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"Our real problem is not so much a healthcare crisis as it is a political and economic one," he wrote in an op-ed.
Independent Vermont Sen. Bernie Sanders has an ambitious New Year's resolution: a nine-point policy proposal to "Make American Healthy Again" by reforming the United States' "broken and dysfunctional healthcare system."
In an op-ed published in The Guardian on Tuesday, Sanders said his ideas were informed by his time serving as the chair of the U.S. Senate's Health, Education, Labor, and Pensions Committee, which will end in 2025.
"We are the wealthiest nation on Earth," Sanders wrote. "There is no rational reason as to why we are not the healthiest nation on Earth. We should be leading the world in terms of life expectancy, disease prevention, low infant and maternal mortality, quality of life, and human happiness. Sadly, study after study shows just the opposite. Despite spending almost twice as much per capita on healthcare, we trail most wealthy nations in all these areas."
"Working-class Americans live far shorter lives than the rich because of the stress of trying to survive on a paycheck-to-paycheck existence."
Sanders first prescription for a healthier nation? Medicare for All.
"Healthcare is a human right," Sanders argued. "The function of a rational healthcare system is to guarantee quality healthcare to all, not huge profits for the insurance industry. The United States cannot continue to be the only wealthy nation that does not provide universal healthcare."
The other eight reccomendations on Sanders' list are:
In the aftermath of the killing and the online response, Sanders called for a political movement to reform the nation's healthcare system.
"Killing people is not the way we're going to reform our healthcare system," he said at the time. "The way we're going to reform our healthcare system is having people come together and understanding that it is the right of every American to be able to walk into a doctor's office when they need to and not have to take out their wallet."
Sanders' agenda is also a clear rejoinder to Trump supporter Robert F. Kennedy Jr.'s Make America Healthy Again (MAHA) campaign. Kennedy, who President-elect Donald Trump has tapped to lead the Department of Health and Human Services, has a record of pushing dangerous health-related conspiracy theories, in particular by questioning the effectiveness and safety of vaccines. While Kennedy has voiced criticisms of the food, agriculture, and chemical industries shared by many environmentalists, he has also advocated for harmful practices such as drinking raw milk and downplayed the climate emergency.
Trump has signaled that any environmental policies Kennedy might implement during his administration would take a backseat to his commitment to Big Oil.
"Bobby, stay away from the liquid gold," he said in his election night victory speech. "Other than that, go have a good time, Bobby."
Sanders, in contrast, made tackling the climate emergency one of his priorities and called out the fossil fuel industry specifically.
"The fossil fuel industry cannot be allowed to continue making us sick, shortening our lives, and destroying the planet," he wrote Tuesday.
He also emphasized working conditions as a public health issue.
"Working-class Americans live far shorter lives than the rich because of the stress of trying to survive on a paycheck-to-paycheck existence," he wrote in his call for a higher minimum wage.
In general, Sanders argued that it was not possible to tackle health without tackling corporate power.
"Our real problem is not so much a healthcare crisis as it is a political and economic one," he wrote in The Guardian. "We need to end the unprecedented level of corporate greed we are experiencing. We need to create a government and economy that works for all and not just the wealthy and powerful few."
In his email to supporters, Sanders spoke even more directly about the need to "take on powerful special interests who make billions in profits by making us sick and shortening our lifespans."
He portrayed wealthy individuals and corporations as the force ultimately standing in the way of a healthier nation.
"The truth is that their ideology of greed requires them to want more, and more, and more. And if that greed makes us sicker or shortens our lives, that's the price they require us to pay," he wrote. "But we say NO. We are fighting back. We can and will create a government and economy that works for all, and not just the few. We can and will create a society which enhances human health and well-being, and not the wealth and power of the billionaire class."
Champions in the fight against inequality face formidable challenges in 2025. But by working together at all levels—from the shop floor to state houses to the halls of Congress—we can still find ways to build power.
In dark times like these, shining a light on successful efforts to reverse our country’s extreme inequality is more important than ever. As we looked back on 2024, we actually found plenty to celebrate. Here are 10 inspiring wins that deserve more attention.
Volkswagen workers in Chattanooga, Tennessee voted overwhelmingly in April to join the United Auto Workers (UAW), a landmark win for labor organizing in the South. The region has suffered deeply because of its low-road, anti-union economic model. Seven out of ten states with the highest levels of poverty are in the South, according to the Economic Policy Institute.
Whatever happens on the national political stage over the next four years, local communities can still win important fights for a more just society.
Another UAW election, at a Mercedes-Benz facility in Vance, Alabama, where management was more aggressively anti-union, went the other way in May. But the union has vowed to continue organizing in the region. “This is a David and Goliath fight,” UAW President Shawn Fain said after the Mercedes loss. “Sometimes Goliath wins a battle. But David wins the war.”
Organizing workers at Amazon—now the nation’s second largest private employer—has been a white whale of the labor movement for years. Aside from a breakthrough union election win in Staten Island, puncturing the e-commerce giant’s anti-labor strategy has been challenging. That is, until this year, when the Teamsters made sizable gains.
The National Labor Relations Board ruled this summer that Amazon should be considered a joint employer of the delivery drivers it subcontracts, opening up that class of workers to organize. And organize they did—according to the Teamsters, over 5,000 drivers have joined the union at nine Amazon locations. Warehouse workers have made advances as well. In California, Amazon employees in San Francisco and at the company’s air hub in San Bernardino are now demanding union recognition.
For the past two years, the United Food and Commercial Workers union has led a coalition of more than 100 organizations against the proposed merger of grocery giants Kroger and Albertsons. The union predicted the mega-merger would result in “lost jobs, closed stores, food deserts, and higher prices.”
By contrast, corporate executives stood to make a killing. At Albertsons alone, the proposed merger agreement would’ve delivered as much as $146 million to the firm’s top 10 officials.
On December 10, one federal court judge and another in Washington state sided with the Federal Trade Commission and issued temporary injunctions against the deal. The following day, Albertsons threw in the towel on what would’ve been the biggest grocery store merger in U.S. history. “This is the first time the FTC has ever sought to block a merger not just because it’s gonna be bad for consumers, but also for workers,” FTC chair Lina Khan said shortly after the decision.
Despite the red wave on November 5, voters in several states passed ballot initiatives to adopt inequality-fighting policies that most Republican politicians oppose.
In the red states of Nebraska, Missouri, and Alaska, voters approved guaranteed paid leave, while Missouri and Alaska also passed state minimum wage hikes.
Washington state voters rejected a hedge fund-financed ballot proposal to repeal the state’s path-breaking capital gains tax on the rich. They also beat back an effort to gut a state-operated long-term care insurance program. In Illinois, voters adopted a nonbinding measure expressing support for an extra 3% tax on income of over $1 million.
In 2024, for the first time ever, over 100,000 Americans filed their tax returns digitally directly to the IRS. The agency’s Direct File system went live in 12 pilot states, breaking the dominance that for-profit tax preparation companies have enjoyed for years.
“This is an important fight to ensure greedy tax prep companies don’t continue to rake in money from filers who are simply doing their civic duty,” wrote Public Citizen’s Susan Harley for Inequality.org.
Direct file also advances racial justice. Color of Change and the Groundwork Collaborative exposed how Intuit’s TurboTax and H&R Block target Black and low-income communities for costly and unnecessary services.
Unfortunately, this fight is not over. House Republicans are urging President-elect Donald Trump to kill the IRS’s free direct file service on day one of his second administration.
President Joe Biden adopted a range of pathbreaking executive actions to protect U.S. workers—including safeguards against toiling in extreme heat, broader overtime pay coverage, and new measures protecting organizing rights. He also authorized rules to crack down on bosses who misclassify employees as independent contractors or force them to sign noncompete agreements.
The beauty of executive actions: no need for Congressional approval. The downside: The next president has the power to roll them back.
Will that happen under Trump, a self-declared but dubious champion of the working class? We shall see. In the meantime, the National Employment Law Project and several other organizations have put together a guide on how state policymakers could enact similar standards at the subfederal level.
Did you know that private jets pollute 10 to 20 times more per passenger than commercial airplanes? And the typical private jet owner, with a net worth of nearly $200 million, actually pays a far smaller share of air safety fees than commercial coach passengers, according to Institute for Policy Studies research.
In 2024, Stop Private Jet Expansion, a 100-organization coalition, won two major victories in their campaign to block the expansion of New England’s largest private jet airport, Hanscom Field outside Boston. Massachusetts state rejected the developer’s environmental impact submission, demanding supplemental information. As part of a comprehensive climate bill, the state legislature also updated the charter of Massport, the agency that will decide the future of the airport, to require them to consider carbon emissions and climate change in their decision-making.
Elon Musk has called for “deleting” the Consumer Financial Protection Bureau. What’s his problem with this federal agency? For Musk and his finance bro buddies, it appears the CFPB has been overly effective in helping ordinary Americans stand up to big money interests.
Recently the agency announced it’s forcing shady “credit repair” companies to return $1.8 billion in illegal junk fees to 4.3 million Americans. The agency also just issued new limits on overdraft fees that will save consumers billions more. During its nearly 14-year history, the CFPB has won nearly $21 billion in compensation for victims of fraud, racial discrimination in lending, and other financial abuse.
“Weakening the CFPB, slowing its work, or steering it to favor industry over the public interest,” explains the advocacy group Americans for Financial Reform, “would give bad actors a green light to do their worst and further deepen this country’s racial wealth gap.”
For four decades, procurement rules made it difficult for local and state policymakers to ensure that federally funded projects create good jobs. With megabillions in new public investment about to flow into infrastructure and clean energy projects, a labor-community alliance known as the Local Opportunities Coalition led the charge to get rid of these anti-worker vestiges of the conservative Reagan era.
Finally, in 2024, the Biden administration got the job done. Now state and local governments can give companies a leg up in bidding competitions if they commit to creating specific numbers of jobs with minimum levels of pay and benefits. They can also require hiring preferences for local workers and disadvantaged communities, ban the use of contract funds for union-busting, and prohibit employers from misclassifying workers as “independent contractors” to skirt labor laws.
Whatever happens on the national political stage over the next four years, local communities can still win important fights for a more just society.
One particularly inspiring example from 2024: the battles to protect county-owned nursing homes in rural Wisconsin against privatization. Study after study has shown that private equity-owned facilities have lower-quality care and higher mortality rates. And yet many Republican lawmakers are backing for-profit corporations’ efforts to take over this critical service.
As veteran community organizer George Goehl has reported, Wisconsin seniors put up a strong fight this year. They succeeded in ousting pro-privatization members of at least three county boards and are continuing to organize to protect their healthcare from corporate greed.
Champions in the fight against inequality face formidable challenges. But by working together at all levels—from the shop floor to state houses to the halls of Congress—we can still find ways to build power and move our country towards a just economy that works for everyone.
“The minimum wage increase will recirculate back into the economy through spending at the main street shops that make up the fabric of our communities,” said one business owner in New York.
With 23 states and the District of Columbia slated to increase their minimum wages by the end of 2025, the national network Business for a Fair Minimum Wage reports that business owners in states around the country are cheering those increases, saying they will boost consumer spending and hiring, increase productivity, help retain employees, and in general strengthen the economy.
According to a statement Business for a Fair Minimum Wage issued on December 12, the following states will have either a planned or indexed minimum wage increase on January 1: Alaska, Arizona, California, Colorado, Connecticut, Delaware, Illinois, Maine, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New York, Ohio, Rhode Island, South Dakota, Vermont, Virginia, and Washington.
Florida, Oregon, and the District of Columbia will see increases later in the year, and some states like Alaska will experience multiple wage floor increases during 2025, per the statement.
Voters in Alaska and Missouri approved ballot measures in November that greenlit increases to the minimum wage. Hundreds of business owners in those two states worked with Business for a Fair Minimum Wage to support the ballot initiatives, according to the statement.
"Workers are also customers and minimum wage increases boost consumer buying power. They go right back into the economy as increased spending at local businesses," said Holly Sklar, the CEO of Business for a Fair Minimum Wage.
She added: "State raises are vital for workers, businesses, and communities as the federal minimum wage remains stuck at just $7.25, falling further and further behind the cost of living." The federal minimum wage hasn't budged since 2009, when it was raised to $7.25.
One business owner, Erik Milan, whose music store Stick It In Your Ear is based in Springfield, Missouri, praised the state's increase. "Raising Missouri's minimum wage will be good for workers and businesses. When workers in our community are paid more, they can spend more at local businesses ... Thanks to better wages and paid sick time because of Proposition A, businesses will also benefit from lower employee turnover, increased productivity, better health and morale, and better customer service," he said, per the statement.
Because of Proposition A, Missouri will increase the state minimum wage to $13.75 an hour on January 1 for private and non-exempt employees, and then increase it again to $15 in 2026. Beginning in May of this coming year, employers are required to give employees one hour of paid sick time per 30 hours worked.
Over in Alaska, the owner of Waffles and Whatnot in Anchorage, Derrick Green, said that "Alaska's minimum wage increases will help Alaskans thrive ... The more that people can make a living in Alaska, the stronger our businesses and communities will be."
Same as Proposition A, Alaska's Ballot Measure One mandates that workers will be able to earn one hour of paid sick time for every 30 hours worked. Alaska's minimum wage was already set to increase on January 1, and then thanks to Ballot Measure One it will increase again on July 1 to $13 and then again to $14 in July 2026.
The statement from Business for a Fair Minimum Wage in total quotes 11 business owners touting the wage floor increases, including Jessica Galen, owner of Bloomy Cheese & Provisions in Dobbs Ferry, New York.
"The minimum wage increase will recirculate back into the economy through spending at the main street shops that make up the fabric of our communities. It's a virtuous cycle. When we take care of our employees, they take care of us," she said.