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Article Artículo

Haiti

Latin America and the Caribbean

World

Haiti Election Hangs in the Balance as Political Negotiations Continue

Haiti’s government, opposition leaders and private sector groups were in negotiations late Wednesday night, seeking an end to the impasse over Haiti’s coming presidential runoff. On the table is a deal that would delay this Sunday’s elections until March and provide assurances on how to move forward.  But speaking on local radio Thursday morning, current president Michel Martelly, who is constitutionally barred from running again, said everything was ready for the election Sunday and criticized groups who he said wanted to seize power by delaying elections.   

Less than 72 hours before polls are scheduled to open, it remains unclear if elections will take place or if a deal to re-schedule them can still be reached. Opposition parties have threatened to boycott the vote, alleging government interference and massive fraud in the October first round.

On the line now is not just the next president of Haiti, but how and if president Martelly will leave office and whether he will peacefully transfer power to his successor. Also at stake is the credibility of the international community that has backed the process with diplomatic support and millions of dollars.

An international official closely involved in the electoral process, who requested anonymity, said that moving forward with elections on January 24th would “ignore all improvements and lessons we have learnt … and will undermine once again the legitimacy of the president elect.” “More to the point, it is going to look bad for the international community.”

Yesterday the Haitian senate passed a non-binding resolution calling for the electoral process to be halted immediately. Senator Evalière Beauplan, who authored the resolution, told the Miami Herald that there was a broad recognition that “elections won’t work on Sunday. The actors are not ready, and there is too much turbulence.”

The move followed days of protests against the election.  A regular occurrence since the beginning of the electoral process in August, they have increased in size and intensity in the run up to the vote. Police have dispersed protesters with tear gas and a video showing officers beating and harassing detainees has been widely shared on social media.  Opposition groups have called for more protests in the coming days and denounced the police brutality. But in its address this morning, the government said protests would not be allowed ahead of Sunday’s election.

Jake Johnston / January 22, 2016

Article Artículo

Affordable Care Act

Health and Social Programs

Paul Krugman, Bernie Sanders and Medicare for All

Paul Krugman weighs in this morning on the debate between Bernie Sanders and Hillary Clinton as to whether we should be trying to get universal Medicare or whether the best route forward is to try to extend and improve the Affordable Care Act. Krugman comes down clearly on the side of Hillary Clinton, arguing that it is implausible that we could get the sort of political force necessary to implement a universal Medicare system.

Getting universal Medicare would require overcoming opposition not only from insurers and drug companies, but doctors and hospital administrators, both of whom are paid at levels two to three times higher than their counterparts in other wealthy countries. There would also be opposition from a massive web of health-related industries, including everything from manufacturers of medical equipment and diagnostic tools to pharmacy benefit managers who survive by intermediating between insurers and drug companies.  

Krugman is largely right, but I would make two major qualifications to his argument. The first is that it is necessary to keep reminding the public that we are getting ripped off by the health care industry in order to make any progress at all. The lobbyists for the industry are always there. Money is at stake if they can get higher prices for their drugs, larger compensation packages for doctors or hospitals, or weaker regulation on insurers.

The public doesn’t have lobbyists to work the other side. The best we can hope is that groups that have a general interest in lower health care costs, like AARP, labor unions, and various consumer groups can put some pressure on politicians to counter the industry groups. In this context, Bernie Sanders’ push for universal Medicare can play an important role in energizing the public and keeping the pressure on.

Those who think this sounds like stardust and fairy tales should read the column by Krugman’s fellow NYT columnist, health economist Austin Frakt. Frakt reports on a new study that finds evidence that public debate on drug prices and measures to constrain the industry had the effect of slowing the growth of drug prices. In short getting out the pitchforks has a real impact on the industry’s behavior.

Dean Baker / January 19, 2016