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Mexico launches universal healthcare as Trump slashes HHS funding by billions

On April 6, the Trump administration announced it will increase payments to privately-run Medicare Advantage, or MA, plans by 2.48% in 2027—this will result in more than $13 billion in additional payments to companies like UnitedHealth, CVS Health, and Humana. Unsurprisingly, following this announcement, shares of those companies rose by more than 9%.

MA plans have been a significant source of growth and profit for insurance companies. As the Medicare Rights Center reports, this profitability is driven by enormous overpayments, including from fraudulent billing practices such as “upcoding.” This involves submitting billing codes that make patients appear sicker than they really are to secure higher government payments than are warranted. Despite this, the Trump administration is currently considering a policy that would automatically enroll seniors into MA plans as the “default enrollment option”—a proposal outlined in the Heritage Foundation’s extremist Project 2025.

The Center for American Progress estimates that making MA the default option would generate nearly $2 trillion in overpayments over 10 years, while significantly jeopardizing traditional Medicare’s financial stability. It would give for-profit corporations more control to restrict patient choices and deny doctor-recommended care.

Instead of more privatization that puts profits over people, we should embrace Medicare For All (M4A). Yet, President Donald Trump contends that paying for our current safety nets is already too much for the wealthiest nation on Earth. He remarks: “It’s not possible for us to take care of day care, Medicaid, Medicare, all these individual things. They can do it on a state basis. You can’t do it on a federal. We have to take care of one thing: military protection. We have to guard the country.”

Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.

For Trump, spending billions in an illegal war takes precedence over providing healthcare for Americans. His 2027 budget calls for a 10% reduction in all nondefense spending, including reducing funding to the Department of Health and Human Services by $15.8 billion. This, at the same time, that a measles outbreak sweeps the nation, uninsured rates continue to climb, and the prevalence of children with chronic conditions grows to unprecedented levels.

While Trump prioritizes death and destruction, Mexican President Claudia Sheinbaum offers a different vision. On April 7, she issued a presidential decree establishing the Universal Health Service (Servicio Universal de Salud), which will allow patients from across Mexico to seek free care at any public health institution. Universal access will be rolled out in phases starting with emergency care and continuity of care in early 2027. Radiotherapy, laboratory tests, imaging studies, and other specialized services will be added later that year. Finally, in 2028, universal prescription fulfillment and hospitalization will be consolidated. For Sheinbaum, “The goal is that when we leave the government [in 2030], any Mexican man or woman can go to any health institution for treatment for any ailment and be received.”

The transition to universal healthcare began on April 13 when Mexicans aged 85 and older were eligible to register for their new Universal Health Credential. As Deputy Health Minister Eduardo Clark notes, these new credentials are “the guarantee of the right to healthcare” for Mexican citizens and eligible foreign residents.

This is the fundamental difference. In Mexico, healthcare is recognized as a human right enshrined in their Constitution. In 2023, then-Secretary of Foreign Affairs Alicia Bárcena said before the United Nations General Assembly, “In Mexico, we believe that coverage must be universal, public and free, starting with the most marginalized areas and prioritizing, as always, the poorest.” She continued: “It is unacceptable to profit from illness. In Mexico, we know that public health is not for sale. It is a public and universal good, and we defend it.”

By contrast, for Trump, healthcare is a privilege meant solely for those who deserve it. During his first presidential campaign, he remarked: “Where I come from, you have to prove your worth. You have some guy with no college degree working a minimum wage job; no ambition, no goals, nothing to show for it. Yet for some reason, the current [Obama] administration believes he—and millions of people like him, should have access to health insurance. It’s outrageous.” While Mexico starts with “the poorest,” Trump finds it “outrageous” to provide healthcare to minimum wage workers.

Trump’s position is immoral and vile. Healthcare is neither a commodity nor the exclusive privilege of the wealthy—it is a human right. Far from “outrageous,” guaranteeing healthcare to all is about ensuring that everyone can live a rich and fulfilling life.

For most (if not everyone), lacking healthcare will prevent them from living the kind of life they desire. Those suffering from untreated illness may struggle to spend time with their loved ones, pursue the opportunities they desire, and exercise their political rights. Since, at some point, everyone will eventually get sick, healthcare is a universal good that benefits each of us. Moreover, as the Covid-19 pandemic made clear, our individual health is not solely a personal issue. My health impacts the lives of others around me just as their health impacts mine. Healthcare is thus a collective and communal good.

Still, one might object that even if healthcare is not a commodity, the market is still the best mechanism to allocate scarce resources; Trump’s push toward privatization will be better than Sheinbaum’s universal care.

Such blind faith in the market is misguided. Despite spending far more than other countries with universal coverage, more than a quarter of Americans report skipping consultations, tests, treatments and follow-ups because of costs. Roughly 21% report skipping medication for the same reason. Studies consistently find that universal care provides more access, better quality, and lower costs than privatized healthcare.

Ironically, Trump once understood this. In his 2000 The America We Deserve, he writes, “We must have universal healthcare. Just imagine the improved quality of life for our society as a whole if the issue of access to healthcare were dealt with imaginatively. With more than 40 million Americans living day to day in the fear that an illness or injury will wipe out their savings or drag them into bankruptcy, how can we truly engage in the ‘pursuit of happiness’ as our Founders intended?”

Trump was right. What we need is not more privatization that exploits the sick and dying, but rather a politic that works to radically defend life, liberty, and pursuit of happiness. What is needed is the imagination to rethink how we use (and misuse) our country’s wealth and resources. Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.

A better future is possible—already, in the US, support for M4A continues to grow, and several 2026 midterm candidates have made it an explicit part of their platforms. Together, by embracing life and rejecting capitalism, we can make America great.

This GOP chameleon just deployed a smokescreen

On Dec. 21, at Turning Point USA’s annual national conference, Vice President JD Vance took to the stage to denounce the evils of diversity, equity, and inclusion initiatives.

He told the crowd:

We don’t treat anybody different because of their race or their sex, so we have relegated DEI to the dustbin of history, which is exactly where it had belonged. In the United States of America, you don’t have to apologize for being white anymore. And if you’re an Asian, you don’t have to talk around your skin color when you’re applying for college. Because we judge people based on who they are, not on ethnicity and things they can’t control. We don’t persecute you for being male, for being straight, for being gay, for being anything. The only thing that we demand is that you be a great American patriot. And if you’re that, you’re very much on our team.

For Vance, DEI and affirmative action policies are so vile that it “pisses [him] off a million times more” than racial slurs aimed at his own children by an actual white supremacist.

This is because DEI policies, in his view, are specifically designed to harm white men. On Dec. 17, Vance posted on Twitter that, “A lot of people think ‘DEI’ is lame diversity seminars or racial slogans at NFL games. In reality, it was a deliberate program of discrimination against white men. This is an incredible piece that describes the evil of DEI and its consequences.”

The “incredible piece” is an article by Jacob Savage entitled “The Lost Generation.” Savage argues that “DEI wasn’t a gentle rebalancing — it was a profound shift in how power and prestige were distributed.” A redistribution that, Savage argues, harmed “white male millennials” who saw opportunities that would have ordinarily gone to people like him go to people of color and women instead. Savage’s grievance is premised on the assumption that the people who succeed in his place were less qualified — the type of people that he would have triumphed over if not for DEI.

Much of the article is typical anti-DEI rhetoric. But, toward the end, Savage makes the following — almost insightful — point:

It’s strange and more than a little poisonous to see yourself buffeted by forces beyond your control. But there’s also a comfort in it. Because it’s less painful to scroll through other people’s IMDb pages late at night, figuring out what shortcut — race, gender, connections — they took to success, than to grapple with the fact that there are white men my age who’ve succeeded, and I am not one of them. I could have worked harder, I could have networked better, I could have been better. The truth is, I’m not some extraordinary talent who was passed over; I’m an ordinary talent — and in ordinary times that would have been enough.

Savage, like Vance and most anti-DEI advocates, champions “American meritocracy.” Yet, he is somehow upset and surprised that someone with “ordinary talent” failed to succeed. Isn’t this outcome exactly what true, unfettered meritocracy would produce? If everyone, regardless of race, sex, and gender, were able to compete equally, then those who are not “extraordinary” would always struggle to find financial security and success.

The actual problem that Savage is unknowingly pointing to is not DEI. It’s capitalism. Within a capitalist system that prioritizes maximizing profits over people’s well-being, and a political system that offers little to no protection for those capitalism leaves behind, most people will struggle to survive. That is by design.

Capitalism will always, by its very nature, produce “winners” and “losers.” The more people there are competing for a steadily decreasing number of jobs, the more “losers” there will be. A problem that AI — aided by the Trump administration’s effort to eliminate any regulations against it — will likely worsen in the coming years. The only real “winners” in this dynamic are the ultra-wealthy class who continue to succeed regardless of their own individual talents.

If Vance really cared about treating people equally and with dignity, then he would concern himself with tackling the affordability crisis, increasing wages, lowering healthcare costs, building more social safety nets — all issues that the Trump administration is currently failing to address. Worse even, this administration is actively working to undermine many of the programs that would help people like Savage who are struggling to get by.

No matter what Vance says, being “a great American patriot” will never be enough to succeed within the current capitalist system. And Vance knows this.

In Hillbilly Elegy, Vance discusses the significance of “social capital,” or leveraging the networks of people and institutions around us to “connect us to the right people, ensure that we have opportunities, and impart valuable information.” For Vance, his social capital, which included Yale professors, tech billionaires, and former presidential speechwriters, was critical to his success. However, that capital is reserved for the upper class. As he writes, “Those who tap into it and use it prosper. Those who don’t are running life’s race with a major handicap. This is a serious problem for kids like me.”

Ultimately, Vance is not concerned with equality or discrimination. His attacks on DEI are nothing more than a smokescreen. He is evoking racial animosity to distract his supporters from the real problems that capitalism is generating and that the Trump administration is ignoring. He is hoping to exploit people’s genuine frustrations with the status quo to become president in 2028.

Vance preaches inclusivity, but his entire social and political ideology is divisive. He claims that, “We all got wrapped up over the last few years in zero sum thinking. This was because the people who think they rule the world pit us against one another.” But the reality is that Vance’s pro-capitalist, Christian nationalist, and ethnonationalist values are all zero sum ways of thinking that function precisely to divide people.

Vance says that “in the United States of America, you don’t have to apologize for being white anymore.” Yet, white people have never had to apologize for being white. This is performative anger. Vance is using the same rhetoric still used by the KKK — “Never! Never! Apologize for Being White! — to fuel hatred and contempt for his own political gain.

In the America that Vance envisions, people are only judged for “who they are” — unless they’re immigrants, transgender, women, Muslims, or people of color. Within the very same speech that Vance champions equality for all, he attacks Somali Americans. He tells the audience that “Democrats are not sending their best. Omar Fateh was Ilhan Omar’s candidate for mayor of Mogadishu. Wait, I mean Minneapolis. Little Freudian slip there” — smiling as the crowd laughed along.

As one of his former friends puts it, Vance is a “chameleon. Someone who is able to change their positions and their values depending on what will amass them political power and wealth. And I think that’s really unfortunate, because it reflects a lack of integrity.” His drastic change of heart about Trump is proof of how easily he can change his colors. Vance went from Trump is “America’s Hitler” to now serving as his vice president within the span of a few years. His anti-DEI rhetoric is just another political maneuver meant to serve his own interest.

All that said, Vance is right about one thing — “The people who think they rule the world pit us against one another.” Those people include him. We can’t let him succeed.

Trump's eugenic horror is about to get the green light — and that's just the beginning

The Supreme Court has agreed to hear a lawsuit regarding the constitutionality of President Donald Trump’s executive order to restrict the right to birthright citizenship. If the Supreme Court rules in Trump’s favor, then children born in the US would be denied citizenship if their parents are undocumented or residing in the country under temporary legal status.

Let’s not mince words here: Trump’s executive order is cruel and xenophobic. Children born of undocumented immigrants or visa holders have committed no crimes. They are not responsible for the circumstances of their birth. There is also no legitimate legal basis. The 14th Amendment is clear:

“All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside.”

None of these facts matter to Trump. His administration would readily tear families apart and see children born into a second-class status simply because their births were not to his liking.

This is only the beginning of the cruelty that his birthright ban would unleash. If the Supreme Court rules in his favor, it would pave the way for any president (or wannabe monarch) to redefine citizenship at their discretion. After all, if simply being born in the US is not enough to guarantee citizenship, then what is? Where do we draw the line?

Well, if you’re Trump, then it’s the color line. For the Trump administration, not all babies are created equal. Restricting birthright citizenship is their way of preventing “hundreds of thousands of unqualified people” from acquiring the “privilege of American citizenship.” It is about dissuading the wrong kinds of people from having the wrong kinds of babies.

Sound far-fetched? Well, consider this: Trump, the self-proclaimed “fertilization president” (gross!), has sought to expand access to in vitro fertilization (IVF). As Trump puts it, we want “beautiful babies in this country, we want you to have your beautiful, beautiful, perfect baby. We want those babies, and we need them.”

Mehmet Oz, the administrator for the Centers for Medicare and Medicaid Services, champions the future of “Trump babies.” Vice President JD Vance literally says he wants “more babies in the United States of America.” The Trump White House insists that they need “growing numbers of strong, traditional families that raise healthy children.”

But, if that’s true, then what is the purpose of Trump’s executive order? If they want more babies to be born in this country, then why push to deny babies their legitimate birthright? It’s because Trump is pro-baby so long as it’s the right kind of baby.

Beautiful, healthy, strong and perfect — those are the babies Trump wants. And those are the babies that, in his view, migrants do not have.

Trump has explicitly said that migrants have “bad genes” that cause them to commit crimes. That they are “not humans, they’re animals.” He has said that migrants from South America, Africa, and Asia are “poisoning the blood of our country” — a view that parallels Hitler’s rhetoric about “blood poisoning” and race mixing. Trump calls Somalis “garbage” and says that “I don’t want them in our country, I’ll be honest with you … their country is no good for a reason.”

He believes this about migrants, and he believes it extends to their children. This pseudoscientific eugenic drivel is at the core of his executive order.

That is the real danger of Trump’s birthright ban. As it stands, birthright citizenship provides a clear-cut metric. Aside from two niche exceptions, if you were born here, you are from here. There’s no loophole to exploit. There’s no definition to reevaluate and abuse. There’s no place for prejudice, discrimination, or bigoted understandings of what it means to be an American. There’s no ambiguity regarding who belongs. The simplicity of birthright is precisely its strength.

It’s also precisely why the Trump administration wants to undo it. Birthright citizenship is a strong barrier against the administration’s most fascist impulses to recreate “the meaning and value of American citizenship.” As he said on the campaign trail, “If I win, the American people will be the rulers of this country again. The United States is now an occupied country.” His current administration similarly claims that Europe faces “civilizational erasure” if it does not restrict migration and preserve its “Western identity.”

If Trump’s mission is, as he explicitly says, to liberate the US and protect Western values threatened by migration, then he won’t stop with the children of undocumented immigrants. Trump cannot be allowed to define who is a citizen. For the good of the nation and for future generations, we cannot let him succeed.

  • Jordan Liz is an Associate Professor of Philosophy at San José State University. He specializes in issues of race, immigration and the politics of belonging.