Thursday, July 16, 2009

A frantic Al Qaeda appeal?

Al Jazeera reports that Ayman al-Zawahiri, al-Qaeda's second-in-command, has called upon the Pakistani people to rise up against the Americans who, he claims, have taken over the country.

The statement seems so farcical that one wonders how many Pakistanis will take it seriously.

He says, “the American crusader” is manipulating Pakistan’s destiny. Such language, "Crusader" and the like, will probably have less salience in Pakistan than in the Arab world from which Zawahiri comes, and to which he has addressed most of his public statements. There is no Crusader history in Pakistan.

"The Americans are today occupying Afghanistan and Pakistan,” he says. He is reaching here. True, the Americans are not popular in Pakistan, but how many Pakistani’s will believe that the Americans have occupied their country?

It is tempting to wonder if this is the voice of desperation. I don’t think we should underrate the Al Qaeda leadership, but this seems so fantastic as to seem frantic, even to Pakistanis who have their own grudges against the United States.

Saturday, July 11, 2009

Questions to ask executives of the health care industry

The more we know about the health care insurance industry the more we question how seriously they are committed to the task of servicing the people they take premiums from. There is reason for concern, not only because of what the executives themselves have said under oath but also what a former executive, Wendell Potter, says about the way the health insurance industry works. Here are questions I believe we should ask the executives of our insurance companies. RLC

Question: Do you hold the position, like other health insurance executives, that you can cancel policies for sick holders of an insurance policy? According to Wendell Potter:
• It is a common practice in the industry to purge accounts that become expensive because of health claims: “[W]hen that business is up for renewal, … they'll say, "We need to jack up the rates here …” [They’ll] [j]ack up the premiums. Often they'll do this, knowing that the employer will have no alternative but to leave. …” Or they will actually dump “employer groups from the rolls.”
• “They also dump small businesses whose employees’ medical claims exceed what insurance underwriters expected. All it takes is one illness or accident among employees at a small business to prompt an insurance company to hike the next year’s premiums so high that the employer has to cut benefits, shop for another carrier, or stop offering coverage altogether. . . . The purging of less profitable accounts through intentionally unrealistic rate increases helps explain why the number of small businesses offering coverage to their employees has fallen from 61 percent to 38 percent since 1993, according to the National Small Business Association.”
• “The Energy and Commerce Committee’s investigation into three insurers found that they canceled the coverage of roughly 20,000 people in a five-year period, allowing the companies to avoid paying $300 million in claims.”
• Moreover: In a congressional hearing several health insurance executives refused to renounce the practice of canceling policies for sick clients, people who have been faithfully paying premiums for coverage.
How, then, can anyone be sure that any health insurance company will fulfill its commitment to provide medical care for its clients when they need it?

Question: What is your position on the proposal to develop a universal health insurance policy similar to the Medicare program?
• According to a statement on Bill Moyers Journal, and acknowledged by Wendell Potter, the industry has a “game plan” to "Highlight horror stories of government-run systems" in order to kill it.”
• In fact Potter indicates that the health insurance industry has no interest in allowing a universal health care plan to come into existence.
o “[J]ust about every time there has been significant legislation before Congress, the industry has been able to kill it. Yeah, the status quo works for them. … They don't want to have any competition from the federal government, or any additional regulation from the federal government. They say they will accept it. But the behavior is that they will not …”.
o “Insurers make promises they have no intention of keeping, they flout regulations designed to protect consumers, and they make it nearly impossible to understand — or even to obtain — information we need.”
o “The satisfaction ratings are higher in our Medicare program, a government-run program, than in private insurance. But they don't want you to remember that or to know that, and they want to scare you into thinking that through the anecdotes they tell you, that any government-run system, particularly those in Canada, and UK, and France that the people are very unhappy.”

Question: Isn’t the health insurance industry hostage to the demands of Wall Street? That is, to make large profits for investors? Again, Mr Potter’s statement:
• “[W]hat they want to do is enhance their profits. Enhance shareholder value. That's number one.”
• “Wall Street investors and analysts look for two key figures: earnings per share and the medical-loss ratio, or medical "benefit ratio," as the industry now terms it. That is the ratio between what the company actually pays out in claims and what it has left over to cover sales, marketing, underwriting and other administrative expenses and, of course, profits.”
• “To win the favor of powerful analysts, for-profit insurers must prove that they made more money during the previous quarter than a year earlier and that the portion of the premium going to medical costs is falling.”
• “Back in the early '90s, or back during the time that the Clinton plan was being debated, 95 cents out of every dollar was spent, you know, on average was used by the insurance companies to pay claims. Last year, it was down to just slightly above 80 percent.”

Question: Doesn’t your dependence on Wall Street investors conflict with the interests of your insured clients?
• “[T]he more of my premium that goes to my health claims [and] pays for my medical coverage, the less money the company makes.” … [And so Wall Street thinks that] “this company has not done a good job of managing medical expenses. It has not denied enough claims. It has not kicked enough people off the rolls.”
• “They think that this company has not done a good job of managing medical expenses. It has not denied enough claims. It has not kicked enough people off the rolls. And that's what-- that is what happens, what these companies do, to make sure that they satisfy Wall Street's expectations with the medical loss ratio.”
• The profits: “a big chunk of it goes into shareholders' pockets. … It goes into the exorbitant salaries that a lot of the executives make. It goes into paying sales, marketing, and underwriting expenses.”

Question: Is your company paying large sums to lobbyists in Washington to ensure that there will be no serious consideration of a universal health care bill? I presume that you are: How much is your company paying? According to the Washington Post, insurance companies are spending $1.4m a day to defeat the public option.

Obviously, I am now doubting that the health insurance industry has the interest of me and my family at heart.

The more that is exposed about the industry, the more clear it is that the fundamental problem with American health care is the industry itself: it is committed to making money at the expense of those whom they charge for coverage. So they have every interest in ensuring that universal health coverage of any meaningful sort will never come into existence, because it would then become abundantly clear that the American people would prefer a universal care system. That public exposure would effectively put the industry out of business. I looked up the annual salary of the President of the company that provides insurance for me and my family: $1,135,538.00 [Forbes]. That money comes from the premiums of those who seek insurance from that company [including me]. And those premiums are providing the huge sums going into the lobbying effort to deprive the American people of a universal health care coverage system that they most obviously need. Those 47 million uninsured people could use some of that $1.4 million being spent every day by the insurance companies, and some of that executive salary. No wonder the insurance industry is frightened of universal health care. If there is no general public revulsion against the insurance companies the public are unlikely to ever have universal health care of any effective sort.

Sources:
http://www.pbs.org/moyers/journal/07102009/transcript2.html; http://balkin.blogspot.com/2009/06/rationing-scare.html;
http://www.washingtonpost.com/wp-dyn/content/article/2009/07/05/AR2009070502770.html

Tuesday, July 07, 2009

Uighur Uprising: continued signs of instability along the frontier

The street fighting in Urumqi and Kashgar indicate how much remains unresolved in the relations of power in Central Asia, that is, along the frontier of the former Soviet Union. And also the evident power of the new technology to enable collectivities to organize and coordinate in defiance of central power. The demonstrations in Iran have exposed the raw power that undergirds the system in place there. It is natural to wonder if the Uighur learned how to put it together by reading about the opposition movement in Iran. Could copy-cat movements develop elsewhere? We hear of tensions brewing elsewhere along the old Soviet border, that is, Bosnia, Kosovo, and Georgia. However it was done in Xinjiang, it is not over. Here is the NYTime report. RLC


July 8, 2009
New Protests in Western China After Deadly Clashes
By EDWARD WONG

URUMQI, China — Rival protesters took to the streets again on Tuesday, defying Chinese government efforts to lock down this regional capital of 2.3 million people and other cities across its western desert region after bloody clashes between Muslim Uighurs and Han Chinese.

The fighting, which erupted Sunday evening, left at least 156 people dead and more than 1,000 injured, according to the state news agency.

Police fired tear gas on Tuesday at Han Chinese protesters armed with clubs, lead pipes, shovels and hoes, news reports said. Earlier, in an attempt to contain China’s worst ethnic violence in decades, the authorities imposed curfews, cut off cellphone and Internet services and sent armed police officers into neighborhoods.

The official Xinhua news agency said an overnight curfew would again be imposed here on Tuesday night.

Despite the authorities efforts to bring the situation under control, hundreds of Uighur protesters defied the police, crashing a state-run tour of the riot scene for foreign and Chinese journalists.

A wailing crowd of women, joined later by scores of Uighur men, marched down a wide avenue Tuesday with raised fists and tearfully demanded that the police release Uighur men who they said had been seized from their homes after Sunday’s violence. Some women waved the identification cards of men who had been detained.

As journalists watched, the demonstrators smashed the windshield of a police car and several police officers drew their pistols before the entire crowd was encircled by officers and paramilitary troops in riot gear.

“A lot of ordinary people were taken away by the police,” a protester named Qimanguli, a 13-year-old girl clad in a white T-shirt and a black headscarf, said, crying. She said her 19-year-old brother had been detained on Monday, long after the riots had ended.

The initial confrontation later ebbed to a tense standoff between about 100 protesters, mostly women, some carrying infants, and riot police in black body armor and helmets, tear-gas launchers at the ready, in a Uighur neighborhood pocked with burned-out homes and an automobile sales lot torched during the Sunday riots.

But soon afterward, news reports said, hundreds of Han Chinese threw rocks and smashed shops owned by Uighurs, ignoring police who appealed to them over loudspeakers to disperse. At one point, some 300 Han Chinese marchers seemed to be heading toward a mosque, only to face clouds of tear gas, news reports said. And at one point, rival groups of protesters clashed until riot police moved in to set up a barrier between them, cheered on by Han Chinese protesters, Reuters reported.

The bloodshed here, along with the Tibetan uprising last year, shows the extent of racial hostility that still pervades much of western China, fueled partly by economic disparity and by government attempts to restrict religious and political activity by minority groups.

The rioting, which began as a peaceful protest calling for a full government inquiry into an earlier brawl between Uighurs and Han Chinese at a factory in southern China, took place in the heart of Xinjiang, an oil-rich desert region where Uighurs are the largest ethnic group but are ruled by the Han, the dominant ethnic group in the country.

Protests spread Monday to the heavily guarded town of Kashgar, on China’s western border, as 200 to 300 people chanting “God is great” and “Release the people” confronted riot police officers about 5:30 p.m. in front of the city’s yellow-walled Id Kah Mosque, the largest mosque in China. They quickly dispersed when officers began arresting people, one resident said.

Internet social platforms and chat programs appeared to have unified Uighurs in anger over the way Chinese officials had handled the earlier brawl, which took place in late June thousands of miles away in Shaoguan, Guangdong Province. There, Han workers rampaged through a Uighur dormitory, killing at least two Uighurs and injuring many others, according to the state news agency, Xinhua. Police officers later arrested a resentful former factory worker who had ignited the fight by spreading a rumor that six Uighur men had raped two Han women at the site, Xinhua reported.

But photographs that appeared online after the battle showed people standing around a pile of corpses, leading many Uighurs to believe that the government was playing down the number of dead Uighurs. One Uighur student said the photographs began showing up on many Web sites about one week ago. Government censors repeatedly tried to delete them, but to no avail, he said.

“Uighurs posted it again and again in order to let more people know the truth, because how painful is it that the government does bald-faced injustice to Uighur people?” said the student, who spoke on the condition of anonymity for fear of retribution from the government.

A call for protests spread on Web sites and QQ, the most popular instant-messaging program in China, despite government efforts to block online discussion of the feud.

By Tuesday morning, more than 36 hours after the start of the protest, the police had detained more than 1,400 suspects, according to Xinhua. More than 200 shops and 14 homes had been destroyed in Urumqi, and 261 motor vehicles, mostly buses, had been burned, Xinhua reported, citing Liu Yaohua, the regional police chief.

Police officers operated checkpoints on roads throughout Xinjiang on Monday. People at major hotels said they had no Internet access. Most people in the city could not use cellphones.

At the local airport, five scrawny, young men wearing black, bulletproof vests and helmets stood outside the terminal, holding batons. The roadways leading into the city center were empty early on Tuesday, except for parked squad cars and clusters of armored personnel carriers and olive military trucks brimming with paramilitary troops. An all-night curfew had been imposed.

Residents described the central bazaar in the Uighur enclave, where much of the rioting took place, as littered with the charred hulks of buses and cars. An American teacher in Urumqi, Adam Grode, and another foreigner said they had heard gunfire long after nightfall Sunday.

Xinhua did not give a breakdown of the 156 deaths, and it was unclear how many of them were protesters and how many were other civilians or police officers. There were no independent estimates of the number of the death toll. At least 1,000 people were described as having protested.

Photographs online and video on state television showed injured people lying in the streets, not far from overturned vehicles that had been set ablaze. Government officials gave journalists in Urumqi a disc with a video showing bodies strewn in the streets.

The officials also released a statement that laid the blame directly on Rebiya Kadeer, a Uighur businesswoman and human rights advocate who had been imprisoned in China and now lives in Washington. It said the World Uighur Congress, a group led by “the splittist” Ms. Kadeer, “directly ignited, plotted and directed the violence using the Shaoguan incident in Guangdong.” The statement said bloggers first began calling for the protest on Saturday night and also used QQ and online bulletin boards to organize a rally at People’s Square and South Gate in the Uighur quarter of Urumqi.

The World Uighur Congress rejected the accusations and said that it condemned “in the strongest possible terms the brutal crackdown of a peaceful protest of young Uighurs.” The group said in a statement on Monday that Uighurs had been subject to reprisals not only from Chinese security forces but also from Han Chinese civilians who attacked homes, workplaces or dormitories after the riots on Monday.

The violence on Sunday dwarfed in scale assaults on security forces last year in Xinjiang. It was deadlier, too, than any of the bombings, riots and protests that swept through the region in the 1990s and that led to a government clampdown.

Uighurs make up about half of the 20 million people in Xinjiang but are a minority in Urumqi, where Han Chinese dominate. The Chinese government has encouraged Han migration to many parts of Xinjiang, and Uighurs say that the Han tend to get the better jobs in Urumqi. The government also maintains tight control on the practice of Islam, which many Uighurs cite as a source of frustration.

But an ethnic Han woman who lives in an apartment near the central bazaar said in a telephone interview that the government should show no sympathy toward the malcontents.

“What they should do is crack down with a lot of force at first, so the situation doesn’t get worse, so it doesn’t drag out like in Tibet,” she said after insisting on anonymity. “Their mind is very simple. If you crack down on one, you’ll scare all of them. The government should come down harder.”

Michael Wines, Jonathan Ansfield and Xiyun Yang contributed reporting from Beijing, and David Barboza from Shanghai. Huang Yuanxi contributed research from Beijing, and Chen Yang from Shanghai.

Friday, July 03, 2009

Pakistan Divided Against Itself

Recent reports by Jane Perlez and her colleagues at the New York Times reveal that Pakistan is still a divided house. The military and the civilian administration don’t trust each other, and indeed seem to have competing visions of the world; and the military itself seems divided. Whatever cooperation the Americans are getting with Pakistan is therefore likely to come unraveled. An unpromising future in a critically important neighborhood. RLC


NYTimes June 28, 2009
Taliban Losses Are No Sure Gain for Pakistanis
By JANE PERLEZ and PIR ZUBAIR SHAH
MARDAN, Pakistan — For the past month and a half, the Pakistani military has claimed success in retaking the Swat Valley from the Taliban, clawing back its own territory from insurgents who only a short time ago were extending their reach toward the heartland of the country.
Yet from a helicopter flying low over the valley last week, the low-rise buildings of Mingora, the largest city in Swat, now deserted and under a 24-hour curfew, appeared unscathed. In the surrounding countryside, farmers had harvested wheat and red onions on their unscarred land.
All that is testament to the fact that the Taliban mostly melted away without a major fight, possibly to return when the military withdraws or to fight elsewhere, military analysts say. About two million people have been displaced in Swat and the surrounding area as the military has carried out its campaign.
The reassertion of control over Swat has at least temporarily denied the militants a haven they coveted inside Pakistan proper. The offensive has also won strong support from the United States, which has urged Pakistan to engage the militants.
But the Taliban’s decision to scatter leaves the future of Swat, and Pakistan’s overall stability, under continued threat, military analysts and some politicians say.
The tentative results in Swat also do not bode well for the military’s new push in the far more treacherous terrain of South Waziristan, another insurgent stronghold, where officials have vowed to take on the leader of the Pakistani Taliban, Baitullah Mehsud, who remains Pakistan’s most wanted man.
Signs abound that the military’s campaign in Swat is less than decisive. The military extended its deadline for ending the campaign. Even in the areas where progress has been made, the military controls little more than urban centers and roads, say those who have fled the areas. The military has also failed to kill or capture even one top Taliban commander.
It was “very disappointing,” said Aftab Ahmed Sherpao, a senior politician from the region, that none of the commanders had been eliminated. It turned out, he said, that early reports of the capture of Ibn Amin, a particularly brutal commander from Matta, were incorrect.
Many Taliban fighters have infiltrated the camps set up for those displaced by the fighting and are likely to return with them to Swat, said Himayatullah Mayar, the mayor of Mardan, the city where many of the refugees are staying. “Most of the Taliban shaved their beards, and they are living here with their families,” he said.
As of two weeks ago, the police had arrested 150 people in the camps suspected of being members of the Taliban, Mr. Mayar said. This figure did not include suspects arrested by the Intelligence Bureau, Pakistan’s domestic intelligence outfit, and the Directorate for Inter-Services Intelligence, the country’s main spy agency, he said.
Meanwhile, the government, led by President Asif Ali Zardari, has yet to announce a full plan for how it will provide services like courts, policing and health care that will allow the refugees to return home and the government to fully assert control.
Those plans appear to be mired in conflict and mutual suspicion between the military and the civilian government, raising serious questions about whether the authorities can secure Swat and other areas and keep them from being taken back by the Taliban, military experts said.
“I’ve told the president and the prime minister and the chief of the army this is the time to act. Just take basic things and implement them,” said Gen. Nadeem Ahmad, the commander of the Special Support Group, an arm of the Pakistani military that is providing temporary buildings and some food for the displaced. “This is not talking rocket science.”
On a notepad, General Ahmad had drawn a chart of the four elements of what he called “lasting peace.” They were good government; improved delivery of services, including rebuilt schools; speedy justice (something the Taliban had provided); and social equity.
He appeared to be skeptical that those aspects could be delivered within what he called an essential one-year time frame. He said he had warned the leaders: “If you don’t deliver, it will be trouble. You will come back and do the operation again.”
Having witnessed past episodes of deal-making with the Taliban, the people of Swat say they want tangible proof that the military is serious this time and that they will be safe if they return home.
From the start, a rallying cry has been a demand that the army kill or capture Taliban leaders, a ruthless group of highly trained fighters, some with links to Al Qaeda. But the army has not been able to show any evidence that it killed any of the Taliban leaders.
The daily newspaper The News said in a recent editorial that unless Maulana Fazlullah, the Taliban’s main commander in Swat, and Mr. Mehsud, the country’s top enemy, were captured, “the Taliban are going to live to fight another day.”
Indeed, most of the damage from the recent fighting appears confined to small agricultural hamlets outside Mingora, according to interviews with displaced people. Some said they had heard from recent arrivals to the camps that areas 500 yards off the roads remained in control of the militants.
The “outlook was bleak” in Swat because the civilian government did not have the money or the skills to rebuild, said Shuja Nawaz, the author of a history of the Pakistani military and now the director of the South Asia Center at the Atlantic Council in Washington.
Most of the two million displaced people are still living in tent camps and cramped quarters with relatives and even strangers, in cities as far flung as the southern port of Karachi.
Many displaced people were fed up with the cruelties inflicted under Taliban rule and have backed the military campaign. But as the fighting drags on in places, the mood among them grows increasingly despondent.
Some displaced people said that they were angry at the army for indiscriminate shelling in civilian areas. Others said they were confused about why the military operation was even necessary.
“We had no problem with the Taliban,” Umar Ali, a poultry trader from Qambar in Swat, said as he sat on the veranda of a home in Swabi, a town filled with displaced people. “We’re here because of the military shelling. I’m a trader, and the thing that affects my life is the curfew.”
Earlier Pakistani campaigns against the Taliban do not offer an encouraging precedent. In Bajaur, a part of the tribal areas, two main economic centers, the market towns of Loe Sam and Inayat Kalay, remain in ruins nearly eight months after the army smashed them in pursuit of the Taliban and claimed victory.

“In Refugee Aid, Pakistan’s War Has New Front”

By JANE PERLEZ and PIR ZUBAIR SHAH
Published: July 1, 2009

QASIM PULA, Pakistan — Islamist charities and the United States are competing for the allegiance of the two million people displaced by the fight against the Taliban in Swat and other parts of Pakistan — and so far, the Islamists are in the lead.

Two million people have been displaced by the fight against the Taliban in Swat and other parts of Pakistan.

Although the United States is the largest contributor to a United Nations relief effort, Pakistani authorities have refused to allow American officials or planes to deliver the aid in the camps for displaced people. The Pakistanis do not want to be associated with their unpopular ally.

Meanwhile, in the absence of effective aid from the government, hard-line Islamist charities are using the refugee crisis to push their anti-Western agenda and to sour public opinion against the war and America.

Last week, a crowd of men, the heads of households uprooted from Swat, gathered in this village in northwestern Pakistan for handouts for their desperate families. But before they could even get a can of cooking oil, the aid director for a staunchly anti-Western Islamic charity took full advantage of having a captive audience, exhorting the men to jihad.

“The Western organizations have spent millions and billions on family planning to destroy the Muslim family system,” said the aid director, Mehmood ul-Hassan, who represented Al Khidmat, a powerful charity of the strongly anti-American political party Jamaat-e-Islami.

The Western effort had failed, he said, but Pakistanis should show their strength by joining the fight against the infidels.

The authorities’ insistence that the Americans remain nearly invisible reveals the deep strains that continue to underlie the American-Pakistani relationship, even as cooperation improves in the fight against the Taliban, and public support for the war grows in Pakistan.

Yet Islamist and jihadist groups openly work the camps.

“Because of the lack of international agencies, there is a vacuum filled by actors that are Islamist and more than that, jihadist,” said Kristele Younes, a senior advocate with Refugees International, a Washington group established in 1979.

One of the most prominent jihadist charity groups, Jamaat-ud-Dawa, had been barred from the camps, according to Lt. Gen. Nadeem Ahmad, the head of the Pakistani Army’s disaster management group. The group was designated as a terrorist organization by the United Nations Security Council in December.

Nonetheless, it set up operations in Mardan under a new name, Falah-e-Insaniyat, according to Himayatullah Mayar, the mayor of Mardan. After the order to leave the area, Falah-e-Insaniyat went underground but still appeared to be operating to some extent, Mr. Mayar said.

Signs of the organizational strength and robust coffers of Islamist charities were easy to see around the camps, often in contrast to the lack of services offered by the government.

For example, Al Khidmat, Mr. Hassan’s group, arranged to bring in eye surgeons from Punjab to staff a free eye clinic for the displaced, offering cataract operations and eyeglasses.

“Government hospitals are nonexistent here, and we are able to treat not only the displaced but the whole community,” said one of the surgeons, Dr. Khalid Jamal.

Meanwhile, Mr. Hassan was busy checking new temporary schools, health clinics and four ambulances on 24-hour service that Al Khidmat had set up.

Every day, he said, he personally supervised the distribution of food at three different places — sometimes at a home, sometimes in a camp. So far, he said, he had covered 400 of 450 villages near the city of Swabi. Always, he said, before the food is distributed, he delivers his exhortation to jihad.

By contrast, although much American aid gets through, it is not branded as American, and Pakistani authorities insist that it be delivered in a “subtle” manner, General Ahmad said.

The general said he had told American officials there would be an “extremely negative” reaction if Americans were seen to be distributing aid. “I said they couldn’t fly in Chinooks, no way,” General Ahmad said, referring to American military helicopters. The United States, he said, was seen as “part of the problem.”

That is not what American officials had hoped for. At first, the exodus of people from Swat, many of whom had suffered from the brutality of the Taliban, seemed to present a chance for Washington to improve its image in Pakistan.

“There is an opportunity actually to provide services, much as we did with the earthquake relief, which had a profound impact on the perception of America,” Senator John Kerry, the chairman of the Foreign Relations Committee, said at a hearing attended by the Obama administration’s special envoy, Richard C. Holbrooke, at the start of the exodus.

In an effort to highlight American concern for the refugees, Mr. Holbrooke visited the camps in June, sitting on the floor of a sweltering tent and talking to people about their plight. “President Obama has sent us to see how we can help you,” he said. One result of the trip was an effort to send Pakistani-American female doctors to assist women in the camps.

According to the State Department, the United States has pledged $110 million for food and logistical support. In late May, the Defense Department sent several flights to Islamabad carrying ready-to-eat meals, environmentally controlled tents and water trucks. But ideas of winning back popularity with a big show of airlifts of American assistance on the scale of American earthquake relief to Kashmir in 2005 were rebuffed, and not only by the Pakistanis.

American nongovernmental organizations in Pakistan discouraged high-profile deliveries of United States government aid because anti-American sentiment was too widespread and the security risk to Americans in the camps was too high, said the head of one of the groups, who spoke on condition of anonymity because of the sensitivity of the issue. There were many Taliban in the displaced camps, and they believed the Pakistani military was fighting against them in Swat on orders from Washington, the official said.

The restrictions on American assistance are clear in the camps and in villages like this one deep in the countryside around Mardan and Swabi, where Pakistani families have opened their homes to large numbers of displaced people.

American officials and their consultants were barely able to move beyond the highly visible refugee camps set up along the main highway between Islamabad and Peshawar, said Mahboob Mahmood, a Pakistani-American businessman who has visited the area to help find ways to bring additional aid.

“They have been almost completely neutered,” he said.

A version of this article appeared in print on July 2, 2009, on page A1 of the New York edition.

Thursday, June 25, 2009

To conceal the truth Iran brutalizes and humiliates the family of its most famous victim

The actual results of the election in Iran is no longer the point in the struggle between the opposition and the government, owing to the behavior of the government. The response of the government has been [a] to deny any need for a serious recount [instead it offers to recount only a few of the precincts, and even then selectively], [b] to bully the public into submission, and [c] to claim that the whole affair was created by outsiders. Total denial.

Repressive regimes flaunt their lunacy. To make sure the Iranian government embarrassed its own claims to legitimacy it publicly dismantled all semblance of concern for its own citizenry by the way it treated the family of Neda Soltan. Neda's offense was to allow herself to be murdered by Iran's paramilitary Basij in front of the cameras of her friends -- and so to become the world-renown emblem of Iranian repression. The family was then forced to suffer further owing to Neda's "offense". Here is The Guardian's report on how the Iranian government treated Neda's family:


Neda Soltan's family 'forced out of home' by Iranian authorities

> The family were banned from mourning and funeral services were cancelled. "The Iranian authorities have ordered the family of Neda Agha Soltan out of their Tehran home after shocking images of her death were circulated around the world."

> In accordance with Persian tradition, the family had put up a mourning announcement and attached a black banner to the building. But the police took them down, refusing to allow the family to show any signs of mourning. The next day they were ordered to move out.

> Since then, neighbors have received suspicious calls warning them not to discuss her death with anyone and not to make any protest.

> A neighbor said her own family had not slept for days because of the oppressive presence of the Basij militia, were were "in the area harassing people since Soltan's death." "We are trembling," another neighbor said. "We are still afraid. We haven't had a peaceful time in the last days, let alone her family. Nobody was allowed to console her family, they were alone, they were under arrest and their daughter was just killed. I can't imagine how painful it was for them. Her friends came to console her family but the police didn't let them in and forced them to disperse and arrested some of them. Neda's family were not even given a quiet moment to grieve."

> Another man said "Neda's family was forced to be alone, otherwise the whole of Iran would gather here," he said. "The government is terrible, they are even accusing pro-Mousavi people of killing Neda and have just written in their websites that Neda is a Basiji (government militia) martyr. That's ridiculous – if that's true why don't they let her family hold any funeral or ceremonies? Since the election, you are not able to trust one word from the government."

> A shop keeper who knew her said, "She was a kind, innocent girl. She treated me well and I appreciated her behaviour. I was surprised when I found out that she was killed by the riot police. ... She has been sacrificed for the government's vote-rigging in the presidential election."

> The police did not hand the body back to her family. They buried it without the family knowing it.

> The government now accuses protesters of being the killers of Soltan, describing her as a martyr of the Basij militia.

> Also, a pro-government newspaper has blamed the recently expelled BBC correspondent, Jon Leyne, of hiring "thugs" to shoot her so he could make a documentary film.

[Click on the title for a link to the whole article.]

Wednesday, June 24, 2009

Interview with Atlantic Community

Natalie Catherine Chwalisz of the Atlantic Community website asked me for comments on the relationship between the European Union and the situation in Pakistan. Some of what I said was published there. I include here the whole of their questions and my responses to them.

1. How does Pakistan's political instability impact EU security concerns?
The obvious first answer is that the world is now so intimately connected that any serious crisis anywhere can affect much of the rest of the world -- and Pakistan is in crisis. But in the case of Pakistan there are many specific issues. The most obvious one is that for many years Pakistan has been a sanctuary for insurgent groups whose agendas include reducing (and reshaping) Europe as well as the United States (the more prominent target for the time being). But the status of the EU in the eyes of the insurgents in Pakistan/Afghanistan is no different than the US. They see both as the source of dangerous influences and if they have the ability they will attack them.

But there is more to reflect on here. As you know, all of those involved in the 9/11/01 attack on New York and the Pentagon were radicalized in Europe: whatever were the conditions for developing their hostility they developed it in European contexts. At the same time, since at least the mid-1970s Pakistan has been a critical incubating place for insurgent groups. That Osama Bin Laden has been able to hide there for some years can be no accident; there must be Pakistanis in high places who know something about that. Moreover, Pakistan has been nourishing several radical Islamist groups in order to have recruits for their unending struggle with India over Kashmir. In that context OBL may be regarded as a useful asset to some elements of the Pakistan military. They have claimed that the Taliban are an Afghan group, but the main localities from which they have operated ever since late 2001 have been in Pakistan’s tribal areas. The folly of Pakistan’s policy of tolerating OBL and certain Taliban groups, one that could be fatal, is now only too obvious, as the “Pakistani Taliban” have turned against their handlers.

Much has been said about the danger of nuclear warheads falling into the hands of insurgents. How likely that is I would not know, but the possibility of a growing insurgency committed to creating a new political force in the world – a new “caliphate” – is not remote. The success of an insurgency in Pakistan/ Afghanistan could inspire a new generation of young people in the wider region of the Middle East, Central Asia and South Asia, places from which most of the insurgents come. And the numbers of such people are potentially large, for the median age of most of these countries is around 20. These young people are now developing a sense of where the world is going and of what they want to do with their lives. And the course of affairs in Pakistan/Afghanistan will influence what they see, what they can imagine, and what they decide to commit their lives to. That most of them are poorly educated and thus unprepared for employment in the emerging world will become a problem, as they are unlikely to escape the appeal of the more conspiratorial rumors of the times and the more radical solutions being proposed by the extreme elements of their world. Such social conditions in a society only a couple of hours by plane from Europe such induce the EU to invest heavily in measures to counter the influence of such extreme movements.

2. What should be the guiding principles of Europe's foreign policy in the region?
Again, the answer seems transparent: Europe [and the US] must be prepared to invest in the wellbeing of the great population clusters of the world, especially those that are disadvantaged. This means encouraging infrastructural development for those populations that are now underprivileged, many of whom are becoming aware, through modern communication devices, of what the more advanced parts of the world are like – a condition that will foster resentment against the “West” if effective means are not developed by which these populations can develop. The good news is that that awareness should induce many of them to welcome efforts to equip them for living and working in the modern world.


3. How could/should the EU's policy vis-à-vis Pakistan complement US policy in the region? Are there avenues insufficiently or not at all pursued by the US, where the EU can set itself apart and provide additional value? Can the EU's expertise in institution building and cooperation on economic reform (as was developed in the EU's
Neighborhood Policy) be applied to Pakistan?
The most obvious way that the EU can help is in education and institutional development – in Afghanistan as well as Pakistan, as you cannot now consider the issues in either country without considering the implications for the other. The EU is well positioned to provide such help.

It is important that the Americans and Europeans work to help develop these two countries, but this seems to me a delicate issue. The Pakistanis and Afghans can be offended by arrogance and condescension. In fact, both countries need large infusions of help in education. But in order for that assistance to be effective the leaders themselves have to be able to embrace it without feeling humiliated. That is, they have to “own” the educational and institutional development project themselves. This is a major problem in Pakistan, as the elite of Pakistan have managed public affairs in their own interest from the beginning. Pakistan is still a “feudal” society, a social condition that provides room for, even encourages, radical insurgent movements.

One useful function of the leadership of the EU would be to help the leadership of Pakistan to recognize the need to give more opportunity to the less privileged. This includes persuading them to commit to educating the lower classes. It also includes entering into serious dialogue with Baluch nationalists who are seeking a stronger voice in public affairs and a degree of local autonomy.

For all of this to be possible, the leadership of the EU might enlist the help of the Chinese, whose support is critical to the Pakistanis. And if at all possible, they should seek to bring some resolution to the Kashmir crisis. Until that issue is resolved the two most powerful countries in South Asia, both nuclear-armed, will be effectively at war.

It is worth noting that the EU is currently more highly regarded than the United States, a condition that the EU could effectively use. Some possibilities for the EU to consider in helping raise the level of education as well as change the perceptions of young Pakistanis about “Western” society: develop a king of “peace corps” from Europe; send professional advisors and trainers for the professional and trade workers in the country.

Monday, June 22, 2009

1953: What American’s don’t know and Iranians can’t forget.

Most Americans are proud of their “free press” and their history of great humanitarian achievements, but they are surprisingly ignorant of their own history – at least of the sordid activities of their government, some of them successfully veiled from their own “free press.” As a result, like every other people the Americans have a selective memory of the past. Currently there seems to be a return to stories of World War II, which is recalled as the last “good war” in which Americans participated. What we forget – or in fact, for most Americans, we never knew ‒ are some of the unseemly ventures of our government in other countries. One of those unseemly ventures was what the CIA did in 1953 in Iran: they overturned a duly elected government led by a very popular Prime Minister, Muhammed Mussadegh, by paying goons to create an appearance of public disorder so that Muhammad Reza Shah could be installed as an American client.

In fact, most of us had no idea; the act only became known many years later – at least to Americans; the Iranians came to know it very quickly, and were soon deeply resentful of it. [The tale is well told in Stephen Kinzer’s book, All The Shah’s Men: An American Coup and the Roots of Middle East Terror.] This affair has loomed in the Iranian public imagination ever since. It was a major factor in the massive revolt against the Shah in 1978 that eventually brought Khomeini to power. The Iranian people supposed that the Americans were behind the abuses – beatings, executions, intimidations, especially by the secret service agency known as SAVAK ‒ that became increasingly common in the 1970s. And the supposition was right, for indeed the Americans had trained SAVAK and funded the Iranian military that kept the Shah in power.

That memory, the sense that America messes with Iran’s internal affairs, is still alive. This is the reason why the Obama administration dares not take sides in the current struggle in Iran, for merely by expressing support for the opposition it will delegitimize it, turn it into ‒ again ‒ a seeming attempt of the American government to overturn a “duly elected” administration. Or at least “duly elected” as the Iranian administration wants everyone to believe but that many now doubt, judging from the demonstrations of outrage in at least the Iranian cities. And now the country’s highest electoral authority, the Guardian Council, admits that the "votes collected in 50 cities surpass the number of people eligible to cast ballots in those areas." [http://latimesblogs.latimes.com/babylonbeyond/2009/06/iran-independent-study-indicates-irregularities-in-election-results.html].

The government would like nothing better than to pin the opposition on American meddling. And accordingly the opposition most urgently desires to avoid any evidence of contamination by American support.

So the dance by all sides – Khameinei and the Iranian administration, the Mousavi-led opposition, the Americans, even the Europeans ‒ has been carefully calibrated in terms of that grotesque unseemly event of the past. As always, the past poisons the present, in this case a past that most Americans never knew and virtually all Iranians will never forget.

Sunday, June 21, 2009

Private news on the Iranian regime's butchery of its own people

My colleague at Washington University in St Louis, Fatemeh Keshavarz, sends out periodical notes on the situation in Iran: WINDOW_ON_IRAN@ARTSCI.WUSTL.EDU. Her latest post, as of this morning, reveals how desperate the situation there is. On it a medical student describes "chaos" in the emergency room in the hospital where he works. Many people were brought in with wounds. Nine died. "Employees were crying till dawn". "The government moved dead bodies on backs of trucks before we were even able to get their names or other information. What can you even say to the people who don't even respect the dead. No one was allowed to speak to the wounded."

Fatemeh says that many people believe the bizarre suicide bombing at the tomb of Khomeini was staged by the government to discredit the opposition. "An unconfirmed report said the bombing was reported on the National TV minutes before it actually happened."

Contact Fatemeh to see her whole report. [I believe she wants her reports to be distributed, so would be glad to have your name on her mailing list. There is soon to be a blog also.]

Friday, June 19, 2009

An interview with Trend

The situation in Iran now seems beyond repair. I here reproduce an interchange I had with Tatyana Konyayeva, a Correspondent with TREND News Agency in Baku, only becuase so far it doesn't seem to be unduly out of date.

Q: Ali Akbar Mohtashamipur, the chairman of the Votes Security Organization founded by presidential candidate Mir Hosseyn Musavi, stated that there is a need to establish the Justice Search Committee in order to conduct fair and transparent elections. How do you think, such a committee will affect the transparency of the future elections?

A: I know nothing about the committee so nothing I could say would reveal anything significant. The one impression I have, as you also must have, is that the Iranian administration wants the legitimacy of having won an election without actually having allowed a true election to take place. The administration's behavior reveals that they cannot bear to have the public reject them openly, so they are using violent means to contain the obvious outrage that permeates the society. They want to seem legitimate in "democratic" terms without being willing to subject themselves to an open electoral process. So I presume they would manipulate whatever agency was assigned to oversee the process. Through a private source I know that the announcement of the winner of the election was made before the vote counters had finished counting the votes in at least one place [from one of the vote counters].

>
Q: The Guardian Council announced the re-count of the ballots at some polling stations. In your opinion, whether the re-count of the ballots will guarantee the transparency of the elections, or nevertheless, the new presidential elections should be arranged?

A: What I said above reveals my opinion: this administration has been generally losing its legitimacy over time. Certain elements in the population are evidently in support of Ahmadenijad. But behind the whole system is a religious pretense that has undermined the general respect of the population for authentic religious faith. The religious "experts" in power have become excessively rich under this system and their abuses now resemble those of the super-rich westernized class allied with the shah in the 1970s, against which the Islamic revolution took place. They pretend to be good Muslims and to allow authentic belief but in fact they brutalize those who reject their faith and want to convert to another faith [for example, Christianity]. As you know, they even try to control ayatullahs who criticize them.

Modern Iran has a history of long periods of stability punctuated by massive public uprisings [early 1900s; 1970s], and if this regime does not relent it will eventually have to deal with a huge public explosion like that of 1978-1979. What should be very disconcerting to many of the mullahs is that among those who are now outraged are some of their own children and grandchildren.

Tuesday, June 09, 2009

Zahid Hussain of Dawn unveils more of the contrary behavior of the Pakistani army

Zahid Hussain's report in Dawn is so revealing that I want to point it out to anyone who is interested. No wonder Pakistan has so many problems: One day the army hosts the Taliban and celebrates their victory in a new area. The next day they are at war with them and put a price on their heads. Again, the Pakistani people deserve better. As we know, recent news is that in exasperation some local people in the tribal areas have formed their own fighting group [laskars] to drive the Taliban out, and we now hear the army is now willing to help them. Good news. RLC
Dawn May 31, 2009
"From much sought after to ‘most wanted’"
By Zahid Hussain

Accompanied by dozens of well armed Taliban fighters, Muslim Khan, Sirajuddin, Mahmmod Khan and some others (who are said to be responsible for killings of hundreds of soldiers and civilians) were being hosted by the former commissioner of Malakand, Syed Mohammad Javed.

The only person conspicuous by his absence was Maulana Fazlullah, the man with a head money of Rs50 million. ‘He is in Kabal for some important work,’ I was told by one of his lieutenants. [In Kabul?]

It was April 12 and the commissioner had just returned from Buner where he had apparently brokered a truce between the Taliban threatening the district after the Swat peace deal and the local Lashkar who had long resisted the militant onslaught. ...

It seemed that the militant commanders had gathered at the Commissioner House that evening to celebrate the takeover of Buner after consolidating their hold on Swat on the back of the controversial peace accord.

...
[A] man who now has a reward of Rs4 million on his head looked at home in the hospitable setting of the Commissioner House that night. I was taken aback to see top government officials standing there to receive the man who was responsible for ordering the execution of innocent civilians.

Earlier in the day when I went to interview him in Imam Dehri Madressah, he showed me a list of people whose execution orders were to be issued. Among them was a woman whose husband had allegedly served in the US army.

...

Sirajuddin, a former spokesman for Maulana Fazlullah who also has a bounty of Rs4 million for his capture, was huddled in a corner with some of his comrades.
... A former left-wing activist, he received his higher education in Kabul in 1980s during the communist rule in Afghanistan. He planned to join Lumumba University, but had to return home for reasons not known.

His transformation from a hard core socialist to a radical Muslim came in late 1990s when like many young men he fell under the spell of Maulana Fazlullah’s fiery sermons.

...

More shock was in store when later that evening I saw Faqir Mohammed walking in with a large entourage. Escorted by an Uzbek bodyguard he was whisked inside a large hall where a number of commanders squatted on a carpeted floor.

One of the top leaders of Tehrik-i-Taliban Pakistan, Faqir Mohammed, has been spearheading the bloody war against Pakistani forces in Bajaur tribal region.

Because of his close links with al Qaeda, security agencies considered Faqir Mohammed more dangerous than Baitullah Mehsud. The presence of Pakistan’s most wanted militant leader at the Commissioner House that evening, when the fighting still raged in Bajaur, was intriguing, to say the least.

...
[Click on the title to read more.]

Sunday, May 31, 2009

Superior journalism as Jonathan S. Landay and Warren P. Strobel do it.

Journalism is the profession that is supposed to keep us abreast of what is going on in the world, so its reports become an archive of events and activities as they transpire. But good journalism needs also to be examining the claims of officials, to see how they match with the public record. Good journalism has to be more than, as someone has said, a stenographer; it should be reminding us, the public, of things we tend to forget, matching official statements against events and statements in the past. In fact, the public has a short memory, and some of us have a notably short memory, a problem I have had since …, well, as long as I can remember [!] . So journalists need to help us remember what officials have done and said that bear upon what they are doing and saying in the present.

Officials need to be scrutinized -- what they say about themselves and the world – for how accurately they represent the truth, at least as it can be known, a process that entails matching their public affirmations with the available public record. This professional service is necessary because officials have agendas of their own; they want the public to understand situations as they do, in order to justify their perspectives, their past decisions, and their projects. Politics is a continuing debate about how situations should be defined and so is often, by implication, about the past as well as the present. And because definitions of situations affect the interests of public officials, the public statements of officials can be contorted by their interests. The interested viewpoint of officials and the professional obligation of journalists to examine the statements and activities of officials in the light of the public record places journalists and officials on opposing sides. The interests of one clash with the interests of the other.

So a common device of politicians is to dismiss those to bring up embarrassing details as already biased "on the left" or "on the right."

We have recently heard a speech by former Vice President Dick Cheney that has been available for the scrutiny of journalists. As the speech rehearses policies of the Bush administration, it invites such scrutiny. I wonder how many journalists have examined his speech in light of the public record, to see how faithfully the Vice President represented the past. Certainly a fine example of good journalistic practice was the work of Washington DC McClatchy journalists Jonathan S. Landay and Warren P. Strobel, who went through the Cheney speech and found as many as ten “omissions, exaggerations and misstatements.” [Click on the title for a link to their article.]

I wonder how many other journalists have provided this service to their readers? I don’t remember seeing anything like it elsewhere, except for Frank Rich’s statement in the New York Times today.

Dictators in many countries simply control the news by abusing journalists, intimidating, imprisoning, even assassinating those who stubbornly insist on presenting embarrassing and “inconvenient” truths as they know them. In our country we hope our journalists will avoid censoring themselves. When they become reluctant to point out the failures of leaders we all lose, no matter which side we are on in a specific debate.

We now have a new administration. They will have their own perspective, policies, and projects, like the previous one. Lets hope the journalist profession does a better job with this adminstration than they did with the past.

How to be a great journalist the Nicholas Kristof way

Many of us have admired the reports of Nicholas D. Kristof. He has reported on many of the regions of great suffering among human beings around the world. He has faithfully humanized what it’s like to be a slave, a woman trafficked in the sex trade, children forced into war. What we don’t get to see much is what is entailed in telling the world about the human condition in its most tragic forms. Today’s report, though, reveals some dimensions of what it is like to be a great reporter of human suffering. You will have to read it yourself to see what he says, but there is a subtext in what he says worth putting into words. This is what I surmise from today’s op-ed piece about what one has to do to be a great reporter of the human condition:

• Live out of a back pack.
• Hide your valued possessions on your person at all times.
• Travel in the scrawniest taxis available.
• Watch out for bed bugs.
• Block your hotel room door so intruders cannot sneak in on you when you are sleeping.
• Be prepared to fight pickpockets -- and to lose the fight.
• Be prepared to charm bandits who are equipped kill you on the spot.
• Know how to deal with those who might poison you.
• Watch out for robbers who carry machetes.
• Know how to manage corrupt police and fake police.
• Be prepared for a bus crash when almost everyone is injured.
• If you get malaria, shrug it off.

[Click on the title to see the original article.]

Friday, May 29, 2009

Complexities in the Iran-Pakistan pipeline deal.

Bruce Pannier [Radio Free Europe/Radio Liberty] provides further information on the recently announced pipeline deal between Iran and Pakistan [What Are The Prospects For Iran-Pakistan 'Pipeline Of Peace'?, May 25, 09].

Deals for infrastructural development like this are important because they establish new long term mutual relationships and effectively reduce the cost of, in this case, the transport and accessibility of a good that is vital to the maintenance of a modern society. They indicate practical arrangements that become possible only in certain friendly contexts and that can establish a mutual dependence that in the long run will be costly to disrupt. So we see this announced deal as evidence of a willingness to become mutually more interdependent, thus tightening relations of mutual interest in the Middle East-South Asian region. It’s one more way of making the world smaller and vital goods (gas for Pakistan; money for Iran) more accessible to wider numbers of people.

But in this case, as in most such arrangements, there are serious issues yet to resolve. Here are some details of importance that are mentioned in the article:
• This is a 25-year deal that could export some 150 million cubic meters of gas to Pakistan per day.
• The pipeline would extend 2,100 kilometers from Iran’s South Pars field into Pakistan, starting in the city of Asalouyeh. Even though India is not a part of this deal it is hoped that an agreement could be made for the pipeline to be extended into India, another 600 kilometers.
• One of the main problems is how to fund the project. The Asian Development Bank has shown no interest in supporting this project even though it is willing to back the rival gas pipeline from Turkmenistan through Afghanistan to Pakistan.
• That Iran and Pakistan abut each other in Baluchistan means that the new pipeline will have to pass through an unstable region, as Baluch nationalists who want more autonomy have already disrupted Pakistan’s only local gas pipeline.
• The project could start within the next three or four years and take five years to build.

Monday, May 25, 2009

A gas deal between Iran and Pakistan

According to AFP Iran and Pakistan have announced that they are about to sign an agreement to export gas to Pakistan. India was once to be part of the deal but they withdrew from talks about the deal last year. The report says, “The 900-kilometre (560-mile) pipeline is being built between Asalooyeh in southern Iran and Iranshahr near the border with Pakistan and will carry the gas from Iran's South Pars field.” It says that only 250 kilometers of pipeline was still to be constructed. The infrastructural mechanisms for integrating south Asia and Central Asia is proceeding apace, with large implications. Pakistan’s need for gas will soon be desperate. It will pass through Baluchistan, making a zone of dissidence that is already vital because of its own gas reserves all the most vitally important to the country of Pakistan.

The shameful record of American health care: Some statistics

To follow the previous statement of a need to abolish the health care insurance industry in the United States I add here some statistics on how poor the current system of health care is for the American people as a whole.

On the quality of health care in the United States: For the society as a whole it is among the worst health care results among the industrial nations.
On the mortality of children under 5, the US has twice as many deaths as Japan, and more than any of the other four countries listed below.

In 2007 the mortality rates were the following: US 8%; Canada 6%; Japan 4%; UK 6%; Germany 4%.

In 2005 [Latest date available] mothers who died in childbirth were the following: US 11 per 100,000; Canada 7; Japan 6; UK 8; Germany 4.

In 2007 infant mortality statistics per 1000 were the following: US 7; Canada 5; Japan 3; UK 5; Germany 4.

Source: Reuters [http://www.alertnet.org/thefacts/chart.htm?rt=1&period=0&startdate=2000&enddate=2006&category=standard_of_living.0.life_expectancy_average&countrycode_unsel=&countrycode=214383&countrycode=JP&countrycode=NO&countrycode=GB&countrycode=221882&go=Generate%20Graph]

Saturday, May 23, 2009

A statement in support of single payer health insurance

I am mailing a letter to the President and to my two senators, Claire McCaskill and Kit Bond. The issue seems critical for the future of the country. RLC

President Barak Obama
1600 Pennsylvania Ave NW
Washington, DC 20500

Dear President Obama,
In his May 22 program on PBS Bill Moyers and his guests described how the attempts to develop a useful health care reform bill have been subverted by the health insurance industry. [I append a list of some details from that program.]

I would like to express concern that what appears to be a good solution -- a “single payer” system – is being sidelined in the discussions about health care because of the influence of the insurance industry on the various senators considering health care reform.

Most terrifying in the Moyers report is the sense that what the public most wants is being ignored because of the power of big moneyed interests such as the health insurance industry. I am hearing in various ways, in various contexts, that the democratic process, which we take such pride in – by which elected officials represent the interests of those who elected them – has been subverted by large financial interests. The result has been, of course, an emasculation of the democratic process.

I do understand the problem of the elected official: these days one has to garner huge amounts of money to be elected, which in effect – despite all denials – effectively creates obligations that need somehow to be reciprocated. It is easy to suppose that every elected official is in the pocket of at least some wealthy interests. I am therefore writing to ask you what can be done to free public officials from such dependence on such large financial interests. A way needs to be found to ensure that elected officials will actually represent the interests of those who elected them, without the public interest being hijacked by the wealthiest industries in the country. Nothing reveals more clearly how seriously our government has become dependent on big moneyed interests than the Medicare bill that prohibits competitive bidding for the cost of medication.

I therefore urge you to
(a) help promote a single payer health system bill, following the model of Canada and Taiwan [mentioned in the transcript]; and
(b) pursue legislation that will enable those who run for office to be free from heavy obligations to wealthy donors and powerful corporate interests.

Sincerely,


Robert L. Canfield

Some statements from the Bill Moyers PBS program of May 22, 2009.

• What [is being proposed] is single-payer health care -- a non-profit system that would remove the role of the insurance companies and unify the financing of the health care system under one entity, a government run organization, like Medicare, that would collect all health care fees, and pay out all health care costs.

• [These were] arbitrary decisions [by the insurance companies], which were not about people's health care. They were about profits: How can I get away with the least amount of care offered to this person, so that their premium is going to give me the most profit? That's not the way health care decisions should be made.

• [T]he process [has been] hijacked by the insurance industry.

• The money and the power that's exerted in Washington on them from the health insurance and health industry lobbies is very powerful. It's hard for them to break out of that loop.

• [D]octors have had to spend hours of every day not in patient care but on the phone, hassling with insurance companies, trying to negotiate to get a patient a treatment. It makes it very difficult to deliver the right kind of care.

• If you get sick, you find out just how inadequate that insurance may be. Not only did I have health insurance; I had Aflac disability insurance, and a health care savings account on top of that. So we were like the prime example of responsible people who try and keep ourselves covered. And yet when we got sick, there was no way the deductibles and out-of-pocket maximum exposure [could add up]; [they accumulated] so quickly that we were buried very quickly financially.

• [In] data where we just ask about a national health insurance system, . . . 60 percent of the American public say we've got to have a national health program.

• It's spun out of control. It's going to bury us financially. It's going to mortgage our children, and it kills people. It just is not working.

• So just who has been getting the chance to testify before Congress? . . . The Business Roundtable. The U.S. Chamber Of Commerce. The conservative Heritage Foundation. Representatives of the insurance industry, including Blue Cross Blue Shield - all in favor, more or less, of the status quo.

• The president asked representatives of the health care business to reason together with him at the White House. They came, listened and promised to cut health care costs voluntarily over the next ten years. . . . [But we have heard this before:]

o In the 1970's in response to a proposal by Jimmy Carter “the very industry that only a decade earlier had tried to strangle Medicare in the cradle, seemed uncharacteristically humble and cooperative. "You don't have to make us cut costs," they promised. "We'll do it voluntarily."

o [In the early 1990's,] . . . the health care industry . . . came after the Clinton reforms with one of the most expensive and deceitful public relations and advertising campaigns ever conceived.. . . [And] they said, "We'll cut costs voluntarily."

• [Now] the industry is pouring big money into lobbying, more than half a billion dollars last year alone, according to the non-partisan Center for Responsive Politics. They're also shelling out megabucks for a publicity blitz and ads attacking Obama's public plan or any health care reform that threatens to reduce the profits from sickness and disease.

• [A major problem is] the power of the health insurance industry. Only about one out of 14 people trust the insurance industry as being honest and trustworthy. On the other hand, in Washington, they're in bed with the health insurance industry.

• Half of the bankruptcies [in this country] are medical bankruptcies. And of those medical bankruptcies, three quarters of those people had insurance, at least when they first got sick. But people have insurance that goes away after they actually need it.

• The seats at the table, or the witnesses at the hearing are, in a sense, controlled by the health insurance industry.

• "We don't need a health insurance industry. We can do what most other countries in the world have done. Have the government collect the money and pay the bills and get rid of all these people who are wasting $400 billion a year on excessive administrative costs."

• [We now have] a fragmented health insurance industry. And it thrives on being fragmented. The pharmaceutical companies make much more money with the fragmentation, because there's no price control. The insurance companies make much more money, 'cause they can push away people who aren't going to be profitable. The only people that suffer are the patients.

• And there's big money being made. There are billions being made from the private health insurance industry, from the drug industry, and that gets spread around Washington.

• The biggest recipients of insurance money, of drug money, are the powerful people who chair the committees, who decide what witnesses testify.

• Senator Baucus [who is chair of the Senate hearings] is the third highest recipient of donations from the health insurance and health care industry in general.

• Over the last 30 plus years there have been maybe two and a half, three times more doctors and nurses. Pretty much in proportion with the growth in population. There are 30 times in the insurance industry. These people are not doctors. They're not nurses. They're not pharmacists. They're not providing care. Many of them are being paid to deny care. So, they are fighting with the doctors, with the hospitals to see how few bills can be paid. That's how the insurance industry thrives: by denying care, paying as little out as it can.

• In Canada, back in 1970 or so, they were spending the same percentage of their gross national product as we were on health. They had huge numbers of uninsured people. They had the same insurance companies. Blue Cross Blue Shield. They decided to just get rid of the health insurance industry. . . .

• Canadians [now] have better choice than we do. They spend half as much per person on health care as we do.

• We're really talking about social insurance, like Medicare is social insurance. But doctors and hospitals remaining privately owned.

• Medicare actually takes care of the sickest, most expensive parts of the system. So in a way, they subsidize the private insurers. They take the unprofitable patients off the private insurer's hands.

• Canada has been a very good model. It's been going on for 38 years. Canadians would revolt, literally, if someone said, "We're going to take away your health insurance system."

• [F]or the insurance industry, for people making $225 thousand a day as CEOs of insurance companies, [the single-payer system would be] disruptive for them.

• [S]urveys are showing that most doctors support national health insurance-

• Taiwan [recently] said, “We don't like the fact that 40 percent of our people are uninsured.” They passed, essentially, single-payer plan and within a few years 90-95 percent of the people were covered.

Saturday, May 16, 2009

Tariq Ali exposes incidents of abuse of women in Pakistan

I have just gotten around to looking at my copy of the December issue of the London Review of Books and there I discovered an article by Tariq Ali that should not be buried and forgotten. Tariq Ali is noted for giving us valuable information on affairs in Pakistan; I especiallay appreciate his analysis of the way Pakistan is structured [see his article “The Colour Khaki.” New Left Review, Jan-Feb 2003; http://www.newleftreview.org/?view=2429].

In the December 18, 2008, of LRB [article entitled “Diary”] Ali reveals details about the rough treatment of women among some populations. Mostly, he tells us about Pakistan. What he reveals is of course usually carefully hidden; it should be exposed as such practices are cause of shame for any people.

Ali tells us the following about the treatment of women in Pakistan:
• Traditionalists have always considered love to be something that brings shame on families: patriarchs should be the ones to decide who is to be married to whom, often for reasons to do with property.
• A sample survey showed 82 per cent of women in rural Punjab feared violence resulting from their husbands’ displeasure over minor matters; in the most developed urban areas 52 per cent admitted to being beaten by their husbands.
• [O]fficial statistics admit to 1261 honour killings in 2006 and half that number again the following year. The actual figures are probably much higher, since many deaths go unreported. ‘Women are considered the property of the males in their family irrespective of their class, ethnic or religious group, and the owner of the property has the right to decide its fate,’
• Since the police and the judicial system regard murder in the family as a private affair, most cases don’t get to court even if they’re reported.

Here are some specific incidents he describes [in his words]:
• A man dreams his wife has betrayed him. He wakes up and sees her lying next to him. In a fury he kills her. This really happened in Pakistan and the killer escaped punishment.
• In 1999, Hina Jilani was in her office with Samia Sarwar, a mother of two from Peshawar seeking a divorce from her husband, when Sarwar’s mother burst into the room with two armed men in tow and had her daughter shot dead. In 1989 Samia Sarwar had married a first cousin. For six years he beat her and kicked her. But after he threw her downstairs when she was pregnant with their second child, she went back to her parents’ house. The minute she told them she wanted a divorce they threatened to kill her. Yet they were educated and wealthy people.
• One widely reported murder this year was that of Tasleem Solangi, the 17-year-old daughter of a livestock trader in the Khairpur District of Sindh. She wanted to go to university and become a doctor like her uncle, but instead agreed to marry a cousin in order to settle a protracted family dispute over property. Her mother, Zakara Bibi, tried to stop her, but Tasleem was determined. Her father-in-law, Zamir Solangi, came to collect her and swore on the Koran that no harm would befall her. A month after the marriage, Zakara had a message from her daughter: ‘Please forgive me, mother. I was wrong and you were right. I fear they will kill me.’ On 7 March, they did. She was eight months pregnant. The Koran-swearer accused her of infidelity and said the baby was not his son’s. She went into labour, her child was born and instantly thrown to the dogs. She pleaded for mercy, but the dogs were set on her as well and the terrified girl was then shot dead.
• Another case much discussed this year is that of five women in Baluchistan who were buried alive in Baba Kot village, about 250 miles east of Quetta, the Baluch capital. Three of the women were young and wanted to marry men they’d chosen for themselves; two older women were helping them. Three male relatives have been arrested. According to the local police chief, the brother of two of the girls has admitted that he shot three of the women and helped bury them, though they weren’t even dead.
• In the last week of October, my uncle’s granddaughter, Zainab, barely 18 years old, was shot dead by her brothers, Inam and Hamza Ahmed. Zainab apparently had a lover and despite repeated warnings refused to stop seeing him. She was on the phone to him in her grandfather’s house when her brothers pumped seven bullets into her body. . . . I find it deeply shocking that my uncle allowed the young woman’s body to be buried that same day without at least insisting that a First Information Report be lodged at the local police station, let alone demanding an autopsy.

In looking back at this blog I have realized that many of the recent entries here have dug at Pakistan. I have repeatedly made statements or quoted the statements of others that are critical of social practices in Pakistan as well as of the Pakistani leadership. Truth is, these criticisms reveal how deep is my worry about the Pakistani people and their country. In this case, at least, I have quoted from a Pakistani observer, and one who has earned the right to be heard. Note that he has exposed real names, real situations.
[To read the whole article click on my title above.]

Monday, May 11, 2009

The melting ice sheets of the world: What will it mean in Central Asia?

Joseph Romm tells us that Bolivia’s 18,000 year-old Chacaltaya glacier is gone. Chacaltaya glacier was famous because it has been studied for many years. One reason for the scholarly interest in Chacaltaya has been its location on the equator where the shifts in the axes of the earth have had a different effect from the ice sheets at the poles. It provided information on the history of the earth that some other glaciers did not. Now it's gone. [Click on the title for a link to his article.]

This is not to lament the loss of a famous glacier so much as to use the occasion to reflect on what it could mean if the glaciers of the Himalayas would similarly disappear. Joseph Romm reminds us that the waters that run off in spring provide the surface flows that enable the irrigation of crops; millions of people live on water that originates as glacial runoff. The runoff of the winter snows on the mountains, which replenish the glacial ice, also supply the aquifers that supply wells and sometimes rise to the surface further downstream.

So when he tells us that there is already massive loss of glacier ice in the Himalayas comparable to the loss of glaciation in South America Romm is sounding a warning about the eventual risks for populations who depend on the water flows from the great ice-covered mountains of Inner Asia -- altogether a substantial portion of the world's populations. Romm quotes a report by Swiss geologists who say that as many as half a billion people are at risk.

An eventual problem that could further complicate affairs in an already complicated social world.

Sunday, May 10, 2009

Brother of Afghanistan's President threatens a reporter for enquiring into drug connections

Several sources on the drug industry in Afghanistan have accused the brother of Hamed Karzai, President of Afghanistan, of being a major figure in the illicit drug industry in southern Afghanistan where more than 90% of all the opium in the world is produced. Tom Lasseter of the McClatchy newspapers went looking into the question and directly confronted Ahmad Wali Karzai, head of Kandahar's provincial council. The reaction was to threaten him.

Karzai grabbed my hand and used it to give me a bit of a push into the next room. He followed me, and his voice rose until it was a scream of curse words and threats.

I managed to record just one full sentence: "Get the (expletive) out before I kick your (expletive)."

I won't describe the rest, because it involves the Afghans I was working with, none of whom wants to risk revenge in a country where feuds often end in blood.

Lasseter got out and can now tell the story, but I wonder about his assistants. One of the people who had informed on Ahmad Wali Karzi had subsequently been killed; perhaps there was no connection but one wonders . . . . In any case, if Lasseter was threatened, then the Afghans who work with him, who cannot leave, are still threatened.

The search for the truth is a more risky game than most us think about. But it turns out that in the modern world the truth is precious, for [to quote again from the wisdom of the ancients] "men loved darkness rather than light because their deeds were evil; they would not come into the light lest their deeds be exposed." Afghanistan's drug industry has to be one of the most critical elements of the insurgency problem in the region, and discovering and revealing how it operates will be a perilous venture. [Click on the title for the original article.]

Friday, May 08, 2009

Vivid fears of an American invasion in Pakistan

From this side of the world the behavior of the Pakistanis seems bizarre. On the one hand they would never want to live under a regime like the Taliban while on the other hand they cultivate the Taliban. Graham Usher has explained that the military are still fighting a war with India and they see Afghanistan as in the pocket of India and therefore don’t mind if the Taliban attack Afghanistan. That’s one reason. Anatol Lieven has given us another [(London) Times, May 5, 09, "Mistrust of the West is stronger in Pakistan than fear of the Taleban"]: the Pakistanis believe the Americans want to dominate the Muslim world, indeed are so bent on taking over the Muslim world that they would murder thousands of their own people in order to have an excuse to blame Muslims and invade. Here is what Lievan tells us:
“to judge by my meetings with hundreds of Pakistanis from all walks of life over the past nine months, . . . the vast majority of people believe that the 9/11 attacks were not an act of terrorism by al-Qaeda, but a plot by the Bush Administration or Israel to provide an excuse to invade Afghanistan and dominate the Muslim world.”
And he adds: “most of the Pakistani population genuinely believe it, even here in Sindh where I have been travelling for the past week; and the people who believe it include the communities from which the army's soldiers, NCOs and junior officers are drawn.” [Click on the title above for a link to the source.]

Here are some other things worth noting about Pakistanis, according to Lievan:
• What will be tolerated is Taleban strength in the tribal areas of northwest Pakistan. As I discovered during a visit to the region last September, the level of support for them there is such that crushing them completely would take a huge campaign of repression.
• The jihad of the Afghan Taleban against the US “occupation” of Afghanistan enjoys overwhelming public approval in northern Pakistan,
• The Pakistani judicial system is such a corrupt, slow, impenetrable shambles that the Taleban's programme of Sharia enjoys a great deal of public support, at least in the Pashtun areas that I have visited.
• The security Establishment is determined to prevent Afghanistan becoming an ally of India, and continues to shelter parts of the Afghan Taleban as a long-term “strategic asset” against this threat.

Even so, he reassures us that
There is no possibility at present of the Taleban seizing Islamabad and bringing down the state. In Punjab . . . [there is] as yet, nothing like the insurgency occurring among the Pashtun tribes. In the interior of Sindh, support for the Taleban is virtually non-existent.

The whole situation underlines how vulnerable we all are to information flows around us. In an earlier post I quoted from a Pakistani blogger who seems to believe that the Taliban are a creation of the CIA in order to provide an excuse for Americans to invade Pakistan. It sounds so haywire from here that we are all likely to discount it as a single crank. But we are all caught up in currents of opinion larger than we are. It is just easier to see it in others.

We all live within fields of lies, piled upon one another, so that it becomes difficult to sort out the truth from the misunderstandings and even the deliberate lies -- like that promoted by the Pakistani military virtually on 9/11/01 that the Americans had done it to themselves in order to promote their imperial interests. Such a story works in Pakistan because the South Asians are vividly aware of how long they have been dominated by outside powers. From here it just sounds bizarre. But we have only to remember that the Bush administration persuaded the American people that Saddam Hussain had been involved in the attack on 9/11/01. We create the myths we live by -- sometimes very costly myths, as those that justified a 'preemptive' attack on Iraq. As far as I know, our only hope is to seek the most authentic and reliable sources available in order to understand as we best can what is going on around us.