Category Archives: Health care

Extremists And Cowards.

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Bullies and weaklings; a**holes and chickensh*ts; Teapublicans and Democrats.  Whatever you want to call them, many of the people who now take up seats in Congress generally fall into one of these two categories. Never has the distinction been more obvious than following the latest vote on “Obamacare.” 39 cowards chose to join the right wing extremists by voting for a bill to “fix” the Affordable Care Act (ACA) by requiring insurance companies to continue to sell junk insurance policies.

The cowards are Democrats who have revealed themselves to be far more concerned about being re-elected and doing what’s best for themselves than doing what’s right for their constituents and their country. Indeed, they are Democrats who have sold out their constituents, their campaign contributors, their congressional caucus and the president. Instead of standing up for health care reform, they stood up for the status quo. They stood up for insurance company profits. They stood up for lobbyists. They stood up with their hands out looking for large campaign contributions from the insurance industry and Big Pharma.

Certainly, many of these weaklings have been targeted by the Republican National Committee and its billionaire sponsors. I have a certain amount of sympathy for these people since right wing Super PACs have already spent millions to attack them more than a year before the mid-term elections. But, if you’re a progressive voter, what’s the point of supporting a representative who refuses to support you on something as important as the ACA? These cowards are forcing their supporters to hold their noses and choose the lesser of the two evils.

For the record, I don’t believe in so-called litmus tests for politicians. I believe in compromise and bipartisanship, but not at the expense of betraying those they are elected to represent. Voting to undermine the ACA by eliminating insurance standards is just such a betrayal.

From the beginning, the ACA has been a difficult undertaking. Everyone knew that its implementation would not be smooth, even in the best of circumstances. (We all know that the roll-out of Social Security, Medicare and Part D did not go smoothly.) In order to get the bill passed, the administration was forced to drop the public option that was intended to keep insurance companies honest by providing more competition. Congressmen and senators spent months and months adding amendments that would weaken the bill. Then many of those same people voted against it anyway.

The ACA faced unparalleled opposition from both inside and outside the beltway; from lobbyists; from the insurance industry; from the pharmaceutical industry; from the medical supply industry and more. Hundreds of millions of dollars have been spent in very public attempts to block it. Teapublicans have spent years bad-mouthing it and predicting that it would be a “train wreck.” They mischaracterized it as a “government takeover” of medicine. They said it would result in “government death panels.” The right wing media has called it “an end to liberty,” “socialism,” “fascism” and worse. The mainstream media has thrived on the controversy, reporting it as though it was some sporting event, trumpeting every setback and glitch. Now they are scoring the ACA by the numbers of people who have registered and purchased insurance policies.

Teapublicans made their opposition to the ACA the centerpiece of two election cycles. They have attempted to repeal the ACA or defund it more than 40 times. They even shut down the government in an attempt to defund the ACA.

Many Teapublican-controlled states refused to expand Medicaid leaving millions of their citizens without health insurance. Many of those same states refused to create insurance exchanges, forcing the federal government to pick up the slack and directing millions more Americans to the healthcare.gov website. At the same time, they cut funding for the website. They funded cyber attacks to disrupt the website. Then they held congressional “investigations” in order to call attention to the glitches.

And now, NOW, 39 so-called Democrats add to the headwinds by voting for a bill that would undermine the ACA? I can think of only two words to describe such a vote…cowardice and treachery! I spent the last election cycle supporting some of these people. I donated to their campaign funds. I can hardly wait until I receive another email from them asking for my support.

They won’t like the answer any more than I like their vote.

Exactly What Are Teapublicans Trying To Protect Us From?

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In shutting down the federal government, GOP congressional leaders said they wanted to save us from the Patient Protection and Affordable Care Act, (aka “Obamacare”). In other words, they want to save Americans from an idea that they, themselves, proposed in 1996 and successfully implemented in Massachusetts as an alternative to universal health care.

So what great evils are they trying to keep at bay on our behalf?

They are trying to block our access to online marketplaces that will allow hundreds of thousands of Americans to choose more affordable options for health insurance. (Yes, HealthCare.gov will soon be fixed and, if the experience of Massachusetts is any indication, customers will wait until the last few weeks to sign up.) They are trying to overturn a new government rule that prevents insurance companies from denying coverage for pre-existing conditions. They are trying to overturn a new rule that prevents insurance companies from terminating policies rather than pay the costs of medical treatments. They are trying to save us from the tax credits we’ll receive for purchasing health insurance.

The GOP and their wealthy contributors are trying to save up to 50 million Americans from being able to afford private health insurance for the first time. They are trying to keep parents from adding adult children up to age 26 to their own insurance policies. They are trying to save us from subsidized preventative care that will help identify medical conditions before they become more serious (and expensive) diseases.

They are trying to make sure that those who already have health insurance will continue to bear the costs of the uninsured who use the Emergency Room for routine health care visits. They are trying to preserve Washington’s largest group of lobbyists. Teapublicans are trying to ensure that the cost of health care benefits continue to encourage large corporations to ship middle class jobs overseas. Finally, they are trying to ensure that increases in health care costs continue to outpace inflation and that the cost of prescriptions will continue to skyrocket.

It’s obvious we need someone to rescue us for these self-proclaimed rescuers!

If Corporations Are People…

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In its Citizens United decision, the US Supreme Court ruled that corporations are people – with all of the rights of individuals. The “justices” didn’t mention the responsibilities that go along with those rights. Like the responsibility to care for your neighbors.

But, just for a moment, let’s assume that those five old men in black robes who voted in the majority were right. If corporations really were like people, one-sixth, including their CEOs, would be unable to afford health insurance. One-sixth would not have enough food to eat. They would not be able to afford lobbyists. Few would have pension plans and large investment accounts. Most would not be able to retire when they became elderly. And most would not have enough money to contribute to political candidates.

If corporations were like people, they would not be able to negotiate a plea after committing illegal acts, then pay a small fine and deny any admission of guilt. They would go to prison.

If corporations were like people, they would receive no tax-free subsidies to acquire space and land. They would have to pay property taxes on their buildings. Other states and cities would not offer them millions in incentives to relocate. All but a tiny percent would have to pay their fair share of sales taxes and income taxes.

And what if the members of Congress were like the people they’re supposed to represent?

Instead of being paid $174,000 per year, representatives would be paid an average salary of $50,502. Half would make less than $27,000 and 16 percent would live in poverty. Some would be hungry and homeless. They would have no staff to do their work for them. They would actually have to read the bills before they vote.  And they wouldn’t begin fundraising and campaigning for the next election the day after they’re elected.

We’ve come a long way from the representative government our Founders envisioned. A lo-o-o-o-o-ng way!

The Real Problem With HealthCare.gov.

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The glitches and failures of HealthCare.gov have provided GOP congressmen with much needed ammo to attack “Obamacare.” They have held numerous congressional hearings that have allowed them to grandstand to their heart’s content. They have elicited an apology from the Secretary of Health and Human Services, Kathleen Sebelius. The glitches have even forced President Obama to address them during press conferences.

But instead of looking for publicity and cheap political gains, perhaps Congress should be looking at the real problem – the federal procurement process.

A study of the federal procurement process by the Standish Group found that 94 percent of all federal IT projects costing $10 million or more fail!  According to an article in Computerworld by Patrick Thibodeau, the Standish Group reviewed 3,555 projects from 2003 to 2012 costing at least $10 million. 52 percent were over budget, behind schedule or didn’t meet expectations. 41.4 percent were outright failures.

Likely, that’s because the procurement system is designed to select the cheapest bidder; not necessarily the best bidder for the project. And, if procurement for IT projects is handled like the procurement of defense weaponry, there are likely conditions written into the process designed to favor certain contractors…contractors located in a certain congressmen’s district or contractors that have “earned” certain favors through gifts and junkets to exotic places.

As evidence that HealthCare.gov is no exception, the Computerworld article cited other government projects that have experienced problems, stating “Large state and federal government IT projects are notorious for blowing up.” The article cited a US Air Force project costing $1 billion before it was scrapped and a $170 million FBI project. Of course, there have also been notable failures in the private sector, including Microsoft’s release of Windows 8.1. And there was the very public crash of Windows 98 during Bill Gates’ introductory presentation on live TV.

Despite all of this, HealthCare.gov can and will be fixed.  It just needs time, money and talent. Indeed, those are the variables for any large project, and, unfortunately, the government procurement process tends to ignore two of them.

Moreover, the Affordable Care Act should not be judged by its website problems. The ACA has already accomplished much. It has ended the insurance industry practice of denying coverage for pre-existing conditions. It has eliminated lifetime caps on coverage. It has made it possible for parents to maintain coverage for their children up to age 26. It has already made it possible for tens of thousands to purchase insurance plans they previously couldn’t afford.

And it has done all of this despite more than 40 attempts to repeal or defund the law and a heavily-financed and highly-orchestrated GOP campaign of obstruction.

Who Speaks For The Poor And The Hungry?

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Not Republicans. They continue to vote to cut unemployment benefits, food stamps, Head Start, minimum wage, labor unions and public education. Indeed, last year’s standard bearer was caught on tape deriding the bottom 47 percent for paying “no taxes” and wanting “free stuff.” Certainly not the Tea Party parasites. They contemptuously refer to the working poor as “freeloaders.”

Even Democrats seem far more concerned with the middle class and labor unions than the poor.

Christian churches? Some actually care enough to try to help. But many of today’s mega-churches are mere social clubs, more interested in politics and social engineering than the poor and the hungry. They talk about “tough love” to “free” the poor from safety net programs that they claim create dependency.

As a result, many of the nation’s poor are left to survive any way they can in our cities’ ghettos and in small rural communities. One in six don’t know where their next meal will come from. Many of these people work, but are paid so little, they can’t afford to live. Many single parents make less at the available jobs than the cost of day care, so unless they have friends or family who can babysit, they can’t afford to work. Thousands of families are homeless despite working one or more jobs. (Imagine a family trying to make ends meet in a large city on $15,000-$20,000 a year.) And none have health insurance, so they can’t afford to seek help unless it’s an emergency.

Despite all of the stark, all too depressing evidence of poverty in the US, few in government are motivated to help. After all, the poor can’t afford to make campaign contributions. They have no lobbyists to finance political campaigns. They can’t afford to wine and dine elected officials on junkets to resorts and exotic places.

Even when the working poor do have a roof over their heads and a small budget for food (usually the result of food stamps), the food they can afford is loaded with more sugar and fat than nutrition. This not only affects their health. It contributes to our nation’s obesity problem and rising health care costs.

And for the children of the poor, good luck with school. It’s hard to concentrate on assignments with your stomach growling. Not surprisingly, most schools in impoverished areas are underfunded and overpopulated. With few resources and large class sizes, teachers do what they can before they pass the struggling children along to the next grade. Moreover, because of their work schedules, many parents have little time to help their children with homework…homework they, themselves, may have failed. This all but ensures that the family economic problems continue generation after generation.

How can we change things?

To begin, we can raise the minimum wage. (No one who works a full-time job should be paid a wage that leaves them below the poverty line.) We can fully fund programs such as food stamps, instead of cutting them as Teapublicans demand. We can fund Head Start, unemployment benefits and welfare (welfare for the poor, not corporations). We can create safe and affordable day care programs for low income families. We can make certain that all schools are adequately funded and we can create after-school programs for children who want to put in the extra work to succeed. We can make sure that every American has access to health care…especially preventative care. We can drop the farm subsidies for big corporations and redirect them to small independent growers who make fresh and healthy food available to poor neighborhoods.

If you think our nation can’t afford to fund such common-sense humane programs, think again. We need only take a fraction of the money from our bloated war industry (In a country that has spent all but a few years of its history engaged in war, calling it a defense department is a misnomer.).

It’s long past time that our nation invested in people not corporations…humanity not war.

A Nation Of Crises.

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Every day I receive dozens of emails and letters asking me to help save the oceans, save the environment, save children, save wildlife, save food stamps, increase the minimum wage, stop voter suppression, stop global warming, stop the pipeline, stop racism, stop the attacks on women’s rights, stop the attacks on education, stop the attacks on science, demand gun control, end hunger, end poverty, etc., etc., etc…

It’s all very depressing.

Of course, these are all very real and serious issues, and the organizations asking for help are well-run and well-intentioned. They deserve our support. But I finally realized that all of the issues are related. They are all the result of corporate greed and ideological candidates supported by billionaires and big business.

Our oceans are being destroyed by greedy oil companies and by large, commercial fishing operations. Our air and water are being polluted by corporations who would rather dump toxins into the environment than sacrifice a portion of their profits to clean up after themselves. Poverty and hunger are the result of corporations who are more intent on rewarding investors and executives with large bonuses than paying workers a livable wage. Global warming is the result of corporate-backed congressmen who prioritize subsidies for oil companies over subsidies for alternative energy sources.

Many chronic health issues and diseases are the result of corporate farming practices and food processing companies that intentionally poison our food in order to increase profits. The attacks on science, education and voter rights are designed and paid for by large corporations in order to maintain control of our government. The lack of funding for social safety nets such as food stamps, Social Security, Medicaid and Medicare are the result of corporate fraud and abuse, as well as tax loopholes that allow corporations and the wealthy to avoid paying their fair share of taxes.

Almost every one of our problems is the result of large, multinational corporations and the billionaires who run them treating the Earth as a source of commercial resources and people as commodities.

Since I can’t afford to donate to every good cause, I’ve decided to donate to candidates who place people above corporations.

I will vote against candidates who support corporations that pay employees a minimum wage while paying CEOs millions; that damage our environment and our food supply. I will vote against those who accept large donations from such corporations regardless of which party they represent. I will not spend another dime to purchase products and services from corporations that harm our citizens, our nation and our environment.

If corporations only care about money, I will deny them the thing they want most. I hope you will consider doing the same.

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.