Archives for the month of: January, 2025
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Alexandra Petri: Why Not Try a New Approach to Deadly Diseases?

By dianeravitch
January 5, 2025 //
10

Alexandra Petri is the resident humorist at The Washington Post. She has the knack of taking wacky ideas in the world of politics and exposing them as bizarre. In this post, she shows the absurdity of sanewashing extremism in the guise of finding a “middle ground” with crackpot ideas. The “middle ground,” she cautions, may actually mean “giving ground” to very bad and deadly ideas. Sometimes there is no middle ground between a good idea and a dangerous idea.

She writes:

“As a Democratic member of Congress, I know my party will be tempted to hold fast against Mr. Trump at every turn: uniting against his bills, blocking his nominees and grinding the machinery of the House and the Senate to a halt. That would be a mistake. Only by working together to find compromise on parts of the president-elect’s agenda can we make progress for Americans who are clearly demanding change in the economy, immigration, crime and other top issues.”

— “Let’s Try Something Different in How We Deal With Trump,” Rep. Tom Suozzi (D-New York), in a New York Times op-ed


Look, some people are still naive enough to believe that polio is, for lack of a better word, “bad.” And recent signs haven’t been encouraging! It seems like the disease wants to do exactly what it did last time: cripple children and put them in iron lungs. But what if instead of fighting it, we … didn’t?

When I look at how people voted this election, I am forced to conclude: Some of you want polio. Who am I to stand against that desire? Someone with values?

Do I think polio is good? No! Of course not. But some people do, and I just think it would be a mistake not to give them the opportunity to set the course of vaccine policy for the next four years. Which, again, isn’t what I want. But compromise is important. That was why people voted for me, someone who said he didn’t like polio, so that I could surprise them by wanting to hear polio out. That’s just good politics.

It’s not only polio. Everywhere you look, there are battles that once felt existentially important in which you can just surrender, as I’m sure Donald Trump is eager to tell Ukraine. And I am ready to start doing that work — first on polio, then on everything else.

Listen, I’m not naive. I know that every indication so far has been that only one side is willing to compromise on anything. That gives us bargaining power! Or is it the other side that gets the bargaining power … ? Hang on, let me go look this up. This feels important to get right! Well, let me keep going with my argument, but I will come back and look this up. Don’t let me forget!

Where was I? Right: Having core values means that sometimes you have to stand up for them, even when it feels like an uphill battle. For instance, the belief that trans people deserve protection from those who would legislate them out of public spaces and eliminate their right to medical self-determination — a bottom line that I would never budge on, except to completely throw away that principle if I ever decide it’s politically expedient. Which I think I might just have done! Whoops!

But, hey, that’s what principles are: inconvenient. Except for my bedrock principle: that those who want the opposite of what I stand for and who refuse to work with me on any issue probably know something that I don’t, and I should listen to them. That I will never abandon.

When I see someone who wants to put polio back on the map, I just see one more opportunity for compromise. Why, if enough of us say, “You know what, in all that ranting about fluoride, I heard one word that made a kind of sense! Say more! I bet we can find common ground!” maybe the other side will stop believing what they believe and change their entire worldview! Isn’t that what happened to Scrooge? It’s not? Well, never mind.

If I just listen hard enough and agree to find common ground, I am certain the other party will be the one to change. That’s usually what makes people change: when you give up defending your position completely! Then they budge. I hope! That’s certainly what I’m counting on for the next four-plus years!

When I read the sentence “Unless enough people find the spine to oppose his appointment, Robert F. Kennedy Jr. will soon be in charge of the Department of Health and Human Services,” what I see is not a call to find some spine (impossible) and remind others of the stakes of not doing so. When has anyone found a congressional spine, except RFK Jr. while out on one of his weekly Hikes in Search of Surprising Things to Put Into His Freezer?

No, what that sentence means is: We need to start thinking of ways to compromise now! Compromise public health, compromise public safety, compromise all of our principles! Because that’s what the country needs: more things to be compromised.

And I, for one, am excited.

Categories Ethics, Extremism, Fraud, Health, Humor, Science

Sanewashing Quack Science? The Case of RFK Jr. and Dr. Oz

By dianeravitch
January 5, 2025 //
4

Gabriel Schoenfeld of The Bulwark cautions us about accommodating or compromising with totally unqualified people nominated by Trump to take prominent roles in crucial federal agencies. He writes specifically about the nomination of Robert Kennedy Jr. to direct the Department of Health and human Services, as well as Dr. Oz. Apparently, Trump offered him this role in return for his endorsement but it’s important to oppose this nomination, not accept it, because RFK is not only totally unqualified but dangerous due to his ignorance and his embrace of discredited ideas.

Schoenfeld reminds us of one of the especially sordid chapters in the history of Stalin’s USSR, when crackpot science became state policy and killed millions of people.

He writes:

RATHER THAN OPPOSE DONALD TRUMP’S dangerous nominee for secretary of health and human services, some liberal commentators have suggested that the critics of Robert F. Kennedy Jr. should find ways to accommodate him.

Writing in the New York Times in November, physician Rachael Bedard argued for finding “common ground” with the anti-vaccine ideologue. “We can’t spend four years simply fighting his agenda,” she wrote. Instead, RFK Jr.’s critics should try to “turn his most valid criticisms of the American health care system into constructive reforms.” In a follow-up interview this week, Bedard insists she isn’t “sane-washing” RFK Jr., she just wants to be realistic about recognizing “that he has a growing movement of people behind him, who aren’t just going to go away because we yell at them.”

Meanwhile, Adam Jentleson, a former Democratic congressional staffer—he held prominent jobs under Sens. John Fetterman and Harry Reid—has called for an effort to get RFK Jr. to “bless the next wave of vaccines.” How Jentleson thinks the notorious antivaxxer might be persuaded to perform an about-face is left unstated. Jentleson just wants to “build bridges.”

At a moment when we should be thinking of this nomination in terms of the potential risk to human lives, all this muddled analysis about science and politics calls to mind a grim episode from the last century that is a cautionary tale for today: the career of the Soviet biologist Trofim Lysenko.

Born in 1898, Lysenko had accomplishments of great consequence to his name. Most of these occurred in the field of agronomy, where he advanced a revolutionary set of ideas—now known as Lysenkoism. His main contentions were that genes did not exist, that acquired traits could be inherited, and that heredity itself could be altered by “educating” plants.

One such form of education was called “vernalization”—the notion that crop yields would dramatically increase if seeds that usually died in harsh frosts were exposed to lower temperatures before sowing. “Insights” like that, derived ultimately from Marxist ideology instead of legitimate empirical research, were put into practice on a large scale, first in the USSR and then in Communist China. Widespread crop failures followed, and then famines in which millions perished.

Lysenko—a crackpot with the power of the Soviet state behind him—was the recipient of numerous awards, including, on eight occasions, the Order of Lenin, and on three occasions, the Stalin Prize. Lysenko died of natural causes in 1976.

This history of massive state-sponsored scientific fraud is pertinent to Trump’s attempt to install Kennedy to the highest-ranking healthcare position in the U.S. government. The secretary of health and human services has oversight of everything from food safety to medical research to private health insurance to epidemiology to Medicare and Medicaid and much, much more.

Like Lysenko, RFK Jr. has departed from science even as he claims its mantle. He is a proponent of consuming raw milk despite the proven safety benefits of pasteurization (just last month raw milk in California was found to contain bird flu). He opposes the fluoridation of water despite the proven benefits to dental health. But it is for his opposition to vaccines—and his lies about them—that he is most notorious and most dangerous.

Kennedy’s position atop HHS would put him in charge of the Vaccines for Children program. It has saved millions of lives by immunizing children against diseases like polio and measles that, thanks to the vaccines, are now rare. He would also oversee the Centers for Disease Control and Prevention, which has as one of its most important roles deciding which vaccines health insurers are required to cover.

To be sure, in lobbying for his confirmation Kennedy has said that “We’re not going to take vaccines away from anybody.” He also says he aims to improve the science of vaccine safety and wants nothing more than to provide “good information” so people “can make informed choices.”

But in light of some of his other pronouncements, this is all disingenuous. One piece of his “good information”—repeated in a 2023 interview with Fox News—is that vaccines cause autism. This theory was first popularized by the British doctor Andrew Wakefield in the Lancet in 1998. But Wakefield was discredited and his Lancet paper was retracted because it was fraudulent. Despite numerous studies that have since found no link between vaccines and autism, Kennedy has persisted in trumpeting his view, and gone even further to claim that “no vaccine is safe and effective.” Notably, the lawyer Kennedy selectedto screen candidates for positions at HHS has filed a petition to the Food and Drug Administration to revoke approval of the polio vaccine. On social media, Kennedy has called COVID shots “a crime against humanity.” Estimates are that COVID vaccines have prevented 3.2 million deaths in the United States alone through 2022.

A person with no medical or scientific training, RFK Jr. is evidently unaware that vaccines are one of humanity’s greatest accomplishments. Smallpox, the deadliest disease in human history, has been wiped from the face of the earth. Polio, a scourge that terrified generations of Americans and struck down an American president, has been largely consigned to the dustbin of history, at least in the developed world. Rabies, an invariably fatal disease, is preventable by vaccination (does RFK Jr. want to stop vaccinating Fido as well?). New vaccines can even prevent cancer. This is “good information.”

Even if, unexpectedly, RFK Jr. did absolutely nothing to hinder the development and distribution of vaccines, the mere elevation of someone with such views to a position of national authority would undermine public confidence in vaccines and increase vaccine hesitancy, with severely deleterious consequences for public health. If vaccination rates decline sufficiently, diphtheria, measles, yellow fever, shingles, and many other infectious diseases now relatively dormant may roar back into prominence.

UNFORTUNATELY, RFK JR. IS NOT THE ONLY Lysenko-like figure nominated to serve in the incoming administration. Trump has also tapped MAGA loyalist Dr. Mehmet Oz to lead the Centers for Medicare and Medicaid Services (CMS). Oz has a long record as a grifter pushing pseudoscience for bucks. Among his claims lacking any scientific backing are that selenium supplements are “the holy grail of cancer prevention”; that raspberry ketones are “the No. 1 miracle in a bottle to burn your fat”; that umckaloabo root extract is “incredibly effective at relieving cold symptoms,” and that hydroxychloroquine is an effective treatment for COVID-19. All of this is quackery.

The analogy to Lysenko and Soviet science is not exact, of course. The differences between the totalitarian USSR under Joseph Stalin and the (for now) liberal democratic United States under Donald Trump are too obvious to enumerate. For one thing, a democracy such as ours has self-corrective mechanisms that can set things right. Crackpots like Kennedy and grifters like Oz have to be confirmed by the U.S. Senate—and it is not inconceivable that, even with a Republican majority, their nominations will be shot down. But given how cowed Republican senators are by Donald Trump, it would not be surprising if both are confirmed.

For another thing, Lysenko’s critics were either executed outright or sent to the gulag to die of starvation and overwork. Critics of RFK Jr. and Oz are not likely to suffer a remotely similar fate . . . unless, of course, their name is Dr. Anthony Fauci, who is now being threatened with imprisonment by leading figures in MAGA world, including by RFK Jr. himself. “You should be prosecuted for crimes against humanity. You belong in prison, Dr. Fauci,” says Rep. Marjorie Taylor Greene. On his X platform, president-elect sidekick Elon Musk has been particularly insistent, tweeting the same message multiple times: “My pronouns are Prosecute/Fauci.” The threats are serious enough that President Joe Biden is reportedly considering offering Fauci a preemptive pardon.

Trump has said he has appointed Kennedy to “go wild” on U.S. health. The phrase is well chosen. When it comes to medical care and medical science in the unfolding second Trump administration, we’re entering a wild time and a dark age. Among other things, Trump intends to withdraw the United States from the World Health Organization on his first day in office. The WHO is a flawed international body that badly needs reform—but withdrawal will have potentially catastrophic effects on the battle to contain the next future global epidemic. In the United States and around the world, as happened with COVID, millions could die. We are less than a month away from opening a new chapter of Lysenkoism, American style.

Categories Accountability, Ethics, Extremism, Science, Trump

Whooping Cough Cases Soar; Health Officials Blame Decline in Vaccinations

By dianeravitch
January 5, 2025 //
3

Whooping cough is one of the diseases that had been virtually eliminated thanks to the development of effective vaccines. But with the rise in vaccine skepticism, whooping cough is on the rise. If RFK Jr. is confirmed as the nation’s Secretary of Health and human Services, we can expect the return of many once-vanquished diseases.

Sabrina Mali of The Washington Post reported a dramatic increase in cases of whooping cough:

Whooping cough continues to surge in the United States, with reported cases soaring to more than 32,000 this year — nearly five times the 6,500 cases recorded during the same period last year — marking the highest levels in a decade.
Health experts cite as main culprits for the increase waning vaccination rates and a loss of broad immunity tracing to coronavirus lockdown protocols.

The disease, caused by the bacterium Bordetella pertussis, is highly transmissible from person to person through the air. Because of their immature immune systems, infants younger than 1 year old are at highest risk of contracting whooping cough — also known as pertussis — and are at most significant risk of severe illness.

Vaccination rates with the DTaP shot — which protects against diphtheria, tetanus and pertussis — declined from March through September 2020 at the height of the coronavirus pandemic. But because people were following pandemic protocols such as masking and social distancing, cases did not soar. Some children who missed getting their shots during that period may never have received them, experts have said…

Health experts worry that the incoming administration could impede efforts to increase vaccination rates among vulnerable populations.

Robert F. Kennedy Jr., whom President-elect Donald Trump selected to lead HHS, will have significant influence over vaccine production and safety. Kennedy has been a longtime anti-vaccine activist, and many health experts express concerns that he could contribute to waning vaccination rates.

Although he has said he is not anti-vaccine, Kennedy has criticized the recommended list of childhood vaccines and promoted debunked claims about autism and vaccines.

Categories Ethics, Evil, Extremism, Health, Science, Stupid

Scott Tomlinson: Texas Voters Are in for a Rude Surprise

By dianeravitch
January 4, 2025 //
17

Scott Tomlinson, opinion writer for The Houston Chronicle, predicts that MAGA voters, especially in Texas, are soon to have an unwelcome surprise, thanks to the DOGE commission of Elon and Vivek. They voted for deep budget cuts. They voted to downsize the federal government, aka the “Deep State.”

He writes:

President-elect Donald Trump’s coalition splintered over visas for specially skilled workers in recent weeks, which turned especially ugly on Twitter, now known as X.

Elon Musk told critics of the program, including Steve Bannon and Tucker Carlson, to “Take a big step back and FUCK YOURSELF in the face. I will go to war on this issue the likes of which you cannot possibly comprehend.”

Solving the immigration crisis is relatively easy compared to balancing the budget, which Musk is supposed to be focusing on. When Trump voters find out what must be cut or whose taxes must rise to stop deficit spending, they’ll start grabbing pitchforks.

U.S. politicians from both parties have unintentionally experimented with the global economy. By running up huge deficits, they tested Modern Monetary Theory, an idea put forward by the left.

MMT was a hot topic during the Obama administration, with proponents arguing that economic powerhouses like the United States don’t have to worry about deficits. Governments can print as much money as they want through borrowing as long as inflation doesn’t rise.

Oops.

Conventional macroeconomic theory recommends governments spend money, cut taxes and raise deficits during recessions. When the economy grows, governments should spend less, raise taxes and build surpluses. Governments should act as economic shock absorbers. We’re good at spending but not taxing.

Musk promises to cut federal spending by a third, or $2 trillion. The Texas Legislature ranks 10th in the nation for dependency on the federal government to pay for state spending, according to economists at Wallet Hub. 

Federal funds pay for a third of the state budget, the Legislative Budget Board reports.

Imagine what would happen to Texas if the Legislature had to come up with $30 billion to make up for federal spending cuts?

Every dollar the federal government spends has a champion somewhere. If Musk tries to cut popular programs, the backlash over H1-B visas will seem like a walk in the park.

.

Categories Budget Cuts, Democrats, Disruption, Economy, Elections, Extremism, Funding, Musk, Elon, Texas, Trump

When Private Equity Takes Over Healthcare, Costs Rise, Quality Declines

By dianeravitch
January 4, 2025 //
22

In a recent issue of The New Yorker, physician Dhruv Khullar writes about what happened to the practice of medicine when private equity began buying up hospitals and group practices. The result of privatization of healthcare was not surprising: the desire for profit became more important that the drive to improve patients’ health. Private equity was very successful in squeezing handsome profits out of community hospitals, but all too often those hospitals went bankrupt, leaving the communities without a hospital. Dr. Khullar says we are now in “the Gilded Age” of medicine, where wealth and corporate power are in charge.

Dr. Khullar is a physician and associate professor of health policy and economics at Weill Cornell Medical College.

Dr. Khullar wrote:

In 2010, a private-equity firm called Cerberus Capital Management, which is named for the three-headed dog that is said to guard the underworld, bought six Catholic hospitals in Massachusetts and christened the chain Steward Health Care. The state’s attorney general blessed the deal on multiple conditions, including that, during a five-year review period, the hospitals stayed open and their workers stayed employed. A few months after the period ended, however, Steward started selling the land on which the hospitals stood. A $1.25-billion-dollar deal, in 2016, helped to finance more acquisitions. Many facilities, asked to pay rent on land they’d previously owned, struggled.

According to a recent report published by Massachusetts Senator Ed Markey’s office, which covers the period between 2017 and 2024, some Steward facilities had to forgo key investments in staffing, surgical equipment, elevator repairs, and even clean linens. Patients increasingly languished in emergency rooms; many left without receiving care; and mortality rates for common conditions climbed sharply. (Steward has argued that its death rates were better than expected, given the underlying health status of the patients it cared for.) A hospital in Florida developed a bat infestation, and another, in Texas, was cited for placing potentially suicidal patients in rooms with materials with which they could hang themselves. Employees at Steward’s Carney Hospital, in Massachusetts, began calling their workplace “Carnage” hospital. (Cerberus’s ownership ended in 2020, and the firm claims that the quality issues at Steward are “overwhelmingly related to the post-Cerberus ownership period.”)

In May, Steward filed for bankruptcy. It has closed two hospitals and plans to sell thirty-one others. Steward’s C.E.O., Ralph de la Torre, who in 2011 purchased a forty-million-dollar superyacht, was subpoenaed by a Senate committee but failed to show up; he was held in contempt of Congress and resigned from his position. (De la Torre, in turn, sued the committee for violating his right against self-incrimination.) Nonetheless, Cerberus realized a profit of seven hundred and ninety million dollars from its investment in Steward. Meanwhile, in some places in the U.S., private-equity firms now own more than half of all medical practices within certain specialties. “We are being picked clean by private equity,” a New Jersey-based radiologist said at a recent meeting of the American Medical Association. “There are people who don’t know where their next paycheck is even going to come from because their groups have been flipped so often.”

2024 was arguably the year that the mortal dangers of corporate medicine finally became undeniable and inescapable. A study published in JAMA found that, after hospitals were acquired by private-equity firms, Medicare patients were more likely to suffer falls and contract bloodstream infections; another study found that if private equity acquired a nursing home its residents became eleven per cent more likely to die. Although private-equity firms often argue that they infuse hospitals with capital, a recent analysis found that hospital assets tend to decrease after acquisition. Yet P.E. now oversees nearly a third of staffing in U.S. emergency departments and owns more than four hundred and fifty hospitals. In some of them, patients were “forced to sleep in hallways, and doctors who spoke out were threatened with termination,” according to Jonathan Jones, a former president of the American Academy of Emergency Medicine.

Erin Fuse Brown, a professor at the Brown University School of Public Health, told me that private-equity firms have learned that they “don’t have to make things better or make them more efficient. You can just change one small thing and make a ton more money.” They are hardly the only corporations to learn this lesson. Increasingly, health insurers, private hospitals, and even nonprofits are behaving as though they aim first to extract revenue, and only second to care for people. Patients often are viewed less as humans in need of care than consumers who generate profit.

In 1873, Mark Twain co-wrote the novel “The Gilded Age: A Tale of Today,” which satirized an era that was marked by inequality, greed, and moral decay but was painted in a veneer of abundance and progress. Industrialists made fortunes in oil, steel, and shipping even as millions suffered poverty and exploitation. Today, health care is where the money is. New technologies and treatments sustain the impression that patients have never been healthier, but corporations and conglomerates wield immense power at the expense of the people they’re meant to serve. Welcome to the Gilded Age of medicine.

In recent years, health-care corporations have embraced an approach that can only be described as gamification. In the U.S., all seniors over sixty-five are entitled to health insurance through Medicare, and, for several decades, private companies have offered plans through programs such as Medicare Advantage. The government pays insurance companies a fixed sum based partly on how sick those patients are. The sicker the patients, the bigger the potential payments. But who’s to say, really, how sick a patient is? Let the games begin.

This year, the health-news site STAT revealed that UnitedHealth, the country’s largest private insurer, had set up dashboards for practices to compete on how many conditions they could diagnose in patients. Doctors who completed the most appointments with seniors in Medicare Advantage were eligible for ten-thousand-dollar bonuses, and patients were offered seventy-five-dollar gift cards for getting checkups at which their medical histories could be recorded. At the height of the covid-19 pandemic, an e-mail sent to one practice told clinicians that documenting chronic illnesses was the “#1 priority.”

Insurance companies have even started to scour medical records for possible diagnoses, and to send nurses to patients’ homes to perform “health-risk assessments.” These strategies rack up so many additional diagnoses that, in 2023 alone, the federal government made $7.5 billion in “overpayments” to insurers, according to the U.S. Office of the Inspector General. Insurers are “pouring tremendous resources into developing the capacity to code patients in a way that nets more money from Medicare,” Donald Berwick, a former head of the Center for Medicare & Medicaid Services, told me. “That’s taxpayer money being siphoned away from people who need it.”

Berwick said that his own physician’s practice had recently been acquired by UnitedHealth. One day, he asked his doctor, “Anything different now?”

“Two things,” the doctor replied. “I have to see more patients each day. And my patients have new diagnoses that I didn’t put there.” Many patients with atrial fibrillation, for example, were now coded as having another condition known as “hypercoagulable state”—which was technically accurate, but didn’t change patients’ care in any way. It did, however, generate higher payments from Medicare. Ask not what your insurer can do for you—ask how much revenue you can generate for your insurer.

The insurance companies in Medicare Advantage tend to argue that they’re simply recording diagnoses, not making them up; that they offer vision and dental benefits that traditional Medicare doesn’t offer; and that they rein in unnecessary care, such as by requiring prior authorization for certain tests and procedures. But according to the Medicare Payment Advisory Commission, a nonpartisan agency that counsels Congress, private Medicare Advantage plans will cost the federal government eighty billion dollars more per year than if those patients had been in the traditional Medicare program. “You might as well flush most of that eighty billion dollars down the toilet,” Berwick told me.

On December 4th, after I drafted this piece, Brian Thompson, the C.E.O. of UnitedHealthcare, was fatally shot in midtown Manhattan. In the days that followed, the public response was not just one of shock but also of frustration and even rage against the health-insurance industry. Someone posted in a subreddit for nurses, “Honestly, I’m not wishing anyone harm, but when you’ve spent so much time and made so much money by increasing the suffering of the humanity around you, it’s hard for me to summon empathy that you died.” The comedian Bill Burr compared C.E.O.s like Thompson to gangsters. “It’s a dirty game,” he said. “Health care—dirty game.” I was saddened by the callousness of these comments. Thompson had become a symbol of a broken system; people who devalued his life, it seemed to me, were engaging in a version of the dehumanizing behavior that they found objectionable within the health-care industry.

Please open the link to finish reading the article.

Categories Accountability, Cruelty, Disruption, For-Profit, Health

Editorial Cartoonist at Washington Post Quits After Her Cartoon Was Killed

By dianeravitch
January 4, 2025 //
25

Ann Telnaes, editorial cartoonist for the Washington Post since 2008, quit her job after one of her cartoons was censored by higher-ups. The cartoon at issue depicted tech and media billionaires paying obeisance and money to Donald Trump. The cartoon included portrayals of Mark Zuckerberg (META), Sam Altman (AI), Patrick Soon-Shiong (Los Angeles Times), and Jeff Bezos, owner of the Washington Post. And, of course, Disney, which settled with Trump for $15 million rather than defend George Stephanopoulos in court. Each has given Trump $1 million or more to underwrite his inauguration. If Telnaes had waited a day, she would have added Tim Cook, CEO of Apple, to her list of suck-ups and sycophants.

The motto of the Washington Post is: “Democracy dies in darkness.” Conservative (but anti-Trump) lawyer George Conway wrote on BlueSky:

I guess the new slogan for the Washington Post ought to be:

“Newspapers die in cowardice.”

Ann Telnaes’ resignation is an act of courage that should inspire all of us to stand by our principles.

Telnaes wrote about her decision to resign on her Substack blog:

I’ve worked for the Washington Post since 2008 as an editorial cartoonist. I have had editorial feedback and productive conversations—and some differences—about cartoons I have submitted for publication, but in all that time I’ve never had a cartoon killed because of who or what I chose to aim my pen at. Until now.

The cartoon that was killed criticizes the billionaire tech and media chief executives who have been doing their best to curry favor with incoming President-elect Trump. There have been multiple articles recently about these men with lucrative government contracts and an interest in eliminating regulations making their way to Mar-a-lago. The group in the cartoon included Mark Zuckerberg/Facebook & Meta founder and CEO, Sam Altman/AI CEO, Patrick Soon-Shiong/LA Times publisher, the Walt Disney Company/ABC News, and Jeff Bezos/Washington Post owner. 

While it isn’t uncommon for editorial page editors to object to visual metaphors within a cartoon if it strikes that editor as unclear or isn’t correctly conveying the message intended by the cartoonist, such editorial criticism was not the case regarding this cartoon. To be clear, there have been instances where sketches have been rejected or revisions requested, but never because of the point of view inherent in the cartoon’s commentary. That’s a game changer…and dangerous for a free press.

(rough of cartoon killed)

Over the years I have watched my overseas colleagues risk their livelihoods and sometimes even their lives to expose injustices and hold their countries’ leaders accountable. As a member of the Advisory board for the Geneva based Freedom Cartoonists Foundation and a former board member of Cartoonists Rights, I believe that editorial cartoonists are vital for civic debate and have an essential role in journalism. 

There will be people who say, “Hey, you work for a company and that company has the right to expect employees to adhere to what’s good for the company”. That’s true except we’re talking about news organizations that have public obligations and who are obliged to nurture a free press in a democracy. Owners of such press organizations are responsible for safeguarding that free press— and trying to get in the good graces of an autocrat-in-waiting will only result in undermining that free press.

As an editorial cartoonist, my job is to hold powerful people and institutions accountable. For the first time, my editor prevented me from doing that critical job. So I have decided to leave the Post. I doubt my decision will cause much of a stir and that it will be dismissed because I’m just a cartoonist. But I will not stop holding truth to power through my cartooning, because as they say, “Democracy dies in darkness”.

Thank you for reading this.

Categories Accountability, Billionaires, Censorship, Democracy, Elections, Ethics, Evil, Freedom of the Press, Media

Suicide Bomber in Las Vegas Positively Identified by Clark County Coroner

By dianeravitch
January 3, 2025 //
10

The coroner of Clark County, Nevada, positively identified the body of Matthew Livelsberger as the driver of the Tesla cybertruck that exploded at the front door of the Trump Hotel in Las Vegas. Livelsberger was a highly decorated soldier who lived with his wife and child in Colorado Springs, Colorado. Investigators have traced his movements from Colorado Springs to the Trump Hotel.

The FBI is searching for a motive.

The Denver Post published this story:

Wednesday morning, a Tesla electric Cybertruck rented in Denver and filled with consumer-grade firework mortars and camp-fuel canisters exploded outside the Trump International Hotel Las Vegas, just 17 seconds after pulling into the valet area. The explosion left seven people with minor injuries.

The body recovered from the metallic truck was “burnt beyond recognition,” Sheriff Kevin McMahill of the Las Vegas Metropolitan Police said during a news conference on Thursday.

But police announced hours later that the Clark County, Nevada, coroner positively identified the driver as 37-year-old Master Sgt. Matthew Alan Livelsberger of Colorado Springs.

Livelsberger died by suicide, the corner ruled. Police investigators said he shot himself moments before the explosion outside the Las Vegas hotel. A handgun was found near his feet inside the burned-out vehicle.

It wasn’t yet clear how Livelsberger detonated the explosives in the back of the Cybertruck, investigators said. But Kenny Cooper, assistant agent in charge of the Bureau of Alcohol, Tobacco, Firearms and Explosives’ San Francisco Field Division, said they did little damage, and a number of unexploded fuels and mortars were found in the truck.

“The level of sophistication is not what we would expect from an individual with this type of military experience,” Cooper said during Thursday’s news conference.

Damage from the blast inside the steel-sided vehicle was mostly limited to the interior of the truck because the explosion “vented out and up” and didn’t hit the Trump hotel doors just a few feet away, the sheriff said.

Livelsberger’s military ID, passport, phone, credit cards and a smart watch were found in the vehicle, alongside two guns he bought this week, McMahill said. Livelsberger rented the Cybertruck in Denver on Dec. 28 and drove it to Las Vegas, McMahill said.

Local FBI agents searched Livelsberger’s home in northeast Colorado Springs on Thursday as they began to piece together his movements and dig for a motive — which they have yet to find.

“We know we have a bombing, absolutely, and it’s a bombing that certainly has factors that raise concerns,” Las Vegas FBI Special Agent in Charge Spencer Evans said during the news conference. “It’s not lost on us that it’s in front of the Trump building and that it’s a Tesla vehicle, but we don’t have information at this point that definitively tells us… it was because of this particular ideology or any reasoning behind it.”

A law enforcement official told the Associated Press that investigators learned through interviews that Livelsberger may have gotten into a fight with his wife about relationship issues shortly before he rented the Tesla and bought the guns. The official spoke on the condition of anonymity because they were not authorized to discuss the ongoing investigation.

Decorated solider, normal life

Livelsberger’s neighbors on Thursday described him, his new baby and his wife as normal by all appearances. A welcome mat at their home encourages visitors to “Stay awhile,” and a Christmas wreath hung on the door Thursday.

The couple’s home was well-lit and they often opened their windows when the weather was pleasant, neighbor Keni Mac said.

“It doesn’t seem like they were trying to hide anything,” she said.

Livelsberger was a decorated soldier who previously deployed twice to Afghanistan, served in the National Guard and split most of his time between Fort Carson in Colorado Springs and Germany, McMahill said.

He served in the Green Berets, highly trained special forces who work to counter terrorism abroad and train partners, the Army said in a statement. He had served in the Army since 2006, rising through the ranks with a long career of overseas assignments, deploying twice to Afghanistan and serving in Ukraine, Tajikistan, Georgia and Congo, the Army said.

He was awarded a total of five Bronze Stars, including one with a valor device for courage under fire, a combat infantry badge and an Army Commendation Medal with valor.

Livelsberger currently served as a special operations soldier assigned to 10th Special Forces Group in Stuttgart, Germany, but was back in Colorado on approved leave, according to the Army’s statement and the sheriff. Neighbors said he’d recently had a baby.

Investigators on Thursday outlined his movements in the days before the bombing.

Livelsberger rented the Cybertruck through the car-rental app Turo in Denver on Dec. 28. Police then tracked him on his multi-state road trip through his stops at Tesla charging stations along the way, McMahill said.

He charged the vehicle in Monument on Dec. 30, then in Trinidad on Dec. 31. He charged at three spots in New Mexico later on Dec. 31. On Jan. 1, he charged in three cities in Arizona and was last tracked in Kingman, Arizona, before entering Las Vegas.

Camera footage shows Livelsberger was the man driving the truck and no one else was seen in the vehicle, McMahill said.

“We’re not aware of any other subjects involved in this particular case,” the sheriff said.

He legally purchased two semi-automatic handguns on Dec. 30 — guns later found in the Cybertruck, the ATF’s Cooper said. Officials did not say where he bought the guns.

On Wednesday, cameras captured the Cybertruck driving to the Trump hotel valet at about 7:35 a.m. The driver quickly pulled away and spent 45 minutes in a parking lot at a nearby business before driving back to the hotel, arriving at 8:39 a.m. The explosion immediately followed.

Categories Colorado, Evil, Extremism, Nevada

Trump World Is Heading for Chaos

By dianeravitch
January 3, 2025 //
24

Blogger “That’s Another Fine Mess” predicts trouble ahead for Team Trump. They are already squabbling because Trump insisted he would stop immigration but quickly backed down when Musk and Vivek said they needed highly skilled foreigners because no American was qualified. This is an excerpt. Open the link to read it all.

He writes:

The first year of Felon34 2.0 will be more shambolic than the first year of Felon 1.0, regardless of how many of the Felon’s idiots claim the benefit of four years of experience. Felon34 and his loyalists will take power better prepared to implement a number of malicious ideas, but will make less progress and create more chaos than they did in 2017 for two simple reasons:

First, because their added experience of preparedness will be swamped by their much greater arrogance, leading them to shed guardrails, fall into obvious traps, and overreach. We’ve seen it already on every major issue that has come up over this past month.

Second, because they’ll be inheriting the country at a somewhat less-stable equilibrium than they did last time: highly prosperous, but with less room to maneuver without generating inflation or triggering a recession. The market went through its longest period of decline since 1978 two weeks ago. With the uncertainty about whether Felon34 will be able to mount his mass deportation – and the effect that will have on the economy if he pulls off even a portion of it – added to his insane threats against Panama, Canada and Greenland; his plan to slap tariffs on the rest of the world; and his general insanity – the market will respond. The market does not like uncertainty. Felon34 sees his main job as keeping the market up – to support his billionaire owners and to flim-flam the flimflammables – and he is going to quickly run into the problem that he cannot please the droolers and the market simultaneously. He knows if he fucks the market he’s screwed, and if he doesn’t deliver the promises he made at his hatealongs he’s also screwed.

My prediction: Fire and fury. By this time next year it will be “a tale told by an idiot, signifying nothing.” Felon34 is the most determined moron in US political history. And then in January 2026, the mid-term campaign begins.

The MAGA Civil War will continue in 2025. Former George W. Bush Campaign Manager Stuart Stevens, who is now a Democrat, says that people should not ignore the fact Steve Bannon turned on Elmo: “Bannon is a guy who has defined himself as a thug, and thugs must do thuggish things. I think Musk has no idea what he’s getting into when he gets in a fight with Bannon over this.” Stevens then explained that if Bannon is ever able to turn Trump against Musk as he’s trying to do, that could be a big problem for Elmo: “There’s been reporting that Musk was not a student when he got a visa, and when he made his application for naturalization he put false information on that document. That is grounds for revoking citizenship. It happens all the time. One reason why Musk is so obsessed with immigration is because he knows this. I wouldn’t bet against Steve Bannon.”

Former Trump Press Secretary Sean Spicer posted a poll on X which asked if Republicans agreed with Musk on the H-1B visas or if they agreed with Steve Bannon on it. He got over 92,000 votes, with 67% siding with Bannon over Musk.

Elmo continued his purge and punishments of right-wing accounts who disagreed with him on this. White nationalist talk show host Stew Peters (758,000 followers): “Elon Musk is STEALING money from my subscribers and LYING to them. This morning I woke up to find that he removed my blue check mark and canceled my ability to have subscribers. My subscribers were told that I canceled my subscription service and they would not be refunded for the next two weeks in which they’ve already paid X for, but which won’t allow me to provide them content. This is intentional deceit and theft.”

White nationalist Nick Fuentes: “Today X appears to have un-verified 5 more prominent critics of the H-1B program. Their checkmarks were taken, subs were refunded, and character limit reduced. This is now overt political censorship. This comes after the Project Groyper brand account and all of its affiliates were suspended last week.” 

My prediction: I agree with Stuart Stevens that one should not bet against Bannon. He knows how to fight like this and Elmo doesn’t. If Bannon’s side ever gets the goods on Elmo’s immigration and naturalization, expect Elmo to be in deep shit and Felon34 will abandon him.

In closing, this is the gang – as Jeff Tiedrich described them – who could screw up a fuck in a brothel. As I like to say, they’re the people who flunked the IQ test low enough to qualify for membership in MAGA. They’re the Broken Toys who never learned to work and play well with others. Over the past three weeks – before they’re even in office – they have screwed the pooch and munched the lunch. They couldn’t pass the bill they had to pass without Democrats, and Democrats aren’t going to pull their chestnuts out of the fire next time. They have till the middle of the month to fix the debt ceiling and they can’t elect a speaker. There’s going to be nobody there next Monday to accept the vote count of the electoral college. The odds are good the stupid sonofabitch can’t get sworn into office, in which case, the position goes to the Speaker – of which there is none. Assuming they find a way through this mess, they have twelve months to do all the things they have to put through Congress – with a one-vote margin. Their leader is Donald Trump – who bankrupted a casino!

They’re going to be throwing their best friend through a window, and they’ll be tripping when they try to pull their pants on and falling against the dresser and knocking themselves out.

We’re the side who won the Civil War and beat the Nazis and smashed the Japanese.

Act. Like. It.

Categories Accountability, Economy, Elections, Lies, Musk, Elon, Trump

Michigan: What Are Charter Schools Trying to Hide?

By dianeravitch
January 3, 2025 //
5

This article was written by Dr. Cassandra Ulrich, who served as president of the Michigan State Board of Education, and now is a member of the board of the Network for Public Education.

Dr. Casandra Ulbrich is a former Michigan State Board of Education president (2014 – 2023). She is a member of the Network for Public Education Board of Directors Ulbrich has spent most of her career in higher education administration, currently serving as the Vice Chancellor for Institutional Advancement at the University of Michigan-Dearborn. Ulbrich began her career as a press secretary to the former U.S. House Democratic Whip David Bonior, acting as the official spokesperson for the Congressman. She has been recognized as one of Michigan’s 40 under 40 by Crain’s Detroit Business.

At the end of the 2023-2024 session, the House and Senate of Michigan took up bills to increase charter school transparency in a state where 70% of the schools are run by for-profits. Ultimately, the bills did not pass, but the problems persist. Below is the testimony given by Dr. Casandra Ulbrich, the former President of the Michigan Board of Education.

As the former President of the State Board of Education, I would like to commend the State Senate for taking the issue of financial transparency seriously. The bills before you today level the playing field by requiring charter schools, education management companies, and authorizers to demonstrate that they are responsible stewards of public dollars, just as traditional public schools are currently required to do.

Financial transparency is an essential element of accountability for all publicly funded institutions and a necessary component for an engaged citizenry. Absent timely and accurate financial data in a manner that is easily accessible and understood by the public, citizens lack the resources necessary to make informed decisions. Missing or misleading financial information removes a citizen’s ability to adequately determine the value of their public investments. Similarly, a charter school board that is denied this information cannot fulfill its oversight duty and its commitment to the citizens it serves.

This is particularly true for the K-12 public schools that educate approximately 1.3 million students in the State of Michigan, nearly 10 percent of whom attend a charter school. In 2022 – that year will be relevant during my testimony – Michigan Charter schools received roughly $1.4 billion in taxpayer funding. How this money is spent is often hidden from taxpayer view behind a wall of secrecy. One reason is that Michigan law allows charter school boards to contract out all the school’s services to a for-profit education management company that also assumes control of the school’s budget. This arrangement is known as a ‘sweeps’ contract in the charter school sector. Its name comes from the fact that nearly all of the school’s public dollars – anywhere from 95 percent to 100 percent – is ‘swept’ into a charter management company. Once that happens, that money is no longer reportable to the taxpayers who funded those dollars.

While the schools themselves must adhere to Freedom of Information Act(FOIA) laws, private, for-profit management companies themselves are not subject to FOIA. Therefore, when a management company assumes the vast majority, if not all, of the school’s budget, how that money is spent is legally hidden from public view.

For years, the charter lobby has argued that charter schools adhere to all applicable transparency laws. In most cases, they are correct. But, those laws fall far short of allowing taxpayers adequate oversight over the schools for which they fund.

In 2022, the State Board of Education used the Freedom of Information Act to identify and disclose the similarities and differences in financial reporting between traditional and charter school districts.

We sent FOIA requests to all school districts, both traditional and charter, in five Michigan counties. Of those districts, 112 were traditional school districts, representing over 551,000 full-time equivalent (FTE) student counts, and 166 were charter school districts, representing nearly 80,000 FTE student counts. For the charter districts, 117 (71%) used for-profit management companies, 19% used non-profit management companies, and 11% were self-managed. Individual district student counts ranged from a low of 71 to a high of more than 55,000 FTEs.

On January 5, 2022, each district received a FOIA from me as the President of the SBE. A second letter was sent to those who did not respond, and in some cases, a third letter was also sent. The FOIA request included five items:

  • Contracts for rental or lease of facilities.
  • Contracts for food service management or vended meals.
  • Contracts with custodial service vendors.
  • Contracts with lawn and grounds service vendors.
  • Contracts with educational service providers or education management
    companies.

The results demonstrated what we had assumed all along.

Following the third letter, 100% of traditional school districts responded to the FOIA request, while only 93% of charter districts responded. Seven percent of charter school districts didn’t even bother to respond to three Freedom of Information Requests from the State Board of Education.

When it came to facility contracts, Charter school districts were more likelyto submit facility rental or lease contracts. Sixty-eight percent, or 105, of charter districts submitted these contracts. Many charter districts lease their buildings from entities related to the management companies overseeing the schools.

A management company that also subleases its own facilities to the schools they manage raises obvious questions about conflicts of interest. It also allows the management company/facility owner to set lease terms that may be excessive. The State Board of Education FOIA did not address the market rates of each lease, but other states have identified this as an issue. For example, in 2012, the New York State Comptroller issued a report detailing how a Brooklyn charter school managed by National Heritage Academies approved a lease from a “related business” at a rate nearly $800,000 above market value, or $3.96 million more over the term of the five-year lease. The report also indicated that NHA refused to divulge financial records supporting expenses that it charged to the charter school. A 2019 Ohio Auditor report found similar examples in that state.

Another issue is that many charter management contracts also include a provision that allows the management company to own all property in the school, even though that property was most likely funded by taxpayers.

Food Service, Custodial, and Lawn Contracts

Charter school districts, particularly those managed by for-profit companies, were far less likely to share food, custodial or lawn contracts. In fact, these charter districts indicated they were not responsible for these contracts. This reflects the fact that many charter districts engage in “sweeps contracts.” Therefore, a common response among for-profit managed companies was to deny the State Board’s FOIA request related to these three contracts. The FOIA coordinator responded, “Your request for information contained in bullets 2 through 4 is denied because the Academy does not (i) contract for food service management or vended meals, (ii) contract with custodial service vendors, or (iii) contract with lawn and grounds service vendors. Instead, the Academy contracts for the above services through a third-party management company by way of an educational management agreement and, thus, the Academy is not a party to the service contracts.” (S. Wilson, personal communication, January 14, 2022).

Financial Disclosures

One thing that became evident through the FOIA process was the vast differences in detailed financial disclosures. All districts, regardless of charter or traditional, are required by statute to submit annual comprehensive financial data (MCL 388.1618(5) and a financial audit report (MCL 388.1618(4). While the reports tend to be detailed for traditional school districts, this is not the case for charter districts. Most PSAs report most of their current operating expenditures as“purchased services” through their management company. The management companies, themselves, are not required to report detailed information. As a private vendor, there is no statutory requirement for management companies to submit financial reports to the state.

It’s important to note that, with limited exceptions, traditional school districts are not permitted by law to contract for instructional services. On the other hand, many charter school districts contract with a management company for all or most of these services. According to a state board of education resolution, in FY21, 90.4% of charter schools reported that more than 50% of the school’s current operating expenditures were spent on purchased services (totaling $1.3 billion in purchased services), resulting in those expenditures not being reported and audited with the same level of detail provided for expenditures of traditional school districts, and not subject to public disclosure under FOIA” (MI State Board of Education, 2022).

Financial Reporting

Michigan school districts provide financial information to the state via the Financial Information Database (FID). Data submitted to the FID includes financial reports, revenues, and expenditures. However, what is reported looks very different depending on the type of district and their management contracts, leading to greater disparity between traditional and charter school districts. Under current reporting requirements, the costs for services provided to charter districts under a management agreement are often aggregated under “purchased services” and therefore lack any detailed information.

As a result of this method of reporting, it is nearly impossible to make any kind of accurate comparisons of financial spending. And, since management companies are not subject to the same financial reporting and audit requirements as districts, taxpayers have no way of knowing if their investments are being spent appropriately or if those dollars are being spent in an illegal or
inappropriate manner. In my role on the State Board of Education, I have heard many anecdotal examples of this happening, but absent real transparency laws, there is no way of holding bad actors accountable for their actions. Not only is this inappropriate for a public entity, but it also serves as a stain on all charter schools, including those that are acting in good faith and are truly interested in
providing quality education for children.

The bills before you today alleviate many of the concerns that the State Board of Education has been raising over the last twenty years. Specifically, financial information will be available to the Boards that are charged with overseeing these schools, allowing them to do their jobs effectively. Financial
information will also be not only FOIA-able for the public but in many cases available on the school’s website. It will bring to light related party transactions and taxpayer overspending.

If we are truly interested in parents making choices for their children, they should have access to this information, as should taxpayers who are funding these schools.

For these reasons, the Charter School lobby should be the first in line tosupport these financial transparency laws that could demonstrate what they have been saying…that the vast majority of charter school operators are conducting themselves appropriately and to send a message to those who may not be.

Absent that, I would ask yourself, what do they have to hide?

Dr. Casandra Ulbrich is a former Michigan State Board of Education president (2014 – 2023). She is a member of the Network for Public Education Board of Directors Ulbrich has spent most of her career in higher education administration, currently serving as the Vice Chancellor for Institutional Advancement at the University of Michigan-Dearborn. Ulbrich began her career as a press secretary to the former U.S. House Democratic Whip David Bonior, acting as the official spokesperson for the Congressman. She has been recognized as one of Michigan’s 40 under 40 by Crain’s Detroit Business.

Categories Accountability, Charter Schools, Corruption, Education Industry, Ethics, For-Profit, Funding, Michigan

ProPublica: Ohio Pays to Expand Religious Schools

By dianeravitch
January 3, 2025 //
1

Once upon a time, public money was spent only for public schools, with a few exceptions for government-mandated programs and services.

Once upon a time, there was a wall of separation between church and state. That wall was accepted and respected by most Americans.

Ohio has decided to tear down that wall. Ohio Republicans want the state to pay for all education-related expenses of every student.

Now, Ohio has taken a step beyond by allocating taxpayer money to pay for building religious schools.

ProPublica wrote:

The state of Ohio is giving taxpayer money to private, religious schools to help them build new buildings and expand their campuses, which is nearly unprecedented in modern U.S. history.

While many states have recently enacted sweeping school voucher programs that give parents taxpayer money to spend on private school tuition for their kids, Ohio has cut out the middleman. Under a bill passed by its Legislature this summer, the state is now providing millions of dollars in grants directly to religious schools, most of them Catholic, to renovate buildings, build classrooms, improve playgrounds and more.

The goal in providing the grants, according to the measure’s chief architect, Matt Huffman, is to increase the capacity of private schools in part so that they can sooner absorb more voucher students.

“The capacity issue is the next big issue on the horizon” for voucher efforts, Huffman, the Ohio Senate president and a Republican, told the Columbus Dispatch.

Huffman did not respond to a request to comment.

Following Hurricane Katrina and the start of the COVID-19 pandemic, some federal taxpayer dollars went toward repairing and improving private K-12 schools in multiple states. Churches that operate schools often receive government funding for the social services that they offer; some orthodox Jewish schools in New York have relied on significant financial support from the city, The New York Times has found.

But national experts on education funding emphasized that what Ohio is doing is categorically different.

“This is new, dangerous ground, funding new voucher schools,” said Josh Cowen, a senior fellow at the Education Law Center and the author of a new book on the history of billionaire-led voucher efforts. For decades, churches have relied on conservative philanthropy to be able to build their schools, Cowen said, or they’ve held fundraising drives or asked their diocese for help.

They’ve never, until now, been able to build schools expressly on the public dime.

“This breaks through the myth,” said David Pepper, a political writer and the former chairman of the Ohio Democratic Party. Pepper said that courts have long given voucher programs a pass, ruling that they don’t violate the constitutionally mandated separation of church and state because a publicly funded voucher technically passes through the conduit of a parent on the way to a religious school.

With this latest move, though, Ohio is funding the construction of a separate, religious system of education, Pepper said, adding that if no one takes notice, “This will happen in other states — they all learn from each other like laboratories.”

Open the link to finish reading.

Categories Education Reform
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