Category Archives: Health care

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?

Growth Of The “Moocher” Class.

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During the 2012 presidential election, Mitt Romney was famously caught on camera talking about the 47 percent he claimed pay no taxes. That led to the conservative media referring to the 47 percent as the  “moocher” class; those people whose votes could be bought with promises of free “stuff,” such as food stamps, unemployment insurance and access to healthcare.

According to a new survey exclusive to The Associated Press, Romney had the numbers wrong. The survey shows that 80 percent of adults in the US face near-poverty and unemployment at some point in their lives. You read that correctly…80 percent!

In addition, the latest NBC News/Wall Street Journal poll found that 22 percent of Americans have been significantly affected by the sequester budget cuts. And those who earn less than $30,000 per year have been hardest hit. Moreover, 1 in 6 (50 million) Americans face food insecurity, including 17 million children.

The vast majority of these people work full-time jobs; some work two jobs or more and still can’t make ends meet. Yet conservatives call these people “moochers” and “takers.” Fox News Channel and conservative radio hosts vilify and ridicule the working poor. Instead of placing the blame where it belongs…on greedy corporations and an economy that no longer offers the majority of Americans an opportunity to realize the American Dream…Congressional Teapublicans blame the problem on labor unions, pensions, Social Security, Medicare and Medicaid. They have voted to cut food stamps and unemployment insurance benefits. They have voted 39 times to repeal Obamacare, denying access to healthcare for more than 50 million poor Americans. And, instead of voting to fund projects that would rebuild our infrastructure and create good-paying jobs, they vote to cut taxes for the wealthy.

In the two and a half years since regaining control of the House by promising to focus on jobs, Teapublicans continue to push for budget cuts and to place obstacles in the way of our economic recovery.

As a result of their indifference to the plight of ordinary Americans, our economy continues its slow recovery. We continue to see the loss of good-paying jobs to other countries. We continue to see the loss of pensions and income security for the elderly. And we continue to see a widening gap between the rich and the poor.

Teapublicans are right to talk about the “givers” and “takers” in our society. But they have things backwards. The “givers” are the working people who pay a disproportionate share of their income to taxes, including payroll deductions and sales taxes. And the “takers” are the very wealthy and large corporations who benefit from corporate welfare and record profits.

Egypt’s Morsi = America’s GOP

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When asked to explain the removal of President Mohamed Morsi, Egyptian leaders said that Morsi had offered no plan; no vision to solve the nation’s problems. Instead, he focused on consolidating the power of the Muslim Brotherhood and instituting Sharia law.

In many ways, his actions paralleled those of the GOP in the US.

Like Egypt, we have millions of unemployed. We have tens of thousands of recent college graduates with no jobs; not even any prospects of jobs. We have millions who, despite working full-time jobs, live in poverty. Our infrastructure is crumbling around us.

So how are Congressional Republicans dealing with these problems?

Like the Muslim Brotherhood, they are focused on consolidating power. In Republican-controlled states, they are gerrymandering Congressional districts to ensure their re-election. They are pushing through laws to limit the voting rights of minorities. And they are instituting their own form of repressive, antiquated laws to control women’s bodies; to control who may marry; to pick economic winners and losers.

The GOP has offered no legislation to address our growing number of problems. No jobs bills. No plan to rebuild infrastructure. No plan to help workers earn a living wage. No plan to break up our growing number of monopolies. No plan to deal with climate change. No plan to control healthcare costs. No plan to take the corruption out of politics.

The GOP’s only vision is to obstruct the plans of President Obama. If anything, that makes them worse than Morsi’s Muslim Brotherhood.

Grand Old Party Of Hate.

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After last year’s failure to elect a president, you would think that the GOP would stop trying to be the stupid, anti-minority, anti-woman, anti-poor party.

You’d be wrong.

Confirming that the Tea Party Parasites are firmly in control of the GOP, red states across the country are refusing to expand Medicaid making it difficult for the working poor to get access to healthcare. Many states are also using bullying tactics and tricks to pass legislation that not only takes away a woman’s right to choose. The same legislation is forcing women to pay for ultrasounds they neither want nor need; to eliminate women’s health clinics; to limit women’s access to contraceptives.

Already this year, Speaker John Boehner has stated that he will not bring forward the Senate’s immigration reform bill. GOP legislators are, once again, trying to suppress the voting rights of minorities. And GOP legislators and congressmen are still trying to deny gays and lesbians the right to marry.

What all of these issues have in common is that they are attempts to deny rights to individuals.

Instead of following their oft-stated goal of limited government, GOP leaders are trying to use the government to discriminate against large segments of our population. And they’ll continue their politics of discrimination and hate until voters make them pay. Not just for a single election year, but for three or four election cycles. Long enough to force a permanent change in the party.

A Healthcare System Only The Mafia Could Love.

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Actually, I should offer my apologies to the Mafia.  Because not even the Mafia could create such a blatantly expensive and inefficient system as the one we have in the US. In fact, when Singapore recently decided to create a national healthcare system, they first looked to the US…in order to learn what NOT to do.

We spend $2.7 trillion a year on healthcare with astoundingly poor results. Per capita, we spend more than double that of other any other advanced nation. We also spend $300 billion on pharmaceuticals…nearly double the amount spent by the the rest of the world combined!

The ugly truth is that Americans are addicted to pharmaceuticals. But we’re certainly not addicted to health. We overeat. We eat all of the wrong foods. We refuse to exercise. And we lead overly stressful lives. As a result, we die sooner…our lifespan ranks just 50th in the world!

Not surprisingly, most medical schools don’t teach nutrition, and most don’t offer courses on pharmaceuticals. (They rely on the pharmaceutical manufacturers to teach doctors after they begin practice.)

Our doctors and clinics are paid for the number of patients they see and the number of procedures they perform. Because of the cost, many Americans, especially those who lack insurance, delay going to the doctor until they can put it off no longer. They then go to hospital Emergency Rooms…the most expensive providers of healthcare. That causes healthcare costs to rise for those who do have insurance.

Many doctors hate our healthcare system. Many nurses and other medical workers hate our system. Many medical clinics hate our system. And many hospitals hate our system. If that’s true, then why doesn’t the system change? The answer is simple: Health insurers, medical equipment providers and pharmaceutical manufacturers are making billions at our expense.

Their greed is bankrupting Medicare and Medicaid, not to mention the thousands of Americans who have been forced into bankruptcy as the result of medical emergencies. The Patient Protection and Affordable Care Act will have some effect on our staggering healthcare costs. It will also add 30 million uninsured patients into the system, so it will improve the overall health of our nation.  But these new patients will help to further line the pockets of insurers and pharmaceutical companies.

Not satisfied with their spectacular profits, the health insurance and pharmaceutical industries are spending millions on congressional lobbyists to squeeze even more money out of the system.

The only way to stop the corporate profiteering, to cut costs and to improve healthcare is by creating some form of a single payer system similar to those in Canada, England, France, and most of the civilized world.

The Dismal State Of Our Union.

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Upon listening to the last day of Neal Conan’s Talk of the Nation on NPR, I was surprised by Ted Koppel’s response when asked about the future. Turns out, Koppel shares many of the same concerns as I do. For what it’s worth, here is a compilation of my own views of the current state of our union and its future.

Civil Rights – How depressing that people are still struggling for civil rights nearly 150 years after the end of slavery! The Supreme Court ruling on the Voting Rights Act was a huge setback, unleashing red states to suppress minority votes.

Abortion – Although abortion was made legal in 1973, women are still fighting to wrest control of their own bodies from the old men who control our political system. Amazingly, women are now forced to fight for access to contraception!

Environment – Most Americans say they’re concerned about our environment. They just don’t act like it. Most refuse to sacrifice anything on behalf of our planet’s future.

Hunger – In the richest nation on Earth, 50 million people are unsure of where they’ll get their next meal. That includes 17 million American children!

Energy – Nearly 40 years after President Carter had solar panels installed on the White House, we’re still addicted to fossil fuels. We spill more oil than most other countries use.

Healthcare  – The dirty secret is that we have no healthcare system. We spend more than twice as much as other advanced nations, yet achieve worse outcomes. And we spend more on pharmaceuticals than the rest of the world combined.

Wall Street – Greed has turned large banks into high stakes casinos. Their gambling habit not only cost individuals and pension plans trillions…many families lost their homes. Yet any attempt to regulate these banks has been undermined by millions in lobbying efforts.

Income Disparity – The US ranks among the world’s worst nations for income inequality. 400 Americans control more wealth than half of our population, and the gap is growing. Yet Republicans believe that 47 percent are sponging off the rest!

Jobs – Simply put, we don’t have enough of them. And far too few of them pay enough to support a family. Corporate leaders and politicians, on the other hand, each make enough to support dozens of families.

Privatization – We’ve privatized prisons, prison healthcare, schools, our military, even our intelligence efforts. Although all of these efforts have proven to cost more than publicly run institutions, Republicans are pushing for even more privatization.

Pensions – We lost tens of thousands of employee pensions over the past 40 years, replaced by IRAs and 401Ks which were originally intended to supplement defined benefit pension plans. The money once used for employee benefits now lines the pockets of CEOs, executives and investors.

Politics – Our politics have continued to move to the right, even though our population hasn’t. When Republicans are in control, they unabashedly cram through partisan legislation. When Democrats are in control, they tentatively nibble around the margins instead of doing what they were elected to do. Both parties rely on large corporations to finance their political campaigns.

Tea Party – This is a relatively small group that has had a large impact. Based on lies and meanness, it seems its goal is to take us back to the 16th Century.

Surveillance – Following 9/11, we traded privacy for increased security. The NSA tracks records of our phone calls, search engine terms and emails. Banks and credit card companies track our purchases. And surveillance cameras are everywhere.

Guns – While the NRA works to increase the availability of guns, even for criminals and the mentally ill, manufacturers make guns ever more lethal.

Education – Thanks to conservatives, public education is underfunded and teachers are woefully underpaid. Enough said.

Science – Many now claim that evolution is merely a theory. But so is gravity! Of course, these people also deny man’s affect on climate change. (See education.)

Religious Intolerance – Islam is not the only religion with extremists. The intolerance of all religions seems to be growing.

Anger and Pettiness – Within 20 years of the end of the Fairness Doctrine, 91 percent of talk radio was conservative…mean, angry, venomous Rush Limbaugh-style conservative… and it’s getting worse. (See Tea Party)

War – There’s no denying it. The US absolutely LOVES war. We glorify soldiers and their war machines with military-style ceremonies and flyovers at nearly every large event. And we spend hundreds of billions on “defense” to build bigger, badder war toys.

Iraq – Iraq cost us trillions of dollars and thousands of lives. The result of our sacrifices is that we have turned Iraq into a vassal state of radical Iran.

Afghanistan – Despite setting a deadline for withdrawal, there is no clear outcome for this war. We may leave the country no better off than it was when we arrived.

Syria – Yet another opportunity to dive into a war with no real reason or plan. But it is a war and some of our politicians don’t want to be left out.

War on Drugs – This “war” may have ruined more lives than the drugs themselves. It disproportionately affects minorities, filling our prisons to overflowing. Indeed, we have a larger prison population than any other nation.

Militarization of Police – As our soldiers return from war, they’re increasingly hired by police departments. As a result, police become ever more militarized…with assault weapons and assault vehicles…and further removed from ordinary citizens.

Journalism – In the 1980’s, TV networks began measuring the success of their news organizations by ratings which instantly sensationalized the news and created the “sound bite.”  Worse, most news groups have lost their independence as they were gobbled up by conglomerates.

With all this, it’s difficult to be optimistic about the future, but the pendulum may soon swing the other way. I hope so.

Arizona Turned Upside-Down.

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Mark it down. On Thursday, June 13, 2013, the Earth stood still! The clouds parted. The impossible became possible. Red turned blue. Blue turned red. Tempers cooled, even if the temperatures didn’t.

In a brief moment of clarity and political sanity, moderate Republicans joined Democrats at the behest of our finger-wagging Governor Brewer to pass a state budget that includes an expansion of Medicaid. It was a victory for bipartisanship, responsible government and “Obamacare.”

As a result, tens of thousands more Arizonans will have healthcare insurance.

Of course, the Teapublican legislators are apoplectic. For hours, extending through the evening and into the early morning, they railed against Obamacare and the federal government. They labeled the moderate Republicans and Governor Brewer as traitors. They said they were betrayed; bullied; treated as a minority. Hmmm…as the old saying goes, it seems these Tea Party Parasites finally got a taste of their own medicine. (Pun intended.)

Thank you Governor Brewer and moderate Republicans. Your display of bipartisanship and common sense was great! Unfortunately, I fear the attitude won’t last.

Repealing Obamacare…Again.

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In case you haven’t heard by now, Teapublicans don’t like the Patient Protection and Affordable Care Act. Since taking control of the House in 2011, Teapublicans have voted to repeal Obamacare 37 times.

The latest vote came yesterday.

Of course, there is absolutely no chance that the law will actually be repealed. Not only do Democrats control the Senate, President Obama would be certain to veto any bill calling for the law’s repeal. The Teapublicans know this. So why do they continue to vote for repeal?

According to Speaker Boehner, it’s because the freshmen congressmen have not yet had a chance to vote for repeal. Without such a vote, how would they ever be able to face their conservative supporters back home? Failing to vote for repeal might result in them being labeled RINOs (Republicans In Name Only) and being “primaried” by some nitwits who are even more hateful toward Obama and his landmark legislation.

Meanwhile, the other issues these Teapublicans claimed to support during their campaigns for election have languished. There have been no bills to create jobs, to reform taxes, to rebuild infrastructure, or to replace sequestration with a real budget designed to cut the federal debt without forcing departments to make mindless across-the-board cuts. And they most certainly have not reached across the aisle!

But they have held more kangaroo court-style hearings on Benghazi and they’ve threatened to start a couple more wars.

Sex, Politics, Religion And Poverty.

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According to a new Census Bureau report, Social and Economic Characteristics of Currently Unmarried Women With a Recent Birth: 2011, more than 6 out of 10 women who have children in their early twenties are unmarried. That number has accelerated in recent years – up 80 percent since 1980. Overall, 36 percent of all births in the United States were to unmarried mothers in 2011.

The Census Bureau attributed the increase, in part, to changing norms for sexual behavior and a decrease in marriage rates. But before you religious zealots decry the alleged decline in our nation’s moral values, you should know that teen mothers are far more common in the US than in Europe, despite the fact that, according to studies, US teens have less sex than European teens.

Obviously, there are reasons beyond the imagined moral decline. The most important is economic. Women with college degrees and higher incomes are far less likely to be single mothers. And according to many studies, the greater the gap between the poor and the middle class in any particular region, the more likely an unmarried woman is to have a baby while she’s young!

Pushing the mother to marry the child’s father often makes matters worse. It results in a variety of associated problems including domestic abuse, early divorce and children who are traumatized by parental conflict, broken households and overall instability.

Given the fact that most of those in the US who are living on public assistance are single mothers and their children, it’s in all of our best interests to find a solution to this phenomenon. In searching for answers, we should first look at sex education and contraception. Several studies have found that education on correct contraceptive use works best in preventing teen pregnancy. These studies also conclude that abstinence-only education may, in fact, contribute to an increase in teen pregnancies.

A 10-year government study found that that “students in abstinence-only programs were no more likely to have abstained from sex, had similar numbers of sexual partners, and had sex for the first time at around the same age as students not in abstinence-only programs.”

All of this shows that, instead of allowing Teapublicans to cut sex education in public schools, we should be increasing it. Instead of allowing the Catholic Church and evangelists to deny easy access to contraceptives, we should be making them more available. And instead of cutting public assistance and food stamp programs, we should be improving them. Studies prove that doing otherwise only perpetuates the problem.

As usual, the right is wrong!

“We Can’t Afford That Anymore.”

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We hear it all the time. There’s no money to improve our schools. There’s no money to rebuild our infrastructure. There’s no money to ensure that our citizens have access to food and medicine. There’s no money to care for the mentally ill and the homeless. There’s no money to give our veterans the care they deserve. There’s no money for pensions and retirement benefits.

The US is broke…at least that’s what Teapublicans want us to believe.

So what happened? How did we go from the richest, most powerful nation on Earth to a nation that can no longer afford the things that our citizens value most? For starters, our economic ills are the result of two costly wars, the unparalleled expansion of government immediately following 9/11, an expansion of Medicare drug benefits and the Great Recession that began as the result of unfettered gambling by the so-called “too big to fail” banks.

But none of those causes have been as devastating as runaway greed, the off-shoring of jobs and money (it’s estimated that wealthy Americans, including Mitt Romney, and US-based multinational corporations have stashed trillions in off-shore tax havens), subsidies for large corporations, and tax cuts intended to benefit the very wealthiest portion of our populace.

Following World War II, when we could afford to build things, our top individual tax rate was 91 percent for those making more than $200,000 per year. The capital gains tax was 25 percent. And the effective corporate tax rate was 50 percent.

Compare those rates with today’s: The top individual tax rate is now 39.6 percent for those making more than $400,000. The capital gains tax is 15 percent. And the effective corporate tax rate is 17 percent (that is, if large corporations pay any taxes at all). In fact, some large multinationals now have a negative tax rate!

See the problem?

For most working Americans, wages have stagnated over the past 40 years, while worker productivity has skyrocketed, along with incomes for the wealthy. Most Americans are working harder and earning proportionately less…if they’re lucky enough to have a job! And the only answer Congress (at least the Teapublican portion of Congress) has for these problems is to cut spending, to protect tax cuts for the wealthy, and to cut taxes for corporations.

Speaker Boehner, Minority Leader McConnell and the rest of the Teapublicans in office want to “starve the beast.” They consider investment and compromise dirty words. And they steadfastly refuse to agree to one more dollar of revenue.

To relate that to family finances as Teapublicans are so fond of doing: It’s as if parents, faced with growing credit card bills, decided to give up food for their children in order to cut their work hours!

Yes, we have to cut government waste and be efficient with our spending. But there isn’t enough fat in discretionary spending to eliminate the deficit and still meet the needs of our growing population. We already have seen that with the sequester cuts, and they’ve only just begun. If we want to reduce our nation’s debt without destroying our fragile economy, we must find new sources of revenue.