Thursday, April 9, 2020
Bernie Sanders Ends 2020 Campaign With Vow to Continue Struggle for 'What We Are Entitled to as Human Beings'
"Let us go forward together. The struggle continues."
by
Jake Johnson, staff writer
https://www.commondreams.org/news/2020/04/08/bernie-sanders-ends-2020-campaign-vow-continue-struggle-what-we-are-entitled-human
Sen. Bernie Sanders departed the race for the 2020 Democratic presidential nomination on Wednesday with a forward-looking message to the diverse coalition of voters that made up his enthusiastic base of support across the United States.
"While this campaign is coming to an end," said Sanders, "our movement is not."
Much like his longshot 2016 presidential run, Sanders' 2020 campaign propelled universal programs like Medicare for All, tuition-free public college, and a Green New Deal to the center of the national political conversation. Those bold policy ideas, once marginal in the Democratic Party and among the American public, now enjoy widespread support from the Democratic electorate and members of Congress.In a livestreamed address announcing the end of his campaign, the Vermont senator said that while he failed to achieve his goal of leading the Democratic ticket against President Donald Trump in November, the grassroots movement that drove his presidential bid "won the ideological struggle."
"In terms of healthcare, even before the horrific pandemic we are now experiencing, more and more Americans understood that we must move to a Medicare for All, single-payer system," the Vermont senator said, referring to the deadly coronavirus crisis currently gripping the nation, laying bare the systemic flaws in the U.S. healthcare system that Sanders has been warning about for decades.
"If we don't believe that we are entitled to healthcare as a human right, we will never achieve universal healthcare," Sanders said. "If we don't believe that we are entitled to decent wages and working conditions, millions of us will continue to live in poverty. If we don't believe that we are entitled to all of the education we require to fulfill our dreams, many of us will leave school saddled with huge debt, or never get the education we need."
In February, Sanders burst out of the gate with three consecutive victories in Iowa, New Hampshire, and Nevada, solidifying his status as the frontrunner for the Democratic nomination and sparking panic in the corporate media and Democratic establishment.
On March 2—just two days after South Carolina and on the eve of the hugely consequential Super Tuesday contests—Sen. Amy Klobuchar (D-Minn.) and Pete Buttigieg dropped out of the presidential race and simultaneously endorsed Biden. Beto O'Rourke, who dropped out of the 2020 race in November, and former Senate Majority Leader Harry Reid (D-Nev.) also endorsed Biden on that same day.But the dynamics of the race shifted rapidly following former Vice President Joe Biden's landslide victory in South Carolina on Feb. 29.
The rapid consolidation of the Democratic establishment behind Biden helped the former vice president win decisively on Super Tuesday and build momentum heading into key states like Florida and Michigan, which Biden also won.
Sanders on Wednesday said that if he "believed we had a feasible path to the nomination," he would continue his presidential campaign.
"But it's not there," said Sanders. "I will stay on the ballot in all remaining states and continue to gather delegates. While Vice President Biden will be the nominee, we should still work to assemble as many delegates as possible at the Democratic convention where we will be able to exert significant influence over the party platform and other functions."
The Vermont senator concluded his remarks by vowing to remain committed to the fight for a country that "lifts up all our people."
"Please stay in this fight with me," said Sanders. "Let us go forward together. The struggle continues."
Following Sanders' announcement, progressive advocacy groups and supporters thanked the senator for his movement-centered campaign and embraced his call to continue the fight against "the greed of the entire corporate elite" and for a more just world.
"Because of Bernie and the grassroots organizing he inspired, issues like Medicare for All, the Green New Deal, and the Fight for $15 are more popular than ever," Larry Cohen, board chair of Our Revolution, said in a statement. "Not only has Bernie won the issues debate, he's also inspired a new generation of progressive candidates to run on his platform up and down the ballot and mobilized the grassroots."
RoseAnn DeMoro, former executive director of National Nurses United and a vocal Sanders supporter, tweeted that "we changed the narrative, won the ideological struggle, Bernie is right about that."
"But our representatives will still belong to the wealthy," said DeMoro. "Wall Street won again. Thank you Bernie. We will carry on."
In a column Wednesday, Elizabeth Bruenig of the New York Times wrote that Sanders "was right from the very beginning, when he advocated a total overhaul of the American healthcare system in the 1970s."
"He remains right now, as a pandemic stresses the meager resources of millions of citizens to their breaking point, and possibly to their death," wrote Bruenig. "He was right when he seemed to be the only alarmist in a political climate of complacency. He is right now that he's the only politician unsurprised to see drug companies profiteering from a lethal plague with Congress' help. In politics, as in life, being right isn't necessarily rewarded. But at least there's some dignity in it."
'Return to Normalcy' Not Going to Be Enough to Win Our Support, Young Progressives Tell Joe Biden
"Why would we want a return to normalcy? We need a vision for the future, not a return to the past."
by
Andrea Germanos, staff writer
49 Comments
https://www.commondreams.org/news/2020/04/08/return-normalcy-not-going-be-enough-win-our-support-young-progressives-tell-joe
A group of progressive, youth-led organizations on Wednesday released an open letter to former Vice President Joe Biden urging the presumptive Democratic presidential nominee to "champion the bold ideas" that have energized younger voters.
The new letter, signed by coalition of eight youth movement leaders—including Alliance for Youth Action, March for Our Lives Action Fund, and the Sunrise Movement—was released the same day Sen. Bernie Sanders (I-Vt.) announced the end of his presidential campaign run and just as Biden responded with a statment in which he appealed to Sanders supporters saying, "I understand the urgency of what it is we have to get done in this country," and vowed to defeat President Donald Trump in the general election.
But to realize that victory and win them over, the groups wrote, Biden still has a lot of work to do.
For one thing, the letter to Biden stated, "it is clear that you were unable to win the votes of the vast majority of voters under 45 years old during the primary"—a cohort "poised to play a critical role deciding the next president." The groups grounded their demands in recent history as they called on Biden to recognize why much bolder policies are necessary:
[W]e grew up with endless war, skyrocketing inequality, crushing student loan debt, mass deportations, police murders of black Americans and mass incarceration, schools which have become killing fields, and knowing that the political leaders of today are choking the planet we will live on long after they are gone. We've spent our whole lives witnessing our political leaders prioritize the voices of wealthy lobbyists and big corporations over our needs. From this hardship, we've powered a resurgence of social movements demanding fundamental change. Why would we want a return to normalcy? We need a vision for the future, not a return to the past.
To help reach that vision, the letter outlines specific policy recommendations for Biden that include: embracing the Green New Deal legislation and making commitment to a just transition to 100% clean energy by 2030; comprehensively working towards gun violence prevention; expanding DACA and closing "the vast and cruel web of detention camps"; supporting Medicare for All; ending the failed War on Drugs; supporting free tuition at public colleges and vocational schools; and repealing the 2001 and 2002 AUMFs that have resulted in nearly two decades of constant overseas war.
The letter also demands that Biden adhere to personnel guidelines that would show he understands that the corporate grip on the Democratic Party must be loosened. "Commit to appointing progressive elected officials who endorsed Bernie Sanders or Elizabeth Warren as Transition Co-Chairs, such as Representatives Ro Khanna, Pramila Jayapal, Ayanna Pressley, or Katie Porter," the letter says. The groups also called on Biden to vow to have no Wall Street executives or corporate lobbyists in his Cabinet, and to create a task force exclusively focused on issues unique to young Americans.
Following through on the prescriptions, the groups assured Biden, won't represent some fringe approach.
"Calling for solutions that match the scale, scope, and urgency of the problems we are facing is not radical," the letter stated. "If nothing else, this moment of crisis should show that it is the pragmatic thing to do."
The full letter—signed by Alliance for Youth Action, IfNotNow Movement, Justice Democrats, March for Our Lives Action Fund, NextGen America, Student Action, Sunrise Movement, and United We Dream Action—follows:
Dear Vice President Joe Biden,
We write to you as leaders from a diverse array of organizations building political power for young people in the United States. We are all deeply committed to ending a presidency that has set the clock back on all of the issues that impact our lives.
While you are now the presumptive Democratic nominee, it is clear that you were unable to win the votes of the vast majority of voters under 45 years old during the primary. With young people poised to play a critical role deciding the next President, you need to have more young people enthusiastically supporting and campaigning with you to defeat Trump. This division must be reconciled so we can unite the party to defeat Trump.
Messaging around a "return to normalcy" does not and has not earned the support and trust of voters from our generation. For so many young people, going back to the way things were “before Trump” isn’t a motivating enough reason to cast a ballot in November. And now, the coronavirus pandemic has exposed not only the failure of Trump, but how decades of policymaking has failed to create a robust social safety net for the vast majority of Americans.
The views of younger Americans are the result of a series of crises that took hold when we came of political age, and flow from bad decisions made by those in power from both major parties. For millions of young people, our path to a safe and secure middle class life is far more out-of-reach than it was for our parents or grandparents. We grew up in a world where “doing better than the generation before us” was not a foregone conclusion.
Instead, we grew up with endless war, skyrocketing inequality, crushing student loan debt, mass deportations, police murders of black Americans and mass incarceration, schools which have become killing fields, and knowing that the political leaders of today are choking the planet we will live on long after they are gone. We’ve spent our whole lives witnessing our political leaders prioritize the voices of wealthy lobbyists and big corporations over our needs. From this hardship, we’ve powered a resurgence of social movements demanding fundamental change. Why would we want a return to normalcy? We need a vision for the future, not a return to the past.
New leadership in November is an imperative for everything our movements are fighting for. But in order to win up and down the ballot in November, the Democratic Party needs the energy and enthusiasm of our generation. The victorious “Obama coalition” included millions of energized young people fighting for change. But the Democratic Party’s last presidential nominee failed to mobilize our enthusiasm where it mattered. We can’t afford to see those mistakes repeated.
Young people are issues-first voters. Fewer identify with a political party than any other generation. Exclusively anti-Trump messaging won’t be enough to lead any candidate to victory. We need you to champion the bold ideas that have galvanized our generation and given us hope in the political process. As the party’s nominee, the following commitments are needed to earn the support of our generation and unite the party for a general election against Donald Trump:
Policy:
CLIMATE CHANGE: Adopt the frameworks of the Green New Deal and make specific commitments around achieving a just transition to 100% Clean Energy by 2030 for electricity, buildings, and transportation; restart the economy by committing to mobilizing $10 trillion in green stimulus and infrastructure investments over 10 years that will create tens of millions of good jobs of the future; and commit to take on and prosecute the fossil fuel executives and lobbyists who have criminally jeopardized our generation.
GUN VIOLENCE PREVENTION: Take an intersectional, comprehensive approach to preventing gun violence with the goal of reducing gun deaths by 50% in ten years. In addition to the policies laid out in your plan, you should also include the following from the Peace Plan for a Safer America: call for a federal licensing program; hold the gun industry accountable by directing the IRS to probe the NRA’s non-profit status. Expand federal funding and resources for community based violence intervention programs. Adopt Julian Castro’s People First Policing Plan and acknowledge that police brutality is gun violence.
IMMIGRATION: Commit to immediate executive actions to expand DACA and other policies to protect people from deportation and hold ICE and CBP accountable. Executive actions must also close the vast and cruel web of detention camps and not replace it with a practice of tagging people with electronic monitors or surveillance sold by big money corporations. Commit to ending the collaboration between local police and ICE and the use of racial profiling by deportation agents and local police that pulls people into the deportation pipeline. Commit to providing guaranteed access to counsel for all while making immigration courts independent and free of political manipulation. Commit to repealing 1996 immigration reform laws and creating citizenship pathways for all undocumented people with harmful provisions. Amidst the current Covid-19 pandemic, it is clear that all people, including undocumented immigrants, must be included in any health care reform as viruses do not discriminate on the basis of immigration status.
HEALTH CARE: Support the Affordable Drug Manufacturing Act to allow the government to manufacture generic versions of drugs and dramatically lower prescription drug prices. Support Medicare for All, especially in light of the coronavirus pandemic. Champion the repeal of the Hyde Amendment and people’s ability to access abortion care regardless of their income of zip code.
CRIMINALIZATION: Champion comprehensive reform of our criminal legal system. Incentivize states to cut their incarcerated population by 50 percent while supporting massive investment in housing, drug treatment, diversion, education and health programs. End the War on Drugs and support the equitable legalization of marijuana based on proposals laid out by Senator Booker, Senator Warren, Senator Sanders, Secretary Castro, and others.
EDUCATION: Support free undergraduate tuition for public colleges, universities, and vocational schools for all students, regardless of income, citizenship status, or criminal record. Provide economic relief to 45 million Americans and stimulate the economy by addressing the student debt crisis and canceling the entire $1.7 trillion in student loan debt.
WEALTH TAX: Support an annual tax on the extreme wealth of the wealthiest 180,000 households in America who are in the top 0.1 percent based on proposals laid out by Senator Sanders, Senator Warren, and Tom Steyer.
FOREIGN POLICY: Commit to seek Congressional approval on any authorization of war and support repeal of 2001 and 2002 Authorization for Use of Military Force.
DEMOCRACY: Support the elimination of the filibuster and the expanding of the Supreme Court. Call for the adoption of strong anti-corruption reforms laid out by Senator Warren and Senator Sanders. Champion a voting system that works for all Americans. Every citizen should be automatically registered to vote, get to cast their ballot in a secure, accessible way that fits their needs, and never have their right to vote taken away for any reason. Get big money out of politics and make the passage of HR 1 a top priority.
Personnel and Future Administration:
Commit to appointing progressive elected officials who endorsed Bernie Sanders or Elizabeth Warren as Transition Co-Chairs, such as Representatives Ro Khanna, Pramila Jayapal, Ayanna Pressley, or Katie Porter.
Pledge to appoint zero current or former Wall Street executives or corporate lobbyists, or people affiliated with the fossil fuel, health insurance or private prison corporations, to your transition team, advisor roles, or cabinet.
Appoint a trusted progressive to lead the White House Presidential Personnel Office to ensure that the entire administration is free of corruption and staffed with public servants committed to advancing a progressive agenda.
Commit to put trusted voices on issues of importance to our generation on your campaign and transition team’s policy working groups, such as Governor Inslee's policy team on climate; Senator Warren's policy team on financial regulation; Aramis Ayala, Bryan Stevenson, and Larry Krasner on criminal justice; Bonnie Castillo of National Nurses United and Dr. Abdul El-Sayed on health care; and Mary-Kay Henry, Sara Nelson, and Senator Sanders' policy team on jobs and the economy.
Commit to appointing advisors, such as Joseph Stiglitz, to your National Economic Council and Office of Management and Budget who believe in the principles of the Green New Deal and a rapid transition to a 100% clean and renewable energy economy
Appoint a National Director of Gun Violence Prevention in the White House who will oversee the policy platform, coordinate across agencies, and incorporate a survivor-centered approach. Commit to appointing an Attorney General who will re-examine the Heller decision.
Appoint a DHS Secretary committed to holding ICE and CBP agents accountable and dismantling ICE and CBP as we know them.
Create a White House Commission to represent the voices and needs of immigrants who can work together to ensure that executive actions and legislative solutions address the needs of immigrant communities.
Create a Task Force on Young Americans at the White House focused on the many issues unique to the next generation’s health, wellbeing, and economic stability. The leadership of the office should directly report to the President and work regularly with the Domestic Policy Council, National Economic Council, and Office of Public Engagement. Taskforce representatives from each agency should be appointed by and report to respective Secretaries and taskforce leadership and focus on policy and administrative action that directly affects every aspect of young people’s lives. This office should engage directly with young people across the country and ensure representation from youth movement leaders in its ranks.
In addition to these policy and personnel commitments, you and your campaign must demonstrate a real passion and enthusiasm for engaging with our generation and its leaders. It’s not just about the policies and issues, but also about how you prioritize them, how you talk about them, and how you demonstrate real passion for addressing them. You must demonstrate, authentically, that you empathize with our generation’s struggles.
Calling for solutions that match the scale, scope, and urgency of the problems we are facing is not radical. If nothing else, this moment of crisis should show that it is the pragmatic thing to do. We want results and we’re leading some of the movements that will help deliver them.
The organizations below will spend more than $100 million communicating with more than 10 million young members, supporters, and potential voters this election cycle. We are uniquely suited to help mobilize our communities, but we need help ensuring our efforts will be backed-up by a campaign that speaks to our generation. Our generation is the future of this country. If you aim to motivate, mobilize, and welcome us in, we will work tirelessly to align this nation with its highest ideals.
Signed,
Alliance for Youth Action
IfNotNow Movement
Justice Democrats
March for Our Lives Action Fund
NextGen America Student Action
Sunrise Movement
United We Dream Action
COVID-19 and Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers What Is the Evidence?
March 24, 2020
Ankit B. Patel, MD, PhD1; Ashish Verma, MBBS1
Author Affiliations Article Information
JAMA. Published online March 24, 2020. doi:10.1001/jama.2020.4812
https://jamanetwork.com/journals/jama/fullarticle/2763803
Coronavirus disease 2019 (COVID-19) is a current pandemic infection caused by a positive-sense RNA virus named the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The particularly infectious capacity of the virus, along with mortality rates ranging from 1% to above 5%, has raised concerns across the globe.1 Older patients with comorbid conditions including pulmonary disease, cardiac disease, kidney disease, diabetes, and hypertension have been associated with even higher mortality rates, suggesting particularly susceptible populations.
The increased mortality and morbidity of COVID-19 in patients with hypertension is an association that has been observed in a number of initial epidemiological studies outlining the characteristics of the COVID-19 epidemic in China. Wu et al2 found hypertension to have a hazard ratio of 1.70 for death and 1.82 for acute respiratory distress syndrome in 201 patients with COVID-19. Zhou et al3 found hypertension to have a hazard ratio of 3.05 for in-hospital mortality in 191 patients with COVID-19.
Neither of these studies2,3 adjusted for confounding variables and thus it remains unclear if this association is related to the pathogenesis of hypertension or another associated comorbidity or treatment. There has been a growing concern that this association with hypertension is confounded by treatment with specific antihypertensive medications: angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs).
The link with ACEIs and ARBs is because of the known association between angiotensin-converting enzyme 2 (ACE2) and SARS-CoV-2. ACE2 has been shown4 to be a co-receptor for viral entry for SARS-CoV-2 with increasing evidence that it has a protracted role in the pathogenesis of COVID-19. ACE2 has a broad expression pattern in the human body with strong expression noted in the gastrointestinal system, heart, and kidney with more recent data identifying expression of ACE2 in type II alveolar cells in the lungs. The concern that ACEIs and ARBs affect the severity and mortality of COVID-19 is 2-fold. One suggestion is that ACEIs could directly inhibit ACE2; however, ACE2 functions as a carboxypeptidase and is not inhibited by clinically prescribed ACEIs.5
In addition, there is concern that the use of ACEIs and ARBs will increase expression of ACE2 and increase patient susceptibility to viral host cell entry and propagation. There has been considerable evidence in animal models as well as some evidence in humans showing increased expression of ACE2 in the heart, brain, and even in urine after treatment with ARBs; however, there is limited evidence showing changes in serum or pulmonary ACE2 levels. More relevant, the significance of ACE2 expression on COVID-19 pathogenesis and mortality is not specifically known.
ACE2 primarily acts to counterbalance the effect of ACE. As ACE generates angiotensin II from angiotensin I, ACE2 generates angiotensin (1-7) from angiotensin II which, after binding to the Mas receptor broadly, shifts the balance from vasoconstriction with angiotensin II to vasodilation with Mas receptor activation in the effected vascular bed. The role this vasodilatory effect has in the pathogenesis of COVID-19 is unclear but some animal data suggest a link. ACE2 and angiotensin (1-7) have been found to be protective in a number of different lung injury models.
In an acid lung injury model in mice, ACE2 downregulation by SARS-CoV, the SARS virus responsible for the SARS outbreak in 2003, worsened lung injury that was improved by treatment with ARB. This suggested SARS-CoV exacerbates lung injury by decreasing ACE2 that is reversed by ARB treatment.6 Although these preclinical data suggest that increasing ACE2 expression can attenuate SARS-CoV-2–induced lung injury, there is no direct clinical evidence that has proven ACE2 to be an effective treatment for viral-induced lung injury. Of note, a preliminary trial of ACE2 infusion in 10 patients with acute respiratory distress syndrome was completed in humans but was not powered to show efficacy on pulmonary function.7 There is even less evidence to demonstrate that treatment with ACEIs or ARBs can decrease severity of pulmonary injury by SARS-CoV-2, though preclinical data suggest a potential mechanism of benefit.
Despite the lack of evidence, there have been advocates for both the use and cessation of ACEIs, ARBs, or both during the treatment for COVID-19 in patients with hypertension. This has prompted some individuals to solicit changes in their hypertensive medications and growing uncertainty from physicians on what should be done. Changes in antihypertensive medications would require patients to visit their pharmacy and possibly obtain blood work, which would increase their exposure and risk of infection. Antihypertensive medication changes between classes additionally require frequent dose adjustment and management of adverse effects and increases the risk of medical errors.
In response, the Council on Hypertension of the European Society of Cardiology made the following statement, “The Council on Hypertension strongly recommends that physicians and patients should continue treatment with their usual anti-hypertensive therapy because there is no clinical or scientific evidence to suggest that treatment with ACEIs or ARBs should be discontinued because of the COVID-19 infection.”8 This statement has been followed by similar statements from a number of different societies suggesting patients continue their current hypertensive medication regimen. On March 17, 2020, the American Heart Association, the Heart Failure Society of America, and the American College of Cardiology put out a joint statement advocating for patients to continue ACEIs and ARBs as prescribed and that changes in medications in the setting of COVID-19 should be completed only after careful assessment.9
There is insufficient clinical or scientific evidence to determine how to appropriately manage hypertension in the setting of COVID-19. As such, this provides an opportunity for the research community to better outline the renin-angiotensin system and specifically ACE2 in the pathogenesis of COVID-19 while clinical data are accumulated to determine if there is a link between the use of ACEIs, ARBs, or both and COVID-19 mortality and morbidity. Until more substantial data are available to guide decision-making one way or the other, physicians should be available to listen to patients’ concerns and provide reassuring advice about antihypertensive medications in the era of the COVID-19 pandemic.
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Article Information
Corresponding Author: Ankit B. Patel, MD, PhD, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115 (apatel38@bwh.harvard.edu).
Published Online: March 24, 2020. doi:10.1001/jama.2020.4812
Conflict of Interest Disclosures: None reported.
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Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648
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European Society of Cardiology. Position statement of the ESC Council on Hypertension on ACE-inhibitors and angiotensin receptor blockers. Published March 13, 2020. Accessed March 20, 2020. https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang
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American Heart Association. HFSA/ACC/AHA statement addresses concerns re: using RAAS antagonists in COVID-19. Accessed March 20, 2020. https://professional.heart.org/professional/ScienceNews/UCM_505836_HFSAACCAHA-statement-addresses-concerns-re-using-RAAS-antagonists-in-COVID-19.jsp
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