Category Archives: Health care

The Bush Legacy: America in Decline

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A few weeks ago, economists Martin Wolf and Robert Shiller appeared on Fareed Zakaria’s GPS on CNN.  They said, “It is now clear that the Obama team has helped avert a complete meltdown of our financial markets.  But they warned that one of the greatest dangers facing our nation is the growing economic disparity between the rich and the poor.”  They went on to say, “This could create a country in which not even those with a great deal of money will want to live.”

There are other troubling effects of Bush’s tax cuts for the wealthy, deregulation and the Republican Party’s stubborn adherence to trickle-down economics. 

Although he draws no conclusions relative to party politics, Rick Newman talks about warning signs of American decline in a story published by U.S. News & World Report.  In the story he states, “…real household income in America has flat-lined, which means many middle-class families are barely keeping up with inflation. The exploding federal deficit hamstrings the government’s ability to help. Healthcare is too expensive, America’s manufacturing base is eroding, and two open-ended foreign wars are draining the national treasury.”

Newman goes on to point out that the annual “prosperity index“ published by Legatum Institute, a London-based research firm, now ranks the U.S. as the ninth most prosperous country in the world.  The same study ranks the United States 27th for the health of its citizens, a statistic that is all the more disturbing given the fact that we spend far more on healthcare per person than any other nation.

According to Newman’s article, the U.S. poverty rate of 17 percent ranks third worst among advanced nations above only Turkey and Mexico.  And since our future depends on the education of our youth, there is more disturbing news.  American 15-year-olds score below average among advanced nations on math and science.

There is one glimmer of positive news:  Newman points out that, according to a GfK Roper survey of how nations are viewed by others, “America rocketed from No. 7 in 2008 to No. 1 in 2009, largely because the world cheered the election of Barack Obama as U.S. president.”

Are you feeling “entitled?”

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For many years, the Republican Party has been determined to change or end the so-called “entitlement” programs of Social Security and Medicare.  As early as 1984, I recall reading the Republican National Party’s platform which called for “starving the beast” that is big government by reducing taxes and cutting the federal budget to force the elimination of these so-called “wasteful” programs.   In the place of these social safety nets, Republicans proposed an emphasis on personal responsibility and faith-based initiatives. 

In other words, big business and the wealthy have no responsibility for those who are not as fortunate as they.  If someone loses a job, gets sick, or suffers some other personal tragedy, it’s his or hers own fault.  These people should have never allowed themselves to be in that position anyway.  And there are always church missions to make these people see the error of their ways, convince them of their own failings and set them on the road to success.

Of course, Republicans are also against any form of government regulation and collective bargaining.  There must be nothing to interfere with the forces of the “free” market. 

Given this backdrop, is it any wonder that Republicans have been having such a snit over health care reform, let alone a public option? 

And, in one of the most cynical and hypocritical tactics of all time, the Republican Party and its allies are actually using Medicare to scare the oldest (and most likely to vote) segment of our population into speaking out against health care reform.  They claim that the reform bill proposed by Democrats would drastically cut Medicare benefits.  Never mind that the cuts that are in the proposed bill only cut waste and duplication.  And never mind that the Republican Party would prefer to completely eliminate Medicare as part of its war on “entitlements.“

All Americans would be wise to remember which party legislated Social Security and Medicare in the first place.  Here’s a hint:  It wasn’t the GOP.

Michelle Bachmann’s great big Washington adventure.

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Last week, Congresswoman Michelle Bachmann orchestrated a “press conference” on the steps of the U.S. Capitol to show the outrage of ordinary citizens toward health care reform.  She wanted her followers to express their anger and “see the whites of lawmaker’s eyes.”  Dozens attended – all white, angry and stupid.  These people displayed their character by holding signs likening health care reform to the holocaust and to 9/11.  They held signs that were blatantly racist.  And of course, there were lots of signs picturing guns or talking about guns.

Do these people, as Bachmann and Fox News would have you believe, represent a cross-section of ordinary Americans?  Let’s hope not.  I suspect that they more closely resemble a cross-section of the Aryan Nation.

Whoever or whatever they represent, it’s apparent that these people simply are not capable of grasping complicated issues such as health care reform.  And it’s obvious that all that thinking is creating some mental distress.  I understand Michelle and her husband own some sort of mental health facility in Minnesota.  (Isn’t that just deliciously ironic?)  Perhaps she should consider holding her next event there.  It seems like she and her followers could all use some counseling and a time out. 

A politician who is unafraid to tell the truth.

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On Wednesday, Congressman Alan Grayson (D Fla.) took the floor in Congress to read the death toll of those who lacked health insurance in the districts of Republican Representatives.  “Is it really asking too much of us that we keep people alive?” he asked.  Of course, the Republicans tried to cut him off and asked the clerk to take down his words.  But Congressman Grayson did not waiver.  When the session reconvened, he continued to read the list. 

Grayson is somewhat unique in Washington political circles.  For one thing, he is a Democrat with a spine.  For another, he seems to tell the truth no matter how embarrassing or discomforting the truth is.  For example, he famously (and correctly) summarized the Republican health care plan by saying “The Republican health care plan is this: ‘Don’t get sick, and if you do get sick, die quickly.’”   

Grayson is one of the few Representatives who have embraced and discussed the real tragedy of our broken health care system – that approximately 45,000 people die each year because they do not have or cannot afford access to health care.  That’s like having 15 9/11s each year!  Yet rather than try to fix the system, Republicans are doing everything in their power to kill health reform.   Senator Jim DeMint publicly stated “If we can stop Obama on this, it will be his Waterloo.”  More recently, Congresswoman Michelle Bachmann called for protestors to “scare” lawmakers into killing health care reform.  She may as well be calling for them to kill the uninsured. 

If Republicans are successful, they will be responsible for another 45,000 deaths next year and each year until we have universal health care coverage for American citizens.   

Dealing with Revolting Joe.

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Recently, Joe Lieberman said he would not be one of the 60 votes necessary to bring the Senate health care reform bill to the floor. What a shock! After all, this is a man who ran against his party’s nominated candidate as a so-called independent. He campaigned and voted for his pal, John McCain, for President. He spoke at the Republican National Convention.
Then, following the election, he came back to the Democratic caucus so he could retain the chair of a powerful Senate committee.

Now, he claims that he’ll refuse to vote for cloture on the health care reform bill out of “principle.” His concern is that the bill contains a public option. So he’s willing to help Republicans filibuster in order to kill the bill. This from a man who worked to eliminate filibusters as a freshman Senator in 1994.

So what changed?

Likely he’s more concerned about the insurance companies that are headquartered in Connecticut than he is about the citizens of his state. And perhaps he feels he owes big insurance for campaign donations toward his re-election. That would make his stance more about principal than principle.

So what are Democrats to do about Revolting Joe? If he kills health care reform by siding with Republicans, they could take away his chairmanship. But that would likely drive him to the Republican caucus which would mean that the Democrats would no longer be able to block any Republican filibuster.

On the other hand, if Democrats do nothing to punish him, Revolting Joe would continue to caucus with Democrats, but his vote would be unreliable and he would be free to use his position to kill Democratic legislation or to extract concessions.

I propose that Democrats call his bluff. Let him help Republicans filibuster health care reform. Let Joe and his conservative buddies prattle away on the Senate floor for days on end. Turn the whole affair into an exhibition of stupidity. Let Americans see the “Party of No” at work. I believe that would make it virtually impossible for Republicans to gain many seats in the House or Senate in 2010. It would make Revolting Joe a pariah among his constituents, save for the insurance companies. And although big insurance can fund his campaign, they can’t re-elect him.

The Bill of Rights that was never enacted.

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Michael Moore’s latest movie Capitalism, A Love Story includes film from President Franklin Roosevelt’s 1944 State of the Union address.   As part of his address, FDR stated, “It is our duty now to begin to lay the plans and determine the strategy for the winning of a lasting peace and the establishment of an American standard of living higher than ever before known.  We cannot be content, no matter how high that general standard of living may be, if some fraction of our people—whether it be one-third or one-fifth or one-tenth—is ill-fed, ill-clothed, ill-housed, and insecure.”  He continued, “We have come to a clear realization of the fact that true individual freedom cannot exist without economic security and independence.  ‘Necessitous men are not free men.’  People who are hungry and out of a job are the stuff of which dictatorships are made.”  

President Roosevelt proposed what he called a second Bill of Rights “under which a new basis of security and prosperity can be established for all—regardless of station, race, or creed.”  This 2nd Bill of Rights included:  The right to a useful and remunerative job in the industries or shops or farms or mines of the nation; The right to earn enough to provide adequate food and clothing and recreation; The right of every farmer to raise and sell his products at a return which will give him and his family a decent living; The right of every businessman, large and small, to trade in an atmosphere of freedom from unfair competition and domination by monopolies at home or abroad; The right of every family to a decent home; The right to adequate medical care and the opportunity to achieve and enjoy good health; The right to adequate protection from the economic fears of old age, sickness, accident, and unemployment; The right to a good education. 

Roosevelt concluded that “America’s own rightful place in the world depends in large part upon how fully these and similar rights have been carried into practice for our citizens.”  Unfortunately, FDR did not live long enough to see his 2nd Bill of Rights enacted.  The question now becomes, will we? 

Our government is not the enemy.

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President Ronald Reagan is famous for saying, “Government isn’t the solution to our problem.  Government is the problem.”  The quote eloquently expressed his contempt for government.   An opinion I don’t share.

I have difficulty believing that my high school classmate who served as a Postman is an enemy.  I’m not frightened of another classmate who served as an engineer for the Navy.  And I certainly don’t view my Marine nephew who served in Iraq as an enemy. 

The government is comprised of many hard-working, well-intentioned people who provide valuable services to the rest of us.  Without the government, we would have no military, Coast Guard, police, fire fighters, park rangers, air controllers, customs officials, border patrol, immigration officials, highway engineers, sanitation workers and postal workers.  There would be no FDA, EPA, FEMA, FDIC or CDC.  No NASA.  No Social Security, Medicare, Medicaid and VA services.  Without government subsidies, many family farmers could not make a living.  And most academic and research institutions would be unable to explore the limits of science and medicine.   

All of this is not to say that government agencies wouldn’t benefit from some reform and restructuring.  But vilifying them is disingenuous at best.  In general, government fulfills all of the tasks that are too important, too difficult or too unprofitable for private enterprise.  

Health insurance is a good case in point.

According to most estimates there are nearly 47 million uninsured in the U.S. and many millions more who are under-insured.  Why?  They either can’t afford health insurance, or they are not viewed as profitable enough for insurance companies.  Sounds like a perfect situation for a government-run health insurance option, doesn’t it? 

Not according to Republicans and their media mouthpieces.  To them, that would be Socialism, indeed Nazism.  It has also been said that a public option would represent unfair competition for privately run insurance companies.  Seriously?  To me, it sounds more like helping those who are falling through the cracks of our current system. 

But don’t count on logic permeating the thick skulls of Rush Limbaugh, Glenn Beck, Sean Hannity and Bill O’Reilly.  And don’t count on Republicans stooping to something as unsavory as bipartisanship.  Look no further than recent statements made by two Republican members of the Senate Finance Committee who are alleged to be negotiating on health care reform.  Despite polls that show a significant majority of Americans want health care reform, including a public option, Senator Grassley stated that he won’t vote for any bill he negotiates unless he’s certain that a significant number of Republican Senators vote for it.  And Senator Enzi stated that he’s only continuing to negotiate with Democrats on the committee in order to delay and kill the legislation.

In other words, if there is to be any reasonable health care reform, Democrats are going to have to pass it by themselves.

It makes one wonder, if Republicans believe our government is so bad, why didn’t they simply abolish the abhorrent programs and departments when they had control of the Presidency and Congress?  And why did George W. Bush preside over history’s largest increase in the size of government during his administration? 

The next time you hear conservatives bash our government, remember this:  Our government was created of the people, by the people and for the people.  It is what we’ve created through our votes.  All the disciples of that slick-talking former actor can’t change that.

For me, the (Republican) party’s over.

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For many years, there was a tradition in politics. You could count on each side giving its “spin” on an issue in hopes of influencing voters to their point of view. If you didn’t have the time or inclination to research the issue on your own, you could be relatively certain that the truth was somewhere in the middle. But sometime in the 1990s that changed.

I first realized the change in 1999 when I visited the website of the Republican National Committee in search of quotes from conservative Republicans. What I found was “Gore Gaffs,” dozens of ridiculous statements attributed to then-Democratic presidential candidate, Al Gore. The only problem was that I recognized all of the quotes as having been made by Dan Quayle. I was dumbfounded. Why would the leadership of a political party lie about something that could so easily be disproved? For what possible benefit?

The only conceivable answer is a cynical one – the party believes that no one will actually recognize the lie or hold the party accountable. Unfortunately, “Gore Gaffs” foreshadowed an ugly and disturbing trend by the party.

The Bush administration used lies and half-truths to lead us into an unnecessary war in Iraq. It lied about the “outing” of a clandestine CIA agent whose husband publicly exposed administration lies during the run-up to the war. It lied about the firing of U.S. Attorneys. It lied about eaves-dropping on American citizens. The list of lies during the Bush administration is quite lengthy and growing. In fact, former Homeland Security Director, Tom Ridge, recently admitted that he was pressured to raise the security threat level in 2004 to help Bush get re-elected. And it was recently discovered that former Vice-President Dick Cheney and the CIA hired a mercenary force (Blackwater, aka Xe) to form an international hit squad that was unconstitutionally kept secret from Congress.

Complicit in all of the lies are Fox News and conservative talk radio hosts like Rush Limbaugh. Rush has long been known to make things up in order to whip his audience into a frenzy and increase his ratings. And, although Fox claims to be “fair and balanced”, it’s anything but. Former Bush Press Secretary, Scott McClellan, admitted that the administration used Fox to “get out its talking points.” It takes only a few minutes of viewing to realize that Fox News is simply a megaphone for Republican lies. But, of course, its viewers are so partisan or uninformed that they don’t care or don’t know.

During the 2008 presidential election, the GOP was in full attack mode. The difference in tone couldn’t have been more striking. Indeed, had one not known better, one might have concluded that all of the problems created by 8 years of the Bush administration were actually the fault of the Democrats.

The 2008 elections were a strong rebuke of the Republican Party and its policies. But rather than examining the policies that led to the election defeat, the party decided to redouble its attacks. Republicans and their surrogates blame the loss on perceived voter fraud by Acorn. And, with a lack of real leadership, the party has turned to Rush Limbaugh as its titular leader. He and other conservatives are not just “spinning” issues based on their point of view. They are creating, or at least repeating, lies in order to scare people about the new administration’s policies.

Attempts to rescue our financial system following its collapse under Bush are described as “socialist” and unnecessary government intervention. The same terms were used to describe the rescue of the auto industry, one of our nation’s few remaining manufacturing industries. A carbon cap and trade bill will “lead to the collapse of the energy industry and put millions out of work.” Health care reform is a “Nazi policy using death panels designed to kill granny” or an attempt to “put bureaucrats between you and your doctor.” Never mind that three government-run health care programs are run quite well. VA, Medicare and Medicaid are generally well-liked by those who participate in them.

At town hall meetings, angry conservatives have tried to shout down any real discussion of the issues, and, as if to make their shouts more forceful, some have brought loaded guns.

The Republican Congressmen and Senators refuse to discuss policies or the merits of legislative initiatives. They offer no counter-proposals. All they offer are lies, fear and more tax cuts for large corporations and the wealthy. And if any Republicans dare break ranks with their brethren on a single vote, they’re labeled RINOs (Republicans In Name Only) and they’re attacked by even more conservative candidates in the primaries.

For more than 30 years, the Republican Party has led an assault on the middle class and the poor with “trickle down” economics. In truth, under Republican leadership, the economy was reduced to a trickle. And none of the tax cuts have trickled down.

Indeed, a recent study found that the disparity between the wealthy and the rest of the population has reached the highest level since 1913, and the tax rate on the wealthy has dropped from 70 percent in 1980 to 35 percent in 2009. Thanks to Republican policies, as of 2007 .01 percent of the population controlled 10 percent of the wealth and 10 percent of the population controlled 49 percent of the wealth. And, if you want to consider the effect of Republican policies on health care reform, 47 million Americans are now uninsured, millions more are underinsured and nearly a million Americans will be forced into bankruptcy this year by illness.

This is why a fiscal conservative and social liberal like me no longer votes for Republicans. After 40 years as an independent, I am now a proud member of a party that respects me enough to not lie to me.

Why we’re divided

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With the recent debate on health care reform, one thing has become painfully clear.  We don’t just have differing opinions of the facts.  We have differing sets of facts.  Indeed, differing realities.  These differences seem to have more to do with our choice of television programming than with age, education, opinions or ideologies.   For example, a recent NBC News survey asked respondents their opinions of 4 discredited myths regarding health care reform. 

According to the survey, 72% of Fox News viewers believe that health care reform will provide coverage to illegal immigrants (it won’t).  79% of Fox News viewers believe that it will lead to a government takeover of our health care system (it won’t).  69% of Fox News viewers believe that it will use taxpayer dollars to pay for abortions (it won’t).  And 75% of Fox News viewers believe that it will make decisions about when to stop care for the elderly (are you kidding me?).   These percentages were much lower amongst viewers of other cable news networks. 

This research points to a very real problem for our nation that goes beyond health care reform.  It’s one thing to debate facts.  It’s quite another if those “facts” are entirely different.  As a communications professional, I know that the most difficult communications task is to disprove a negative.  If the viewers of Fox News believe that Obama is out to kill Granny, there’s almost no way for him to disprove it in their minds.  If Obama says it’s false, the people who believe the negative will just say he’s lying.  If he points to credible news sources, the believers will just say that those sources are biased. 

Of course, we can’t blame all of our nation’s problems on Fox News.  There are plenty of politicians, cable networks, talk radio hosts, websites and PACs (Political Action Committees) across the political spectrum that are perpetuating myths and lies.  But since Fox News has larger audiences, it bears greater responsibility. 

So how do we break this conundrum and get back to debating the same set of facts?  The answer certainly can’t be bringing guns to public debates, shouting at each other and calling the other side Nazis or un-American.  The answer is to seek the truth from multiple news sources – preferably news sources with competing opinions.  Everyone must understand that many “news” programs are more entertainment than news.  We must understand that media are profit-oriented; if they can generate ratings by encouraging their staff to stretch the truth and pander to audiences, they will, regardless of the consequences.  Finally, we must hold the media and our politicians accountable for their lies. 

Our democracy relies on an informed public.  That’s a responsibility we must all take seriously.  That means seeking the truth.  And not being force-fed falsehoods and distortions by one or two pundits who have unlimited access to a camera and a microphone.