Kristof and Krugman

Nicholas Kristof says W has been letting Darfur rhyme with Rwanda and Bosnia.  Paul Krugman points out the obvious on universal health care — it’s being prevented by fear-mongering special interests.  Here’s Mr. Kristof:

In May 2006, President Bush declared: “The vulnerable people of Darfur deserve more than sympathy. … America will not turn away from this tragedy.”

Since then, Mr. Bush has turned away — and 450,000 more people have been displaced in Darfur. “Things are getting worse,” noted Mudawi Ibrahim Adam, a human rights campaigner in Sudan.

One of the most troubling signs is that Sudan has been encouraging Arabs from Chad, Niger and other countries to settle in Darfur. More than 30,000 of them have moved into areas depopulated after African tribes were driven out.

In the last few months, Sudan’s government has given these new arrivals citizenship papers and weapons, cementing in place the demographic consequences of its genocide. And if Sudan thinks it has gotten away with mass murder in Darfur, it is more likely to resume its war against southern Sudan — which seems increasingly likely.

Within Darfur, aid groups have increasingly become targets, and in April alone three aid workers were shot and 20 were kidnapped, while hijackers tried to seize aid workers’ vehicles at a rate of almost one a day. As for African Union peacekeepers, seven of them were shot dead the same month — so they’re in no position to rescue aid workers.

The cancer has also been spreading into Chad and the Central African Republic, compounding each country’s intrinsic instability. Last month a 27-year-old French woman, Elsa Serfass, on her first assignment with Doctors Without Borders, was shot dead in C.A.R. as she drove through an area where militias had been burning villages. So Doctors Without Borders has had to suspend much of its work in the area.

Something similar is happening in eastern Chad. Mia Farrow, the actress — who has shown a toughness about genocide that no Western leader has — has just returned from her sixth visit to the region and says that eastern Chad now feels like Somalia.

“Pick-ups with machine guns bolted onto the rear and loaded with armed, uniformed men careen through the dusty streets terrorizing people,” she told me. “No one knows who they are.” While Ms. Farrow was visiting the town of Abéché, an elderly guard at a U.N. compound there was killed and two people were badly beaten.

Then there’s rape. Ever since Sudan began the genocide, it has been using rape to terrorize populations of Africans — and then periodically punishing women who seek treatment on charges of adultery or fornication.

So far this year, at least two young women have been sentenced to death by stoning for adultery. As Refugees International puts it in a new report: “The government is more likely to take action against those who report and document rape than those who commit it.”

Much of the news on Darfur has been a bit optimistic lately, because it has focused on recent flurries of international diplomacy. While it’s true that China is belatedly putting some pressure on Sudan to admit international peacekeepers, at the same time China continues to supply Sudan with the guns used to slaughter Darfuri children. China also just signed a 20-year agreement to develop offshore oil for Sudan, and in April China pledged “to boost military exchanges and cooperation” with Sudan.

Let’s hope that athletes who go to Beijing for the Olympics next year will wear T-shirts honoring the victims of the genocide that China is underwriting.

In the burst of diplomatic activity, one person who stands out is Nicolas Sarkozy, the new president of France. Mr. Sarkozy is pushing to send a European Union force, including many French troops, to stabilize Chad and the Central African Republic. If they arrive by October, as planned, they just might pull those two countries back from the brink of collapse.

In contrast, Mr. Bush has been letting Darfur rhyme with Rwanda and Bosnia. For years, Mr. Bush’s aides have discussed whether he should give a prime-time speech on Darfur to ratchet up the pressure; he still hasn’t. Laura Bush just completed a four-nation swing through Africa, but she didn’t include a visit to any of the areas affected by the Darfur crisis.

Ultimately, the only way the genocide will end will be with a negotiated political settlement — but the only way to get that is to put much more pressure on Khartoum.

So how about if Mr. Bush invites Mr. Sarkozy — along with Gordon Brown, Hu Jintao and Hosni Mubarak — for a joint visit to Chad and C.A.R. to meet Darfuri refugees? Maybe Mr. Sarkozy could lend Mr. Bush and the others a little backbone.

You are invited to comment on this column at Mr. Kristof’s blog, www.nytimes.com/ontheground.

Here’s Mr. Krugman: 

These days terrorism is the first refuge of scoundrels. So when British authorities announced that a ring of Muslim doctors working for the National Health Service was behind the recent failed bomb plot, we should have known what was coming.

“National healthcare: Breeding ground for terror?” read the on-screen headline, as the Fox News host Neil Cavuto and the commentator Jerry Bowyer solemnly discussed how universal health care promotes terrorism.

While this was crass even by the standards of Bush-era political discourse, Fox was following in a long tradition. For more than 60 years, the medical-industrial complex and its political allies have used scare tactics to prevent America from following its conscience and making access to health care a right for all its citizens.

I say conscience, because the health care issue is, most of all, about morality.

That’s what we learn from the overwhelming response to Michael Moore’s “Sicko.” Health care reformers should, by all means, address the anxieties of middle-class Americans, their growing and justified fear of finding themselves uninsured or having their insurers deny coverage when they need it most. But reformers shouldn’t focus only on self-interest. They should also appeal to Americans’ sense of decency and humanity.

What outrages people who see “Sicko” is the sheer cruelty and injustice of the American health care system — sick people who can’t pay their hospital bills literally dumped on the sidewalk, a child who dies because an emergency room that isn’t a participant in her mother’s health plan won’t treat her, hard-working Americans driven into humiliating poverty by medical bills.

“Sicko” is a powerful call to action — but don’t count the defenders of the status quo out. History shows that they’re very good at fending off reform by finding new ways to scare us.

These scare tactics have often included over-the-top claims about the dangers of government insurance. “Sicko” plays part of a recording Ronald Reagan once made for the American Medical Association, warning that a proposed program of health insurance for the elderly — the program now known as Medicare — would lead to totalitarianism.

Right now, by the way, Medicare — which did enormous good, without leading to a dictatorship — is being undermined by privatization.

Mainly, though, the big-money interests with a stake in the present system want you to believe that universal health care would lead to a crushing tax burden and lousy medical care.

Now, every wealthy country except the United States already has some form of universal care. Citizens of these countries pay extra taxes as a result — but they make up for that through savings on insurance premiums and out-of-pocket medical costs. The overall cost of health care in countries with universal coverage is much lower than it is here.

Meanwhile, every available indicator says that in terms of quality, access to needed care and health outcomes, the U.S. health care system does worse, not better, than other advanced countries — even Britain, which spends only about 40 percent as much per person as we do.

Yes, Canadians wait longer than insured Americans for elective surgery. But over all, the average Canadian’s access to health care is as good as that of the average insured American — and much better than that of uninsured Americans, many of whom never receive needed care at all.

And the French manage to provide arguably the best health care in the world, without significant waiting lists of any kind. There’s a scene in “Sicko” in which expatriate Americans in Paris praise the French system. According to the hard data they’re not romanticizing. It really is that good.

All of which raises the question Mr. Moore asks at the beginning of “Sicko”: who are we?

“We have always known that heedless self-interest was bad morals; we know now that it is bad economics.” So declared F.D.R. in 1937, in words that apply perfectly to health care today. This isn’t one of those cases where we face painful tradeoffs — here, doing the right thing is also cost-efficient. Universal health care would save thousands of American lives each year, while actually saving money.

So this is a test. The only things standing in the way of universal health care are the fear-mongering and influence-buying of interest groups. If we can’t overcome those forces here, there’s not much hope for America’s future.