry is now spending hundreds of millions of dollars on lobbying, campaign contributions and television ads to defeat this legislation because it does not want Medicare to negotiate for lower prescription drug prices. In order to increase their profits they want American taxpayers to continue paying, by far, the highest prices in the world for our medicine – sometimes ten times more than the people in other countries. Last year alone, while nearly one out of four Americans could not afford to fill the prescriptions their doctors wrote, six of the largest pharmaceutical companies made nearly $50 billion in profits and the ten highest paid executives in the industry made more than $500 million in compensation. In order to preserve their corrupt and greedy pricing system, the drug companies hired nearly 1,500 lobbyists, including former leaders of the Republican and Democratic parties, to protect their interests. That is 3 lobbyists for every member of Congress. Unbelievable!
Americans must not be naive about China’s repression, disregard for human rights, and global ambitions. I strongly believe that the American people have an interest in strengthening global norms that respect the rights and dignity of all people—in the United States, in China, and around the world. I fear, however, that the growing bipartisan push for a confrontation with China will set back those goals and risks empowering authoritarian, ultranationalistic forces in both countries. It will also deflect attention from the shared common interests the two countries have in combating truly existential threats such as climate change, pandemics, and the destruction that a nuclear war would bring. Developing a mutually beneficial relationship with China will not be easy. But we can do better than a new Cold War.
The Biden administration has pushed for a global minimum corporate tax. This is a good step toward ending the race to the bottom. But we must think even bigger: a global minimum wage, which would strengthen the rights of workers around the world, providing millions more with the chance for a decent, dignified life and diminishing the ability of multinational corporations to exploit the world’s neediest populations. To help poor countries raise their living standards as they integrate into the global economy, the United States and other rich countries should significantly increase their investments in sustainable development. For the American people to thrive, others around the world need to believe that the United States is their ally and that their successes are our successes. Biden is doing exactly the right thing by providing $4 billion in support for the global vaccine initiative known as COVAX, by sharing 500 million vaccine doses with the world, and by backing a WTO intellectual property waiver that would enable poorer countries to produce vaccines themselves. China deserves acknowledgment for the steps it has taken to provide vaccines, but the United States can do even more. When people around the world see the American flag, it should be attached to packages of lifesaving aid, not drones and bombs. Creating true security and prosperity for working people in the United States and China alike demands building a more equitable global system that prioritizes human needs over corporate greed and militarism. In the United States, handing billions more in taxpayer dollars to corporations and the Pentagon while inflaming bigotry will not serve these goals.
The administration of U.S. President Joe Biden has rightly recognized the rise of authoritarianism as a major threat to democracy. The primary conflict between democracy and authoritarianism, however, is taking place not between countries but within them—including in the United States. And if democracy is going to win out, it will do so not on a traditional battlefield but by demonstrating that democracy can actually deliver a better quality of life for people than authoritarianism can. That is why we must revitalize American democracy, restoring people’s faith in government by addressing the long-neglected needs of working families. We must create millions of good-paying jobs rebuilding our crumbling infrastructure and combating climate change. We must address the crises we face in health care, housing, education, criminal justice, immigration, and so many other areas. We must do this not only because it will make us more competitive with China or any other country but because it will better serve the needs of the American people. Although the primary concern of the U.S. government is the security and prosperity of the American people, we should also recognize that in our deeply interconnected world, our security and prosperity are connected to people everywhere. To that end, it is in our interest to work with other wealthy nations to raise living standards around the world and diminish the grotesque economic inequality that authoritarian forces everywhere exploit to build their own political power and undermine democracy.
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Organizing our foreign policy around a zero-sum global confrontation with China, however, will fail to produce better Chinese behavior and be politically dangerous and strategically counterproductive. The rush to confront China has a very recent precedent: the global “war on terror.” In the wake of the 9/11 attacks, the American political establishment quickly concluded that antiterrorism had to become the overriding focus of U.S. foreign policy. Almost two decades and $6 trillion later, it’s become clear that national unity was exploited to launch a series of endless wars that proved enormously costly in human, economic, and strategic terms and that gave rise to xenophobia and bigotry in U.S. politics—the brunt of it borne by American Muslim and Arab communities. It is no surprise that today, in a climate of relentless fearmongering about China, the country is experiencing an increase in anti-Asian hate crimes. Right now, the United States is more divided than it has been in recent history. But the experience of the last two decades should have shown us that Americans must resist the temptation to try to forge national unity through hostility and fear.
Twenty years ago, the American economic and political establishment was wrong about China. Today, the consensus view has changed, but it is once again wrong. Now, instead of extolling the virtues of free trade and openness toward China, the establishment beats the drums for a new Cold War, casting China as an existential threat to the United States. We are already hearing politicians and representatives of the military-industrial complex using this as the latest pretext for larger and larger defense budgets. I believe it is important to challenge this new consensus—just as it was important to challenge the old one. The Chinese government is surely guilty of many policies and practices that I oppose and that all Americans should oppose: the theft of technology, the suppression of workers’ rights and the press, the repression taking place in Tibet and Hong Kong, Beijing’s threatening behavior toward Taiwan, and the Chinese government’s atrocious policies toward the Uyghur people. The United States should also be concerned about China’s aggressive global ambitions. The United States should continue to press these issues in bilateral talks with the Chinese government and in multilateral institutions such as the UN Human Rights Council. That approach would be far more credible and effective if the United States upholds a consistent position on human rights toward its own allies and partners.