Category Archives: Medicare

GOP’s Age Warfare.

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Teapublicans always whine about what they refer to as “class warfare” whenever anyone wants to level the playing field between the wealthy and the middle class. But now they are waging a war on those 50 and older by trying to privatize Social Security and Medicare. To push their agenda of destroying “entitlements,” the Tea Party says these safety net programs are unfair to millennials who have to contribute to the programs.

Would the millennials rather contribute to their parents when the safety nets fail?

Would they rather take in their elderly parents and grandparents? Would they prefer to offer them transportation, feed them, clothe them, provide elder care, track their meds, and bathe them? Would they like to cover their health care costs?

There’s a reason that most civilized nations have safety nets, such as Social Security and Medicare. It’s because most compassionate people would rather not see the elderly broke, hungry, sick and homeless. The large corporate masters of the Republican Party and its Tea Party parasites, on the other hand, only care about their bottom lines. If increasing profits hurts some people, so what? Their overpaid and overstuffed executives won’t have to worry about retirement, and neither will their parents. In most cases, they can simply send a check to help out poor ol’ Mom and Dad.

Has it really come to this? Is the new GOP strategy to pit one generation against another? Has the GOP tired of taking money from the working poor and food stamps from children? Are the elderly the last people standing between them and the tax-free government they desire?

These words may seem cynical. But that’s far better than the cynical actions of today’s GOP.

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.

Still Gutless After All These Years.

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The Democratic Party can claim a number of major accomplishments for the American people. It’s the party that led the US out of the Great Depression. It’s the party that created Social Security, Medicare and Medicaid. It stood behind workers in their fight for labor unions. And it passed the Civil Rights Act at the risk of alienating Southern voters.

All of those things took strong leadership.

But in recent years, Democrats in Congress have been content to read the tea leaves (aka public polling) before taking a step.

Following a succession of failed presidential campaigns in the 1970’s and 80’s, the party became hesitant to take strong, principled stands. Certainly, many Democrats have offered support for gay rights and women’s rights. Most have supported labor and jobs initiatives. Democrats have supported education and environmental groups. They have supported government regulation of financial markets, pharmaceuticals, food safety and more.

But Democrats have also allowed Republicans to block presidential appointments and legislation. They have allowed an unelected political operative (Grover Norquist) to dominate economic policy with his no new taxes pledge.They have allowed Republicans and their Tea Party parasites to dominate the political narrative. Worse, like their Republican opponents, too many Democrats have become dependent on large corporations and special interests for campaign donations.

The rare exception to this pattern of weak-kneed governing is the Patient Protection and Affordable Care Act aka Obamacare.

It’s time for Democrats to show they can do more. They need to show they’re willing to take strong, principled stands regardless of the consequences; to push big initiatives such as rebuilding our crumbling infrastructure, creating a modern and efficient electrical grid, and creating a modern rail system. Initiatives that would create tens of thousands of high-paying jobs and push the US back into a leadership position for decades to come.

It’s time for our Attorney General to prosecute and jail those on Wall Street who crashed our economy by engaging in high stakes gambling with depositors’ money. It’s time for Congress to reform our tax codes and eliminate corporate incentives that send jobs and cash offshore. It’s time to punish those who evade taxes by parking money in the world’s tax havens.

Yes, the GOP-controlled House will likely try to block such initiatives. It shouldn’t matter.

If Democrats show a commitment to do what’s right; if they put the needs of our nation above special interests; if they clearly explain the benefits of their initiatives; if they draw a stark contrast between themselves and the opposition; if they show they are serious about exposing and punishing corruption, they will dominate the political landscape for generations.

Governing should not rely on political polls. I trust the American people to recognize honesty and strength. If our representatives do the right thing, they will almost certainly be re-elected. If they don’t, they deserve to lose.

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.

GOP: 1.6 Million Jobs Don’t Matter.

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There was a story this week that was overshadowed by Anthony Weiner’s penis, San Diego Mayor Filner’s hands-on management style and Congressman Steve King’s idiotic statements on immigrants. It was news that the CBO (Congressional Budget Office) reported that sequestration cuts forced by the Republican-dominated House will prevent the creation of 1.6 million jobs over the next year.

The report came as an answer to Speaker John Boehner’s oft-asked question, “Where are the jobs under the Obama administration?”

Yet the CBO report was met with a resounding yawn by Republican leadership. They are far more interested in preparing for the next debt ceiling crisis and moving to repeal “Obamacare” a few more dozen times. Indeed, Washington insiders claim that jobs are no longer seen as an issue by Republicans because the economy is growing despite their obstruction.

The economy may be growing, but not nearly fast enough. More important, salaries have not grown at all, except for those at the top.

Nevertheless, the Republican majority continues to ignore jobs in favor of cuts to Social Security, Medicare and Medicaid. Since taking control of the House with the promise of creating jobs, Republicans have not presented a single bill that would create jobs or rebuild our failing infrastructure. They have refused to negotiate a budget deal with Democrats. They won’t even create a committee to resolve differences with the Senate budget bill.

Indeed, this Congress is on track to pass the fewest bills in history!

Think about that for a moment. Our population has grown dramatically. Our nation’s problems are far more complex than ever before. Our infrastructure is crumbling. Our electric grid is cobbled together with antiquated technology. Climate change is claiming shoreline at an alarming rate. (Maryland’s Governor O’Malley recently stated that the state is losing 1.6 acres every day.) A large portion of our population doesn’t know where the next meal is coming from. And a growing number of our military veterans are struggling.

The problems are many. But Republican solutions are few and very far between.

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 Austerity Fraud.

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For more than 30 years, conservatives have pushed for smaller government. Their battle cry is to “Starve the Beast,” the beast being our federal government. They have demanded more and more tax cuts, especially for the wealthy, and they finally got them under President George W. Bush. Yet, when the tax cuts led to large deficits, Richard “The Dick” Cheney and other conservatives famously stated that “deficits don’t matter.”

Of course, when President Obama took office, their attitude suddenly changed.

Despite having driven our economy off a cliff, conservatives demanded that the new administration cut spending in order to bring the deficit and debt under control. To prove their point that these were the biggest challenges facing our nation (bigger than rampant unemployment, the housing crisis, losses by pension funds and the depressed stock markets), conservatives cited a Harvard University study by Reinhart and Rogoff which stated that economies suffer whenever a nation’s debt surpasses 90 percent of GDP.

This study was cited over and over by conservative politicians and conservative media.

Unfortunately for conservatives, it was recently debunked by a graduate student who found numerous statistical and computational inaccuracies which completely altered the study’s conclusions. Turns out, there were numerous exceptions to the Reinhart-Rogoff rule.

As for the effects of austerity measures, one need only look to Europe to see what happens when concern over deficits and debt trump job creation. Following strict austerity measures in both Greece and Spain, unemployment among young people now exceeds 60 and 50 percent, respectively. Both countries are facing major upheaval as the unemployed have taken to the streets to riot. In England, France and Italy, the effects of austerity have been less dramatic. Nevertheless, austerity has pushed their economies back into recession.

Had President Obama followed the advice of conservatives, we, too, could be struggling through another deep recession. Despite conservative claims to the contrary, the economic stimulus worked. For the past 3 years, we have not only recovered the jobs lost as the result of the Bush recession. We have added 1.5 additional jobs, and we would have added many more if not for layoffs in the public sector forced by Republican-controlled state houses.

We might well be back on the road to full recovery had the Teapublicans not taken  control of the House in 2011.

Virtually every economist has stated that the budget restraints imposed by our Teapublican Congress have hampered our economic recovery. Indeed, a recent article in The New York Times states that deficit reduction has already cost our economy at least 2 percent growth and 1 percent employment. And the budget cuts forced by sequestration have yet to fully take hold!

But don’t look for conservatives to give up on austerity any time soon. Despite our fragile recovery, they’re still demanding severe cuts to federal programs. They have proposed cuts to “entitlements” such as Social Security, Medicare and Medicaid. They want to eliminate or severely reduce unemployment insurance, SNAP (food stamps), Pell grants, Fannie Mae and Freddie Mac. They even want to cut or eliminate the United States Postal Service!

During the last election, Teapublican candidates said they would target entire departments for elimination, including the Environmental Protection Agency, the Education Department, the Commerce Department and the Bureau of Alcohol Tobacco Firearms and Explosives. Some want to get rid of the Federal Reserve and return to the gold standard.

Given a limited (and false) understanding of history and our Constitution, today’s conservatives believe that the only constitutionally-allowed functions of the federal government are defense, homeland security, border security and highway construction. For everything else, you’re on your own.

It’s easy to see what these policies would do to our nation. Just look at Somalia.

Flight Delays Versus Food, Children And Safety.

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Late Thursday and early Friday, legislation sailed through Congress faster than it has in years. The reason? Teapublicans were upset by furloughs to air traffic controllers, causing flight delays for business people, vacation travelers and, of course, Congress.

Oh my! How would these people ever survive an hour or two wait on their way to and from Washington?

On the other hand, Congress is not at all concerned about the other effects of sequestration cuts. Cuts to meals on wheels for the elderly? They’ll just have to learn to get by with less. Cuts to Medicare payments for cancer patients? Cancer drugs are a luxury. Cuts to food inspectors? We need to eliminate government over-regulation. Cuts to Head Start, displacing 70,000 children? It’s time those deadbeats stopped suckling from the government teat!

But an inconvenience to Congress and their wealthy contributors caused by travel delays? Now that’s serious!

And, even though the deficit is so massive that Teapublicans believe we must cut programs for the poor, the elderly, and the seriously ill, many seem to think we have plenty of money to go to war with Syria and North Korea. They even want to restore cuts to the military so the military can buy weapons the defense department doesn’t even want. The reason? These weapons are made by contractors in districts the allegedly budget-conscious Teapublicans represent.

When are voters going to finally wake up and realize that Teapublicans in Congress don’t care about your needs…unless, of course, you represent a defense contractor, a multinational corporation, or have thousands of dollars to contribute to their re-election campaigns?

West, Texas Disaster Highlights Our Regulatory Problems.

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Those on the political right are fond of saying that business is over-regulated by the federal government…even after the economic meltdown resulting from the lax regulation of financial institutions; even after skyrocketing oil prices caused by deregulation of commodities; even after the ecological disaster involving BP Oil and the Deepwater Horizon caused, in part, by a shortage of inspectors experienced in deep water drilling .

Not surprisingly, the facts show that we have far too few regulators to make sure that greedy corporations and individuals live up to their responsibilities.

There is an estimated $70 billion in Medicare fraud because Medicare lacks enough investigators to check the more than $525 billion claims annually.  There are only a handful of ATFE agents to inspect our more than 58,000 gun dealers.  And their were apparently too few EPA and OSHA inspectors to discover that the West, Texas fertilizer plant stored 270 tons of explosive ammonium nitrate…more than 1,350 times the 400 pounds that requires the facility to be monitored by the Department of Homeland Security.  The facility hadn’t been inspected in 28 years and had apparently filed false reports indicating no fire or explosive hazard.

Why the lack of inspections and regulators?  In some cases, there is confusion over which federal agency is responsible.  More often, it’s the result of Teapublicans cutting budgets and convincing the public that we are all over-taxed and over-regulated.  So greedy corporations continue to break the law in search of greater and greater profits.  Even when caught, they’re able to pay a relatively small fine and continue to skirt the law.

Yet most studies conclude that the money spent to hire inspectors is money well-spent. In many cases, we recover five to ten times the investment.

Of course, the impact on the environment and public safety is far more difficult to measure…unless you like to breathe clean air, drink clean water or avoid being incinerated by an unnecessary explosion.

“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.