Category Archives: Health care

How The People You Elect Are Turned Into Highly-Paid Puppets.

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On Tuesday, Heritage Action, the even more political arm of the Heritage Foundation, sent a memo to Republican Congressmen telling them to vote against the bipartisan Senate bill that would re-open our government. As a none-too-subtle threat, the memo noted that the organization would be “scoring” Congressional votes.

In other words, do as we say or we will make sure you have a difficult, and expensive, primary fight!

This is really nothing new. Well-financed ideological groups have controlled our Congress for decades. The four-million-member NRA has long scored votes at the state and national level regarding gun safety and other issues of interest. The US Chamber of Commerce has spent billions to elect officials who are friendly to large corporations. The American Medical Association, Big Pharma and the Insurance Institute of America have spent billions to protect their out-of-control profits in health care. Large corporations peddle influence through the American Legislative Exchange Council (ALEC). Even churches keep score, picking and choosing winners in elections.

What is new is the sheer amount of money and power now exerted by outside interests. Following the Supreme Court decision that equates money with free speech and the decision to equate corporations with people, the amount of money in politics has increased dramatically. In 1998, it’s estimated that $1.6 billion was spent on US elections. In 2012, that number exceeded $6.2 billion! And the Supreme Court is currently hearing a case that could further open the floodgates.

There are now dozens of highly-partisan “think tanks,” PACs, SuperPACs and lobbying groups that hold out the carrot of campaign financing and brandish a whip for any legislators who get out of line.

If an elected official wants to retain some semblance of independence from the big-money interests, he or she has to constantly beg constituents for money. Is it any wonder, then, that within a month of the 2012 election results, candidates were campaigning to raise funds for their re-election?

Most Americans can see the problem, but they continue to hold their noses and vote for candidates who are more interested in their re-election than the interests of our nation. There is only one way to stop it…stop it! Stop voting for candidates who put corporations ahead of people. Stop voting for candidates who put the interests of their party ahead of the interests of our nation.

Just stop it!

How To Shut Up Teapublicans.

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John Boehner, Ted Cruz, et al are fond of blaming President Obama and Sen. Harry Reid for the government shutdown. In doing so, they claim that the Democrats “refuse to negotiate.”

Negotiate what?

The only thing Teapublicans want to “negotiate” is the Affordable Care Act, a bill that was duly passed by both houses of Congress, signed into law by the President and found to be constitutional by the US Supreme Court. That simply cannot be negotiated. It can be repealed. But that would take an act of both houses of Congress and the signature of the President, and that’s simply not going to happen.

So how about this? What if Obama and Reid offer to delay some aspects of the Affordable Care Act for a year in exchange for Teapublican agreement to pass a strict gun control bill that will ban all semi-automatic weapons and a bill to provide federally-funded abortions for any woman who needs one? I’m sure a majority in the Senate would agree to that, as well as the President.

What’s that you say? That’s unreasonable? Really?

It’s no more unreasonable than what Teapublicans are asking. So tell you what. When Teapublicans finally decide that they want to negotiate the federal budget in good faith, they should pass a temporary funding bill to restart the government. Then they should sit down with Democrats to discuss the budget like adults. That means both sides need to compromise.

Until then, the President and Senator Reid should stand pat.

Why You Can’t Negotiate With Terrorists.

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Long ago, our law enforcement agencies learned that you can’t negotiate with terrorists, especially those who take hostages. The reason is that their demands are always unreasonable and they never live up to the negotiated agreement.

House Republicans are no different.

The President and Senate have been negotiating the federal budget for more than four years, trying to strike a fine balance between keeping our fragile economic recovery going and bringing deficits under control. Under President Obama, the deficit has dropped faster than at any time in history. And Democrats reluctantly agreed to make permanent the $70 billion in cuts to the federal budget that were part of the sequester. But after agreeing to the cuts, Speaker of the House betrayed the Senate Majority Leader by allowing the defunding of the Patient Protection and Affordable Care Act to be included in the budget bill.

When the President and Senate refused to agree to the measure, the House offered a ”compromise” by attaching an amendment that would delay “Obamacare” for one year. Some compromise.

Since House Republicans have already voted to repeal or defund “Obamacare” more than 40 times, what assurance is there that they won’t vote to repeal the law another 40 times over the coming year?

After all, terrorists seldom live up to their word. And if they are willing to take our government and economy hostage once, they’re likely to do it again. Indeed, this is at least the third time in my lifetime that Republicans have shut down the government.

Republicans and their Tea Party parasites are always quoting the Constitution. It’s time they actually read it. Not just the 2nd and 10th Amendments…but the entire Constitution. If they would, they’d find that the House is only one part of the federal government, and it doesn’t have veto power. If they want to have a bill passed, they have to find agreement with the Senate and gain the signature of the President.

Only the President has veto power.  And the House doesn’t have the votes to override a presidential veto.

That means the House terrorists have only one option – to fund the government, at least temporarily, and then demonstrate that they can negotiate in good faith.

I, for one, don’t think they’re capable of that.

House Teapublicans Throw A Snitfit.

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Recognizing that out-of-control medical costs represented a growing threat to the health of Americans and the health of our nation, then-candidate, Barack Obama, vowed to overhaul our health care system if elected president in 2008.  Almost immediately after being sworn into office, President Obama challenged the Democratic-led Congress to deliver a health care reform bill for his signature.  After much debate and many Republican-sponsored amendments, Congress passed the Patient Protection and Affordable Care Act promising to contain health care costs and to provide health insurance to nearly 50 million uninsured Americans. The president signed the bill into law. More than a year later, a conservative Supreme Court ruled the law constitutional. And in 2012, the public showed its approval by re-electing President Obama and Senate Democrats.

That’s how democracy works. Or, at least, that’s how it’s supposed to work.

Despite all of this, the Republican majority in the House of Representatives refuses to accept the law, having voted to repeal or defund it 41 times. In a final lack of defiance, they refused to fund it as part of their government funding resolution despite statements by Senate Majority Leader, Harry Reid, that the bill would be “dead on arrival” in the US Senate and statements by President Obama that he would veto the bill.

They passed the bill anyway, trying to place the blame on President Obama and Democrats.

In response, Congressional Republicans claimed to compromise by passing a spending bill that would delay funding of “Obamacare” for a year. Apparently, they believed that Democrats would be stupid enough to think that the delay was any more than a public relations attempt to deflect blame for the government shutdown.

So here we are. Our entire government has come to a standstill because of a Teapublican tantrum against a health care law their own party proposed during the 1996 presidential campaign to counter President Bill Clinton’s universal health care initiative.

Ironically, the Teapublican snitfit has not affected the implementation of “Obamacare.” Millions of Americans have signed up for health insurance exchanges since the government shutdown. Moreover, although the budget passed by the House does not fund “Obamacare,” it includes the savings which will be realized by the law.

Without “Obamacare,” the government budget being pushed by Republicans doesn’t add up! In other words, it’s ideological. But not mathematical. Indeed, it has been estimated that the government shutdown will cost taxpayers $10 billion per week! And that doesn’t even include losses by individuals.

Obviously, House Teapublicans need a time-out.

How long will Teapublicans whine, scream and cry before voters lose patience and slap them on their considerable behinds? No one knows. While tens of thousands of government workers go without paychecks, the congressmen behind the shutdown will continue to collect theirs. And, if you think that they will feel threatened by their constituents, think again. Most congressional districts have been so gerrymandered, they will likely be re-elected no matter how bad their behavior.

Despite this, there is reason to hope. Yesterday, it was announced that 17 moderate Republicans are willing to vote for a clean bill that would fund the federal government and “Obamacare.” Assuming that all House Democrats would vote for such a bill, that’s enough votes to end the government shutdown. But it requires Speaker Boehner standing up to the Tea Party parasites in his caucus and bringing the bill to a vote.

In other words, don’t hold your breath.

Demanding A 50 Year Cover-Up For Doing Your Job?

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Our nation was built on representative government.  But our representatives are so concerned with re-election that many are now afraid to do what’s best for our nation. So much so, that they try to hide their actions from the very people they represent.

The on-going debate over the federal tax code is a case in point.

Before many senators were willing to venture opinions on the tax code, they needed to be assured by Senators Max Baucus (D-MT) and Orrin Hatch (R-UT) that any suggestions would be kept secret for 50 years! Exactly what, or who, are they afraid of?

In a word, you.

Thanks to the Baucus-Hatch declaration, senators may now solicit favors from the K Street lobbyists without fear of repercussions. They are now free to recommend tax loopholes for their largest campaign contributors and special interests without fear of discovery by the people they are supposed to represent. By the time anyone finds out, they’ll be dead and forgotten.

Not exactly representative government, is it?

In one declaration, Baucus and Hatch have exposed everything that’s wrong with our government. And it’s not just a problem with the federal government. Such secrecy and tricks are used and abused by governments at all levels…city, county and state.

Those with money can buy access to those who make the laws. After all, it takes money to run for office these days…lots of it. So defense contractors, the American Medical Association, health insurance, Big Pharma, Big Oil, Wall Street, multinational corporations, billionaires, the NRA and others write our laws. They write the very regulations that will govern them, and because they write them, they feel free to break them.

No money.  No access.

Only a very few politicians have demonstrated through their actions that they are immune to such power.  Senators Elizabeth Warren, Al Franken, Amy Klobuchar, Bernie Sanders and a very small number of others have stood on priniciple. They seem willing to do the right thing and explain their decisions to those who elected them.

Far too many others say one thing in public and do something far different behind closed doors. The Baucus-Hatch declaration…along with Senators Baucus and Hatch…needs to go.

Another Debt Ceiling Debacle?

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Teapublicans are always fond of relating government budgets to your household budget. It’s a lousy analogy. But let’s use it for the purposes of the debt ceiling debate.

Imagine if your family, concerned about its spending and debt, had a meeting and decided that you no longer wanted to pay any debts above…let’s say, $10,000.  And let’s say that your family couldn’t agree on spending cuts. For example, the father just doesn’t want to stop collecting expensive guns and driving luxury cars, the mother doesn’t want to give up health insurance and the 401K, and the kids don’t want to give up school and food.  So your family agrees to stop paying the mortgage, the utilities and the credit card companies.

What do you think would happen?

The mortgage company would foreclose on your home, the utilities would cut off electricity, water and gas, and the credit card companies would cut off any new purchases in addition to adding large penalties and interest to your outstanding balance.  Moreover, your family would be unable to borrow money from anyone else. And, if someone else was willing to risk loaning your family money, it would be at exhorbitant interest rates.

Does that sound like something you want to intentionally do to your family? No? Then why would you want to do that to your country?

What we have is a Republican Party that doesn’t want to give up the world’s most lavish military budget or tax cuts and welfare for our largest corporations. The Democratic Party doesn’t want to give up Social Security, Medicare, and access to health care and food stamps for the working poor. And the Tea Party parasites don’t want to spend anything because they don’t like the government anyway.

During the 2012 presidential election, we had a national debate about the direction of our nation and its budget. On these issues, the voters overwhelmingly supported the Democratic Party.  The results of that election should direct the conversation about government spending. Most important, there should be a conversation with all parties sitting down together and having an adult conversation about our nation’s future.

Unfortunately, the Tea Party parasites don’t want to do that, and the gutless Republican leaders are kowtowing to them.

A Recipe For Failure.

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Since 2009, many conservatives have believed that Barack Obama is an anti-American socialist who was born in Kenya and, therefore, is an illegitimate president. Many in Congress refuse to recognize him as president, let alone negotiate with him. Even after he was re-elected in overwhelming fashion, they refuse to accept the results believing that he bought votes by offering “stuff” to the 47 percent they claim do not pay taxes.

On the other hand, Democrats in Congress believe that Tea Party conservatives were elected based on an avalance of misinformation and spending from billionaire ideologues. They also believe that many were the beneficiaries of conservative gerrymandering.

So where does this leave us?

It leaves us with a government that simply doesn’t function. If it were not for presidential orders, the government would be at a complete standstill. Congress and the president cannot agree on a budget, on foreign policy, on military action, on job creation…they cannot even agree on laws that have already been passed. The House continues to vote to repeal “Obamacare” without hope of actually doing so. Why? Merely because conservatives in Congress want everyone to know how much they dislike President Obama.

Conservatives in both the House and the Senate refuse to negotiate a budget deal. They merely want to dictate. In 2011, that led to an impasse over the debt ceiling that damaged the credit rating of government bonds, collapsed the stock market and brought economic recovery to a standstill. In 2012, it led to sequestration which created further problems.

Now conservatives in the House are threatening to pass a budget that will defund “Obamacare” and, unless they get their way, they not only threaten to refuse to raise the debt ceiling. They plan to shut down the government entirely.

In an attempt to reach some form of compromise, President Obama reached his hand across the aisle. In return, conservatives merely extended their collective middle finger.

Given the circumstances. it’s not at all clear which side will win. But I do know that we will all lose.

More Guns = More Homicides.

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Without the heavily-financed propaganda from the NRA, it’s doubtful that anyone would ever question the relationship. But since the gun industry has spent hundreds of millions to convince us otherwise, it has become the job of academia to bring us back to reality.  That’s just what Professor Michael Siegel from Boston University and his two coauthors have done in an exhaustive study to be published in an upcoming issue of the American Journal of Public Health.

The study looked at other academic literature which had concluded that where there are more guns there is more homicide. It compared gun availability and homicides using data from 26 developed nations. It analyzed the relationship between gun ownership and homicides using data from 50 states over a 10-year period.  The study even took into account many other factors including race, poverty and overall levels of violence.

The study’s inescapable conclusion is that more guns equal more homicides.

The plain fact is that guns make it easier to kill others and yourself. When someone snaps, guns become the weapon of choice. And thanks to the NRA, guns are readily available in every US city and every state.

Further, the act of concealing and carrying a gun doesn’t make us safer. It endangers us. That should be clear to everyone following the mass shooting at the Navy Yard in Washington, DC. The shooter, who had a history of gun violence and mental illness, was able to easily purchase a shotgun because all charges had been dropped and thus were not in the national database.

Although he entered the Navy Yard armed with only a double-barreled shotgun, he was able to acquire a semi-automatic pistol and an AR-15 assault weapon. How? The bad guy with a gun shot the good guys with guns and took their weapons.

So much for Wayne LaPierre’s post-Newtown argument.

And, in that regard, the Navy Yard shooting was not unusual. Data shows that most people who carry guns are more likely to be shot with their own guns than to use their guns to shoot an attacker. This is simply common sense. A gun is not a defensive weapon. It’s an offensive weapon. It cannot stop bullets. It can only stop another shooter if you see the shooter first, recognize the threat first and shoot first.

If we are to ever stop mass shootings and reduce gun homicides, we must reduce the number and lethality of guns. There is no justifiable reason why a private citizen should have more firepower and higher capacity magazines than law enforcement.  And there is no reason why we can’t have universal background checks for all gun purchases. Neither of these actions are a breach of the Second Amendment.

At the same time we have to look in the mirror and change our culture. Perhaps our movies and video games would not be so violent if we weren’t at war all the time. Maybe we would have less mental illness if we weren’t sending our citizens off to war zones, traumatizing them and returning them to our streets without careful examination. And maybe we’d have fewer of the criminally ill if we treated mental illness for what it really is…illness. There should be no shame or repercussions for a troubled individual seeking therapy anymore than there is for someone seeking treatment for cancer.

We shouldn’t stigmatize them. But we shouldn’t make it easy for them to purchase guns, either.

How Would You Pay For Uninsured Healthcare?

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Conservatives in Arizona and other states are mouth-frothing mad over the expansion of Medicaid for those who can’t afford health insurance. They claim that it’s a matter of personal responsibility; that the current system is fine; that people should simply go without healthcare if they can’t afford it.

Hmmm…

The people saying that consist mostly of the Bible-thumping, church-going crowd. You know, the good “Christians” who claim to follow the guy who once said something like, “What you do unto the least of these, you do unto me.”

What these people don’t understand, in addition to the Bible they claim to study, is that even people without money deserve healthcare. In fact, our federal government came to that realization years ago. That’s why hospitals are mandated to treat those in need, even if they can’t afford to pay for the treatment. As a result, most of the working poor (people below or near the poverty line are already eligible for Medicaid) delay medical care as long as possible. When their conditions have reached a point where they are more difficult to treat, they go to the Emergency Room where treatment costs many times more than care at a doctor’s office.

Who pays for their treatment? The very people who are whining and bitching about expanding Medicaid to cover more of the working poor. As a result, the whiners pay considerably more than they would if everyone had health insurance…even government-paid health insurance.

So the question is this: How would you like to pay for your brothers’ and sisters’ healthcare? Through the efficiently-run Medicaid system? Or through the many times more expensive E.R.?

Recess Is The Appropriate Term For A Congressional Break.

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Exhausted by the 86 days members of the US House of Representatives have worked this year, the House is now taking a 5-week recess – a term that aptly describes the childish behavior of this Republican-controlled legislative body.

After all, Republican congressional representatives continue to throw a tantrum over Obamacare, having voted to repeal the Affordable Care Act 40 times.

By comparison, the current session of Congress has passed just 15 bills that have become law. Six of those were necessary to fix seriously flawed laws. Three were reauthorizations of previous laws. Two were disaster relief bills. One was an appropriations bill. And two were commemorative bills.

Whew! I’m exhausted just writing about it. No wonder they need a break for recess. After all, all work and no play…

And Congress is not through. When they come back to work September 9th, they will have to gut it out for another 39 days before the end of the year in order to claim their $174,000 salaries. Of course, there is additional compensation. How else would you find someone to take such an unrewarding job? Members of Congress are eligible for pensions (the average annual pension was $35,952 in 2006) and healthcare benefits, plus annual allowances for office expenses, staff, mail, and travel between their home districts and Washington, DC.

Interestingly, beginning in 2014, members of Congress will have to give up their executive healthcare plans. The only coverage available to them will be that offered through the Health Insurance Exchange created by Obamacare.

Could that be the real reason Republicans continue to vote to repeal Obamacare?