“There Comes a Time When You Get Tired of Being a Slave”

(p. A1) RIO DE JANEIRO — In a rare act of collective defiance, scores of Cuban doctors working overseas to make money for their families and their country are suing to break ranks with the Cuban government, demanding to be released from what one judge called a “form of slave labor.”
Thousands of Cuban doctors work abroad under contracts with the Cuban authorities. Countries like Brazil pay the island’s Communist government millions of dollars every month to provide the medical services, effectively making the doctors Cuba’s most valuable export.
But the doctors get a small cut of that money, and a growing number of them in Brazil have begun to rebel. In the last year, at least 150 Cuban doctors have filed lawsuits in Brazilian courts to challenge the arrangement, demanding to be treated as independent contractors who earn full salaries, not agents of the Cuban state.
“When you leave Cuba for the first time, you discover many things that you had been blind to,” said Yaili Jiménez Gutierrez, one of the doctors who filed suit. “There comes a time when you get tired of being a slave.”
. . .
(p. A10) . . . , Dr. Jiménez, 34, found the work rewarding, but also began to harbor feelings of resentment.
“You are trained in Cuba and our education is free, health care is free, but at what price?” she said. “You wind up paying for it your whole life.”
. . .
“We keep one another strong,” said Dr. Jiménez, who says she has been unemployed since being fired in June and is now barred from re-entering Cuba for eight years.
Dr. Álvarez and her husband were among the lucky ones to keep their jobs and get what amounted to a huge pay raise. They also managed to bring their children to Brazil.
“It’s sad to leave your family and friends and your homeland,” she said. “But here we’re in a country where you’re free, where no one asks you where you’re going, or tells you what you have to do. In Cuba, your life is dictated by the government.”

For the full story, see:
ERNESTO LONDOÑO. “‘Slave Labor'”: Cuban Doctors Rebel in Brazil.” The New York Times (Fri., SEPT. 29, 2017): A1 & A10.
(Note: ellipses added.)
(Note: the online version of the story has the title “Cuban Doctors Revolt: ‘You Get Tired of Being a Slave’.”)

Costs Rise in Single-Payer Health Countries

(p. A25) As Democrats and other policy makers debate the merits of Senator Sanders’s proposal, here are a few important observations about international systems that they ought to consider.
First, a vanishingly small number of countries actually have single-payer systems. . . .
. . .
Some of the highest-rated international systems rely on private health insurers for most health care coverage — Germany’s, for example, is something like Obamacare exchanges for everyone, but significantly simpler and truly universal. The Netherlands and Switzerland have both moved recently to add more competition and flexibility to systems that were already built on the use of private insurers.
Second, single-payer countries have also failed to control rising health care costs. This is important, given that Mr. Sanders’s proposal was released without a cost estimate or financing plan. For historical reasons, many other countries started with lower levels of health care spending than we did. Several analyses have shown that this has almost nothing to do with higher administrative costs or corporate profits in the United States and almost everything to do with the higher cost of health care services and the higher salaries of providers here.
Although they started at a lower base — with, for example, doctors and nurses receiving lower salaries — countries around the world have all struggled with rising costs. From 1990 to 2012, the United States’ rate of health care cost growth was below that of many countries, including Japan and Britain. In 2015, the Organization for Economic Cooperation and Development warned that rising health care costs across all countries were unsustainable.behavior, more hotel rooms are available to individuals and families who need them most.”
Third, it is simply untrue that single-payer systems produce a better quality of care across the board.

For the full commentary, see:
LANHEE J. CHEN and MICAH WEINBERG. “‘Medicare for All’ Is No Miracle Cure.” The New York Times (Tues., Sept. 19, 2017): A25.
(Note: ellipses added.)
(Note: the online version of the commentary has the title “The Sanders Single-Payer Plan Is No Miracle Cure.”)

Venezuelan Communist Economy Continues to Collapse

EmptyShelvesVenezuela2017-09-11.jpg“Empty cases and shelves in a grocery store in Cumaná, Venezuela, last year.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. 6) CARACAS, Venezuela — Food shortages were already common in Venezuela, so Tabata Soler knew painfully well how to navigate the country’s black market stalls to get basics like eggs and sugar.

But then came a shortage she couldn’t fix: Suddenly, there was no propane gas for sale to do the cooking.
And so for several nights this summer, Ms. Soler prepared dinner above a makeshift fire of broken wooden crates set ablaze with kerosene to feed her extended family of 12.
“There was no other option,” said Ms. Soler, a 37-year-old nurse, while scouting again for gas for her stove. “We went back to the past where we cooked soup with firewood.”
Five months of political turmoil in Venezuela have brought waves of protesters into the streets, left more than 120 people dead and a set off a wide crackdown against dissent by the government, which many nations now consider a dictatorship.
An all-powerful assembly of loyalists of President Nicolás Maduro rules the country with few limits on its authority, vowing to pursue political opponents as traitors while it rewrites the Constitution in the government’s favor.
But as the government tries to stifle the opposition and regain a firm grip on the nation, the country’s economic collapse, nearing its fourth year, continues to gain steam, leaving the president, his loyalists and the country in an increasingly precarious position.
. . .
In one nine-day stretch in late July and early August, the price of the bolívar, the national currency, fell by half against the dollar on the black market, cutting earnings for people who make the minimum wage to the equivalent of just $5 per month.
. . .
“Bolívars are like ice cubes now,” said Daniel Lansberg-Rodriguez, who leads the Latin America practice at Greenmantle, a macroeconomic advising firm, and teaches at Northwestern’s Kellogg School of Management. “If you’re going to go to the fridge and take one, it’s something you have to use right now, because soon it’s going to be gone.”

For the full story, see:
ANA VANESSA HERRERO and NICHOLAS CASEY. “In Venezuela, That Empty Feeling.” The New York Times, First Section (Sun., SEPT. 3, 2017): 6.
(Note: ellipses added.)
(Note: the online version of the story has the date SEPT. 2, 2017, and has the title “In Venezuela, Cooking With Firewood as Currency Collapses.”)

Britain’s Socialist National Health Service Failed to Update Old Software

(p. A4) LONDON — Martin Hardy was in his hospital gown, about to be wheeled into the operating room for knee surgery on Saturday morning [May 13, 2017] at Royal London Hospital in East London, when, he said, his operation was abruptly canceled.
Mr. Hardy, 52, a caregiver for his father, said his surgeon told him the operation could not be carried out because the hospital’s computer system was not working and his condition was not life-threatening.
“I was in my hospital robe literally about to go in,” he said, wincing as he stood on crutches outside the hospital, waiting for a taxi home. “How can anyone in their right mind do such a thing?” he added, referring to the people behind the devastating cyberattack that affected organizations in nearly 100 countries and sent tremors across Britain’s National Health Service.
A day after one of the largest “ransomware” attacks on record, which left thousands of computers at companies in Europe, universities in Asia and hospitals in Britain still crippled or shut down on Saturday, Amber Rudd, the British home secretary, told the BBC that the N.H.S. needed to learn from what had happened and upgrade its information technology system.
. . .
Ms. Rudd conceded that the N.H.S., where many computers had outdated software vulnerable to malware and ransomware, had been ill prepared, despite numerous warnings. “I would expect N.H.S. trusts to learn from this and to make sure that they do upgrade,” she said.
. . .
“You can’t blame the hospital, but surely the N.H.S. knew this could happen?” he said, his face reddening with anger. “And I don’t understand why their computers weren’t secure. We all pay into the N.H.S., and this is what we get. What on earth is going on in this country?”
. . .
Dr. Krishna Chinthapalli, a senior resident at the National Hospital for Neurology and Neurosurgery in London, who predicted a cyberattack on the N.H.S. in an article published in the British Medical Journal a few days before the attack, said it was disturbing.
“I had expected an attack,” he said in an interview. “But not on this scale.”
He had warned in the article that hospitals were especially vulnerable to ransomware attacks because they held vital data, and were probably more willing than others to pay a ransom to recover it. He said in the interview that many of the N.H.S. computers still ran Windows XP, an out-of-date software.

For the full story, see:
DAN BILEFSKY. “British Patients Suffer as Hospitals Race to Revive Computer Systems.” The New York Times, First Section (Sun., MAY 14, 2017): 11.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the story has the date MAY 13, 2017, and has the title “British Patients Reel as Hospitals Race to Revive Computer Systems.”)

Socialized Medicine Seeks to Ensure “No One Does Anything New or Interesting”

(p. A15) Heart surgeons are among the superstars of the medical profession, possessing finely tuned skills and a combination of detachment and sheer guts that enables them to carve open fellow human beings and hold the most vital human organ in their hands. In “Open Heart,” British cardiac surgeon Stephen Westaby shares often astonishing stories of his own operating-room experiences, illuminating the science and art of his specialty through the patients whose lives he has saved and, in some cases, lost.
. . .
One theme in “Open Heart” is Dr. Westaby’s frustration with Britain’s National Health Service, which, he says, values saving money over saving lives. He grows frustrated as he tries to get the reluctant government-run payer to cover the costs of advanced interventions. There are other problems too: Dire situations often get worse, he says, because of treatment delays and poor attention to best practices, like administering clot-busting drugs after a heart attack. Medical directors, he says, seem intent on ensuring that “no one does anything new or interesting.”

For the full review, see:
Laura Landro. “BOOKSHELF; Priming the Pump; One procedure involved implanting a turbine heart-pumping device and screwing a titanium plug, Frankenstein-like, into the skull.” The Wall Street Journal (Fri., July 14, 2017): A15.
(Note: ellipsis added.)
(Note: the online version of the review has the date July 13, 2017.)

The book under review, is:
Westaby, Stephen. Open Heart: A Cardiac Surgeon’s Stories of Life and Death on the Operating Table. New York: Basic Books, 2017.

Oil Rich Socialist Venezuela Is Importing Oil from Capitalist United States

(p. A1) EL FURRIAL, Venezuela — One oil rig was idle for weeks because a single piece of equipment was missing. Another was attacked by armed gangs who made off with all they could carry. Many oil workers say they are paid so little that they barely eat and have to keep watch over one another in case they faint while high up on the rigs.
Venezuela’s petroleum industry, whose vast revenues once fueled the country’s Socialist-inspired revolution, underwriting everything from housing to education, is spiraling into disarray.
To add insult to injury, the Venezuelan government has been forced to turn to its nemesis, the United States, for help.
“You call them the empire,” said Luis Centeno, a union leader for the oil workers, referring to what government officials call the United States, “and yet you’re buying their oil.”

For the full story, see:
NICHOLAS CASEY and CLIFFORD KRAUSSSEPT. “How Badly Is Oil-Rich Venezuela Failing? It’s Importing U.S. Oil.” The New York Times (Weds., SEPT. 21, 2016): A1 & A12.
(Note: the online version of the article has the date SEPT. 20, 2016, and has the title “How Bad Off Is Oil-Rich Venezuela? It’s Buying U.S. Oil.”)

Cuban Entrepreneurs Lost Faith in Fidel’s Revolution

(p. 22) Ihosvany Oscar Artiles Ferrer, 44, a veterinarian who worked in Camagüey but recently moved to Queens, said the lack of wholesalers to buy supplies from made it difficult to eke out a profit.
“The private business is like a handkerchief the government puts over everything to be able to say to the United Nations that in Cuba people own small businesses,” Mr. Artiles said.
“In the beginning, almost all of us were revolutionaries,” he added. “But now, we quit all that because we don’t believe in Fidel, in the revolution, in socialism or anything.”

For the full story, see:
FRANCES ROBLES. “Stay or Go? Cuban Entrepreneurs Are Divided on Where to Stake Futures.” The New York Times (Tues., MARCH 22, 2016): 22.
(Note: the online version of the story has the date MARCH 21, 2016, and has the title “Stay or Go? Cuban Entrepreneurs Divided on Where to Stake Futures.”)

Under Communism, Guests Accepted “Terrible” Service “Because the State Was Paying”

(p. A4) The service, even the management admits, is terrible. “We would not even qualify for two stars,” said Yuri Kurtaba, the sanitarium’s director of maintenance. There is no room service and no Wi-Fi outside a tiny area near the lobby, and the swimming pool has been empty since the war.
. . .
(p. A10) Ms. Gaivoronskaya ‘s sanitarium is no longer closed to the public, as it was in the old days, but otherwise everything is left pretty much as it was. It offers a pebbly beach on the Black Sea, a statue of Lenin in the lobby, high-ceilinged rooms with chandeliers, bad plumbing and rotary telephones, as well as glorious sunshine well into late fall.
. . .
Sergey Rogulov, a 39-year-old driver from St. Petersburg, said he liked the shabby Stalin-era interiors — “it is like time travel back to the U.S.S.R.” — . . .
. . .
Ms. Gaivoronskaya , the veteran sanitarium worker, said she missed the old days, when guests tended not to complain much because the state was paying.

For the full story, see:
ANDREW HIGGINS. “GAGRA JOURNAL: Bad Pipes, Stunning Views and a Tourism Renaissance.” The New York Times (Thurs., OCT. 13, 2016): A4 & A10.
(Note: ellipses added.)
(Note: the online version of the story has the date OCT. 12, 2016, and has the title “Bad Pipes, Worse Service: A Soviet Riviera Jewel Is Reborn and Booking Up.”)

Let Individual Indians Own Land on Reservations

Mortgaging homes is a common way for entrepreneurs to provide initial funds for their startups. So our keeping individual Indians from owning land on reservations, cuts off their access to funds for entrepreneurship.
The commentary quoted below is related to a book edited by Anderson and contributed to by Regan.

(p. A13) . . . , Native Americans showed a remarkable ability to adapt to new goods and technology. Italian trade beads became an integral part of American Indian decoration and art. The Spanish horse transformed Plains Indian hunting and warfare.

Over centuries, however, these adaptations and innovations have been replaced by subjugation by the U.S. government. In 1831, Chief Justice John Marshall declared the Cherokees to be a “domestic dependent nation” and characterized the relationship of tribes to the U.S. as resembling “that of a ward to his guardian.” Marshall’s words were entrenched when Congress became trustee of all Indian lands and resources under the Dawes Act of 1887.
In recent decades, the government has paid lip service to “tribal sovereignty,” but in practice Native Americans have little autonomy. Tribes and individual Indians still cannot own their land on reservations. This means Native Americans cannot mortgage their assets for loans like other Americans, thus allowing them little or no access to credit. This makes it incredibly difficult to start a business in Indian Country. Even when tribes try to engage in economic activity, the feds impose mountains of regulations, all in the name of looking after Indian affairs.

For the full commentary, see:
TERRY L. ANDERSON and SHAWN REGAN. “It’s Time for the Feds to Get Out of Indian Country; A permit to develop energy resources requires 49 steps on tribal lands and just four steps off reservations.” The Wall Street Journal (Sat., Oct. 8, 2016): A13.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date Oct. 7, 2016.)

The book mentioned at the top of this entry, is:
Anderson, Terry L., ed. Unlocking the Wealth of Indian Nations. Lanham, Maryland: Lexington Books, 2016.

Maduro Counts on Marxist Professor to Be Miraculous “Jesus Christ of Economics”

(p. B1) CARACAS, Venezuela–President Nicolás Maduro, hoping for an economic miracle to salvage his country, has placed his trust in an obscure Marxist professor from Spain who holds so much sway the president calls him “the Jesus Christ of economics.”
Alfredo Serrano–a 40-year-old economist whose long hair and beard have also elicited the president’s comparison to Jesus–has become the central economic adviser to Mr. Maduro, according to a number of officials in the ruling United Socialist Party and other government consultants.
. . .
Most international and domestic economists blame Venezuela’s food shortages, which have triggered riots, on price controls and expropriations. Mr. Serrano, though, attributes an “inefficient distribution system in the hands of speculative capitalism,” which he says allows companies to hoard products. He also says foreign and local reactionary forces are waging an economic war against Venezuela.
The adviser has championed urban agriculture in a country where about 40% of fertile land is left fallow by price controls and seed shortages. Mr. Maduro created the Ministry of Urban Agriculture, headed by a 33-year-old member researcher at Mr. Serrano’s think tank, Lorena Freitez. A senior adviser at the think tank, Ricardo Menéndez, heads the planning ministry.
“Serrano is a typical European leftist who came to Latin America to experiment with things no one wants at home: state domination, price controls and fixed exchange rates,” said José Guerra, a Venezuelan opposition lawmaker and former chief economist at the central bank.

For the full story, see:
ANATOLY KURMANAEV and MAYELA ARMAS. “Maduro Turns to Spanish Marxist for a Miracle.” The Wall Street Journal (Tues., Aug. 9, 2016): A9.
(Note: ellipsis added.)
(Note: the online version of the story has the date Aug. 8, 2016, and has the title “Venezuela’s Nicolás Maduro Looks to a Marxist Spaniard for an Economic Miracle.”)