Sunday, December 15, 2024

 

Rameshwari Nehru: A Towering Feminist Figure of Late 19th Century India



Rishav Sharma 




On her 138th birth anniversary on December 10, her crusade for equal rights of women in inheritance and equal standing in marriage laws with equal rights to work, are worth recalling.

Photo taken at the reception at Delhi Gymkhana Club on October 23, 1951, held by the National Council of Women in India and various other womenâs Organizations in Delhi, in honour of the wife of the Burmese Prime Minister, Madame Nu, shows Shrimati Rameshwari Nehru welcoming the distinghished guest (left with the child) on behalf of the women of Delhi. Image Courtesy: Flickr


From her father’s patriarchal and conservative admonition that “a woman must be a good cook and should never let the bread burn on the tawa”, who was a victim of the purdah custom, to becoming an internationalist and a rationalist. Rameshwari Nehru was a towering feminist figure of the late 19th century and founded the Prayag Mahila Samiti in Allahabad and its mouthpiece which became India’s first Hindi vernacular women’s monthly journal Stree Darpan in 1909. The journal was discontinued in June 1928 and saw its revival in 2022.

Nehru amplified women’s voices in a deeply patriarchal society. Despite never having formal schooling, she nurtured her intellect through rationality and unyielding determination for the cause of liberation. Her work extended beyond borders, earning her laurels like the Padma Bhushan in 1955 and the Lenin Peace Prize in 1961 for her contributions as a social reformer. She stands tall as an enduring symbol leaving an indelible mark on the feminist history of India as a transformative power of courage and intellect.

Rameshwari Nehru was the President of the Delhi Women’s Conference in 1926, the only Indian woman in the government of India—Age of Consent Committee in 1928, the President of Children Aid in 1940, and the President of the All-India Women’s Conference in 1940.

As an internationalist, she was elected the Chairman of Committee of the Women’s Committee of the Commonwealth of India League, she represented India in international fora, such as the League of Nations in 1924, the World Women’s Congress in Copenhagen and the Afro-Asian Women’s Conference in Cairo in 1961 in the podium.  

Indian history bears stark testimony to the epistemic injustice that has long fuelled prejudice and discrimination against women, a reality that persists even in post-colonial India. A century ago, when society had been deeply ingrained in inequalities Stree Darpan was a bold departure from the conservative societal norms, giving a counter-narrative for social transformation.

To provide context to how deeply patriarchy was entrenched in the society, the only Indian woman in the Age of Consent Committee was named Mrs Brij Lal Nehru (husband of Rameshwari Nehru). Rameshwari Nehru had taken the pen to disrupt centuries of systematic injustice. The call for reforms through the journal was an audacious act in an era when the colonial regime viewed free speech as a threat. As M.D. Chalmers infamously said while reinstating sedition laws in 1897, “Language may be tolerated in England, which it is unsafe to tolerate in India” likening free expression in the colony to smoking a cigar near a gunpowder room.

The fight for women’s emancipation was so radical in its time that even Motilal Nehru, father-in-law of Rameshwari Nehru, once cautioned about the articles in Stree Darpan, saying, “Just make sure you are not inviting any police search at Anand Bhawan.”

The women's movement was seen as an oddity to the patriarchal status quo. The movement for equality was seen as a “mental illness” afflicting the West and India is immune to such notions because “Indian women are traditionally under their parent’s control and docile” republished in Stree Darpan from Arya Prabha – September 1910.

Rameshwari Nehru stood steadfastly for equal rights of women in inheritance and equal standing in marriage laws with equal rights to work. She criticised the unequal practice of Hindu marriage which was upheld as a sacramental vow but only for women. She said marriage has lost its sanctity as it “binds women and leaves men absolutely free”. The plight of widows, especially young widows, who are condemned to lifelong widowhood enforced by society was “no less than slavery”.

As a solution, she observed monogamous marriages as the ideal for society and strongly advocated for legal provisions ensuring maintenance for divorced women. In her sharp critique of societal hypocrisy, she wrote “We judge the right and wrong of actions not according to the merits of the case but according to the sex of the agent.”

Rameshwari Nehru’s relentless advocacy for women’s rights shaped pivotal legal reforms, challenging entrenched gender biases across decades. She critiqued the Government of India Act of 1935, for limiting the franchise to married women. Her influence extended to Section 6 of the Hindu Minority and Guardianship Act of 1956, which recognised mothers as natural guardians in case of separation, to the Hindu Succession Amendment Act, of 2005, which after the dawn of the 21st Century finally gave coparcenary rights to the daughters by birth. Her vision for social justice for women was instrumental, she ardently supported the Hindu Code Bill, in her words “While our laws are rigid, social conditions are putrid. It is to save these victims of social tyranny that the law is sought to be changed”.

The Child Marriage Restraint Act of 1929 bore the legacy of Rameshwari Nehru’s vision. She had fearlessly taken to task the conservative pandits and mullahs for their irrationality in propagating child marriage since nothing can be traced either in the Vedic scriptures or the Quran which propagated child marriage.

Rameshwari Nehru believed that some form of injustice prevailed in every society, but untouchability was the worst form of prejudice peculiar to India. Even gods were the victims since not all castes had the privilege to access gods equally. The temple entry campaign in Tamil Nadu in 1939 affirmed her belief that the only power to weed out the worst form of injustice was the will of the masses.

Rameshwari Nehru’s vision of Pan-Asian collaboration emphasised shared cultural and historical ties. Her activism towards peace, anti-trafficking, and disarmament was a leading initiative under the Indo-Soviet Cultural Society and All India Peace Council. She believed a strong Pan-Asia cooperation would be instrumental in combating the trafficking of women.

As the Chairman of the editorial board of ‘The Asia Africa Review’, she held a strong stance on disarmament and neutrality of India amid the rising tension post the Second World War. On the weapon of mass destruction, she wrote “This discovery has robbed humanity of all security of life, men and women belonging to all countries without distinction of national boundaries, colour or creed, are living in constant dread of annihilation not of life alone, but of all they value and hold dear.”

The idea of India would be incomplete without recognising the contributions of women who shaped its identity. Rameshwari Nehru, a Gandhian and Socialist, belonged to the generation that envisioned India through the lens of Swaraj (self-rule), which gave the Indian Constitution its indigenous identity. For her, Swaraj was more than political freedom, it was a moral and social commitment rooted in Ahimsa (non-violence), advocating dignity and justice, irrespective of the consequence without yielding to hatred, even towards the oppressors.

Her unwavering resolve embodied the essence of just resistance, leaving a legacy ingrained in the Constitution. She envisaged a Constitution where there was no difference between men and women. The manifestation of a society that would be premised on “liberty, fraternity and equality and the future constitution of such a society will be based on love, truth, beauty and wisdom.”

Rameshwari Nehru admired the USSR (Union of Soviet Socialist Republics) for its national planning and for granting women the greatest amount of share in the administration. Speaking to The Indian Express, she highlighted how India could draw inspiration from aspects of Soviet life, aligning with Lenin’s belief that “you cannot draw the masses into politics without drawing in the women.”

In her unique fervour, she declared “Swaraj cannot be attained by people whose other halves are stricken by paralysis …. The battle of Swaraj has to be fought and won by men and women alike”.

Rameshwari Nehru’s legacy as the foremother of the Indian Republic has a lesson for the future generations. Addressing the future generation, she wrote, “The work of preparing India for the new life is yours. Do all you can to make it a mighty united nation living a righteous life of amity and goodwill, at perfect peace with one another, an example of solidarity for others to follow.”

The writer is a legal practitioner based in Delhi. The views are personal.

 

Outrage Mounts Following Acquittal of ex-marine Who Strangled Black Youth to Death in NYC


Natalia Marques 


Grassroots organizations respond to acquittal of killer of Jordan Neely, a Black homeless man experiencing a mental health crisis.



Demonstrators march in NYC following killing of Jordan Neely in May of 2023 (Photo: Vincent Tsai)

Daniel Penny, who killed Jordan Neely in a crowded New York City subway car on May 1, 2023, has been found not guilty of both manslaughter and the lesser charge of criminally negligent homicide. That day, Daniel Penny put Neely in a chokehold for six minutes and ultimately killed him, according to a New York City medical examiner. 

Penny’s violent action against Neely was in response to his verbal outburst in a subway car they were both riding on. Neely, who was homeless at the time, had been experiencing a mental health crisis, shouting that  “I don’t have food, I don’t have a drink, I’m fed up. I don’t mind going to jail and getting life in prison. I’m ready to die.” Some witnesses report feeling threatened by Neely’s outbursts, while one reported that they had witnessed similar outbursts on public transit, and Juan Alberto Vázquez, a freelance journalist who witnessed the incident, claimed that Neely had not physically assaulted anyone. 

Neely’s killing sparked a strong response from both conservative and progressive sectors in the United States. 

Right-wing media and political figures quickly rallied around and uplifted Penny, a 26-year-old Marine veteran, as a vigilante hero, from the moment of his arrest. Following Penny’s arrest in May of 2023, some Republican presidential candidates at the time rushed to his defense, with then-candidate Vivek Ramaswamy, now Trump’s pick to head the new Department of Government Efficiency with Elon Musk, donated USD 10,000 to Penny’s defense fund, saying he did so in order to “restore the rule of law in America.” Sitting Governors of Florida Ron DeSantis, also a Republican presidential hopeful at the time, also encouraged donations to Penny’s defense, claiming that “America’s got his back.” Donald Trump, who would go on to win the Republican nomination and later the presidency, claimed that Penny “was in great danger and the other people in the [subway] car were in great danger.”

From May of 2023 until now, a right-wing narrative has emerged that Penny is a “hero,” seeking to save vulnerable New Yorkers from a dangerous homeless man. 

Following Penny’s acquittal, several conservatives have called for some form of consequences against city officials who attempted to hold Penny accountable for Neely’s killing. These include Conservative New York City Councilwoman Vickie Paladino, who has urged the incoming Trump administration to launch an investigation against the Manhattan District Attorney’s Office for bringing charges against Penny, as well as Senator Ted Cruz, who has said that Penny should sue DA Alvin Bragg for “malicious prosecution.”

At the time of Neely’s death, grassroots and left-wing organizations, as well as hundreds of working class New Yorkers, led protests throughout the city. Some of these protests took place within the subway system, some spontaneously protesting directly on the train tracks of the subway, shutting down parts of the New York City transit system. 

Since Penny’s acquittal in recent days, grassroots and left-wing responded with outrage at the verdict, highlighting the racist nature of Neely’s killing as well as the lack of social services that led to his homelessness and struggles with mental illness. 

“Daniel Penny was never a hero. Daniel Penny is a murderer,” Kerbie Joseph, a longtime anti-police brutality activist and organizer with the Party for Socialism and Liberation (PSL), told Peoples Dispatch. “If we want to protect New Yorkers from violence, then we need to provide New Yorkers with the things that they need systemically to be free from all forms of violence, including poverty.” Right after Neely was killed, the PSL was one of many organizations that led protests demanding that charges be brought against Penny.

“The system failed Jordan” 

Neely’s death, as well as the subsequent arrest, indictment, and acquittal of his killer, has drawn attention to the lack of social services and affordable housing available to New York City residents—despite the city being a beacon of concentrated wealth and having the most billionaires of any city in the world. In the days following Neely’s death, his final words were chanted throughout the city’s streets as an experience shared by many New Yorkers: “I don’t have food, I don’t have a drink, I’m fed up.”

At the time of his killing, Neely was on the city’s Department of Homeless Services’ list of the 50 most at-risk people living on city’s streets. This was the same department that NYC Mayor Eric Adams had severely defunded in 2022, slashing 20% of its entire budget. 

Beyond inadequate homeless services, it has become increasingly impossible for working people to afford housing in New York City. It is no coincidence that the cities with the highest housing costs, including New York, experience some of the highest rates of homelessness—the number one causes of homelessness being insufficient income and lack of affordable housing, according to the National Law Center on Homelessness and Poverty.

Landlords in New York City have seen increased profits through skyrocketing rents, which are continuously growing faster than the wages of most New Yorkers. The few protections that tenants do have in the city, such as rent stabilization which keeps rent affordable for millions of tenants, is currently under attack by landlords who have attempted to dismantle the provision in court.

Meanwhile, landlords have taken to the courts in a failed attempt to dismantle rent stabilization in the city, one of the last regulations keeping rent somewhat affordable for millions of tenants. 

“Electeds are taking deals from developers that definitely do not represent the gross income of their constituents in their neighborhoods,” Joseph said. “Evictions are some of the leading causes of homelessness which impact Black and Brown people every day within New York City.” 

“The system failed Jordan, because it never provided him with the housing that he needed, never provided him with the resources that he needed,” Joseph said.

“Jordan Neely needed FOOD, CLOTHING, SHELTER, AND HEALTHCARE… basic human rights,” stated the December 12th Movement, a Black human rights organization based in New York City. “Instead he received a death sentence by a deranged ex-Marine who took it upon himself to play judge, jury, and executioner.”

“Governor Hochul and [New York City] Mayor Adams have made it more dangerous for people experiencing homelessness, especially those from marginalized communities,” said Neil Berry, a leader with VOCAL-NY, a grassroots organization within New York state. “They enacted policies that—instead of addressing the root causes of these issues—scapegoated and stigmatized people with mental health complexities, automatically assuming they plan to do harm to others when in reality, they are more likely to be victims of violence.”

Courtesy: Peoples Dispatch

 

India’s Only Albino Crocodile in Forced Spinsterhood Since Past 40 Years



    Gori, the crocodile, is spending her life virtually in incarceration in a small pond inside Bhitarkanika National Park.

This is the touching tale of an albino female crocodile in incarceration in a small pond inside the Bhitarkanika National Park for over 40 years. Her fate has been hanging in balance between freedom and confinement as the Odisha forest department authorities so far have not been able to release her into the natural tidal creek flowing through the park.

Forty-year-old 'Gori', India's only female albino captive white crocodile, was to be released into the wild to enable her to adapt to the natural environment where she could have found a mate.  This was stated way back in 2014 by the state forest department authorities.

Ironically, that was one among many such statements made by the forest authorities in the past many years, as the crocodile (Gori (fair) has been named so because of her skin colour) is still in the pond, perhaps in contravention to any rules of wildlife conservation.




The pond Gori stays in has been slightly refurbished with small outlets connecting with natural water bodies so that she can enter the natural water bodies. But this did not bring any relief to her other than giving her some more space on the peripheries or a little feel of the natural ambience.

Many years have passed since then and Gori still in her original pond, may be due to her homing instinct. Which is the natural instinct of any animal.

Forest authorities would have us believe that a few attempts in the past to release a male crocodile in her pond had resulted in fights as Gori may not have brooked any outsider as her inmate in ‘her’ pond. It is also stated that fights among them (male partners) could be more damaging for the reptile.

Rather, experts believe that such attempts should have been made long ago to allow Gori to adapt to any other crocodile as a breeding partner. 

This was considerably delayed, ending up in making Gori a specimen for tourists and publicity.  

“The proposal to set free the reptile had been contemplated in the past. But it was shelved after wildlife experts expressed apprehension that the species in the wild might assault Gori,” said a forest official on the condition of anonymity.

"As its habitat has been given a natural ambience, the reptile now can freely move to nearby water bodies and water-inlets. It is slowly adapting itself to natural environments," said another park staff, requesting anonymity.



However, the decision to set Gori free has been taken by the Bhitarkanika National Park authorities, say sources. "The department has conducted an experiment with 'Hyderabadi', another captive crocodile inside the park, which is roughly the same age as Gori,” L K Purohit, wildlife expert and former forest officer, told this writer. 

Hyderabadi was released to the wild and has adapted to the wild environs. It is coming back to the closed enclosure for basking.

The other crocodiles in the creeks have not caused any harm to Hyderabadi, which is free in its movements to and fro from the natural creek and her pond.

“Then why has Gori not been released is still a big question before the authorities?” said Purohit.

The rare eight-feet long reptile has been virtually caged in a pen inside the Dangmal Crocodile Research Centre in the Bhitarkanika National Park for the past 40 years since its birth in 1975. She eats 2 kg crabs and fishes every day.

The authorities, however, claim, “We are optimistic that Gori may also adapt to the wild environment once it is released from the pen”.

The pond in which Gori lives does not have enough flat mud where she can bask in the winter sun, which is an essential exercise by these reptiles to virtually recharge their energy.

On occasions, the albino species has been sighted attacking male partners. Otherwise, it is mostly docile in nature, while the other captive croc Hyderabadi has often been found aggressive, officials had said earlier.

The question now is, when will Gori breathe freedom, or will it continue to lead a claustrophobic life? 

The writer is a freelancer based in Odisha.



 

REVIEW: A Compelling Summary of Marx’s 3 Volumes of 'Capital'



Sumit Dahiya 



The book, Reading Capital to Smash Capitalism is a good introduction to Marxist economics, especially for those who feel there is something seriously wrong with the world.

A few years ago, David Harvey, one of the world’s foremost Marxist scholars declared that ‘capitalism is too big to fail’. I want to add: capitalism is too disastrous to be continued. Vijay Prashad, E. Ahmet Tonak, Olivia C. Pires, Chris Caruso, and Emiliano Lopez have given a gift to young radicals in the shape of their book, Reading Capital to Smash Capitalism, that offers a compelling summary of Marx’s three volumes of Capital. Daunting as the tomes are, the authors have simplified the concepts and ideas well in 10 neat chapters.

The first chapter ‘Capital and Historical Materialism’ by Prashad provides a snapshot into the historical materialist method. The term was not used by Marx but was popularised by Georgi Plekhanov, a Russian Marxist whom Lenin once referred to as ‘the Pope of Marxism.’ Often derided as an economistic/economic deterministic schema by liberals and conservative intellectuals, historical materialism is a holistic method to observe, and dissect social phenomena.

A historical materialist lens sees the social phenomenon as an ensemble of social relations predicated upon the mode of production existing at a particular moment in history. The level of technique i.e., the forces of production engender their relations of production i.e., classes. So, under feudalism, we will have a class of feudal lords pitched against the serfs, under slavery, we will have masters pitched against the slaves, and under capitalism we will have capitalists pitched against the workers. In all such circumstances, the former will constitute a demographic minority and the latter group represents the major mass of the society. And the machination(s) to pump the surplus out is what constitutes the legal-social-cultural superstructure of the society. 

The impetus for change, Prashad writes, “will come from the struggle between the productive forces which are themselves shaped by human beings, and the organization of society into classes, which are again shaped by human beings” (pg. 19).

The mutability of capitalism arises from this very fact that “it is not a permanent condition”. It is but “one more social formation in a long process of social development which like the preceding ones (slavery and feudalism) could be superseded”.

As a clarificatory addendum, I would want to add that at no time does the advance of capitalistic social relations cleanse society of pre-capitalist forms of bondage. For instance, 19th and early 20th century capitalist America witnessed slavery and a century of reconstruction that was marked by absolute social disability of the Blacks. India, too, is host to forms of oppressive social relations, chiefly the caste system.

What capitalism does is that its “uneven and combined development’ creates unique and mixed social amalgamations that feed capital accumulation. An example of this is a Dalit agricultural labourer who works on capitalist farms for a dismal wage. Indian tea and coffee plantations are the best examples of such oppression. The informal sector, which constitutes 93% of India’s economy has a Dalit workforce of 84% as compared to 54% from the upper/dominant castes. The average daily earnings of Dalits in the informal sector were Rs. 269, for the upper/dominant castes, it was Rs. 357 whilst the national average stood at Rs. 315, according to the government of India’s periodic labour force survey of 2018-19.

E. Ahmet Tonak in his chapter ‘Marx’s Interest in Political Economy’ traces the history and plan of Capital, as envisaged by Marx. Tonak also provides a small survey of Marx’s dialectical method. He shows that to offer a holistic understanding of capitalism, Marx rose from the abstract to the concrete instead of the other way round which is typical of the positivistic/empiricist method. Marx himself pointed to the follies of the latter method when he wrote ‘‘It seems to be correct, to begin with, the real and the concrete, with the real precondition, thus to begin, in economics, with E.g. the population, which is the foundation and the subject of the entire social act of production. However, on closer examination, this proves false. The population is an abstraction if I leave out, for example, the classes of which it is composed. These classes in turn are an empty phrase if I am not familiar with the elements on which they rest. E.g. wage labor, capital, etc. These latter in turn presuppose exchange, division of labor, prices, etc.’’ In Capital Vol-1, Marx starts his probing of capitalism/capitalist wealth, as marked by “an immense accumulation of commodities”. The abstract category of a commodity is deduced from the directly observable and concrete ‘wealth’ (pg. 37).

Olivia Pires’s chapter ‘Commodities and Exchange’ serves as a solid complement to Tonak’s chapter. Pires shows that commodities carry a dual nature, use value and exchange value. Under capitalism, the latter usurps the former. And during this process of exchange in the market, the surplus is pocketed by the seller who is the capitalist, and not the labourer who produced the commodity. This fact was elided by both Smith and Ricardo.

The labour theory of value offered by Ricardo states that the value of a commodity depends on the amount of labour time spent while producing it. Marx added that the source of value under capitalism i.e., labour power, itself becomes a commodity that is bought by the capitalist at a value less than the value the labourer creates for the capitalist.

Pires then notes that the realisation of surplus value/profits happens in the form of money--the universal representative of wealth. The state arrogates itself to the function(s) of managing money in various forms. Private capital increasingly depends on the state to provide credit and expand public debt. This dependence, at its extreme, takes the shape of colonialism and imperialism. The current conjuncture is marked by a phase of imperialism wherein the American dollar dominates the world. The domination makes it impossible for the currencies of the Global South to perform their three functions: means of circulation, unit of measure, and reserve of value (pg 51). For international transactions, they remain dependent on the dollar. The fight against imperialism involves the fight against the global monetary hegemony of the dollar.

In his chapter ‘Money-Capital-Labour Power’, Chris Caruso reiterates Marx’s classic formula of M-C-M. Caruso shows that the general assumption of classical political economists that circulation was an exchange of equivalent values is flawed because they failed to account for that one commodity that enriches the capitalist-labour power. In Chapter 6 of Capital titled ‘The Sale and Purchase of Labour Power’ Marx shows that the capitalist, in the sphere of circulation, finds labour power in the form of commodity ‘whose use-value possesses the peculiar property of being a source of value’ (pg 58). Through a cunning transaction, the capitalist pays only that much for the worker who sells his/her labour power to reproduce himself/herself at work or ‘for the socially necessary labour time it takes to reproduce that labour power’. At the same time, writes Caruso, ‘the capitalists can expect to take maximum advantage of the use-value provided by our labour power by having us work in the production process in order to create more value than it costs them in terms of exchange value’ (pg 60).

Through his two chapters on absolute and relative surplus value, Emiliano Lopez draws our attention toward how surplus is extracted by lengthening the workday of labourer and technical improvements. Absolute surplus value was the hallmark of earlier phases of capitalism wherein due to lack of technique workers made to work hard to the point that it damaged their bodies.

Sven Beckert in his book Empire of Cotton told the story of Ellen Hootton, a 10-year-old girl who was brought to depose before the His Majesty’s Factory Commission in 1833 on the dismal working conditions in cotton factories. Hootton said when she joined the factory at the age of seven, the work day would start at 5:30 a.m and end at 8:00 p.m. The global working class has succeeded, albeit partially, in winning the eight-hour workday. The inauguration of neo-liberalism has turned the clock back. Capital has found new destinations in the Global South wherein most of the work has been shifted and the workers are exploited to the brink.

One of the biggest questions before the mainstream pro-market economists is what could be done to save the world from the depredations of capitalism. To this, they have no formidable answer. Problems of the Global South are much more acute when compared to the Global North. The dominance of financialised neo-liberal capitalism has destroyed a huge mass of petty producers in our lands. Unlike the Global North, we do not have options to migrate to settler colonies. And capitalism does not have an immanent tendency to absorb the bulk of the petty producers that it displaces. The only option left before us then is to de-link from globalisation (on our terms) and challenge the might of neo-liberal capitalism head-on. Such politics of emancipation necessitates the reading of Marx’s Capital.

Reading Capital to Smash Capitalism. Ed. Vijay Prashad et.al. LeftWord. New Delhi. 2024. pp:  134. Paperback: Rs. 250. 

 

The writer is Assistant Professor, Government College for Girls, Gurugram, Haryana. The views are personal.

US Healthcare Majors Reap Profit From Human Misery


Natalia Marques 



Slain health CEO Brian Thompson’s tenure was marked by skyrocketing prior authorization denials, leading to increased profits.













Brian Thompson, slain CEO of UnitedHealthcare, was responsible for skyrocketing prior authorization denials (Photo: UnitedHealthcare)

The assassination of UnitedHealthcare CEO Brian Thompson on December 4 has sparked a reaction that few may have suspected. The perpetrator has received an outpouring of popular support, and a profound debate on the brutality of the US for-profit healthcare system has been sparked, with many accusing healthcare corporations of reaping their profits directly from human misery.

Thompson was shot and killed while heading to an investors meeting in Midtown Manhattan on December 4. Police have arrested 26-year-old Luigi Mangione in connection with the crime, who quickly has become a working class hero in the eyes of many in the US public, especially after his alleged manifesto revealed that he was motivated by outrage towards healthcare corporations. “A reminder: the US has the #1 most expensive healthcare system in the world, yet we rank roughly #42 in life expectancy,” reads the alleged manifesto, which law enforcement claim to have found in his backpack. “It is not an issue of awareness at this point, but clearly power games at play. Evidently I am the first to face it with such brutal honesty.”

The reactions to Thompson’s death show that this outrage is echoed by the US public. UnitedHealthcare had to remove a Facebook post mourning Thompson after it received over 42,000 laughing reactions. Comments on social media regarding Thompson’s death made insurance-related quips including “unfortunately my condolences are out-of-network,” and “thoughts and deductibles to the family.”

Health beyond the for-profit system

People in the US are increasingly demanding alternatives to the present for-profit healthcare system. A Gallup poll taken shortly before Thompson’s assassination shows that the highest percentage of US adults in over a decade believe it is the government’s responsibility to ensure that people have healthcare coverage—62%, as opposed to 36% who insist it is not the government’s responsibility. Gallup data also indicates that most in the US have a negative view of the healthcare industry. 

Data for Progress polling indicates that people across the political spectrum support policies that make healthcare more equitable, with 75% of both Democrat, Republican, and independent voters opposing allowing insurers to deny coverage or charge more based on pre-existing conditions. Also across party lines, 70% of voters oppose stopping Medicare (US public insurance) from being able to negotiate lower costs for drug prices.

The unpopularity of the healthcare insurance industry becomes obvious when one examines how exactly insurance companies wield their power over the healthcare system to extract profits from working people. 

Cost cutting through denial of service

Shortly before Thompson’s killing, another insurance corporation, Anthem Blue Cross Blue Shield, announced that it would not pay for the complete duration of anesthesia for surgical procedures. This move was denounced by the American Society of Anesthesiologists (ASA). “This is just the latest in a long line of appalling behavior by commercial health insurers looking to drive their profits up at the expense of patients and physicians providing essential care,” said Dr. Donald E. Arnold of ASA. “It’s a cynical money grab by Anthem, designed to take advantage of the commitment anesthesiologists make thousands of times each day to provide their patients with expert, complete and safe anesthesia care. This egregious policy breaks the trust between Anthem and its policyholders who expect their health insurer to pay physicians for the entirety of the care they need.” 

Following Thompson’s assassination and the subsequent outrage over the state of the healthcare industry, Anthem walked back this decision, with a company spokesperson stating that “there has been significant widespread misinformation about an update to our anesthesia policy. As a result, we have decided to not proceed with this policy change.” 

Regardless of Anthem’s flip-flopping, the corporation was willing to cut anesthesia for patients mid-surgery simply to cut costs. This is only one example of how health insurance companies are able to reap their enormous profits from policies which maximize human misery. 

Under the current privatized healthcare system in the US, working people and their employers pay hundreds of billions of dollars to private insurance companies in the hopes of receiving adequate coverage when most needed. Insurance companies, which under a capitalist system exist only to make a profit, not to actually provide coverage, do whatever they can do to deny coverage to patients in their hour of need—enabling them to pocket the billions they receive from people in the US and increase their revenue. 

Companies such as UHC, which is the nation’s largest health insurer with over 15% of the market share, cut costs by denying coverage to patients, including through a process called prior authorization, a process which insurance companies utilize to determine if they will cover a prescribed procedure, service, or medication. Prior to  Thompson’s tenure as UHC CEO, which began in 2021, the rate of prior authorization denials was 8%. By 2022, the rate of denial had skyrocketed to 22.7%. According to personal finance platform ValuePenguin, UHC denies Medicare and non-Medicare insurance claims at a rate that is double the rate of the national average. 

UHC’s prior authorization denials increased so sharply that they prompted an investigation by media outlet ProPublica as well as the US Senate. ProPublica found that UHC had culled therapy expenses by using an algorithm to restrict mental healthcare coverage. A report by the Senate Permanent Subcommittee on Investigations found that UHC used artificial intelligence to deny claims at an increasing rate. In November of 2023, UHC was hit by a class action lawsuit filed by the families of two former UHC beneficiaries, which alleged that the company had illegally denied “elderly patients care owed to them under Medicare Advantage Plans” by utilizing an AI algorithm with a 90% error rate.

“The elderly are prematurely kicked out of care facilities nationwide or forced to deplete family savings to continue receiving necessary medical care, all because [UHC’s] AI model ‘disagrees’ with their real live doctors’ determinations,” said the complaint.

These sharp increases in claim denials served a particular purpose: under Thompson’s leadership, UHC profits increased from USD 12 billion in 2021 to USD 16 billion in 2023. UnitedHealthcare Group, of which UHC is a part, is now the largest health insurance company is the US, with an annual revenue of over USD 189 billion.

Hey @UHC. Completed a hysterectomy yesterday afternoon, discharged her home in the evening (saving @UHC and everyone some money). Discharge medications included 12 Vicodin. (retail cost $30). Vicodin DENIED pending prior authorization. Patient in pain all night. Way to go.

— DrByronHapner (@DrByronHapner) December 10, 2024

As health insurance companies extract their enormous profits from those left without coverage, some are seeking to propose and organize alternatives to the for-profit healthcare system. Progressive demands for Medicare for All, a single-payer healthcare program in which the costs of essential healthcare for all US residents are covered under a public health plan that would replace almost all other existing public and private health plans, have reignited following Thompson’s assassination. Organizations such as Physicians for a National Health Program have advocated for such a policy. As PNHP outlines, under a single-payer program, “over $500 billion in administrative savings would be realized by replacing today’s inefficient, profit-oriented, multiple insurance payers with a single streamlined, nonprofit, public payer.”

“There is no justification for violence,” said California Representative Ro Khanna, who supports the policy. “But the outpouring afterwards has not surprised me.”

Courtesy: Peoples Dispatch