"e como que a experiência é a madre das cousas, por ela soubemos radicalmente a verdade" (Duarte Pacheco Pereira)
A Internacional
terça-feira, agosto 31, 2010
Africa News
Pakistan’s floods, partition and imperialist oppression
30 August 2010
quinta-feira, janeiro 14, 2010
People's World - 2010.01.14
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sexta-feira, outubro 02, 2009
The People's World - USCP
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We're back!
Oct01
Welcome - The People's World is launching its new website; yes, like the little engine that could, we are a daily again, in a bigger, better and more powerful format, reaching tens of thousands of readers through the ever-widening medium of the Internet.
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San Francisco hotel workers take to the streets
Sep29
by: Marilyn Bechtel
Hotel workers hold a militant and spirited march in San Francisco.
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Univ. of California community protests cutbacks
Sep27
by: Marilyn Bechtel
A statewide protest is rocking the California university system.
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Hotel workers stage sit-in at Hyatt
Sep26
by: John Wojcik
In one of the largest civil disobedience actions in recent history, some 200 Chicago and Indiana hospitality workers and supporters sent a message to hotel giants: We Are Not Afraid!
Unite-Here says: Sí se puede, yes we can!
Video: About 200 hospitality workers and supports arrested in Chicago civil disobedience. Park Hyatt Chicago, Sept. 24, 2009.
Astronaut: World has no borders, pass immigration reform
The time has come for immigration reform says astronaut.
Michael Moore's 'Capitalism' is labor of love for working America
On the year anniversary of the collapse of Lehman Brothers, filmmaker and slacker hero Michael Moore gave a gift to working America: an explanation of what happened.In short: capitalism happened.
Featured Writers
Right fails to stop jobless benefits extension
by: John Wojcik 2.Oct
The House votes to extend unemployment compensation.
Public option in better position after Senate vote, backers say
by: Susan Webb 2.Oct
After Senate Finance Committee vote, the fight for a public option has entered a new stage.
Union!
by: Elena Mora 20.Sep
Crystal Lee Sutton, the North Carolina textile worker played by Sally Fields in the 1975 movie "Norma Rae," has died of cancer.
The specter of big government? Get real
by: Sam Webb 23.Sep
Years ago Grover Norquist, a Washington insider of right wing pedigree, quipped: "I don't want to abolish government.
Events
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Oct03
Chicago: Campaign for better health care - AIDS run & walk :
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Oct03
Oakland: The struggle for health care, lessons from China, 1949 to now: Come join the Political Affairs readers group...
Oct04
Sacramento, Calif.: “Where is Labor Going?” Eyewitness account of AFL-CIO convention by PW editor Teresa Albano: “Where is Labor Going?” An eyewitness account...
More Events
quinta-feira, agosto 13, 2009
USA News - People's Weekly World
by Teresa Albano
Union families show anti-Obama rally 'what real Americans want'
Paul S. Kazocha
by Tony Pecinovsky
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Sea Stories and Other Dirty Lies, Movie Review: In the Loop
by Jim Lane, 08/09/09
Legislative leader to sue Calif. governor over cuts
by Marilyn Bechtel
Don't let right-wing 'astroturfers' scare Americans into silence
by Tony Pecinovsky
Economy on verge of new foreclosure crisis
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in People's Weekly World
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terça-feira, agosto 04, 2009
WORLDNOTES: European Union, South Korea, Occupied Territories, South Africa, Venezuela, Cuba
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European Union: Youth unemployment skyrockets
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The EU statistical agency Eurostat last week reported a first quarter hike in young worker unemployment to 18.3 percent, up 3.7 percent. In all, 5 million workers in 27 EU nations aged 15-24 are without work.
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Total unemployment rose 1.5 percent to 8.2 percent. Youth unemployment rose from 11 percent to 28.2 percent in Latvia, from 7.6 percent to 24.1 percent in Estonia and from 9.5 percent to 23.6 percent in Lithuania.
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Discrepancies between unemployed youth and total joblessness were greatest in Italy with 24.9 percent and 7.4 percent respectively and in Spain where comparable figures were 33.6 percent, Europe’s highest and 16.5 percent. Spain’s 789,000 unemployed youth and Great Britain’s 851,000 were tops in Europe.
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South Korea: Workers strike over news control
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The National Union of Media Workers launched a strike July 21 protesting legislation introduced by the ruling party six months ago that would facilitate newspaper corporations moving into television broadcasting.
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Critics say the rightwing government, under pretexts of job creation and market diversification, is working to keep news reporting in “safe” hands. Presently, they note, the evening television news often provides an antidote to the conservative offerings of morning newspapers. The opposition Democratic Party sees cross-ownership as potentially blocking its progressive agenda, reports Hankyoreh News.
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The Korean Confederation of Trade Unions initiated a strike on July 22 in solidarity with media workers and in support of workers at Ssangyong Motors, two months into a plant occupation.
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Occupied Territories: UN leader issues plea
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Referring to Israeli West Bank settlements, UN Secretary General Ban Ki-moon last week urged “Israel to commit fully to its obligations, including to freeze settlement activity and natural growth.” Press TV noted Palestinian determination to reject peace talks while settlement activities continue.
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New reports surfaced recently of Palestinian suffering at Israeli hands. On July 20, West Bank settlers burned down 350 olive trees near Burin in retaliation, according to the French news agency AFP, for removal of a “wildcat settlement.” The next day, the Israeli human rights group B’Tselem released a report verifying that most wastewater from Israeli West Bank and Jerusalem settlements goes untreated, threatening human health and the environment. B’Tselem cited “the rights of Palestinians to (clean) water and sanitation.”
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South Africa: President confronts disappointed hopes
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Protests have multiplied against lack of clean water and decent township housing. Police using rubber bullets arrested over 100 demonstrators recently. The BBC alluded to the impatience of a million people living in shacks, most without electricity or water.
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“We will have to wait a little longer for a significant increase in new job creation,” new President Jacob Zuma declared last week. Yet the gap between rich and poor has widened during 15 years of African National Congress rule.
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Business Day said Zuma would meet with teams working on “crisis response programs” and “take action against all who break the law.”
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The ANC Youth League called for governmental response to the protests and for leaders “to visit affected communities.”
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Venezuela: Poverty is down
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The National Statistics Institute (INE) reported recently that poverty declined between 2002 and 2008. “Extreme poverty,” represented by 752,649 Venezuelans without income or adequate housing, fell to 11.8 percent, down from 20.2 percent. Those poor because of sporadic income fell from 43 percent to 27.5 percent. Structural poverty, marked by lack of income or adequate housing, but not both, dropped from 30.6 percent in 2002 to 23.2 percent in 2008.
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INE director Elías Eljuri characterized the methodology his agency used as rigorous. Suggesting that social programs had contributed to the favorable trends, the report on Popular Tribune’s web site cited as an example children receiving meals at school, up from 300,000 a decade ago to 4.5 million children now.
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Cuba: Friendshipment arrives
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At a July 24 press conference in Havana, Rev. Lucius Walker, leader of the 20th Pastors for Peace Friendshipment Caravan, declared that most U.S. citizens oppose the U.S. blockade against Cuba. Accompanying Walker were 130 “solidarity ambassadors” who, according to the Granma newspaper, had worked to send 115 tons of U.S. humanitarian aid to Cuba. They purposefully defied U.S. regulations by not seeking permission to donate supplies or travel to Cuba.
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Walker called upon President Obama to apply his “concept of change” to normalizing U.S.-Cuba relations, returning the Guantanamo naval base to Cuba and liberating the jailed Cuban Five prisoners.
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En route to Cuba, the visitors had collected donated material at solidarity meetings in 140 U.S. cities.
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World Notes are compiled by W.T. Whitney Jr. (atwhit@roadrunner.com)
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in People's Weekly World
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Millions of unemployed need jobs or income now
“The right to work is the right to life.”
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-- American Federation of Labor Convention, Chicago, December 1893
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“Thus, because of the planlessness of the twenties, because of the lack of courageous action immediately following the collapse, the nation lost 105,000,000 man-years of production in the thirties.”
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-- Full Employment Act of 1945, Hearings, p. 1104
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Unemployment and underemployment are causing misery, homelessness, hunger, and fear in the lives of tens of millions of working class people and our families, devastating communities, and impacting people of color, particularly African-Americans, Latinos, and most of all Native Americans disproportionately.
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Those with money, the rich and the powerful, may find the masses of the unemployed an annoyance but, as Franklin Folsom writes in “Impatient Armies of the Poor: The Story of Collective Action of the Unemployed 1808-1942,” for the unemployed ourselves, leaving “a job means leaving a center and moving toward a periphery. It means leaving a collective pattern and entering formless isolation. Uniting under a boss or against a boss is a clear, understandable concept, but uniting against bosslessness is a very different matter.”
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For the unemployed, watching our meager bank accounts drain away, experiencing the loss, one by one, of those sustaining resources— electricity, telephone, home, car, food—that keep our children and our spouses and ourselves whole and active is like sitting in a room out of which the air is being pumped, and knowing that each breath leaves less of what we need to survive.
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In the midst of these challenges, community and collective struggle counteract the shame and fear that one may experience, and provide a path to expressing just demands for work or bread, jobs or income now. As 30 million unemployed and countless more underemployed working class people and our families struggle to survive today, it is urgent to demand that our society respond with aid that meets our needs and by providing work to all who want employment. The unemployed united, together with our allies, can fan with the breath of struggle the embers of hope that burn in our hearts.
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A storm of numbers: The working class needs jobs or income now
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Unemployment statistics are dispassionate reflections of a tsunami of economic pain rolling over the U.S. and global working class. It is important to hear the voices of millions of unemployed women, men, and youth asking for help behind the statistical recitation of percentages.
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The national unemployment rate of 9.7%, with all 50 states and the District of Columbia reporting year over year increases, is a numeric reflection of families unable to pay the bills for the basics: food, mortgage or rent, electricity, gasoline, heating oil, car loans, medical bills, and school or child care fees.
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El Centro, California, has 26.8% unemployment. California, Michigan, and Indiana all have regions with unemployment exceeding 15%.
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The official unemployment rate for African-Americans is almost double that of the national rate, with Black men’s unemployment at 16.4%; the Hispanic unemployment rate is 12.2%.
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The unemployment rate for youth 18-24 is a staggering 17.3%.
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Native Americans have the rates of highest unemployment, ranging from 50% to 90% in different regions.
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These rates are all “official” unemployment figures which vastly understate the real counts of the unemployed and ignore millions of the underemployed or the long term unemployed. Actual unemployment rates may be as much as double the official figures.
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Many of the unemployed have depending upon us for sustenance a spouse, children, partners, or aged or infirm relatives or friends. The unemployed are a vast uncounted mass struggling to survive.
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The phenomenon of unemployment is not limited to the United States. The International Labor Organization reported in January, “The global economic crisis is expected to lead to a dramatic increase in the number of people joining the ranks of the unemployed, working poor and those in vulnerable employment ... Global unemployment in 2009 could increase over 2007 by a range of 18 million to 30 million workers, and more than 50 million if the situation continues to deteriorate.”
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Highlighting the underlying crisis of overproduction which fuels this tsunami of unemployment, productivity in the United States rose 1.8% in Q1 2009, as hours worked fell faster than output. At the same time, real earnings fell by 1.2%. The masses of the unemployed did nothing to cause our joblessness, which results from cyclical and well documented capitalist overproduction; cycles which, along with political expediency, have been causing periodic mass unemployment since the early 1800s in the United States.
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Working women, men, and youth will benefit from joining together to demand our needs be met, whether in union committees, church groups, community organizations or national organizations.
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The AFL-CIO is calling for a second round of economic recovery programs, “The challenge of fixing this economic mess is enormous—and urgent. Creating good jobs that cannot be outsourced is central to the solution.”
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Their demands include:
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• Extend unemployment benefits immediately, by at least seven weeks, to help the hundreds of thousands of workers who would otherwise exhaust their benefits in the near term.
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• Increase food stamp spending as needed to help families cope with the downturn.
Increase aid to state and local governments.
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• Bolster the financial stability of independent government agencies such as the U.S. Postal Service.
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• Increase spending for needed infrastructure and clean energy projects, even for those projects with a time horizon longer than two years.
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The National Jobs for All Coalition is organizing a National Conference to Create Living-Wage Jobs For All, Meet Human Needs & Sustain the Environment in New York, Nov. 13-14. Further information is available at their web site, http://www.njfac.org.
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Providing work is a social responsibility. The current economic crisis has been impacting working families for over a year; high unemployment continues to take its toll. A social response is urgently required. The under- and unemployed united, with our allies, can fight to create the programs we need: jobs or income, and hope, now.
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Eric Brooks is a recently laid off high-tech worker living in Indiana.
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in People's Weekly World
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Civil rights struggle not over, Urban League activists say
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CHICAGO – Thousands of African American activists, business leaders, elected and appointed officials, youth and civil rights advocates are convened here during the National Urban League’s (NUL) conference to discuss fighting for personal and community empowerment during tough economic times.
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During his State of the Urban League keynote address, Marc Morial, the organization’s president and CEO, said there is much to celebrate in the African American community given the historic election of President Barack Obama. Speaking at the Apostolic Church of God here on the opening night, Morial reminded those in attendance, despite some progress, the struggle for civil rights is far from over.
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“As long as Black kids are denied the right to swim in a pool in Philadelphia; or our Equality Index continues to show big disparities in jobs, health care, housing and education that break down along the color line; as long as a Supreme Court nominee is vilified because of her gender or ethnicity; as long as a Harvard Professor is arrested in his own house, the fight for civil rights is not over,” said Morial. “But, even while we continue to fight these persistent battles of the 20th century, we must speak for every American – Black, white, Latino, Asian, Native American – who shares our vision of equality and justice for all.”
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“The Path to Power” was the main theme of the conference, featuring important topics such as: building leadership, tips on preventing foreclosure, making smart business investments, taking advantage of the new “green” economy, taking steps to be active in the 2010 Census, strengthening the American workforce and saving at-risk children from unwanted community violence.
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Established in 1910, the NUL is the nation’s oldest and largest community-based movement devoted to empowering African Americans as influential leaders in U.S. society, particularly in the economic and social mainstream. The group is based in New York City and spearheads the non-partisan efforts of over 100 local affiliates nationwide providing direct services to more than a million people through programs, advocacy and research. The Urban League looks to celebrate its 100th anniversary in 2010.
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One of the highlights at this year’s conference was speaker Vice-President Joe Biden who said the Urban League’s historic leadership and advocacy for economic and social justice is needed now, more than ever.
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Above all, Biden addressed the economic crisis and the Obama administration’s efforts in confronting the country’s most pressing challenges including the progress of the economic recovery act.
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“A lot of people are having a very hard time hanging on – white, Black, Hispanic, Asian – people who have found themselves struggling after an economic free fall,” said Biden. Unemployment continues to be unacceptably high and the harsh reality is that it’s the African American community that continues to be one of the hardest hit, he said.
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Due to the nature of the world economy the rate of unemployment lacks well behind the success of economic growth and will continue to do so for some time, said Biden.
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“Something big and significant had to be done,” noted Biden, referring to Obama’s economic recovery plan.
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Biden questioned those, many in the Republican Party and far-right conservative base, who feel Obama’s plan to fix the economic crisis is spending too much or only increases the role of the federal government in American life.
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“Some would like us to believe we are trying to do too much,” said Biden. “I argue how can we do any less?”
The economic recovery act had a purpose and was designed to help restore our economic health in three areas, “relief, recovery and reinvestment,” said Biden. “Too many distressed people were falling through the cracks and we had to act immediately,” he said.
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Biden noted many areas where the economic stimulus package, implemented by the Obama administration earlier this year, has benefited working families across the country.
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For example, Biden said: $ 4 billion went to expanding unemployment benefits; $6 billion went to lowering the costs of health insurance to those who recently lost their jobs; $20 billion went to expanding food stamps, helping to feed 30 million nationwide; $100 billion went toward education; $80 billion went toward states in order to preserve Medicaid services to $20 million people; and health care was extended to 11 million more children under the State Children’s Health Insurance Program.
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“We had to build a foundation for a new economy to keep families from falling into a deep black hole,” said Biden. In the last two major financial expansions too many middle class and low-income communities did not get their fair share, he added.
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Society made a deal in the 20th century that those who increase the production are entitled to a piece of the wealth, said Biden. “But, that didn’t happen,” he said.
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The health care system, energy efficiency and education all needed radical changes and we are laying the foundation to allow people a part of the action, said Biden.
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Biden stressed the importance of a new “green” economy and new jobs that support energy efficiency and home weatherization projects. The Obama administration hopes to train 500,000 people and put them back to work in these areas, he said. “We want to make jobs that cannot be deported,” said Biden.
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Such efforts will need the help of all Americans, said Biden, especially those residing in urban areas. “This is one of the most friendliest urban administrations in a long time and we cannot succeed if our urban areas do not,” said Biden.
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“We have to put people back to work and let them know it’s going to be okay,” added Biden. People out of work have the hardest job and are liable to lose their dignity in the process, said Biden.
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“I am absolutely positively certain that we will come out of this recession stronger,” he said. Despite inheriting the largest economic recession since the Great Depression, we’re beginning to move in the right direction, he said. The Obama administration is committed to a fair and equal footing for working people, so that the economy works for all Americans and that everybody has a shot, he said.
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Leslie Drish, director of education with the Chicago Urban League chapter told the World Biden’s words were encouraging and optimistic. Drish said she appreciated his reassuring remarks but understands much still needs to be done, especially addressing the unending issue of rising unemployment within the Black community.
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“People just don’t have the adequate information or resources about the opportunities presented by the Vice-President,” said Drish. Our mission at the Urban League is ensuring that people know these opportunities exist and are available, she said.
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Drish works with young African American students on the south side of Chicago and is constantly reminded about the economic disparities when it comes to daily life among urban youth.
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Access to quality resources, better funding for public education, and the unacceptable dropout rate among inner-city youth are some of the major problems she sees. The overall academic achievement gap and helping college bound students with funding is a major issue, she said.
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Lois Cooper is from Long Island, NY and works for a company called Adecco, which helps people find jobs, promotes career development and diversity in professional fields.
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Cooper was at the conference with her daughter. She said she was impressed with the overall turnout at the event and hopes to learn stronger ways in helping people land good jobs in her area.
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The conference has given her faith that when people from all walks of life come together and become collectively inspired – confronting the many challenges that lie ahead are much easier to overcome, she said.
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plozano@pww.org
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in People's Weekly World
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sexta-feira, julho 31, 2009
People Weekly's World: salário mínimo é insuficiente
Celeste Henderson é uma mãe que hoje em dia está no noticiário, mas apenas como estatística. Ela é um dos milhões de trabalhadores de baixa renda que são afetados pelo aumento do salário mínimo na próxima sexta-feira. O salário mínimo nacional será aumentado de US$ 6,55 para US$ 7,25 a hora.
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Por John Wojcik, para o People's Weekly World
Essa mãe solteira de 26 anos trabalha como garçonete, enquanto cria seu filho de três anos em uma casa onde também vivem sua mãe, pai e irmãos.
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Ela disse que chorou muito durante mais de um ano depois do nascimento de seu filho, em parte porque o pai da criança "não queria ver seu filho" e em parte porque "tenho de passar dias e noites no restaurante".
"Mas já deixei de chorar por causa disso", disse ao jornal do PC dos Estados Unidos, People Weekly's World, e "o aumento de salário já me fez sorrir de novo".
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O restaurante no qual trabalha Celeste está situado no centro da cidade de Topeka.
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"Sou garçonete e como não é um restaurante grande, não temos ajudantes que limpem e eu termino por fazer tudo sozinha", disse. "O pagamento não é muito bom, embora seja um pouco maior nos fins de semana, quando há pratos especiais, servidos em rodízio".
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Celeste explicou que o dono do local é cuidadoso e que ela ganha, além do salário, as gorgetas. Ela disse que o patrão paga os US$ 6,55 por hora garantidos pelo governo federal.
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Disse que se sentia "emocionada" pelo aumento, "por que sei que eu não vou chegar em casa com menos que US$ 7,25 a hora, para cada hora a mais que fizer também".
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Celeste diz que dá graças aos bons vizinhos de Meriden. Randy, seu filho, "conseguiu toda sua roupa e quase todos os seus brinquedos dados pelos vizinhos, cujos meninos que já cresceram bastante".
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"Tudo isso dá voltas na minha cabeça. Setenta centavos a mais por hora. Quem sabe agora conseguirei comprar alguma coisa. Me sinto muito envergonhada de não poder comprar até coisas pequenas para meu bebê".
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"Em alguns anos ele estará pronto para is à escola. Tomara que com este aumento eu consiga economizar um pouco para comprar o que ele precisar".
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"Eu gostaria de comprar um brinquedo novo para ele, que fosse especial, uma coisa que não tivesse sido usada. Já imaginou como ele ficará feliz?", pensa ela. Os economistas dizem que o poder de comprar um tal brinquedo "especial" por milhões de mães como Celeste Henderson poderia estimular um bocado a economia.
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Kai Filion, economista para o Instituto de Política Econômica, organização apoiada pelos sindicatos, diz que os aumentos no salário mínimo são "uma maneira política muito efetiva e simples que cumpre com ambos, ajudar as famílias que estão lutando para viver e a meta de criar empregos".
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"Aumentando a renda líquida que as pessoas obtém em seus empregos, os trabalhadores conseguem segurança econômica e a capacidade de poder comprar bens e serviços e, assim, criar empregos para outros americanos", assinalou Filion.
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O movimento sindical e os economistas progressistas apontam que, entretanto, até com um salário mínimo mais alto, os trabalhadores americanos ainda seguem perdendo.
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"Embora tenham um aumento no salário mínimo para US 7,25 a partir de amanhã para os 4,5 milhões de trabalhadores estadunidenses que ganham o mínimo", esse salário compra menos do que comprava há 30 anos, de acordo com Heidi Shierholz, outra economista do Instituto de Política Econômica.
O problema da baixa no salário real, isto é, o que alguém pode comprar com o que recebe, para a maioria da classe trabalhadora é um problema que os ricos não tem.
"A parcela do um por cento de cima da pirâmide está vivendo muito bem", de acordo com um relatório publicado pelo Instituto nesta semana. Os ricos "mais que duplicaram sua renda entre 1979 e 2006. A renda do um por cento dos mais ricos cresceu cerca de 23%, isto é, cresceu em média US$ 1,3 milhões por cada lar".
A AFL-CIO reportou que os chefes das corporações receberam quase US$ 2, 1 bilhões dos US$ 6,4 que todo mundo recebeu em salários pagos no país durante o ano de 2007. Isso não inclui o valor de ações e outros benefícios que essas pessoas tem.
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"A classe trabalhadora dos Estados Unidos mostrou em novembro do ano passado que, resolutamente, quer uma mudança", disse a federação sindical em um comunicado, "temos de refazer o marco da nação para fortalecer a classe média e acabar com a desigualdade de renda entre os de cima e o resto de nós é algo fundamental para fazer essas mudanças".
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Atualmente muitos estados estão tratando de aumentar o salário mínimo. Como exemplo, o Partido Democrata de Michigan declarou esta semana que estão considerando uma iniciativa para aumentar o salário mínimo por meio de um referendo, onde os eleitores decidirão se aumentarão o salário mínimo no Estado de US$ 7,40 para US$ 10 a hora.
quinta-feira, julho 16, 2009
Peace, health care and Cuba
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At ceremonies in Maine last year, a bridge over the Androscoggin River joining Lewiston and Auburn cities was renamed the “Bernard Lown Peace Bridge.” Lown attended Lewiston High School after emigrating from Lithuania with his parents at age 13.
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Health care for all preserves life, too. That notion has apparently been part of Lown’s work for peace, at least as indicated by his exchange with Christopher Lydon displayed Jan. 10 on the latter’s radioopensource.org web site. Lown was responding to Lydon’s unplanned interview with three U.S. women attending Cuba’s Latin American School of Medicine. Their comments on health care and medical education appeared on the web site.
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Established in 1998, the Latin American School of Medicine graduates 1,500 new physicians every year. Students come from almost 30 countries for a six-year, no-cost course of medical study preparing them to deliver health care where they are needed, in their own countries.
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“That is one of the things [the Cubans] got right on the nose,” said Keasha Guerrier, “medicine with a community base in training and practice. The people who instituted this program,” she continued, “saw how it works in Cuba … and they compared Cuba’s situation to countries in Central and South America or third world countries, Africa, Haiti. And they saw how they can make a difference. Here, you do a lot with a little bit … What they are trying to teach us is that you don’t have to be confined to working for a paycheck. But using all the things that you know, you can help a broad base of people. In that respect, I think that the intentions are pure.”
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Kereese Gayle grew up in Louisiana and Florida. “We’re here at a very important time in the history of the world,” she said. “We’re getting the type of education that I think people are looking for. More and more people are thinking very seriously about the idea of universal health care, about the idea of rights for everyone to basic access to health care. I think we’re going to be a huge part of that.
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“We learn how to diagnose our patients with our hands, our ears, our eyes more so than with technology ― X-Rays, CT scans ― because you don’t end up doing those kind of really costly labs as often here,” Gayle said. “So we definitely have that as an advantage … We learn how to interview our patients thoroughly and how to do a really thorough physical exam and do it well, and be comfortable with that … Doctors here not only do house visits but they go into homes: they have a form that you fill out to check off what risk factors the person has [in their home].”
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“Here, as someone’s primary physician, you can see not only the physical medical aspects but the psychological medical aspects as well,” she added. “Do you feel tension the minute you walk into the room? Are people in a mentally healthy environment, or do we need to get [them] to a psychologist? There are so many advantages to the system that we can take back and apply to the communities where we live.”
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Akua Brown observed, “The education system here is excellent; there is very little homelessness. Everyone has a right to free health care … up to the most specialized needs. Neurosurgery, open heart surgery, cost nothing to the people. And the fact that a government with so little financial resources is able to do this says that the United States can do so much more … And without the debt that most medical students graduate with, we won’t be afraid to start our own projects and programs without necessarily needing the money to pay back the loans and the things hanging over our heads.”
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Commenting to Lydon on the students’ ideas and experiences, Lown e-mailed, “I have been to Cuba six times and learned much about doctoring in Cuba. Their thinking on social determinants of health, on the primacy of public health and the vital role of prevention strategies are unmatched in the world. With spending of less than $200 per person per year for health care, they have achieved health outcomes no different than in the USA where expenditures now exceed $7,000 per person annually!”
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“These young articulate women got the essence, Lown continued. “If impoverished Cuba can provide first-class health care for its people so can other developing countries. Perhaps it is even possible for rich USA, if only it ceases viewing medicine as a marketable commodity.”
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Lown was impressed with “how much hidden talent and bursting idealism exists in this country. It was a mere accident that Keesha Guerrier, Kereese Gayle and Akua Brown discovered the possibility of gaining a medical education without burdensome expense.
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“For me very striking was the difference between fourth-year American med students and the Black women you interviewed. By the time students here reach the end of med school, their idealism is largely tarnished. This is shown in a concrete way. Nearly none wish to enter primary care. The preferred choices are dermatology, ophthalmology, orthopedic surgery and cardiology. These are astronomic money-making specialties. For example, in cardiology the starting salary is about $400,000 annually.
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“It would be interesting to repeat the interview after these young doctors return to the USA. How do they uphold their intense idealism against the tsunami force buffeting of market medicine?
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The principles and purposes of health care outlined by Lown and the medical students gain special relevance during the current struggle over health care change in the United States. They are suggesting that health care as a human right will never be realized under health care systems mediated through profiteers.
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When resources are divided between people needing care and the unbridled demands of wheelers and dealers, the outcome is clear. The poor and unfortunate will be abandoned, or left to the mercies of second-class modes of care, short on funding and long on patronizing attitudes.
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Where resources and services are allotted strictly according to people’s needs, as in Cuba, provider loyalties are undivided, their principles preserved, and an arena of peace created.
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atwhit@roadrunner.com
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