Even if it withstands Los Angeles County's appeal to the 9th Circuit, the well intended decision, handed down last month by veteran U.S. District Court Judge David O. Carter in a federal lawsuit filed by the LA Alliance for Human Rights, will, at best, ameliorate but not eliminate the nightmare of homelessness at the heart of a place that dares to call itself the City of Angels.

In support of legal grounds for federal court intervention, such as the Equal Protection Clause of the 14th Amendment, Judge Carter laid out, in compelling detail, the link between LA's deadly "crisis of homelessness" and "entrenched structural racism". The validity of that link was underscored by the fact that African-Americans account for only 8% of the general population in the County; yet they account for 42% of the now more than 66,000 unhoused residents.

Judge Carter's lengthy, 110-page decision contains a deep dive into a sordid history of systemic racism in Southern California and its disparate impact on people of color. This, in the Court's view, has given rise to what California Governor Gavin Newson, in his Feb. 19, 2020 State of the State Address, referred to as "the wrenching reality of families, children and seniors living unfed on a concrete bed." The Court condemned the City and County's deliberate decisions to perpetuate unspeakable squalor by attempting to physically contain it within a 50-square-block downtown Skid Row and by policing policies that criminalize homelessness.

The Court described the mishandling of funds intended to provide shelter as the product of "corruption" and "deliberate indifference" towards the unhoused, who suffer from rampant crime, drug addiction, mental illness and deaths caused by all manner of disease. In 2016, for example, LA voters passed a $1.2 billion bond measure that was supposed to create up to 10,000 homes. Over the ensuing four-years, the City erected only 489 housing units (apartments) at a median cost of $531,000 per unit --- units that have been disproportionately occupied by the unhoused who are white.

To rectify this, the Court, by way of a preliminary injunction, ordered an audit of all relief funds and the placement of $1 billion from Mayor Eric Garcetti's "Justice Budget" into an Escrow Account. Judge Carter appointed a Special Master to assist with the implementation of the Court's directives. Despite protestations that they lacked the necessary funds and an objective reality that one can't expect to extract blood from a stone, the Court also ordered the City and County to provide shelter to all unhoused residents within 180 days. (The preliminary injunction will not take effect prior to June 15 by reason of a temporary 9th Circuit administrative stay).

As we observed in 2019, the source of LA's homeless crisis lies not only in a legacy of systemic racism, but also in extreme inequality, which is tied to neoliberal capitalism. This entails a radical form of market fundamentalism, which has been at the center of U.S. economic policies since the Reagan administration.

LA's homelessness crisis will not end absent the federal government's adoption of what former U.S. Labor Secretary Robert Reich has described as "Bidenomics"...

As Americans are being hoodwinked by a slick health insurance industry PR campaign, the time has come to carefully examine Medicare For All by separating myth from reality.

While morally repugnant, the privately-owned health insurance industry's deceptions are economically understandable. By the time Sen. Bernie Sanders (I-VT) introduced the Medicare for All Act of 2019 in the U.S. Senate --- two months after Rep. Pramila Jayapal (D-WA), co-chair of the Progressive Caucus, introduced H.R. 1384 - Medicare for All Act of 2019 in the House --- the industry realized that it faced an existential threat.

Medicare for All would create an entirely new single-payer healthcare system that, with limited exceptions (cosmetic surgery, home care nursing), would eliminate the need for anyone to purchase health insurance.

While the parasitic health insurance industry has faced-off against them in the past, single-payer advocates are better positioned to prevail in 2020 than at any time in the past 75 years. Sanders' single-payer healthcare legislation, S. 1129, was co-sponsored by 14 Senate Democrats. Those co-sponsors included several Presidential candidates --- Elizabeth Warren (D-MA), Kirsten Gillibrand (D-NY), Cory Booker (D-NJ) and Kamela Harris (D-CA). More than one-half of all Democrats in the House (112), co-sponsored Jayapal's version of the bill. Medicare for All is also supported by 63 national organizations. More importantly, a poll taken in 2018 --- prior to a barrage of pro-insurance industry propaganda --- found that Medicare for All was immensely popular. It was supported by a whopping 70% of all Americans, including 84% of Democrats and a mind-boggling 52% of Republicans.

With their very survival at stake, the health insurance profiteers, along with large hospitals and the pharmaceutical industry, created a new PR front-group, Partnership for America's Healthcare Future (PAHF), to wage their defensive. According to Wendell Potter, a former CIGNA executive and author of Deadly Spin: How PR is Killing Healthcare and Deceiving Americans (2011), PAHF is the industry's newest propaganda arm.

In addition to carefully-timed commercial advertising, PAHF acts in concert with industry-funded politicians and mainstream media pundits. Their goal is to erect an industry-friendly frame that serves to mask the blatant deficiencies of our inordinately expensive, yet woefully inefficient, subsidized "free market" healthcare system. This, as Julie Hollar of the media watchdog FAIR observed, has succeeded in turning some of the recent Democratic Presidential Debates into "over the top, industry-friendly spectacle[s]."

Potter, the recovering healthcare industry veteran, told Los Angeles Times columnist Michael Hiltzek: "Health insurers have been successful at two things: making money and getting the American public to believe they're essential." But, "the truth", argues Hiltzik, "is that private health insurers have contributed nothing to the American healthcare system."

Most Americans, he charges, "blindly tolerate" our inordinately expensive, yet dysfunctional private insurance system "because the vast majority...don't have a complex interaction with the healthcare system within a given year...[One percent] of patients account for more than one-fifth of all medical spending, and 10% account for two-thirds." Far too many Americans fail to appreciate the "inadequacies of our private insurance system" until those inadequacies are thrust upon them by an unexpected serious illness or injury, according to the Pulitzer Prize winning business columnist.

Hence, the need to separate healthcare insurance myth from fact-based reality...