Things to consider—

Since early 2011, Obama's been waging proxy war on Syria. Imported death squads masquerade as freedom fighters. The scheme's familiar. It repeats. It reflects US imperialism's dark side. In the 1980s, CIA-recruited mujahideen fighters battled Afghanistan's Soviet occupiers. Ronald Reagan called them "the moral equivalent of our founding fathers." He characterized Contra killers the same way. —Stephen LendmanFor over a century now US ambassadors have acted as fifth columns in the nations they are embedded in, their role chiefly to foster corporate and plutocratic power and coordinate machinations against any truly pro-democratic government.•••••"The dead end identity politics of SF Pride, which sells out a peace hero like Bradley Manning to curry favor with the American ruling class, is what I had in mind. The empire loves your tameness, irrelevance and cowardice, SF Pride. You don’t bother the American ruling class — a five foot two, 105 pound soldier does because he has a conscience and because he didn’t make comfort the guiding principle of his life...." —Randy Shields
Nov 272010
 
berlusconi10

(Rome) NEITHER ITALIANS nor foreign observers should err as to where real Mafia power resides. It resides and thrives in the vulgarity of contemporary Italy in the era of Silvio Berlusconi. It was born in Italy and flourishes in Italy. Now it has swept across the nation from south to north on the waves of what is here called Berlusconism. And it has established its headquarters in the city of Berlusconi, Milan, Italy.

By Gaither Stewart  [print_link]

The journalist-writer Roberto Saviano in his now world-famous book, Gomorrah, projected the image of the real, the original Mafia, onto the world scene. Mafia is a three-headed monster, Saviano explained on a new national TV show, Vieni Via Con Me. The Mafia world concern is composed of the Camorra in the Naples area, the N’drangheta in Calabria and the original Mafia in Sicily. However, the present headquarters of the monster, according to Saviano, and according to many non-Berlusconian experts, are now located in rich Milan in north Italy.

   The mafia has become All Italian. It remains irresistibly and unbearably light to the touch of political Italy. With passing time, it has become the epigone, if not the model, of Italy’s contemporary vulgarity.

   Berlusconi-Mafia? Silvio Berlusconi, Prime Minister of Italy—the primary protagonist of Italian socio-politics of the last Ventennio—the word means a period of 20 years, the term which is historically used in reference to the 20-year Fascist dictatorship of Benito Mussolini—is today depicted as the Mafia’s man at the helm of the nation. The Mafia, at the head of the Italian government. Saviano, on the socio-political TV spectacle, Vieni via con me, (Come Away With Me, perhaps into dreams, or perhaps in flight from the land where lemon trees grow)—a show of left-wing singers, dancers, comics and political commentators with their lists——lists of lists of the things wrong with Italy.

   Saviano however is the star attraction. He scratches his shaved head, slightly embarrassed, runs a finger along his nose, clears his throat and says unequivocally that the Mafia now resides in Milan. Like the New Russians make their money in Russia and spend it in Europe, the New Mafia makes its enormous wealth at the expense of the Mezzogiorno, the south of Italy, but invests and recycles it in the north.

   Saviano (Left), for many Italians a modern day hero of our time, under constant police escort since his book, Gomorrah, claims that Mafia money stands behind the emergence of the industrialist, Silvio Berlusconi back in the 1970s when he appeared from the jungle of the Milanese entrepreneurial world to build the huge, luxury residential area of Milano 2, establish a TV empire of three national networks and soon after buy one of Europe’s most successful soccer clubs, Milan. And now, as comic Roberto Benigni claims, he wants to own everything. “Mine, mine mine”, he cries, in his mad attempt to own everything and become God. All with mafia money, one adds cynically.

   So what does this information translate into? It translates into Mafia control. Into a Mafia society.

 THE STRUTTING AND THE STAGGERING OF A WOULD-BE-DICTATOR

Imagine a chief of government who urges world leaders, especially of more subservient nations, to refer to him as “President” Silvio Berlusconi. A chief of government who leads his followers in the singing of his hymn, Thanks That There Is Silvio. Yet his wide power in Italy, his imagined influence outside Italy, his influence on U.S.-Russian relations for example, is all part of his own mad, megalomaniacal  dream. A chimera outside real reality. A mirage in the Desert of the Tartars of that wonderful film of the pre-Berlusconi era when Italy was truly a cultural leader.

   For Berlusconi (Left) is not the President. Generously, he is at the most a shaky, criminal Prime Minister, on the verge of his own personal disaster. Imagine a would-be President, who on a visit to Bulgaria announces publicly that since his second wife is divorcing him there is a “long line of women who want to marry him.” Him, this short, squat old man trying to be young, false hair that doesn’t look like hair, suntan reaching his neck, jacked up shoes in an attempt to be at least as tall as France’s Sarkozy or his “friend” Putin in Russia, a man who unabashedly declares himself the “best in Europe.” A man who also happens to be the richest man in Italy and one of the richest men in the world who cannot legally explain the source of his wealth. A man who, in his own words, loves women, and must relax in the presence of “escorts”, that is, prostitutes, beautiful women better than him who must despise him.

   If Italy is not precisely a Banana Republic, “bananas” is perhaps the closest definition of what is happening in the land where, paradoxically, the beautiful lemon trees grow. There are however—to back up the international role of the unruly “underbelly of Europe”—as Cold War anti-Communists once described Italy—the full U.S. power of gunboats stationed along the Mediterranean Sea and the powerful U.S. airforce at its many bases from north to south of the peninsula-aircraft carrier of the Bel Paese, from which it bombarded and destroyed Belgrade in 1999.

   Above all however there is the nation’s richest man, Silvio Berlusconi, who has bought himself a parliament and a sheaf of ministers--accomplices who run things to the tune of iron-clad laws, and who will do anything to ingratiate himself to Washington. Prime Minister Berlusconi, who wants to be known as the Supreme Leader, will do anything to stand at the side of the USA’s worldwide military adventures. A man who heads a system which continues to pass laws to suppress an independent magistracy and a free press in the face of a divided opposition

   Yet, despite all, Berlusco’s government is unraveling. At a rapid pace. Still,  formally a parliamentary democracy, the Italian government exists on a parliamentary majority as elected by the “sovereign people.” As above, Mr. Berlusconi not only appointed his ministers—not however on merit but on blind loyalty to the would-be President—but also after designing himself an electoral law which gives him the right to literally name the parliamentary deputies then dutifully elected by the “sovereign” people.

   Berlusconi’s party’s co-founder, Gianfranco Fini, ex-neo-Fascist, today’s President of the Chamber of Deputies, more powerful than the House Speaker in the U.S. system, has withdrawn his former party’s ministers from the government, abandoned Berlusconi, and formed a new party of the “democratic right.” One after another the rats are abandoning the sinking ship. A Senator or a Minister here, a parliamentary Deputy there. Strikes, popular unrest, a nationwide movement of persons leaving Italy have branded Italy, once called the “Beautiful Land”, the sewer of Europe. In the words of other Europeans, a wonderful place to visit—at least it once was—but hell to live in.

 Recently, immigrants demanding residence permits mounted a high crane in the northern industrial city of Brescia for 19 days in protest. When they finally descended, cold, wet and hungry, some got their residence permits (proving again that resistance pays); others were meanly deported. Workers strikes against FIAT, Italy’s biggest industry, because it closes down plants and moves them and the jobs to other parts of Europe. Transportation strikes, teachers’ strikes, pay cuts in the country with Europe’s lowest salaries, the equivalent of food stamps flourishing, the widening division between the political caste and people, between rich and poor, between Italy of the north and Italy of the South, between ethnic Italians and immigrants. TV networks and press freedom muzzled. The piles of garbage now literally submerging the territory of once beautiful Naples, infecting citizens with God knows what diseases. The reconstruction of the once beautiful, earthquake demolished city of L’Aquila, one hour from Rome, abandoned after much fanfare, after constructing a handful of showcase apartments. An earthquake celebrated and actually toasted by gleeful government appointed re-constructors. Museums closed nationwide for lack of funding: Pompei’s prize archaeological site, the House of Gladiators, collapsed from lack of maintenance, pot-holed streets and West Europe’s worst public transportation, a nation-state with a Prime Minister the laughing stock of Europe.

   Bel paese? Folklore for nostalgics. From day to day, Italy at the tail end of most statistical photographs of a nation. Lowest salaries, highest prices, violence growing at an unprecedented pace, and shame of shame no restaurants at the top of Michelin guides and its national sport, soccer, in 16th place in the world. 

   As Mafia-backed dictatorship draws near, more of Italy is rebelling. The Berlusconi system, up to the last minute as it begins to disintegrate and collapse like Pompei, continues to crush an independent magistracy and a free press.

   I searched the NY Times today for news about the student protests spreading like wildfire. Perhaps its news bureau in Rome is busy with the Middle East, but I found no mentions. Nor did I see news about Italian opposition press led by Rome’s La Repubblica, in protest against the gag of the voice of a free press, against the rigid controls over the public TV networks of RAI, widely reported throughout Europe. Nothing about the Mafia. It’s Mafia business as usual. As if it were nothing unusual.

   Yet: Italy is not the United States of America. Protest against Mafia Fascism is growing. Right-wing parts of Berlusconi’s own government party, The People of Freedom, have defected. Western Europe’s lowest paid workers are in turmoil. Tens of thousands of students yesterday, took to the streets and the rooftops of government buildings, rail stations and universities from Palermo to Milan in protest against the proposed useless, noxious educational reforms. Just as those immigrants who protested at the top of gigantic cranes against residential restrictions.

   The “people” show signs of stirring. Not a precise political movement, however. Left, right and center together. Workers and immigrants, and now university and high school students have joined in the protest against rising study costs. Austerity is the government slogan when, as some economists believe, it should be spending. Especially budget cuts for culture, schools and universities. Private schools gain, public schools lose. Meritocracy is the slogan. Support for achievers and screw the rest.

   The students have returned to the streets. But not only the streets this time. In these days they take to the rooftops where they are invulnerable. They learned the tactic from immigrant workers atop the cranes and plant rooftops.

 

HERE IS A RUNDOWN of student protest that exploded during America’s Thanksgiving week, protests which brought out tens or hundres of thousands of Italy’s university and high school students—no one knows the total number—in a show of strength against a parliamentary bill of wide cuts and reductions in the entire education sector.

   Marching through garbage filled streets, students occupied the “Oriental” University in Naples. Several hundred students marched in Palermo and occupied the political science building, and in Bari the Engineering faculty. Thousands of egg-throwing students marched through Turin, occupied the main rail station of Porta Susa and the landmark rooftop, Mole Antonelliana, high over the city, and in Pisa the world-famous “leaning tower.”

   As massive police units tried to protect the entire Historic Center of the capital, students staged a colourful, symbolic occupation of Rome’s Coliseum, protests at the Ministry of Education, occupation of various faculty buildings including the famous Faculty of Architecture where student protests began in the 1968 era, putting pressure on reinforced police forces defending the national Parliament and “President” Berlusconi’s private Rome residence. Researchers and students lined the rooftops of Milan and the terraces of the Politechnical Institute, while police attacked corteges on street level injuring various persons. In Ferrara, a funeral march for the “death of the university. Occupation of a faculty in Trieste, protests at Ca’ Foscari University in Venice, protests in Ancona, Perugia, Bologna, Sienna, Florence, students joined by professors in Cagliari in Sardinia, in Aosta, in the port city of Genua, blocking traffic everywhere and testing police tactics. Some students ecstatic at the national successes, now threaten to “occupy” the Vatican.

   While nationwide manifestations were underway, in Parliament the Berlusconi majority went under on amendments to the education bill and one heard the first rumblings of withdrawal of the entire education bill. The air smells of the end of an era. The end of an epoch.

   What does all this mean to the future students are fighting for? It means that protest and resistance pay. They pay off in the end. Maybe such days will happen again and again, not only in Italy where, in the South, lemon trees still grow, but also in colder climates.

_______

Senior Editor GAITHER STEWART's latest novel is THE TROJAN SPY (Callio). Based in Rome and Paris, he serves as TGP's European correspondent. 

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Nov 272010
 
doctors_hmed_2p.grid-6x2

FROM The Washington Post

The scandalous but inevitable consequences of Obama’s pseudo fix of the American health access system begin to crop up across the nation. The bottom line is that you can’t have capitalist values run an essential resource such as health services. 

By N.C. Aizenman
Washington Post Staff Writer--
Friday, November 26, 2010
Want an appointment with kidney specialist Adam Weinstein of Easton, Md.? If you're a senior covered by Medicare, the wait is eight weeks.
   How about a checkup from geriatric specialist Michael Trahos? Expect to see him every six months: The Alexandria-based doctor has been limiting most of his Medicare patients to twice yearly rather than the quarterly checkups he considers ideal for the elderly. Still, at least he'll see you. Top-ranked primary care doctor Linda Yau is one of three physicians with the District's Foxhall Internists group who recently announced they will no longer be accepting Medicare patients.
   "It's not easy. But you realize you either do this or you don't stay in business," she said.
Doctors across the country describe similar decisions, complaining that they've been forced to shift away from Medicare toward higher-paying, privately insured or self-paying patients in response to years of penny-pinching by Congress.
   And that's not even taking into account a long-postponed rate-setting method that is on track to slash Medicare's payment rates to doctors by 23 percent Dec. 1. Known as the Sustainable Growth Rate and adopted by Congress in 1997, it was intended to keep Medicare spending on doctors in line with the economy's overall growth rate. But after the SGR formula led to a 4.8 percent cut in doctors' pay rates in 2002, Congress has chosen to put off the ever steeper cuts called for by the formula ever since.
   This month, the Senate passed its fourth stopgap fix this year - a one-month postponement that expires Jan. 1. The House is likely to follow suit when it reconvenes next week, and physicians have already been running print ads, passing out fliers to patients and flooding Capitol Hill with phone calls to convince Congress to suspend the 25 percent rate cut that the SGR method will require next year. LEFT: Bay Area specialists. All medical practices are being affected by the health insurance mess. 
   Such temporary reprieves have increased the potential pain down the road, compounding not only the eventual cut but the cost of doing away with it for good, now estimated in the tens of billions.
   The lobbying blitz by doctors also comes amid concern in Washington that Medicare spending is spiraling up so fast the nation can't afford to boost it further by significantly raising doctors' pay. And government analysts and independent experts suggest that although doctors could not absorb a 25 percent fee cut, the claim that they have been inadequately compensated by Medicare until now is wildly exaggerated.
   Among the top points of contention is the complaint by doctors that Medicare's payment rate has not kept pace with the growing cost of running a medical practice. As measured by the government's Medicare Economic Index, those expenses rose 18 percent from 2000 to 2008. During the same period, Medicare's physician fees rose 5 percent.
   "Physicians are having to make really gut-wrenching decisions about whether they can afford to see as many Medicare patients," said Cecil Wilson, president of the American Medical Association.
   But statistics also suggest many doctors have more than made up for the erosion in the value of their Medicare fees by dramatically increasing the volume of services they provide - performing not just a greater number of tests and procedures, but also more complex versions that allow them to charge Medicare more money.
   From 2000 to 2008, the volume of services per Medicare patient rose 42 percent. Some of this was because of the increasing availability of sophisticated treatments that undoubtedly save lives. Some was because of doctors practicing "defensive medicine" - ordering every conceivable test to shield themselves from malpractice lawsuits down the line.
LEFT: Poorer seniors are increasingly victimized by the right/centrist/Obamian assault on Medicare.  
   "Then you have doctors who order an MRI for an unremarkable headache or at the first sign of back pain," said Robert Berenson, a Commissioner of the Medicare Payment Advisory Commission, an independent congressional agency. "It's pretty well documented that it doesn't help patients to have those scans done in these cases. But if you have the machine in your office ... why not?"
   Whatever the cause, the explosion in the volume of services provided helps explain why Medicare's total payments to doctors per patient rose 51 percent from 2000 to 2008.
   A review of physicians' incomes suggests that specialists - who have more opportunities to increase the volume of the services they offer than primary-care doctors - reaped most of the benefit.
   On average, primary-care doctors make about $190,000 a year, kidney specialists $300,000, and radiologists close to $500,000, figures that reflect the income doctors receive from both Medicare and non-Medicare patients. The disparity has prompted concern that Medicare is contributing to a growing shortage of primary doctors.
   Still, even if primary-care doctors had to rely exclusively on Medicare's lower payment rates their incomes would only drop about 9 percent, according to a recent study co-authored by Berenson, who is also a fellow at the non-partisan Urban Institute.
"The argument that doctors literally can't afford to feed their kids [if they take Medicare's rates] is absurd," said Berenson. "It's just that doctors have gotten used to a certain income and lifestyle."
   Regardless of their motivation, if doctors skew their patient base away from Medicare too drastically seniors' access to medical care could be limited.
   Is that happening? Again, opinions vary. Based on its studies as well as those done by others others, the Medicare Payment Advisory Commission has concluded the share of affected seniors has been small, and perhaps most significantly, lower than the share of privately insured patients ages 50 to 64 who also report access problems.
   But the American Medical Association cites a recent online survey that it commissioned in which nearly one-third of primary-care doctors said they are currently restricting the number of Medicare patients in their practice.
   For Michael Trahos, the geriatric specialist in Alexandria, that has meant spacing out routine visits by his Medicare patients such that their share of his weekly appointments has dropped from about half to less than one-third. Trahos said that if a Medicare patient has a serious condition, he will see the person more frequently. But Trahos said it makes him uneasy to push even apparently healthy elderly patients back to twice yearly visits.
   "Is it the proper thing to do? Probably not," he said. "These are patients who should be scheduled for proper maintenance every three months."
   Adam Weinstein, the kidney specialist in Easton, has taken to supplementing his three-doctor practice by doing medical IT consulting several hours a week. But although the pay is far greater than what he would receive seeing Medicare patients, who make up 70 percent of his practice, the side work means he has less time to serve them. Not only must Weinstein make them wait longer for an appointment, he said, he can no longer afford to answer their phone calls.
   "It has definitely made my patients feel more distant from me, and I don't know how to deal with that," Weinstein said.
   Financial concerns also prompted Weinstein's group to turn down a request from Chester River Hospital Center in Chestertown, Md., an hour's drive north, to do daily consultations with their mainly elderly patients.
   That was disheartening news for the doctor who is currently consulting at Chester River. At 69, David Knutson is semi-retired and said he is satisfied with the payments he has been getting from Medicare. But Knutson grew animated as he spoke of all the ways he would use his time if he could find another doctor to take over coming into the hospital six days a week.
   "Gardening, sailing, fishing, hunting, going to the opera," he said. "I'm almost 70. If I'm ever going to do all these things that I've been talking about I better start."
   Linda Yao, of the District's Foxhall Internists, has opted for the most extreme response - pulling out of Medicare. The group prides itself on keeping the number of scheduled visits low so that patients who need a last-minute appointment can be accommodated the same day. They also offer half-hour office visits, instead of the 15 minutes on which Medicare reimbursements are predicated. It makes for a white-glove experience for patients, but high overhead for doctors.
   After 11 years of serving a patient base of whom as many as half were covered by Medicare, Yao concluded the numbers were no longer adding up. As of April, seniors with Medicare must pay their entire bill out of pocket or through supplemental insurance. So far, only 100 of her approximately 1,750 Medicare patients have elected to stay on.
   Could doctors see more Medicare patients if they accepted lower incomes?
Perhaps, said Yao, 42.
   But, "the whole system would need to change. ... I graduated medical school $100,000 in debt. I worked 110 hours a week during my residency for $30,000 a year and sacrificed all through my 20s. And even now, you're still seeing people all day, with meetings and paperwork at night, on top of the emotional side of worrying when the patients you care for aren't doing well. This is life-and-death stuff. And I feel like that should be compensated."
__________
NOTE: Images not the responsibility of the Washington Post.

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