Category Archives: Health care

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?

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.