A Safety Net Of Alternative Systems - Providing Community Doctors

Medical care in the United States is insanely expensive. According to several sources, medical bankruptcies account for 60 percent of all personal bankruptcies in America (even though most of those driven into medical bankruptcy have insurance). Moreover, American health care is very technology and drug-driven. This is by design, as American health care has become a capitalist growth “industry” whose masters demand continually increasing profits every quarter. As the global economy continues to shrink, and as the economy of the U.S. in particular continues its collapse, an increasing number of people and communities are being cut off from standard American health care. This trend will only worsen as the industrial economy continues to contract due to the depletion of natural resources such as oil.

Today's post consists of a transcript of a recording I made a couple of weeks ago of an interview with Rachel True, MPH, Academic Program Director for the Medical Education Cooperation With Cuba organization, also known as MEDICC. We discussed the work of the Latin American School of Medicine (ELAM in Spanish) in training primary health care physicians to labor in poor countries and communities, and how disadvantaged American communities could benefit from the initiatives of ELAM. ELAM is now offering scholarships to students from disadvantaged communities in the U.S., for the purpose of training these students as doctors, with the condition that these newly trained doctors be willing to go back to their home communities to help their neighbors. ELAM is a Cuban school which trains Cuban doctors – doctors who have earned a very high reputation for competence and skill. ELAM is therefore an important avenue for communities in the U.S. who want to build their own health care systems.

In the following transcript, my questions and comments are in bold type. If you wan to listen to the interview, you can find it here: “Internet Archive: Free Download: Interview with Rachel True of MEDICC”.

Rachel, what I'd like to ask first is the history and motivation behind the setting up of ELAM. Why did Cuba decide to set up this school? What are their goals? What are they accomplishing?

Cuba has had a very long history of international cooperation in the area of health and human resources for health. For many years they have sent their own trained doctors abroad to countries, mostly in Latin America, but also in Africa and other parts of the world, where they have collaborative and cooperative agreements in solidarity with those countries as they work toward addressing health disparities and the inequities in their own health systems, and addressing the shortage of health care workers in their own countries.

ELAM began as a response to the hurricanes Mitch and George, which devastated much of Central America in the late 1990's. As is often the case, Cuba sent a large number of doctors to the affected areas to address the disaster-related health care concerns of affected communities. Many of those doctors came back from those areas feeling that they had done the best they could, but knowing that when they left, there was no one to take over. They had been manning health posts in remote communities and marginalized areas in Central America where there was no doctor when they arrived and no doctor to take over when they left. So they brought that message back to the leadership in Cuba, saying, “We really need to develop a more sustainable response...we need to bring these countries further along in addressing the shortage of their own health care workers.” So the Cuban government decided to open ELAM as a school to train students from those countries, from Latin America and Africa and Asia to become the kinds of doctors that are needed to work in these remote areas.

The curriculum is offered for free. It is a six-year curriculum. They recruit from marginalized and poor communities with the understanding that those are the students most likely to return to the communities where they're needed most. The curriculum focuses heavily on primary health care, public health and prevention, which have been shown to have the largest impact, especially in communities with large infectious disease burdens.

Regarding primary health care, how does the training of Cuban general practitioners compare and contrast with the training of U.S. general practitioners?

I think that the training offered at ELAM is scientifically very similar to the training offered at U.S medical schools. However, at ELAM, family medicine, which is their basic primary care discipline, is offered as a seven-week block – or rotation – in five of the six years of medical school at ELAM. In the U.S., it is not nearly as well emphasized or encouraged. So in the U.S. the system tends to incentivize sub-specialty and specialized care, and the discipline of family medicine is actually having a very difficult time filling residency slots. I believe last year only 42 percent of residency positions for family medicine were filled by U.S. graduates. The remainder were filled by doctors of osteopathy and by international medical graduates.

So there's a real difference between the two countries in the way primary care is seen and prioritized and encouraged as a prestigious and worthwhile career path. I think that also, integrated into the Cuban model of care and medical education is the idea of prevention and public health. In the United States, clinical medicine and public health are very different disciplines, and there are only a few medical schools that I'm aware of that are trying to bring those two together. In Cuba, it's seamless, it's one and the same; you can't be a doctor without understanding epidemiology and population-based health, or without really understanding and promoting the basic ideas of preventative health.

It sounds like the Cuban system focuses on preventing problems from arising, as much as possible, and the American system focuses on fixing problems after they happen.

Correct. I think that's a pretty good summary. And I think that some of that's out of necessity; I mean, Cuba has very few resources compared with the U.S., and they have decided to put a lot of their resources toward preventative health so that they don't have the exorbitant costs that go with trying to treat things they can't afford to treat at a complicated stage.

That brings up the doctors' response to disasters. I know that Cuban doctors have been very much in the news because of the response of Cuba to the recent earthquake in Haiti. From what I'm reading, it seems that Cuban doctors are extremely well-versed and capable in dealing with disaster medicine. Is that true and is that an emphasis?

Yes, it certainly is true. Disaster medicine is taken very seriously in Cuba; and the Henry Reeve Brigade, which has been around for many years, is a group of first responders from Cuba that have responded to many high-profile disasters. With many of these disasters, especially in Haiti, they [the Brigade] were able to hook up with a large group of Cuban doctors that were already on the ground and who had been working within the public health care infrastructure that already existed. They were thus able to hit the ground running; there wasn't a lot of start-up time, and they already knew the community and knew what was really needed most. They were able to triage well, right off the bat.

It seems that Cuban doctors are able to do a lot with a little. How much do they rely on expensive tests and equipment compared to doctors in the United States?

Very little. I can tell the story from the perspective of a medical student since that's who I have the most contact with at ELAM and in the Cuban medical education system. Students are very regularly asked to make a differential diagnosis based largely on history and physical. They do a much longer and more thorough history and physical than they would do here in the United States, and they are able to make a diagnosis and do testing just to confirm their diagnosis. So they would use radiological or blood testing just to confirm their diagnosis.

When students round with attending physicians in Cuba, they'll be asked to present patients of theirs, and to describe their history and physical work-up – what they did – and then will be asked how they arrived at their diagnoses, as well as the tests they ran to confirm the diagnosis. Then the professors will often ask students, “Now what would you do if you were in a rural village in West Africa? How would you then treat your patients? How would you diagnose them and confirm the diagnosis?” So they're constantly being asked to think about how to best use the resources available to them in Cuba, and then to take it a step further and think, “Now how would you do that if you were in a really remote place?” That's really useful for students who are planning to go back to such places. It's also useful for U.S. students who are planning to come back here and practice in underserved areas, because many of their patients won't have insurance, and won't have ways to pay for diagnostic testing – and they may have to take that into consideration. Others will want to do international work where that may be a consideration.

That leads me to ELAM and its outreach to other countries. How is ELAM funded, since the school is free?

It's a decision that was made by the Cuban government to put resources into this program. Like all things in Cuba, it's funded by the government. Therefore, it's funded in part by the Cuban people. The Cuban people are really proud of this program. They're excited about it and feel that it's the right thing to do.

So the Cubans take pride in exporting this knowledge to the rest of the world?

Yes, that's a nice way to put it.

As far as the outreach to the U.S. students, you mentioned that it was free – I like that price! What are the requirements for U.S. students who want to go? Let's say that someone from an underserved or disadvantaged community in the United States was interested in being a doctor, or someone reached out to them and told them that there was this option; what would be the requirements and what would they have to do to qualify?

The prerequisites are that you have to have at least one year of college-level biology, chemistry, organic chemistry, and physics, which is the basic requirement for medical school here. Many students at ELAM have done an undergraduate degree; it's not a requirement, but you do have to have at least one year of those basic science courses. You have to be under 30 years old. That's a requirement that the Cuban government has, which I think is aimed at trying to get people who will have the longest possible impact in their career.

The way a person would apply is by going through another organization based here in the United States, which has been involved since the very beginning of the ELAM project in terms of the U.S. students. That organization is IFCO – Pastors for Peace. They would go to their [IFCO's] website which is www.ifconews.org, and they could download applications there and get in touch with IFCO personnel to answer any questions and start the interview process.

MEDICC, the organization I work for, is also very much involved, but we're involved on the other end in terms of trying to make sure students have all the resources they need to re-enter the U.S. medical system after they graduate successfully. So we work with students as soon as they get to ELAM to connect them to mentor physicians in the U.S. We have a fellowship program that helps to defray the costs of their board exams, which are a requirement if you want to do a residency in the United States. For this, they need to pass a series of three exams, two of which cost about $750.00. The third costs nearly $1300.00. That can be a real barrier to students who are coming to medical school in Cuba largely because they can't afford the application process or tuition for medical schools in the United States. We have a set of programs to help make sure these students are getting the right support and resources they need in order to be competitive candidates for residency programs and get into the communities they want to work in and really start practicing.

As far as student satisfaction with the program, are U.S. students generally highly satisfied, moderately satisfied, really gung-ho? What's their reaction once they get through it?

I think the students are very excited about their education, and feel that they've gotten an excellent medical education. There is an attrition rate similar to that of U.S. medical schools; there are some students that get there and find that it's not quite for them, and that tends to be in the first one or two years. By the time they're into their more clinical years, which are years three through six, they're really excited, and they've settled in and they feel that it's an excellent opportunity and they have received an excellent education. And like you said, the price is right!

Oh yes, if I was under thirty, I'd be signing up right now! As far as student experiences after graduation, I know that ELAM really prefers that students from disadvantaged communities make a commitment to return to those communities after graduation. What is the general experience of a graduate after returning to the United States?

The first cohort of U.S. students graduated in 2007, and all residency programs are three years long. So we haven't actually seen graduates finish residency and enter practice. The lag is too long, so far. So it's going to take a little while to get enough numbers built up to see how effective this is in terms of being a model and pipeline for disadvantaged and under-represented students to go to medical school for free, as well as whether or not the alleviation of that debt burden [from attending U.S. medical schools] and the elimination of those financial and cultural barriers really are effective in leading toward a high rate of service in underserved communities. I think it will be successful, largely because these students have self-selected to participate in a program that is very geared toward the idea of committing to social service, an ideal that is reinforced throughout their education. The debt burden is really a motivator. People say that family medicine isn't a viable career path because you only make $150,000 a year. But to these students, that is a huge amount of money, and it would be a very comfortable life to live in their communities and do the work they want to do, and have the kind of impact they're looking for.

It seems that if a disadvantaged community in the United States were motivated and aware and doing research on options for taking care of themselves in a time of economic contraction and difficulty, such as this time, what they would be looking at in terms of providing primary health care would involve a long-term commitment...

Right. If they wanted to send one or two of their best and brightest to Cuba, they would be looking at a return ten years down the line. Those students would go through a six year program, then they would need to return to the United States and do a three year residency, and then be able to come back and really practice in their community. But it is an investment that has the potential to pay off in a very deep and sustainable way.

Have communities contacted you in the United States and said, “We want to put some of our students through this program?”

They haven't contacted MEDICC, because, like I said, we're not really involved in the recruitment and application process. They may have done that with IFCO. And I know that many students are supported by their churches – you know, you do need a little bit of money to pay for the plane travel back and forth if you want to come home for the summer, and like I said, there are the exam costs. So there are some incidental expenses that come up. I know that many students are supported by their community-based organizations or religious organizations. So I think there are people making that kind of commitment and investment.

Are there tutoring programs to help U.S. students to get the requisite first-year chemistry and physics requirements down?

You know, I don't know that there is a pipeline program just to get students ready to go to ELAM in particular. There are many pipeline programs to encourage under-represented minority students and students from low-income communities to get into the health profession. MEDICC is beginning to work with these programs and to explore ways that those programs and ELAM can be mutually beneficial and can learn from each other. So I think that's a great idea; I don't know that it's being done yet.

My last question is this: are there any passport or visa or legal issues that students need to know about before they get involved in a program like this?

No. Students who are enrolled in ELAM are able to travel legally and to be in Cuba legally – both from the U.S. and from the Cuban perspective. They get visas to study in Cuba, and they are able to travel freely and legally.

I've been talking with Rachel True of the Medical Education Cooperation with Cuba organization, which partners with the Latin American School of Medicine, known as ELAM. Thank you.

[Note: in the immediate aftermath of Hurricane Katrina, Cuba offered to send over 1500 doctors to New Orleans, along with badly-needed medical supplies. The United States Government under President George W. Bush refused the offer, along with an initial refusal of an offer of aid from France. Instead, the residents of New Orleans were treated to a round of infectious diseases. As President Bush said, “Heckuva job, Brownie!”]

The Day of the Autodidact

Oh what did you see, my blue-eyed son

and what did you see, my darling young one?

– A Hard Rain's A-Gonna Fall, Bob Dylan

“Therefore watch carefully how you walk, not as unwise, but as wise; redeeming the time, because the days are evil.” – Ephesians 5:15

This post continues the theme I have been considering in my posts, The Liars' Channel, Hunting Fox (And Other Varmints), and to a lesser extent, in Crime, The Informal Economy, And Dark-Skinned People.

I still remember the day, over thirteen years ago, when I bought my first guitar. That decision was made under strange circumstances, as I was in a strange state of mind – you see, I was tired of the music I had listened to for years, I no longer believed that most bands and singers on the radio had anything new or insightful to say, I more than half didn't want to buy a guitar at all, and I thought I was making a dumb decision that I would soon abandon. Anyway, I bought the cheapest guitar I could find, an entry-level Samick, along with a Hal Leonard book of chord shapes and a copy of You Can Play Guitar by a guy named Peter Pickow.

The Samick mostly sat in my bedroom closet for a few weeks while I tried to figure out what an acoustic guitar was good for. At times I would pick it up and try to play some of the chords I saw in the chord book. I also listened to some pop songs on the radio and tried to copy them. However, listening to that sort of thing convinced me even more that my guitar was useless and that most musicians had run out of things to say.

Then an acquaintance of mine started loaning me CD's by bands labeled “acoustic alternative”. Intrigued, I started listening, and was turned on to some intricate, acoustic guitar-driven, complex music with complex lyrics. I was hooked.

Trying to play the stuff was a challenge, though. For one, I didn't know what I was doing. The Peter Pickow book wasn't much help either, as its primary goal seemed to be teaching people to play yesterday's pop hits. It wasn't a very useful guide to navigating the fretboard and the large world of music theory. The things I heard on CD's continued to be a mystery to me, a mystery I could not reproduce. Lastly, playing up the neck (especially barre chords) was very hard with the Samick.

One day I decided to replace the Samick, and bought a Mitchell guitar from Guitar Center (hey, I was still a cheapskate), along with an beginner's book on fingerstyle playing. The fingerstyle book was a good introduction to right-hand technique and altered tunings, but it wasn't the fretboard/music theory roadmap that I had hoped for. Also, the Mitchell was even harder to play up the neck than the Samick had been. I also started taking lessons from a teacher at a local music store. His form of “teaching” consisted of looking at the book I was trying to study, then telling me, “Yep. Go ahead, keep practicing that.” I stopped seeing him after only a few weeks.

I might have given up guitar altogether, except that someone loaned me a CD of a totally unplugged Dave Matthews concert. It was just him and another guitarist, and the things they did with their guitars were amazing. That, and someone suggested to me that if I really wanted to advance in my playing, I needed a better ax. Soon afterward, I picked up a Larrivee, and haven't looked back since.

Hearing Dave Matthews (and later, other players like Paul Simon (on an unplugged Simon and Garfunkel live album), John Renbourn, Bert Jansch, Pierre Bensusan, and others) inspired and pushed me to really learn my instrument. I soon found that the weakness of the Peter Pickow book was shared by many books targeted for people just starting to play: that their aim was simply to teach people whatever pop songs were popular at the time the book was written. I had to spend many hours in music stores to find books that promised something more.

In all that research, I began to put together a road map of what I wanted in learning the guitar: first, an understanding of music theory in general; second, a thorough knowledge of the fretboard; and third an application of theory to the fretboard, such that I could compose (on the fly, if necessary), while working within the unique strengths and limitations of the guitar. After the disappointing experience I had with my “teacher,” I decided I'd have to figure out all these things on my own. So I bought the books I believed to be helpful, and got to work. It's been a long journey thus far, and I still feel as if I'm just beginning (although I did teach myself to play John Renbourn's version of The English Dance).

In teaching myself the guitar, I was functioning as an autodidact. What I learned, I had to figure out for myself, due to the lack of an adequate teacher. I had to construct a knowledge system for myself, and I had to learn to find the missing pieces of that knowledge system for myself, by myself. That experience is something of a parable for the kind of thinking that's needed by those who would understand and navigate our present times.

The trouble with trying to understand and navigate these times is that there are rich and powerful men and women who don't want most of us to succeed in this task. They want to navigate us into enslavement to them, while we remain deluded about our present situation. Their ultimate goal is to consume us until there's nothing left of us. This is easier to do to willing, duped victims than it is with victims who understand their situation and who are trying to fight back.

The task of these rich people is aided by the fact that they own most of the media in Western (European and American) society, and that most of us eat up their stories like cereal. We've been trained to do so by memories of our parents who sat at the breakfast table and read their newspapers and watched TV news at night and believed every word. And who knows, maybe many of those writers and talking heads weren't lying then, but many of them are now. How can a person find out the truth for themselves?

Well, let's take the climate change controversy for starters. Many conservative commentators, along with Rupert Murdoch's News Corp are foaming at the mouth with allegations that scientific warnings about global warming are simply part of some liberal conspiracy to keep Americans from getting rich. They point to hacked e-mails and they scream “Climategate!” and allege that climate change scientists have made such serious mistakes that their case holds no water.

These climate change deniers have their disciples and true believers, including one gentleman I know, an engineer with over thirty years experience and some post-graduate coursework, yet who reads Fox News at lunch and believes every word. How he can live with such a cognitive disconnect I have no idea, as he took chemistry and physics just like I did, and he ought to know how carbon dioxide absorbs longwave infrared radiation. If I were in his shoes, I'd at least want to hear both sides of the story. So, having heard the Fox News side of the story, where would I look to hear the other side?

I might start by looking on the website of the Intergovernmental Panel on Climate Change and downloading some of their publications, like their “Fourth Assessment Report,” as well as some of their supporting material. If I really wanted to be intellectually honest, I'd read such publications completely. If there was something I didn't understand (like some of the math or statistical analysis, for instance), I'd figure out what knowledge I needed to gain in order to understand. In short, I'd become literate enough regarding the science to make a judgment for myself – and I'd do it by going directly to the source. And if I wasn't satisfied with the IPCC alone, I'd consult other climate change scientists such as NASA's climatologist Dr. James Hansen. I might also check old newspaper records of average annual temperatures in various locales over the last fifty years. I might even visit some towns on the Oregon and California coasts and talk to residents who have seen the sea bury their properties in recent years. Then I'd make my judgment. At least that's how I'd do things if I wanted to be intellectually honest.

How many people know how to sort fact from fiction regarding Iran? Or health care reform? Or our economy and the causes of its present weakness? Or environmental damage? How many Americans are content merely to say, “Well, I heard on the news...” Are there any Americans are willing to do the hard work of furnishing themselves with an accurate picture of the world? How many are willing to consult multiple sources, to do the work of verifying the accuracy of sources, to do research, to do the math? “It's hard!” some will say, but then again, so is learning to play the guitar.

Primary Health Care in the U.S. and Partnership With the Latin American School of Medicine (ELAM) - An Interview with MEDICC

This week, President Obama is hosting a “health care summit” with leaders of the Republican Party in order to facilitate passage of a national health care plan. The President's proposals are basically a copy of the Senate health reform bill recently passed. That bill would require all Americans to purchase a health insurance policy, with the Federal Government providing subsidies for people with low incomes to purchase health insurance. However, the bill would do nothing to rein in health care costs arising from explosive growth of health insurance fees, as well as excessive growth in pharmaceutical and medical technology costs. This is not surprising, as the fundamental problem with health care in the U.S. is that it is a for-profit “industry,” and the leaders of this industry seek continual profit growth. These leaders are controlling the present health care “debate” in this country.

However, there are resources for implementing alternative models of health care for communities in the U.S. that are interested in setting up their own systems of effective, truly affordable care. One such resource is the medical outreach program of the Latin American School of Medicine (ELAM) in Cuba. ELAM is a renowned medical school that produces top-notch doctors skilled in disaster medicine and promotion of community health with limited resources. (In fact, Cuba itself has become a renowned source of medical expertise.) ELAM has an outreach program in which students from disadvantaged countries as well as disadvantaged communities in the U.S. are invited to study medicine at the ELAM campus in Cuba, free of charge. Afterward, these students become board-certified primary care physicians. All that is asked of them in return is that they make a commitment to return to their communities to provide low-cost, high-quality health care to their fellow citizens.

I recently had the privilege of interviewing Rachel True, MPH, Academic Program Director for the Medical Education Cooperation with Cuba (MEDICC), a non-profit organization that facilitates Cuba's medical outreach to other countries. We discussed the work of ELAM, the unique competencies and emphasis of Cuban medicine and the doctors trained at ELAM, and lessons that could be applied to the United States. We also talked about how disadvantaged communities in the United States could sponsor their own young people to become students at ELAM, in order to build a network of primary health care providers in American communities. This is very important for the times we are now facing, in which the profit-driven U.S. model of health care (and education of health care professionals) is becoming ever more unsustainable. ELAM offers an exceptional education free of charge, and produces doctors who can deliver effective health care solutions at low cost.

I was able to save an audio file of my interview, which can be found at http://www.archive.org/details/InterviewWithRachelTrueOfMedicc. It should be accessible to computers running on either Windows or Linux operating systems. I will also be creating a transcript of the interview for a future blog post. And I am planning on interviewing a student who is currently enrolled at ELAM. God willing, I hope to post that interview in the next few weeks. Stay tuned!

Hunting Fox (And Other Varmints)

This post will examine some of the ins and outs of a typical major English-speaking media outlet. I'll focus on Rupert Murdoch's News Corporation (known more widely as News Corp), and its “news” arm, Fox News. (Why is News Corp typical? First, because they're huge, and second, because the other huge players are starting to imitate them – even as far as the bias in their “reporting” of the news.)

Anatomy of a Fox

According to Wikipedia, News Corp is the world's 2^nd largest media conglomerate (behind Disney), and is the third largest in entertainment (2009). News Corp's own website states that it is “...a diversified global media company” with total assets as December 2009 of approximately $56 billion, and whose activities “...are conducted principally in the United States, Continental Europe, the United Kingdom, Australia, Asia and Latin America.” News Corp is publicly traded on NASDAQ and secondarily on the Australian Securities Exchange. Revenue as of 30 June 2009 was $30.42 billion, while operating income was $5.6 billion. Almost 70% of its sales come from US businesses. News Corp has 152 subsidiaries in low-tax or no-tax countries, one of four companies to have more than 100.

The Murdoch family holds a controlling interest in News Corp, owning about 30 percent of the shares. All shares held by the Murdoch family are voting shares. (Some of the shares sold by a corporation entitle their owners to a paid dividend, but do not allow the shareholder a vote in corporate governance.) Three members of the Murdoch family are on the board of directors, with Rupert as chairman of the board and CEO. News Corp's holdings include two book publishers; 54 newspapers in seven countries; 30 magazines in the U.S. and Australia; one music outlet; three radio networks; three sports teams; fifteen motion picture studios; tons (I got tired of counting) of television networks spanning cable, broadcast and satellite TV; and at least 30 Internet media outlets, including Beliefnet, a site dedicated to discussing religion, which was acquired by News Corp in 2007.

Wikipedia has an extensive history of News Corp, and of Rupert Murdoch's activities in building and guiding his empire. Some highlights include union-busting activities in England in 1986-1987 involving printers' unions versus Murdoch's papers; the buying of US papers and media in 1973; and the purchase of 20^th Century Fox in 1981-1984 and of the Metromedia group of stations in 1985 in order to form a fourth independent American network. The same year Murdoch became a naturalized US citizen in order to satisfy American broadcast law (which forbade foreign owners of US television stations).

(One sidelight: in 1989, Murdoch bought the publisher Collins, which he combined with Harper and Row which News Corp had bought two years earlier. HarperCollins, as the new company was named, in turn bought out Zondervan, a publisher of Christian books and media. Thus did Murdoch begin his forays into the world of Christian media and publishing. Those who visit “Christian” bookstores nowadays and wonder what on earth happened to “the Faith once for all delivered to the saints” can start looking right here. I discussed these very matters in a blog post many months ago, titled Money and Christian Books.)

In 1996, the Fox News Channel was launched as a competitor to CNN. Just prior to this, a legal complaint was brought before the Federal Communications Commission to the effect that News Corp's Australian base made Murdoch's ownership of Fox illegal. The FCC ruled in favor of Murdoch, stating that his ownership of Fox was in the public's best interests. (And this happened during the Clinton presidency!) In 2007, News Corp bought Dow Jones, owner of the Wall Street Journal, and started the Fox Business Network.

In short, News Corp has become a huge and powerful megaphone, broadcasting the heart and soul of Rupert Murdoch.

That Lyin' Fox Tongue

News Corp speaks with a loud voice. But what is that voice saying? And what are the motives of the owner of that voice? Those motives become quite clear when one examines much of the video media produced by the Fox Broadcasting Company, especially that media that is produced by Fox News. This examination reveals News Corp to be a radical promoter of big business, and of the unrestrained prerogatives of the rich captains of big business. Murdoch's message is that anything that restricts or restrains the rights of the wealthy or their pursuit of ever more wealth is to be opposed and demonized.

The world according to Murdoch should be a place where nonwhite nations are subservient to Europe, Australia and the United States, and their lands are open to being plundered by the U.S., Australia and Europe; where nonwhite residents of Europe, Australia and the U.S are subservient to a white majority; and where all who are poor, no matter their color, are subservient to the rich. Those who suggest that the rich should share with the poor are branded as “Socialists!” Those who suggest that the greed of the rich is destroying other peoples are branded as “evil people who hate our freedoms!” Those who suggest that our unrestrained pursuit of wealth is destroying the earth are accused of “fudging the data!”

From a moral standpoint, this mindset makes no sense, and those who believe such things are forced to lie in order to justify such a mindset. Thus it is no surprise that many of the things broadcast by News Corp are propaganda and blatant lies. Here are some examples:

News Corp and Racism: In 2009, the New York Post (a News Corp paper) published a cartoon depicting Barack Obama as a chimpanzee shot dead by the New York Police. They were forced later to apologise. This was hardly the first incident of racism for News Corp. During the 2008 US Presidential campaign, Fox News called Michelle Obama a “baby-mama,” referred to Barack Obama as “Osama,” and attempted to portray him as a secret Muslim. (See “Fox smears Sen. Obama, says he 'covered up' Muslim”, “The Man Behind the Whispers About Obama” and “Fox News Admits Obama/Muslim Story Was Toxic”.) Fox News also used false reporting to blame minorities for the subprime mortgage meltdown in 2008, (See “Fox News Special Report on The Banking Crisis”, “Minority Meltdown” and “FOX News: Loaning to minorities is a disaster'”. And for a look at the true role of banks in pushing subprime loans on minorities, see this: “Wells Fargo, Ghetto Loans, and 'Mud People'”.) There's much more to this side of News Corp, but we shall move on... (But not before I sneak one more video in: “Fox News' Racism”.)

News Corp and the Defense of Big Business: In 1994, Monsanto developed a synthetic version of bovine somatotrophin, a naturally occurring growth hormone found in cattle. This hormone was produced artificially via recombinant DNA technology and marketed under the brand name POSILAC, although its trade name was rBST or RBGH. Monsanto sold it to dairy farmers in the U.S. as a means of stimulating milk production beyond natural levels. Monsanto was able to influence the U.S. Food and Drug Administration to approve the use of rBST in dairy cows in the U.S., but such approval was harder to win outside the country. Eventually Canada and the European Union refused to approve rBST for use in their dairy farms. This was due to health problems arising in cows who were treated with the hormone, as well as demonstrated abnormal growth in organs of lab rats who were fed milk from rBST-treated cows. rBST has been linked to increased incidence of certain cancers, and has been implicated in the dramatic rise of early puberty in boys and girls since 1990.

In 1996, two journalists employed by Fox News uncovered some of the damaging information about rBST, including documents from Monsanto which described some incriminating test results. These journalists wrote a story for their local TV station, which began promoting an upcoming series on the risks of rBST. However, Monsanto pressured Fox into covering up the story and firing the journalists, who sued for wrongful termination. They ultimately lost their case when an appeals court ruled that FCC policies regarding reporting the truth by news agencies are not legally binding, and that Fox has no legal requirement to tell the truth in a news story. (See “Bovine somatotropin” and “Interview with Jane Akre and Steve Wilson” for more details on this.) Since then, it's been open lying season at Fox (as documented here.)

News Corp and War: News Corp was a vocal and vehement promoter of the American takeover of Iraq. Rupert Murdoch has also been very candid about the oil, I mean, real reason for the Iraq war, as noted in a Guardian piece titled “Their master's voice.” News Corp has constantly put a positive spin on the war and its aftermath, even when actual evidence was contrary, as shown in this article: “Fox News and the Iraq War: Fact vs. Fox-tion,” and this: “Fox News Spins 9/11 Commission Report.” Fox has never openly criticized the lack of evidence of weapons of mass destruction or the absence of any link between Saddam Hussein and Al-Qaeda.

Now, Fox News and News Corp are trying to make the case that Iran is foaming at the mouth to build nuclear weapons so that they can blow up the rest of the world. The thing that makes Fox so hard to believe (and much of the rest of the MSM, along with Sarah Palin and Dick Cheney) is that a) we've been down this road before, only to find out that the allegations were false that were made against a country with stuff we wanted; b) Iran is like Iraq in that the stuff we want over there is oil (and natural gas); and c) our misadventure in Iraq killed over a million civilians, while maiming countless others, not to mention needlessly killing several thousand of our own troops.

News Corp and the Environment: It's no surprise that News Corp has been very aggressive in attacking the notion that climate change is real, that it's a bad thing, and that it's caused by industrial activity. News Corp has also been very aggressive in attacking the reputations of many climate scientists and research organizations. Their attacks have not been against the science so much as attempts to smear the personal reputations of climate scientists. (See “FOXNews.com - Why You Should Be Hot and Bothered About 'Climate-gate'” for instance.)

The trouble is that News Corp has been very quiet regarding all the evidence that proves the phenomenon of anthropogenic climate change, including this report authored by scientists commissioned by the Global Climate Coalition, which stated that “...the science backing the role of greenhouse gases in global warming could not be refuted.” (See “Industry Ignored Its Scientists on Climate - NYTimes,” and “Global Climate Coalition Ignored Own Scientists' Advice.”) Think about that, you Portlanders, as we enjoy an unseasonably warm late winter, decked out in our shorts and T-shirts. Summer is coming...

There's more to mention, including News Corp's role in manufacturing the “Tea Party” and the “Angry Renters”. But time is short; I must wrap this up. Maybe one day I'll dedicate an entire post to the lies of Rupert Murdoch and News Corp.

The Faltering Fox

News Corp is a big bad corporation run by a rich sociopath. Many people are understandably frightened by this monster, and are wondering what to do in the face of what seems to be an unstoppable juggernaut. But there have been stories over the last year that suggest that this juggernaut may not be quite as invincible as many of us think. A look at News Corp's financial health and financial missteps over the last several years reveals what may be a soft underbelly.

News Corp's relentless drive for growth has required the buying of rival corporations in order to expand market reach. Some of those acquisitions haven't turned out very well. As far back as 1992, News Corp amassed huge debts due to its ownership of the British Sky Television satellite network, which was operated below cost until it could force a rival network out of business. Years later, in 2010, News Corp was forced to sell some of its ownership in BSkyB in order to comply with British antitrust laws. And in 2009, News Corp took a write-down of $8.4 Billion, due in part to the devaluing of the company's newspaper unit, which includes the recently acquired Dow Jones publisher. This was on top of a second-quarter loss of $6.4 billion, due to the loss of profit in its television and movie units. (See “News Corp records £2bn loss,” “News Corp Cuts Cloth as Friedman Moves On” and “Rupert's News Corp Swings to $203 Million Loss”for later snapshots of News Corp performance.)

News Corp has lost money on MySpace, the social media/blogging site that Murdoch bought in 2005. This has led to the resignation of its CEO, along with talks of possible divestiture. According to the UK Telegraph, MySpace will likely lose over $100 million this year.

News Corp is projecting a return to profitability this year, but a closer look reveals that much of that return will be achieved through staff cuts. It's like selling blood to pay the bills. (Source: “News Corp revenue slumps 4.1%.”) At least one analyst sees in the MySpace saga a typical portrait of Rupert Murdoch's failure to manage his media holdings and acquisitions. The MySpace story also highlights a fundamental failure of Murdoch to “get” the Internet and the rise of social media, and his missteps in dealing with this new reality. (See “Turmoil at MySpace blamed on News Corporation” and “Why MySpace and the Internet Could Kill Rupert Murdoch.”) This is seen in his desperate move to try to kill free content on the Web, starting with his oft-repeated threat to start forcing people to pay for access to News Corp sites, including Fox News. (Go ahead, Rupert. Make my day.)

These realities suggest a possible triple threat to Murdoch and his empire. The first threat is that which Murdoch poses to himself, due to his mismanagement. He started losing on MySpace the moment he began trying to control the content of the site. There are many articles on the Web that address his censorship of MySpace bloggers and the deleting of accounts that published things he didn't like. That turns people off, and makes them look for alternatives. The second threat comes from the open nature of the Web, and the incredible power now available to the masses to cheaply create and publish their own content. Not only is it no longer possible for one man or one corporation to control all publicly available media, but it is no longer possible for one man or one corporation to reap all the profits from publicly available media. Anyone can become a creator and publisher of digital content, up to and including high-quality video, for less than $500. Murdoch might survive if he were willing to accept a much smaller, more sustainable piece of the media pie.

The third threat consists of the facts concerning the actual financial health and missteps of News Corp, and the wide publishing of those facts. For while News Corp may exist as a propaganda machine, its main purpose is to make money. If its profits are not growing, this will cause investors to pull out, further collapsing revenue and assets. Companies which suffer this process for any length of time usually find themselves on the road to demise. Our present economy is contracting, along with all the large players in it. Those who don't deal realistically with this contraction will fail. The financial health of News Corp may well be a vulnerable systempunkt that can be exploited through aggressive research and factual reporting of its financial health and management missteps.

Crime, The Informal Economy, And Dark-Skinned People

This week I read a post on Sharon Astyk's blog, Casaubon's Book. The title of the post was “The Recession is Dead, Long Live the Recession: Life Without Jobs”. Her post dealt with recent economic data and analysis that indicates that the job losses arising from this current recession will take a very long time to be recovered, if they are recovered at all. She also talked about the stresses that would likely be felt by families (particularly the men) as they struggled to deal with unemployment. Lastly, she mentioned the important role played by the unofficial, informal economy in providing for the needs of people worldwide.

All in all, it was a good post, with many points that are well taken (at least by me). However, I'd like to comment on this quote from her : “...I argue in Depletion and Abundance that the informal economy, the world outside of GDP statements that includes subsistence labor, household labor, under the table labor, barter, crime (note, I'm not suggesting crime as a career here, just including this for the sake of accuracy - at this point, crime is often the only segment of the informal economy available to people, as Peck points out in his sections on minority and urban unemployment - strengthening the non-criminal informal economy is obviously to everyone's advantage) and other work that exists outside conventional calculations can do something not only to mitigate the economic costs of unemployment, but also to mitigate the social costs...” (Emphasis added.)

I'm all in favor of strengthening the informal economy and getting government out of the way of the informal economy. But it's curious that so many writers who study Peak Oil, climate change and economic collapse naturally assume that many of us are bound to become criminals, and that there's nothing anyone can do about it. What's more troubling is the assumption that crime is or will be the only option available to many minorities.

This assumption arises from the belief that crime is at present a disproportionately minority problem (especially for black and Latino communities), a belief that arises from negative media portrayals of minority communities, coupled with selectively harsh enforcement/punishment of crimes committed by minorities. But as I pointed out in my post, “Our Least Resilient Neighborhoods,” black people are no more likely to act criminal than any other ethnic group in America. To repeat statistics on one form of crime, namely drug infractions, in 2006 black Americans made up an 15 percent of drug users, but accounted for 37 percent of those arrested on drug charges, 59 percent of those convicted, and 74 percent of all drug offenders sentenced to prison.

Even the crime that does occur in minority communities is often instigated from outside. To the extent that outside commentators notice patterns of crime in minority neighborhoods, it behooves them to ask why – just as those media talking heads commenting on the poverty in Haiti ought to be asking why. The truthful answer to “Why?” would be quite shocking.

What would be really helpful is for those with the loudest voices and the biggest podiums to take a little time to describe some of the things members of minority communities are doing to make their neighborhoods and communities more resilient. We face a perception problem, and that problem can lead to powerful people justifying taking extreme measures against our communities where such measures are unjustified. It looks like we're going to have to work much harder at getting our own story out. (For an example of this, see “Vice Magazine's Liberia Documentary Comes Under Fire”.)

I myself will be working hard to get our story out. For the story of societal collapse and of the response of resilient communities is the story of us all. I want to make sure that my brethren are included in those resilient communities that survive. Toward that end, I have a few more weekend posts to write on the American mainstream media, and how to get out from under its corrupting influence. I also hope to post another very useful interview, God willing. Stay tuned...

The Liars' Channel

Ahab came into his house sullen and angry because of the word which Naboth the Jezreelite had spoken to him; for he had said, “I will not give you the inheritance of my fathers.” He laid himself down on his bed, and turned away his face, and would eat no bread. But Jezebel his wife came to him, and said to him, “Why is your spirit so sad, that you eat no bread?”

He said to her, “Because I spoke to Naboth the Jezreelite, and said to him, 'Give me your vineyard for money; or else, if it pleases you, I will give you another vineyard for it.' He answered, 'I will not give you my vineyard.'”

Jezebel his wife said to him, “Do you now govern the kingdom of Israel? Arise, and eat bread, and let your heart be merry. I will give you the vineyard of Naboth the Jezreelite.” So she wrote letters in Ahab's name, and sealed them with his seal, and sent the letters to the elders and to the nobles who were in his city, who lived with Naboth. She wrote in the letters, saying, “Proclaim a fast, and set Naboth on high among the people. Set two men, base fellows, before him, and let them testify against him, saying, 'You cursed God and the king!' Then carry him out, and stone him to death.”

The men of his city, even the elders and nobles who lived in his city, did as Jezebel had sent to them, according as it was written in the letters which she had sent to them...Then they sent to Jezebel, saying, “Naboth has been stoned, and is dead.” It happened, when Jezebel heard that Naboth was stoned, and was dead, that Jezebel said to Ahab, “Arise, take possession of the vineyard of Naboth the Jezreeelite, which he refused to give you for money; for Naboth is not alive, but dead.” – 1 Kings 21:4-15, World English Bible (a public domain translation).

“In 1921, the famous American journalist Walter Lippmann said that the art of democracy requires what he called the 'manufacture of consent.' This phrase is an Orwellian euphemism for thought control. The idea is that in a state such as the U.S. where the government can't control the people by force, it had better control what they think. The Soviet Union is at the opposite end of the spectrum from us in its domestic freedoms. It's essentially a country run by the bludgeon. It's very easy to determine what propaganda is in the USSR: what the state produces is propaganda...Propaganda is to democracy what violence is to totalitarianism...For those who stubbornly seek freedom around the world, there can be no more urgent task than to come to understand the mechanisms and practices of indoctrination. These are easy to perceive in the totalitarian societies, much less so in the propaganda system to which we are subjected and in which all too often we serve as unwilling or unwitting instruments.” – Noam Chomsky, Propaganda, American-style, Interview with David Barsamian of KGNU Radio in Boulder, Colorado.

“War is a racket. It always has been. It is possibly the oldest, easily the most profitable, surely the most vicious. It is the only one international in scope. It is the only one in which the profits are reckoned in dollars and the losses in lives...I spent 33 years and four months in active military service and during that period I spent most of my time as a high class muscle man for Big Business, for Wall Street and the bankers. In short, I was a racketeer, a gangster for capitalism.” – U.S. Marine Major General Smedley Butler (30 July 1881 – 21 June 1940).

“There is general agreement that an independent, pluralistic press is a requirement for an effective democracy. There is also general agreement that a crisis exists in the press's ability to protect and advance democracy...Thus, although there exists an unwritten professional creed that the role of journalists is to inform the citizenry in order to advance democracy, the creed is sorely out of touch with reality...In addition, the suggestion by Edward Herman and Noam Chomsky that the media, in a democratic capitalist society, function as a propaganda arm for the government certainly undermines the historical image of journalists as protectors of democracy.” – “The role of the press in a democracy: heterodox economics and the propaganda model,” Journal of Economic Issues, 1 June 2004.

“Many of the most famous members of the D.C. Press corps – the true power elite of American journalism – accept high-paying corporate speaking engagements and have direct personal ties to the political candidates...But the real compromises lie deeper – in corporate sponsorship that defines the very parameters of what is considered acceptable discourse. Take the pundit talk shows, where a parade of center-to-right-wing talking heads appear each week to engage in what passes as political debate. From 'This Week With David Brinkley' to “The McLaughlin Group,' two corporate sponsors predominate: General Electric and Archer Daniels Midland, two of the biggest corporate recipients of subsidies, tax breaks and government contracts in the country.” – “Strange bedfellows: Journalists as corporate shills,” Salon Magazine, 1999.

“Unfortunately, CNN and Cooper's combination of great TV and bad journalism are not idiosyncratic; television news routinely falls into the trap of emphasizing visually compelling and dramatic stories at the expense of important information that is crucial but more complex. The absence of crucial historical and political context describes the print coverage as well; the facts, analysis and opinion that U.S. citizens need to understand these events are rarely provided. For example, in the past week we've heard journalists repeat endlessly the observation that Haiti is the poorest country in the Western Hemisphere. Did it ever occur to editors to assign reporters to ask why?” – “Great Television/Bad Journalism: Media Failures In Haiti Coverage,” Op-Ed News, 25 January 2010

The quotes cited above form a pattern, and are part of a larger truth: that ruling elites resort to manipulation of public opinion and of public perceptions in order to advance their own agenda. In Biblical times, this was done by a word-of-mouth campaign instigated by members of the ruling elite in order to rob a man of his inheritance. In modern industrial society, particularly in the United States, this is done via a highly developed, technologically advanced media, the ownership of which is concentrated in the hands of a very few.

Of course, this is well known to many people, and readers of this blog may know that I covered this very topic many months ago in my posts, A Safety Net Of Alternative Systems - Citizen Media and Telling Your Story As Self-Defense - Necessary Tools. Lately, though, this theme has come back to my mind in the wake of several newsworthy events, and the resulting coverage by the mainstream media.

I think now of the continual drumbeat of American media hostility against Iran on account of its supposed “nuclear weapons program.” (How quickly the press seems to have forgotten the 2007 stories about the U.S. Government's National Intelligence Estimate stating that Iran had not been pursuing nuclear weapons since at least 2004. I still have a copy of the newspaper in which I found that story, just in case anyone needs a cure for selective amnesia.)

Then there's the Newsweek cover I saw a few weeks ago when I stopped in at a store on the way to work, the cover that showed a picture of a Nigerian teenager with a caption about the “New Al-Qaeda Threat.” A discerning reader of its lead article would conclude that it was just so much more unquestioning rah-rah cheerleading for the “war on terror.” There's also the media coverage of Scott Brown's election “victory” in Massachusetts, with all the news agencies talking of signs of a huge Republican 'resurgence.' What is not mentioned is that Brown's opponent conceded the race at least an hour before the polls closed, and long before any news organization was ready to call the race. And there's the coverage of the aftermath of the earthquake in Haiti, in which various news outlets immediately began describing the country as “dangerous,” with the potential for massive “looting and rioting” – coincidentally, just before a massive injection of U.S. troops into that country.

Connect the dots between media portrayal of various countries and peoples, the resources of the countries portrayed, and subsequent U.S. military or political action against these people, and it starts to get a bit...maddening (as blogger SoapBoxTech recently put it)...for people who like honesty and fair play.

Our media are next to useless at best, and downright dangerous at their worst. When I say “useless,” I mean that they don't actually report news so much as offer visceral, frequently voyeuristic, often sensationalist, attention-grabbing sound bites and photo op's. This is when their focus is turned outward toward the larger world. Too often they fail even to turn outward, and they report as news what are actually their own internal workings. So we find out that Avatar is a box-office hit, we hear about the winners of American Idol, we learn about the “beautiful people” from Star and Us and People magazines, and KFWB in Los Angeles, which used to be an “All News, All the Time” station is now reduced to reporting mainly on happenings in Hollywood (along with airing conservative talk shows!).

Ah, but what about “dangerous”? It should be obvious by now that the mainstream media in this country have been used and are being used to justify the taking of things from poor people and poorer nations by the rich, and to justify the continued concentration of wealth and power in the hands of the rich. The purpose of the media is not to inform or educate, but to put a good face on a mess of very bad situations, shaping our responses to suit our handlers' wishes while making us stupid.

This would be bad even in ordinary times. But these are not ordinary times. Over all our lives looms a triple threat: the collapse of industrial society due to energy descent, the ruining of our environment, and the dysfunctional responses by the rich and the powerful to these things. To deal with this threat requires a nation that is educated and informed, and thus able to make intelligent decisions. But intelligent people are a threat to corporate profits. So we keep getting lied to, and corporate media continues to train us to make emotional, knee-jerk responses to complex problems.

The biggest liar by far is Rupert Murdoch and his News Corporation, which owns Fox TV and Fox News, although other mainstream outlets are trying hard to imitate Fox. Over the next few weekends, I'd like to share some new observations and thoughts that have occurred to me as I have again begun to think about the mainstream media, our relation to it, and possible avenues for breaking free from its influence.