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Gerald Posner

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Award-winning investigative journalist | 13x author (PHARMA, CASE CLOSED, MENGELE, GOD’S BANKERS | Pulitzer finalist | “A merciless pit bull of an investigator"

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Iran’s foreign minister just handed America a masterclass in diplomatic sleight of hand. The Iranians aren’t chastened — they’re already three moves ahead. Hezbollah is Tehran’s attack dog. Iran can unleash it on Israel anytime, watch Israel respond, then declare the deal dead — citing an “Israeli violation” they engineered. Israel was not even invited to the negotiating table but they are central to a trip wire that Iran has built and holds exclusively.

Iran’s foreign minister just handed America a masterclass in diplomatic sleight of hand. The Iranians aren’t chastened — they’re already three moves ahead. Hezbollah is Tehran’s attack dog. Iran can unleash it on Israel anytime, watch Israel respond, then declare the deal dead — citing an “Israeli violation” they engineered. Israel was not even invited to the negotiating table but they are central to a trip wire that Iran has built and holds exclusively.

135,915 görüntüleme

This is what dissent looks like when the stakes are life and death. In the West, we’re used to protest as performance. In Iran, it can be a death sentence. Do not underestimate the courage it takes for an uncovered woman, on camera, to do this.

This is what dissent looks like when the stakes are life and death. In the West, we’re used to protest as performance. In Iran, it can be a death sentence. Do not underestimate the courage it takes for an uncovered woman, on camera, to do this.

287,573 görüntüleme

Why is Congresswoman Pramila Jayapal — chair of the Democratic Party's Progressive Caucus — peddling a false narrative about Cuban healthcare being better than the U.S.? From my research on my book PHARMA, I know what she says is WRONG. But she keeps repeating it and I am sure many progressives believe it. No legacy journalist is calling her out so let me do the job. Most recently, she stood at a Capitol Hill press conference on July 1 — flanked by Reps. Delia Ramírez, Jonathan Jackson, and Ro Khanna, under a banner reading "Demanding an End to the Blockade Against Cuba and International Medical Solidarity" — and told the crowd that Cuba, despite all its difficulties, had done admirable work preventing “maternal mortality, neonatal mortality, and cancer,”in her words, "areas in which we in the United States are still struggling to make progress." It wasn't an ad-lib. It was a return engagement. In an April interview after her own delegation trip to Havana, Jayapal said Cuba has "the lowest infant mortality, maternal mortality — sort of the opposite of what the United States has." When the reporter mentioned Cuba's higher life expectancy, she agreed with that too. The Washington Post's editorial board flagged it then as a flawed diagnosis. She said it again in front of National Nurses United two months later. So it's worth actually running the numbers, one at a time. Maternal mortality. The U.S. rate was 18.6 deaths per 100,000 live births in 2023, and it fell further to 17.9 in 2024. Cuba's own Ministry of Public Health reported its maternal mortality rate at 40.6 per 100,000 in 2024 and rising to 44.1 in 2025 — better than two-and-a-half times the American rate, and climbing. There is no version of the current data where Cuba is "the opposite" of the U.S. on this metric. It's far worse. Neonatal/infant mortality. Cuba's official infant mortality rate did fall to a low of 4.0 per 1,000 live births in 2018 — a genuinely low number, and one Cuba has kept touting. But two things complicate that figure. First, a peer-reviewed study in Health Policy and Planning found evidence that Cuban physicians have been pressured to reclassify early neonatal deaths as late fetal deaths (effectively, miscarriages) to hit government mortality targets — a known method of statistical manipulation, flagged by demographers going back to the 1990s. Corrected for that, researchers put Cuba's real infant mortality rate somewhere between 7.45 and 11.16 per 1,000, not the sub-5 figure the government published. Second, and more damning for Jayapal's live claim: Cuba's own current numbers show infant mortality at 9.9 per 1,000 as of the end of 2025 — up 148% from that 2018 low, and now well above the U.S. rate. Havana's maternity wards are reporting sewage leaks in neonatal units and adolescent pregnancy rates spiking past 20% in some provinces. Whatever Cuba was doing right in 2018, it isn't doing now, and the 2018 number itself was likely inflated by data manipulation to begin with. Cancer. This is the claim with the least data behind it and the most against it. The most recent regional analysis of Latin America and the Caribbean, using 2022 GLOBOCAN figures, found Cuba has the highest age-standardized cancer mortality rate in the entire region — 136.6 per 100,000 for men, 91.6 per 100,000 for women — ahead of Mexico, Argentina, Brazil, Chile, and Colombia. There is no dataset I could find, from PAHO, WHO, or IARC, showing Cuban cancer outcomes outperforming the United States. Cuba's president, Díaz-Canel, touring a Havana maternity hospital the same week Jayapal spoke, said the healthcare system currently can't get lifesaving treatment to more than 100,000 cancer patients, including 1,200 children, due to shortages. That's not a system beating American oncology. That's a system in collapse, by the Cuban government's own telling. The bigger problem with the claim. During my reporting for PHARMA I learned that Cuba's low mortality figures have functioned as propaganda for an authoritarian government for over 30 years — repeated uncritically by public health researchers, NGOs, and now members of Congress, because the story fits a preferred narrative about what a "resource-poor" country can accomplish with universal healthcare. But the country producing those numbers has no free press, no independent statistical audit, and a documented history of reclassifying deaths to hit targets. That's not a minor asterisk. It's the whole ballgame if you're going to hold a press conference built on the premise that Cuba is quietly outperforming America. Does Pramila Jayapal know she is selling a disproven story or does she not care so long as it fits her narrative that a communist universal healthcare system is better than the one in America?

Why is Congresswoman Pramila Jayapal — chair of the Democratic Party's Progressive Caucus — peddling a false narrative about Cuban healthcare being better than the U.S.? From my research on my book PHARMA, I know what she says is WRONG. But she keeps repeating it and I am sure many progressives believe it. No legacy journalist is calling her out so let me do the job. Most recently, she stood at a Capitol Hill press conference on July 1 — flanked by Reps. Delia Ramírez, Jonathan Jackson, and Ro Khanna, under a banner reading "Demanding an End to the Blockade Against Cuba and International Medical Solidarity" — and told the crowd that Cuba, despite all its difficulties, had done admirable work preventing “maternal mortality, neonatal mortality, and cancer,”in her words, "areas in which we in the United States are still struggling to make progress." It wasn't an ad-lib. It was a return engagement. In an April interview after her own delegation trip to Havana, Jayapal said Cuba has "the lowest infant mortality, maternal mortality — sort of the opposite of what the United States has." When the reporter mentioned Cuba's higher life expectancy, she agreed with that too. The Washington Post's editorial board flagged it then as a flawed diagnosis. She said it again in front of National Nurses United two months later. So it's worth actually running the numbers, one at a time. Maternal mortality. The U.S. rate was 18.6 deaths per 100,000 live births in 2023, and it fell further to 17.9 in 2024. Cuba's own Ministry of Public Health reported its maternal mortality rate at 40.6 per 100,000 in 2024 and rising to 44.1 in 2025 — better than two-and-a-half times the American rate, and climbing. There is no version of the current data where Cuba is "the opposite" of the U.S. on this metric. It's far worse. Neonatal/infant mortality. Cuba's official infant mortality rate did fall to a low of 4.0 per 1,000 live births in 2018 — a genuinely low number, and one Cuba has kept touting. But two things complicate that figure. First, a peer-reviewed study in Health Policy and Planning found evidence that Cuban physicians have been pressured to reclassify early neonatal deaths as late fetal deaths (effectively, miscarriages) to hit government mortality targets — a known method of statistical manipulation, flagged by demographers going back to the 1990s. Corrected for that, researchers put Cuba's real infant mortality rate somewhere between 7.45 and 11.16 per 1,000, not the sub-5 figure the government published. Second, and more damning for Jayapal's live claim: Cuba's own current numbers show infant mortality at 9.9 per 1,000 as of the end of 2025 — up 148% from that 2018 low, and now well above the U.S. rate. Havana's maternity wards are reporting sewage leaks in neonatal units and adolescent pregnancy rates spiking past 20% in some provinces. Whatever Cuba was doing right in 2018, it isn't doing now, and the 2018 number itself was likely inflated by data manipulation to begin with. Cancer. This is the claim with the least data behind it and the most against it. The most recent regional analysis of Latin America and the Caribbean, using 2022 GLOBOCAN figures, found Cuba has the highest age-standardized cancer mortality rate in the entire region — 136.6 per 100,000 for men, 91.6 per 100,000 for women — ahead of Mexico, Argentina, Brazil, Chile, and Colombia. There is no dataset I could find, from PAHO, WHO, or IARC, showing Cuban cancer outcomes outperforming the United States. Cuba's president, Díaz-Canel, touring a Havana maternity hospital the same week Jayapal spoke, said the healthcare system currently can't get lifesaving treatment to more than 100,000 cancer patients, including 1,200 children, due to shortages. That's not a system beating American oncology. That's a system in collapse, by the Cuban government's own telling. The bigger problem with the claim. During my reporting for PHARMA I learned that Cuba's low mortality figures have functioned as propaganda for an authoritarian government for over 30 years — repeated uncritically by public health researchers, NGOs, and now members of Congress, because the story fits a preferred narrative about what a "resource-poor" country can accomplish with universal healthcare. But the country producing those numbers has no free press, no independent statistical audit, and a documented history of reclassifying deaths to hit targets. That's not a minor asterisk. It's the whole ballgame if you're going to hold a press conference built on the premise that Cuba is quietly outperforming America. Does Pramila Jayapal know she is selling a disproven story or does she not care so long as it fits her narrative that a communist universal healthcare system is better than the one in America?

28,744 görüntüleme

“Not a great look for Israel”? No—it’s not a great look for U.S. policy on jihadists. The mullahs in Tehran must be loving American conservative media & VP Vance complaining more about Israel than Hezbollah or Iran.

“Not a great look for Israel”? No—it’s not a great look for U.S. policy on jihadists. The mullahs in Tehran must be loving American conservative media & VP Vance complaining more about Israel than Hezbollah or Iran.

35,149 görüntüleme

I think almost everyone agrees that the MOU with Iran is not unconditional surrender. Put aside how you feel about President Trump — that’s not a factual claim, it’s a marketing one. Asked by Axios today why he abandoned his early demand for “unconditional surrender,” he said, “Well, it really probably is unconditional surrender…I think so.” Unconditional surrender looks like Germany and Japan in 1945: occupation, war crimes tribunals, the imposed rebuilding of a democratic society. Iran’s Islamic government is intact. The IRGC is in control. This is Trump’s oldest habit — the successful builder and showman who’s always selling the bigger version of the deal. It served him very well in real estate and reality TV. It doesn’t serve the facts here. Overselling the deal with Iran only sets unrealistic expectations for what will emerge from 60 days of upcoming tough negotiations.

I think almost everyone agrees that the MOU with Iran is not unconditional surrender. Put aside how you feel about President Trump — that’s not a factual claim, it’s a marketing one. Asked by Axios today why he abandoned his early demand for “unconditional surrender,” he said, “Well, it really probably is unconditional surrender…I think so.” Unconditional surrender looks like Germany and Japan in 1945: occupation, war crimes tribunals, the imposed rebuilding of a democratic society. Iran’s Islamic government is intact. The IRGC is in control. This is Trump’s oldest habit — the successful builder and showman who’s always selling the bigger version of the deal. It served him very well in real estate and reality TV. It doesn’t serve the facts here. Overselling the deal with Iran only sets unrealistic expectations for what will emerge from 60 days of upcoming tough negotiations.

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The single fact that most shocked the Oxford Union when I debated there last June was this: Americans are just 5% of the world’s population… …but we pay for 75% of Big Pharma’s entire global profits. That’s why our drug prices are insane. Secretary Kennedy do something

The single fact that most shocked the Oxford Union when I debated there last June was this: Americans are just 5% of the world’s population… …but we pay for 75% of Big Pharma’s entire global profits. That’s why our drug prices are insane. Secretary Kennedy do something

27,656 görüntüleme

Wow. When I heard Press Sec Karoline Leavitt say that DOGE/OMB had cancelled $50 million in condoms for Gaza, I thought it was just about crazy govt spending. Then I learned in Jerusalem Post that Hamas uses condoms and balloons to make improvised IEDs and flammable aerial bombs

Wow. When I heard Press Sec Karoline Leavitt say that DOGE/OMB had cancelled $50 million in condoms for Gaza, I thought it was just about crazy govt spending. Then I learned in Jerusalem Post that Hamas uses condoms and balloons to make improvised IEDs and flammable aerial bombs

15,959 görüntüleme

Videos

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Most Americans are clueless about what the Democratic Socialists of America (DSA) really stands for. This morning on Michael Smerconish, national DSA co-chair Ashik Siddique tried to sell the full platform to Middle America. And made it clear that Elon Musk is a piñata talking point for them now. This clip pulled back the curtain on what their own website and spokespeople openly advocate. • “Public ownership of large corporations” • Free everything: Medicare for All with zero cost-sharing, tuition-free college + free room & board, full student debt cancellation, universal childcare, universal rent control • Voting rights for non-citizens • Open borders / “freedom of movement” — let workers migrate freely without “restrictive immigration controls” • End the “war on drugs” by fighting “mass incarceration and police brutality” Ashik Siddique’s pitch? All the radical policies are hidden under “affordability…people feeling like they have to work harder to get by. People can’t pay rent, they can’t afford groceries. They see the billionaires getting richer while their own lives are getting worse.” As a UC Berkeley political science graduate from the 1970s, I can recognize classic class warfare framing when I see it. This rhetoric may poll well in deep-blue corners, but can it actually sell in the heartland? New York City is “America’s city,” claims Siddique, but most of the country isn’t. The affordability cloak will only work if voters don’t read the fine print.

Gerald Posner

66,949 görüntüleme • 23 gün önce

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Nearly two million Iranians turned out for Ali Khamenei's funeral over the weekend. Notably absent: every one of his sons except Mojtaba, the new Supreme Leader — who hasn't been seen in public since the strike that killed his father, and whose own security detail reportedly won't let him near the burial for fear Israel finishes the job. That's not a footnote. That's the clearest evidence yet of how serious his wounds were. Pakistan — one of the two countries (with Qatar) actually running point on the US-Iran MOU — logged record viewership of the funeral coverage. When your own negotiating partner's public is glued to the broadcast, that tells you something about where the emotional center of gravity sits. Trump, for his part, told Axios he was "shocked" by the turnout — he'd assumed Iranians hated Khamenei enough that the streets would be empty. That comment is getting replayed across the Arab world right now, including in Gulf state coverage that rarely misses a chance to note when Washington misreads Tehran. Meanwhile, at the funeral itself: a poet took the mic in front of hundreds of thousands and asked why "the most bastard man in the world" — Trump — was "still alive," declaring the world "no longer a good place" for him. The crowd cheered. Banners called for killing Trump and Netanyahu outright. Chants of revenge against America were the soundtrack, not the exception. So ask yourself plainly: does this look like a country about to roll over and do whatever Washington wants? The hatred of the U.S. and of Trump personally hasn't cooled since the war — it's hit a fever pitch. Any diplomat pretending otherwise is negotiating with a fantasy version of Iran, not the one that just buried its leader in front of millions of true believers.

Gerald Posner

31,032 görüntüleme • 15 gün önce