Category Archives: Medicare

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.

The GOP’s Continuing Attack On Voters, Workers, Women And The Constitution.

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Still stinging from its losses in the 2012 election, the Grand Old Party is becoming a Grand Old Pain In The Ass.  Not just for Democrats…for everyone.

While opposing a bill that would raise the minimum wage, the GOP is attacking labor unions across the nation and successfully ending defined benefit pension plans.  Now the GOP is pushing a bill that would loosen the rules for overtime, allowing corporations to overwork and underpay employees.

Famously, the Ryan budget, which was passed by the House, would drastically cut Medicaid, repeal Obamacare and turn Medicare into vouchers.

Although 94 percent of Americans want comprehensive background checks for anyone purchasing a firearm, Teapublican senators are threatening to filibuster any bill that would limit the sale of guns.

In states across the nation, the GOP is pushing a variety of voter suppression laws through state legislatures under the guise of preventing voter ID fraud, a problem that has been proven to be non-existent.   After gerrymandering districts to all but guarantee a Teapublican-controlled House far into the future, the GOP now senses a way to control presidential elections by changing the Electoral College.  The idea is to end the “winner-take-all” approach to electoral votes for states and, instead, award each electoral vote district-by-Teapublican-controlled-district.

If successful, this would almost certainly ensure an endless reign of GOP presidents.

In North Dakota, Arkansas and elsewhere, GOP legislatures are attempting to make abortion illegal. (Of course, the bills will not actually end abortion.  They’ll just drive it underground, making doctors and patients criminals.)  Under the guise of religious freedom, they also want to eliminate contraceptives from health insurance plans and block sex education in public schools.

In Arizona and numerous states of the Old South, a variety of so-called nullification bills have been introduced in the state legislatures.  If passed, these bills would ostensibly give the states power to ignore any federal law the GOP deems unconstitutional.  (Of course, this power is reserved for the Supreme Court and the bills are in direct defiance of the Constitution’s federal supremacy clause.)

Finally, a bill introduced by North Carolina Teapublicans will allow the GOP-controlled state legislature to name an official state religion in defiance of the Constitution’s establishment clause.

Does anyone else get the feeling that the GOP would be happier if our Constitution didn’t exist?

Putting The Party In Tea Party.

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The Tea Party began as a group of individuals who claimed to be aghast at runaway government spending.  To fight back, they promoted a number of candidates who ran on a platform of fiscal responsibility.

That was 2010.

Just a few years later, those so-called fiscal hawks have decided that federal spending is a good thing…as long as it’s used for a good cause, such as paying large bonuses to their staff and friends.  According to the website, www.LegisStorm.com, Rep. Todd Akin (R-Mo.), who was defeated in his attempt at a Senate seat, used taxpayers’ money to increase his staff’s salaries 98.3% in the final quarter.

Many outgoing Democrats also gave large bonuses to their staffs, but the records show that Republicans were even more generous with taxpayers’ money.  Among the most generous were Tea Party Representatives Chip Cravaack (R-Minn.) and Allen West (R-Fla.), who ranked numbers 3 and 4 in giving pay increases to staff members.

In other words, these so-called deficit hawks are partying with our money as though it were 1999.

Moreover, if you think the Tea Party is any more serious about reducing the deficit than Democrats, compare the Paul Ryan budget, which was passed by the Teapublican-led House, to the People’s Budget proposed by the House Progressive caucus.

Both plans cut about the same amount from the federal budget.  But the Ryan plan does it on the backs of the poor and the middle class while cutting taxes for the rich and increasing the already bloated defense budget. On the other hand, the progressive plan cuts the defense budget, raises revenues by eliminating tax dodges for the rich, secures the future of Social Security and Medicare, and rebuilds our failing infrastructure.  And it does all this while reducing deficits by $5.6 trillion over the next decade according to the non-partisan Economic Policy Institute!

When you look past the Tea Party rhetoric and look carefully at its policies, you quickly discover that the teabaggers are more interested in self-interest, greed and ideology than principles, debt reduction and the future of our nation.

Looking Up To Cockroaches.

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Yesterday, Congress reached a new milestone. A survey measuring its approval ratings found that Congress is now less popular than cockroaches, head lice and root canals!

The latter seems particularly appropriate for those of us living in northern Arizona as we are represented by a dentist who has a lot to do with our current problems. Teapublican representative Paul Gosar is a proud member of the House’s Tea Party caucus which is trying to balance the budget on the backs of the elderly and the poor.

Gosar voted in support of Paul Ryan’s austerity budget which, if implemented, would not only plummet our economy into a deep recession. It would take the first steps toward privatizing Social Security and Medicare. And it would cut funding for the most vulnerable while cutting taxes for the wealthy and large corporations. Gosar has also repeatedly voted against women’s rights, Obamacare, and investments in our infrastructure.

In addition, he is one of 67 GOP representatives who voted against extending flood insurance funds to those affected by Hurricane Sandy!

Given the approval rating of Congress, the question is which group will come to their senses first? Our representatives in Congress? Or voters?