The Saudi rulers want "protection" from the
rulers of Iran, a major rival for regional influence.
But they also want "protection" from the angry
masses inside Saudi Arabia.
unemployment among Saudi citizens is officially
13% and double that among young adults.
Two years ago, conditions like these fueled the
Arab Spring – and those fires are still burning.
The Saudi rulers' fascist response has been
"Saudisation," including a ban on foreigners in
some professions and the expulsion of hundreds
of thousands of immigrant workers, who were
two-thirds of the overall workforce.
It remains to be seen how many Saudi youth
will accept the brutally low wages and slave-like
working conditions forced on immigrant laborers.
Meanwhile, 6,000 street-cleaners in Mecca,
mostly from Bangladesh, held a five-day strike
protesting non-payment of wages, harassment by
immigration authorities, and dangerous working
conditions. Masses of Ethiopian immigrants
fought the police who targeted them in Riyadh.
After at least two were killed by the cops, solidarity
demonstrations were held in Ethiopia, in
Dallas and Portland (USA), and elsewhere.
In Tunisia, where the Arab Spring began, a
general strike shut down Gafsa, Siliana, and the
eastern Gabes region, where unemployment and
poverty have, if anything, worsened in the last
two years. The spark for the strike, on the anniversary
of last year's mass protests, was a government
decision to refuse to build new hospitals
in historically underserved Gafsa and Gabes.
Masses fought police and burned an office of
the ruling party in the working-class region of
Gafsa, strategic for its phosphate mines. "The
people want the fall of the regime," they chanted.
In Egypt, thousands of workers started a sit-in
at the state-owned Iron and Steel Company on
November 26, demanding an overdue "profitshare"
bonus. They are now on a partial strike.
university students responded to a November
government crackdown with protests and strikes.
They exposed the government's lie that it was
"just keeping the Islamists in line," seeing the repression
as an attack on their protests against
poor conditions on campus, rising tuition fees,
and inadequate student housing.
The masses need more than jobs, more than
better conditions, more than "the fall of the
regime." They need the fall of capitalism-imperialism!
Only the masses, mobilized for communism,
can make that happen. We must take full
advantage of every opportunity created by the
class struggle.
As the Communist Manifesto stated 165 years
ago, "Let the ruling classes tremble. The proletarians
have nothing to lose but their chains. They
have a world to win."
Capitalist Health Care Systems Are All About Profit:
Only Communism Can Put Workers' Health First
The conflict continues between the National
union of Healthcare Workers (NUHW), whose
members are health care professionals in California,
and Kaiser Permanente, California's largest
Health Maintenance Organization (HMO).
While Kaiser has reported $10.2 billion in
profits since 2009, it aims to cut worker benefits
and has already laid off 1,000 workers, the largest
mass layoff at Kaiser in three decades. Kaiser
makes a profit by demanding as much work as
possible from employees in exchange for an
hourly wage.
Workers have limited their struggle to using
the bosses' laws/system. After the California Department
of Managed Health Care (DMHC) completed
the first phase of the state's investigation,
Kaiser Permanente was fined $4 million for not
providing mental health services to patients in a
timely manner. Kaiser had to increase staffing to
meet requirements.
As the investigations continued, Marcy Gallagher,
the DMHC attorney responsible for leading
the investigation into Kaiser's substandard
mental health care "switched sides." She now
works for Kaiser in the division that's responsible
for defending Kaiser against the DMHC's investigation.
Workers can't win using the bosses' laws and
rules because the capitalist system was designed
for the bosses to win, not the workers. unions
argue for staying within the confines of the law or
for continued reform struggles, but these are deadend
answers to workers' problems under capitalism.
The conflict between management and
workers is systemic and the solution is in destroying
the rotting capitalist system and creating a system
designed and run by workers: communism.
NUHW and Dean Baker, an economist at the
Center for Economic and Policy Research, say
that a government-run single-payer plan would
be far more beneficial. The union says that by expanding
Medicare to cover all Americans, "we
could solve the country's historic healthcare crisis
once and for all."
However, workers are not better under the
Medicare system. The existing system of
Medicare (single-payer health plan for seniors)
was built around a so-called fee-for-service
model, in which doctors, hospitals and other
practitioners are paid procedure by procedure. A
healthy person under this system is far less "valuable"
to the health care industry than one who
overeats, smokes, misuses medicine and ends up
with diabetes, heart conditions or a host of other
ailments that require hospital beds, enrollment in
high-cost nursing facilities and expensive interventions.
On average, Medicare, with its 50 million enrollees,
pays for about 2,000 days per year in a
post-acute care facility for every 1,000 beneficiaries.
By comparison, Kaiser Permanente, with
its ongoing pattern of substandard care, averages
600 days per 1,000 clients. Providers under
Medicare try to get as much money as possible
from Medicare and providers under Kaiser try to
provide as little as possible with as little staff as
possible to make their profit.
The problem is that all healthcare systems
under capitalism run on the profit motive, not on
what is best for patients. under communism,
workers will no longer be treated as commodities
and money will no longer be an obstacle to good
healthcare. No more insurance companies or bureaucracy.
under communism knowledge about medicine
will not be restricted to schools and doctors, but
made available for all to learn. Many mental
health problems and addictions will be eliminated
and/or addressed by communities rather than addressing
problems as individual problems detached
from society. Good health will become
one of society's main goals.
At present the US bosses seem concerned with
our health care because they must curb the high
cost of health care. They need a healthy workforce
in their factories and in their military for inevitable
wars to come. They need to keep costs
down due to the declining rate of profit worldwide.
Currently, the US spends twice as much per
person on health care as other rich countries, yet
US life expectancy is among the worst. When we
compare the US to all other rich countries in the
world for which there is data, the US has the
highest infant mortality rate, highest child
poverty rate, and highest child injury death rate.
If Healthcare workers at Kaiser and all around
the world put their energy into organizing to
smash capitalism rather than for dead end temporary
reforms, we could win a true victory for the
world's working class! Read and distribute Red
Flag. Join Red Flag study groups to learn more.
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