Senate’s health care bill will cost New York’s Medicaid program billions

Posted on Politico
Sen. Mitch McConnell is pictured. | Getty
New York was one of only two states to take advantage of the Essential Plan, also known as the Basic Health Plan, a program funded with the Affordable Care Act’s tax credits and cost-sharing subsidies. | Getty

ALBANY — The Senate’s version of the American Health Care Act would cost New York’s Medicaid program billions of dollars over the next decade, putting Albany in the position of having to choose between raising taxes or cutting services and programs for hundreds of thousands.

The bill, which is certain to change before coming to a vote, would also upend New York’s individual health insurance market, likely saddling many with higher deductibles and more expensive premiums.

“The Senate bill presented today, which was crafted behind closed doors by 13 men, would fundamentally harm Americans young and old, do severe damage to a fragile economy, and bankrupt state governments across the country,” Sen. Kirsten Gillibrand said in a statement. “The cuts to Medicaid in particular are galling. … To end the Medicaid expansion created under the Affordable Care Act is a cruel joke.”

The state’s Essential Plan, which enrolls nearly 700,000 New Yorkers in low-cost health insurance plans, likely would not survive in its current form because it relies on federal funding that would disappear. The program provides health insurance for $20 per month to those with incomes between 150 percent and 200 percent of the federal poverty level. Those with incomes below 150 percent of the federal poverty level, who do not qualify for Medicaid, receive health insurance with no premium.

New York was one of only two states to take advantage of the Essential Plan, also known as the Basic Health Plan, a program funded with the Affordable Care Act’s tax credits and cost-sharing subsidies. The cost sharing subsidies disappear in 2020 under the Senate’s version of the bill.

That would, on its own, be enough to severely handicap the Essential Plan but Republicans also propose prohibiting “lawfully present” immigrants from receiving tax credits. In New York, there are a couple of hundred thousand lawfully residing immigrants taking advantage of the Essential Plan. Without their tax credits, the state would have no method for funding their health insurance unless Albany decided to subsidize the insurance without federal help, a multi-billion dollar proposition.

A 2001 state Court of Appeals ruling requires that those residents, known as People Residing Under the Color of Law, receive Medicaid, which the state would once again have to pay for without any help from the federal government. That alone would cost the state $1.19 billion, according to an estimate from the state Department of Health.

On top of that, the Senate bill includes an amendment sponsored by Reps. John Faso and Chris Collins that would effectively prohibit the state from using county taxes to pay for the Medicaid program. That is expected to shift roughly $2.3 billion from county budgets to the state budget, and though it may ease the property tax burden in upstate New York, it will do nothing to ease the budget woes facing Albany in 2019.

The more severe Medicaid cuts would hit between 2020 and 2024, according to the Senate bill, which phases out the enhanced federal match states such as New York received from the federal government because of Obamacare.

In its place, there would be a per-capita cap assigned to each state. The per-capita cap would be based on what a state spent between 2014 and 2017, but high-cost states such as New York would see their per capita reduced by the secretary of Health and Human Services by as much as 2 percent.

Shoppers on the individual insurance market would see the value of their subsidies decrease. The Affordable Care Act pegged subsidies to a silver plan, which has an actuarial value of 70 percent, meaning insurers pay for 70 percent of the costs. The Senate version pegs subsidies to plans with an actuarial value of 58 percent. That will almost certainly mean New Yorkers who rely on subsidies will need to purchase skimpier plans with higher deductibles. Those who wish to buy the equivalent of silver plan will spend more out of their pocket on premiums.

The cutoff for income-based subsidies under the Senate plan is reduced to 350 percent ($42,210 for an individual) of the federal poverty level from 400 percent. Subsidies tied to the federal poverty level always hurt high-cost states such as New York where incomes tend to be higher than average, as does the cost of living. Basically, $43,000 goes a lot further in most other parts of the country so subsidies for health insurance aren’t as needed.

The Senate’s version is also worse for New York hospitals compared to the House version, according to the Greater New York Hospital Association, which pointed out that the House bill repeals the cuts to the Disproportionate Share Hospital program for Medicaid expansion states in 2020. The Senate does not, costing hospitals billions of dollars.

“It’s every bit as bad as the House bill. In some ways, it’s even worse,” Senate Minority Leader Chuck Schumer said Thursday on the floor of the Senate. “The president said the Senate bill needed heart. The way this bill cuts health care is heartless. The president said the House bill was mean. The Senate bill may be meaner.”

The state Department of Health would not provide an estimate of how many people with incomes between 350 and 400 percent of the federal poverty level buy plans on the exchange, although the state does collect income information.

The agency also declined to predict the total cost of the Senate’s bill on New York, or its effects on the Essential Plan, providers or insurers.

Posted in AHCA, American Health Care Act, Better Care Reconciliation Act, Cuomo, GOP, Health Care, Medicaid, Trump, trumpcare | Tagged | 1 Comment

Medicaid Cuts Will Drive Up Cost Of Private Coverage, Montana Insurers Say

KAISER HEALTH NEWS — REPEAL & REPLACE WATCH

From left, Senate Majority Leader Mitch McConnell and Sens. Pat Roberts (R-Kan.) and Steve Daines (R-Mont.) chat before a Republican meeting to discuss the health care bill on June 27. (Nicholas Kamm/AFP/Getty Images)

Montana was among the last states to expand Medicaid, and its Obamacare marketplace has fared reasonably well. It has 50,000 customers, decent competition and no “bare counties,” where no insurers want to sell plans.

The Republicans who make up two-thirds of Montana’s congressional delegation have said they want to repeal the current health care law because it’s causing health insurance markets to “collapse.”

But insurance executives at the companies that sell policies in Montana’s marketplace say that’s not true in the state, and they are concerned that GOP plans to repeal and replace the Affordable Care Act would destabilize a market that is working. Jerry Dworak, the CEO of Montana Health Co-Op, said, “I don’t think that their plan is going to improve health care in the state of Montana. I think just the opposite is going to happen. And I really do think a lot of people are going to get hurt.”

The co-op is one of the three insurance companies that have been selling Montanans coverage at healthcare.gov since it started in 2013. Dworak said it has no plans to leave.

The executives say collapse is a real possibility, though, if some of the GOP’s wish list comes true. First, deep cuts to Medicaid would have ripple effects to everybody with insurance. Todd Lovshin, a vice president at PacificSource Health Plans, said Medicaid expansion means Montana hospitals are now getting paid for taking care of more than 70,000 Montanans who got Medicaid after the state expanded it under the Affordable Care Act.

“All of our hospitals have to take any patient that comes in and serve them. That has to be paid somewhere,” he said. “And if we’re not paying that through Medicaid expansion, those costs have to be borne by someone, and so that will increase the overall cost of medical expenses.”

Hospitals have a legal obligation to examine and stabilize any patient who walks in their door, regardless of whether they have insurance. When hospitals see their unpaid bills stack up, Lovshin said, prices go up for everybody else and insurers have to charge patients who have insurance more to stay afloat.

John Doran, a vice president with Blue Cross and Blue Shield of Montana, the state’s biggest insurer, agreed with that analysis.

Doran also said that problems would likely get worse if the individual mandate goes away. That’s the requirement to have health insurance that Republican health care bills do away with.

“If there’s no mandate, and there’s no incentive for them to buy a health insurance plan, then maybe they won’t,” he said. “The people who need health care the most, and typically have the highest health care costs, are the only ones who are in the marketplace, and that results in higher health care costs, and consequently higher premiums.”

Montanans have been seeing insurance premiums go up, sometimes by more than 50 percent a year. Most people who buy on the exchange get subsidies to help defray the cost, and the co-op’s Dworak said he thinks prices are now starting to stabilize. If the health law isn’t changed, he projects his company’s premiums would go up only 5 percent in 2018.

This story is part of a partnership that includes Montana Public Radio, NPR and Kaiser Health News.

Kaiser Health News, a nonprofit health newsroom whose stories appear in news outlets nationwide, is an editorially independent part of the Kaiser Family Foundation.

Posted in AHCA, American Health Care Act, Better Care Reconciliation Act, GOP, Health Care, Medicaid, Trump, trumpcare | 1 Comment

Report: BCRA would mean more than 900K healthcare jobs lost

Dive Brief:

  • The Senate’s Better Care Reconciliation Act (BCRA) would result in 1.45 million fewer jobs by 2026, according to a new report by The Commonwealth Fund. Healthcare would take a hard hit with 919,000 fewer jobs.
  • The Commonwealth Fund predicted an additional 753,000 jobs in 2018, but employment numbers would drop sharply after that. It said every state except Hawaii would have fewer jobs and a weaker economy. States that expanded Medicaid would feel the most pain.
  • The report came out on the same day that the Bureau of Labor Statisticssaid 37,000 healthcare jobs were added in June, up from 20,600 added in May .

Dive Insight:

The Commonwealth Fund said that job losses and lower economic growth would begin in 2020 and deepen in the following years as more people lose health insurance coverage, if the Senate bill were to become law.

The House’s American Health Care Act (AHCA) would cut a similar number of insured Americans, but the BCRA would harm the economy more, according to the report. The Commonwealth Fund estimates the AHCA would result in nearly 1 million lost jobs.

New York, California and Pennsylvania would lose more than 100,000 jobs each. “Twenty-two million Americans will become uninsured under the Better Care Reconciliation Act, and now this research makes it clear that people will also be at risk of losing their jobs and that states’ economies will suffer,” said Sara Collins, vice president for healthcare coverage and access at The Commonwealth Fund.

One reason for the economic problems resulting from the BCRA is the bill’s Medicaid cuts, which would deepen further after 2026. Also, the BCRA’s tax provisions would result in much lower assistance, especially for older Americans, which will result in people not being able to afford high deductibles and result in fewer people enrolling in health plans. Third, the BCRA would reduce the threshold of the medical care deduction from 10% to 7.5%.

Cuts to healthcare jobs would especially harm the economy. Healthcare has been a major driver of job growth in recent years. The Commonwealth Fund predicts healthcare would lose 30,000 jobs in 2018 under the BCRA. Ultimately, 919,000 healthcare jobs would disappear, which is about 1 of every 22 health jobs.

“While our analysis shows other employment sectors grow initially, by 2026 more than half a million jobs are lost in other sectors of the economy, too,” according to The Commonwealth Fund.

Meanwhile, the Bureau of Labor Statistics released the June jobs report Friday, which said there were 37,000 healthcare jobs added in June, with 26,000 in ambulatory care services and 11,700 at hospitals. So far this year, healthcare job growth has slowed. Healthcare has added 24,000 more jobs on average per month so far in 2017 after adding 32,000 on average per month in 2016.

Healthcare has seen some high-profile layoffs in 2017. For instance, NYC Health + Hospitals cut 476 management positions to save $60 million in the next fiscal year after losing $776 million for the first half of 2017 and Brigham and Women’s Hospital offered voluntary buyouts in April to 1,600 workers.

Also, Memorial Hermann, Summa Health and Hallmark Health all recently announced staffing cuts, which they blamed on declining reimbursements, lower admissions and shrinking operating incomes.

The 37,000 new healthcare jobs in June is positive, but the question is whether that trend remain or will growth slip back down to this year’s average.

The Commonwealth Fund’s report will surely get the attention of economics — and senators. Senate leaders are already trying to figure out ways to tweak the BCRA to get enough conservative and moderate support to pass the legislation. Republicans only have a two-vote majority in the Senate and the current bill doesn’t have enough support for passage.

Uncertainty about what bill — if any — will pass is likely a major factor is slowed healthcare job growth. This latest report about jobs losses if the BCRA becomes law will only deepen the opposition against the bill.

Posted in Better Care Reconciliation Act, Employment, Health Care, jobs, Trump, trumpcare | 1 Comment

Republicans are victims of a discredited economic ideology

Posted on Brookings.edu
Isabel V. Sawhill Friday, July 7, 2017

Editor’s Note:This article originally appeared in Real Clear Markets on July 7, 2017.

 

Sometimes people do inhumane things. The Senate health care bill is a case in point. It denies health care to a large group of poor, disabled, and elderly Americans to give a big tax cut to a small group of very wealthy people.But are Senate Republicans evil people? Do they lack a moral compass? I don’t think so. I think they are simply victims of a once-successful but now discredited economic ideology. That ideology says tax cuts for the rich will create jobs for the middle class. It says cutting benefits, including health benefits, for the poor will cause them to work harder and behave more responsibly. Granted there is a grain of truth in these propositions but they have now become a cartoon of their once-legitimate, Chicago-school ancestors.

Republicans have become trapped in their own rhetoric, crafted during years of being in opposition. As Ross Douthat noted in a recent New York Times column, drawing on new analysis in a report by Lee Drutman, that rhetoric is now well to the right of the beliefs held by the broader Republican electorate. Republican leaders have failed to recognize the fact that the economic views of those who voted Republican in 2016 “lean only slightly to the right.” Republicans could have used the Trump election to effect a political realignment—one that would have combined a more moderate set of economic policies than the Republican elite currently supports with a more moderate set of cultural positions than those espoused by leading Democrats.

Republicans have become trapped in their own rhetoric, crafted during years of being in opposition.

Instead, the Republican elites are now out-of-step with their followers and could pay a big political price if they continue down their current path. Where are the new ideas that might free them and us from our current impasse? Are there ideas that might even command some bipartisan support and help to move the country in a more pragmatic and centrist direction?

It’s not as if there aren’t plenty of good ideas to choose from. If the problem is a health care system that costs too much and delivers too little, the solution might be to allow the states to experiment with different ways of delivering care. My colleagues, Alice Rivlin and Stuart Butler, have both written about this option. As Rivlin notes:

“Republicans have historically had faith in state governments’ ability to manage public resources in the interests of their residents; Democrats stressed national standards and wanted Washington in charge. But this line is blurring. Obamacare contained provisions (notably the Section 1332 waiver process) that would allow states increasing latitude in spending their federal money. Governors have often proved more adept at brokering compromises across party lines than deeply polarized Washington.”

If the problem is a tax system that is way too complicated and anti-growth, the solution might be to partially replace the income tax with a value-added tax and/or a carbon tax. Several Republican candidates supported a value-added tax during the 2016 primaries and a number of leading Republicans, including James Baker, George Schultz, and Henry Paulson are now arguing for a carbon tax that would return all of the revenues raised to individuals in the form of a citizen’s dividend.

If the problem is a government that has grown too big, the solution might be to tackle the major drivers of that growth. Those drivers are benefits, especially health benefits, for our rapidly growing senior population, and interest on the debt. The Committee for A Responsible Federal Budgetalong with several distinguished budget commissions (Simpson-Bowles and Domenenci-Rivlin) have long argued for such an approach. But it would not include more tax cuts for the rich.

If the problem is too many Americans who are not working, the solution might be to condition government assistance on work or a willingness to retrain o relocate to where the jobs are. A Brookings-AEI working group on poverty wrestled with the issue and suggested something along these lines. Speaker Paul Ryan has also endorsed this approach at various points in the past.

A two-party system should lead to a competition of ideas. And with one-party now in control of both Congress and the White House, it should be possible to enact new legislation that is consistent with conservative philosophy but not the kind of mean-spirited and tortured bills now on offer. Even better would be reaching out to Democrats to find some common ground. On issues as important as health care and taxes, reforms enacted by only one party are unlikely to be sustainable.

Posted in economics, GOP, Health Care, Trump | 1 Comment

Makeup Anxiety During The Trump Times Do our current leaders trust makeup artists?

Posted on Medium.com
Go to the profile of Sarah Graalman

There’s a siren going off my head, growing louder by the day since the new administration took power. It blares as certain faces flash across the screen. I could be talking about so many things, but I’m currently talking about makeup. My brow furrows as I ponder how all of this has happened. Who is powdering these faces?

Maybe most of us are simply used to it now — but haven’t you once wondered: Why is Trump Orange? IS Steve Bannon actually OK, health-wise? Why does Stephen Miller look like he’s sweating under so much matte makeup? Who did Kellyanne Conway’s makeup today? She could look better! Is there anyone in the wings over there with some powder and a comb? The universe bellows back “I don’t think so”. It leads me to wonder if there’s something deeper going on? I ask this as a concerned citizen, emotional empath, and professional makeup artist.

It’s easy, cruel fun to pick apart how people look on television. It’s a catty sport many of us play. I’m occasionally conflicted about my right to judge the appearances of those who aren’t myself. I justify any judgements based on my career: I have an opinion on faces! After working on thousands of faces, I can definitively say I know when a client is happy, sad, or is struggling with a soul that is restless. I know when a person lives and dies by bronzer, even if they show up clean-faced. I know whether or not someone will suggest contour, regardless of age. I can tell by the darting of one’s eyes whether they trust me, or anyone else for that matter. A seasoned artist can tell whether or not a client is comfortable in their own skin. I have never ever seen a crew of bandits who knew themselves less than the Trump administration, and I’ve only seen them on screens.

A public figure tells us who they are by what they say and how they allow themselves to be presented to the public. How you choose to look when recording begins is 100% intentional, unless you’re in jail or are being ambushed by a crew. Those whose chosen jobs place them on screens (politicians/gurus/hosts) are giving us permission to see them. They want to be in the public eye. They want to run our country, sell us our goods, or save us from ourselves. Look at the late Tammy Faye Baker. That’s who she was, from the tips of her lashes to the tears down her cheeks. She patiently, thoughtfully painted her face on everyday. Then she wept. She wanted us to see the mascara’d tears.

If someone chooses to not wear makeup, they’re saying ‘I don’t wanna be a makeup person’. Alicia Keys is telling us she doesn’t wanna be judged by her vanity, makeup wise. She is foundation free, and seems gloriously happy that way. There’s no disputing what her narrative is. If a personality wants to feather their bangs, layer on 10 coats of mascara, and rock some indigo blue eyeliner, that is a lot of solid information to base an opinion on.

Trump is orange and his hair is famously peroxide blonde. He rocks a fake-tan like a star from the 80’s who can’t let that go. Have you ever really looked at the whites around his eyes? Chances are those lighter patches are the result of tanning bed goggles. We have a bronzer addict running the country, and I have very strong opinions about bronzer addicts. I’ve rarely ever met one who doesn’t have a disjointed view of who they are or nurse a strange self-image. Sometimes that self-image is inflated. I wouldn’t be confident in saying this if I’d only been a makeup artist for a few years and simply hated the orangey hue of excessive bronzer. He likely reached his physical and sexual (sorry) prime in the 80’s, and though his power has skyrocketed to his being the most powerful man in America. It seems he is still chasing the dragon of his 80’s Trump facade. Why else would he still emulate that 80’s bronze glow?

Beware of anyone stuck in any decade. Especially the 80’s.

Meanwhile his top advisors look as though there is something wrong, in various dark ways. I’m not being glib — it’s worrisome. Steve Bannon looks as though he has ceased taking care of himself. He looks like he may drink a lot. Perhaps doesn’t sleep. He has a rigorously stated bleak world-view, which sound to be the rumblings of a darkly depressed man. If I judge his facial health, combined with his point of view, I am led to ask whether or not he is making decisions from a solid mental place? Yes, his skin quality tells me that. And what about Steve Miller? Why so much matte foundation, and why does he still look like he’s sweating? Is he nervous? I’ve never seen such an upper lip sweat under that much powder. He seems uncomfortable. Most broadly — what is going on with Kellyanne Conway?

Deep sigh.

Kellyanne Conway has a tendency to look busted. (I pondered delicacy in word choice when writing that sentence, but that’s just the truth whittled down.) I’ve scrutinized this for nearly a year. Something is amiss, deeper than ‘please, curl your lashes and blend your shadow.” It causes me both confusion as well as sharp twinges of empathy. She looks tired. She looks like she’s trying hard, but failing. But should she be trying that hard, makeup wise. Why isn’t anyone helping her?

Her makeup is wrong, in a paint-by-numbers sense. She’s a beautiful woman. Yet, the foundation is off, in shade and consistency. The concealer doesn’t work. (There are concealers that work for everyone, trust me.) The lashes are wonky, the mascara is clumpy, and the eyeshadow palettes she uses change practically every damned day. *There is absolutely nothing wrong with ‘new makeup every day’, but she is not that kind of make-up wearer. That’s not her journey. She is not living that kind of life! She’s a talking head of our government, and is clearly rejecting the help of makeup artists with regularity. Which is disconcerting, based on her desire not only to help run the free-world, but also to be one of the few public faces of it. We want our leaders to trust the advice of professionals. Does she not trust a makeup artist?

If she worked at the bank, I wouldn’t care. I’d find the blue no, wait green no, wait gold eye-shadow switcharoo endearing. If she was my hair-stylist, I’d chalk it up to creative choice. If she made my coffee or brought me my pizza, I wouldn’t care, beyond wishing I could recommend a new concealer. I love watching people make creative choices. Some people are ‘themselves’ in the very act of creative re-invention (yes, like Cher). I have many friends who cut, color, or even shave their heads when they need a change. Myself? I change my own lip color daily. That’s how I’m ‘me’ — I’m living that life! But if I’m going through something difficult, my instances of changing my hair and adjusting my eyeshadow tick up a bit more dramatically. Then I know my soul is restless. Over-done concealer and clumpy mascara is my canary in a coal mine. I know something is wrong. Is Conway changing it so often because she’s ‘finding herself’ while being internally conflicted?

If I need to hire a lawyer, and if that lawyer showed up with wonky eye makeup and unmatched foundation, I’d shout without pause, “Not today, Esquire! I need you to know who you are and I need that you to be professional!” Those I’m hiring to help me should know who they are, and I openly reject ‘too kooky’ in any professional setting. Same reason I don’t look busted when I show up for a job. My job is helping people so they need to trust that I know who I am.

I desire the same for those running our country. I need you to know and trust yourself now. Their beauty routines make them appear restless, unhappy, erratic, and uncomfortable in their own skin. If they have a professional artist at their disposal, then that artist is likely being rejected.

“But what if the artists they’re using are bad?” Impossible. It’s a ludicrous notion that a highly skilled artist would be that bad that many times in a row. “What if they don’t wanna pay for a makeup artist?” Nope. I know poor 21-year-old’s who put together the money to pay for an artist for a big event.

When someone of significant stature appears on a network, that network supplies an artist, or they will pay for the cost of one. I’m occasionally that artist in the wings at CNN with a personality on a publicity tour. Sometimes I show up to studios, and they have ANOTHER artist there on staff, just in case. It seems rare that any artist is doing the work. Yes, I’ve found a few instances where Conway is done and it looks fabulous. She isn’t obligated to look ‘done’ if that isn’t how she wants to be seen. But she’s putting on a lot, so she’s trying. She’s rejecting the use of a professional makeup artist.

In the instance when a personality insists on doing makeup him or herself, I still always ask ‘Can I blend this or that or add some powder?’ They never say “no”, at which point I remove some of the sparkles or blend for the sake of the person and the viewers. Always. Maybe twice in a decade I’ve been turned down. Only when the most nervous and untrusting figure decided they were a better makeup artist than I was. They powdered themselves up, looked at me like they knew better, and then plopped themselves in front of the camera with uncertain eyes and uneven skin.

So, here we all are. They’re on our TV constantly. They are running our country. I’d love to give them some HD powder and proper concealer. If only they trusted the experts.

Posted in Trump | Tagged , , , | Leave a comment

It’s Time For Politics To Take A Back Seat To Those They Serve. Let’s Have a Bi-Partisan HealthCare Solution: This Could Be A Start

A liberal think tank just released its own proposal to fix Obamacare

Posted on Vox.com

 

Posted in ACA, AHCA, American Health Care Act, Better Care Reconciliation Act, Health Care, Medicaid | Tagged | Leave a comment

REPUBLICAN LAWMAKERS BUY HEALTH INSURANCE STOCKS AS REPEAL EFFORT MOVES FORWARD

Posted on The Intercept

JUST AS THE HOUSE Republican bill to slash much of the Affordable Care Act moved forward, Rep. Mike Conaway, a Texas Republican and member of Speaker Paul Ryan’s leadership team, added a health insurance company to his portfolio.

An account owned by Conaway’s wife made two purchases of UnitedHealth stock, worth as much as $30,000, on March 24th, the day the legislation advanced in the House Rules Committee, according to disclosures. The exact value of Conaway’s investment isn’t clear, given that congressional ethics forms only show a range of amounts, and Conaway’s office did not respond to a request for comment.

It was a savvy move. Health industry stocks, including insurance giants like UnitedHealth, have surged as Republicans move forward with their repeal effort, which rolls back broad taxes on health care firms while loosening consumer regulations which prevent insurance companies from denying coverage for medical treatment. UnitedHealth has gained nearly 7 percent in value since March 24.

He wasn’t the only one. As the health care system overhaul advanced last month on the other side of Capitol Hill, Republican Sen. James Inhofe of Oklahoma purchased between $50,000 to $100,000 in UnitedHealth stock.

“Sen. Inhofe has a financial advisor who makes transactions on his behalf and these transactions are disclosed as required by the STOCK Act,” Nicole Hage, Inhofe’s spokesperson, told The Intercept. “The transaction you reference was routine and made without the Senator’s prior knowledge or consultation.”

The issue of insider political trading, with members and staff buying and selling stock using privileged information, has continued to plague Congress. It gained national prominence during the confirmation hearings for Health and Human Services Secretary Tom Price, when it was revealed that the Georgia Republican had bought shares in Innate Immunotherapeutics, a relatively obscure Australian biotechnology firm, while legislating on policies that could have impacted the firm’s performance.

The stock advice had been passed to Price from Rep. Chris Collins, R-N.Y., a board member for Innate Immunotherapeutics, and was shared with a number of other GOP lawmakers, who also invested in the firm. Conaway, records show, bought shares in the company a week after Price.

Conaway, who serves as a GOP deputy whip in the House, has a long record of investing in firms that coincide with his official duties. Politico reportedthat Conaway’s wife purchased stock in a nuclear firm just after Conaway sponsored a bill to deal with nuclear waste storage in his district. The firm stood to directly benefit from the legislation.

Some of the biggest controversies stem from the revelation that during the 2008 financial crisis, multiple lawmakers from both parties rearranged their financial portfolios to avoid heavy losses. In one case, former Rep. Spencer Baucus, R-Ala., used confidential meetings about the unfolding bank crisis to make special trades designed to increase in value as the stock market plummeted.

Congress eventually acted with the STOCK Act, legislation designed to curb insider trading abuses. But the law was quickly watered down with amendments, and some provisions of it were later repealed. As we’ve reported, the House of Representatives has actively fought efforts to enforce the law after the Securities and Exchange Commission attempted to investigate one congressional staffer accused of passing health care information to a set of hedge funds.

 

Posted in AHCA, American Health Care Act, Better Care Reconciliation Act, Ethics, Uncategorized | Leave a comment

Obamacare Inspires Unlikely Political Action In California’s Red Region

KAISER HEALTH NEWS/CALIFORNIA HEALTHLINE — REPEAL & REPLACE WATCH

July 6, 2017

Greta Elliott talks to her staff at the Canby Family Practice Clinic in Modoc County. (April Dembosky/KQED)
Modoc County, in the northeastern corner of California, is roughly the size of Connecticut. It’s so sparsely populated, the entire county has just one stoplight. The nearest Walmart is more than an hour’s drive, across the Oregon border. Same with hospitals that deliver babies.

Greta Elliott runs a tiny health clinic in Canby, on the edge of the national forest. “Rural” doesn’t begin to describe the area, she says. This is “the frontier.”“There are more cows in Modoc than there are people,” Elliott said.

There’s a frontier mentality, too. People take care of each other, and they take care of themselves. They don’t like being told what to do. Being forced to buy insurance made “Obamacare” a dirty word.

Even clinic administrator Elliott, who doesn’t have job-based coverage, decided against buying it for herself.

“It’s too expensive,” she said. “I choose to put my money back into paying the bills of the whole family.”

But now a coalition of clinics from across the northeastern corner of the state is lobbying local officials to take an unpopular position in this conservative land: Defend Obamacare.

And the right-leaning Shasta County Board of Supervisors took them up on it.

“We thought, ‘Whoa! That is really bold,’”  said Dean Germano, CEO of the Shasta Community Health Center.  “I was surprised.”

Overall, the Affordable Care Act — known informally as Obamacare — helped 25,000 people in far Northern California buy plans through the state marketplace, Covered California. But the law helped three times as many people – 75,000 – enroll in Medi-Cal, the state’s Medicaid program that provides free health coverage for low-income residents.

“The data shows it’s the rural communities that have greatly benefited from the Medicaid expansion. That’s the irony,” Germano said. “These are places that voted much more heavily for Donald Trump.”

In Modoc and Lassen counties, 70 percent of people voted for Trump in the November election. In neighboring Shasta County, Trump won 64 percent of the vote.

Given the stakes, however, the Shasta County Board of Supervisors sent a letter in the spring to the local Republican congressman, Rep. Doug LaMalfa, asking him to vote against the initial GOP repeal and replace bill, because it would hurt local people.

“We have an obligation to say something,” said Supervisor David Kehoe. “And if it may be mildly offensive from a political standpoint for some, well, we’re not going to be intimidated by politics.”

LaMalfa still voted in favor of dismantling Obamacare.

He didn’t return calls and emails for this story, but, in May, LaMalfa told KQED that skyrocketing premiums were the main driver behind his vote.

“Unfortunately, the reality is that too many young and healthy individuals are deciding they’d rather pay the penalty than sign up for care, citing financial barriers and lack of choice,” he said in a statement. “A 28-year-old making $45,000 a year with no major health concerns is not going to pay upwards of $400 a month for a plan that does not even work for them.”

When clinic representatives met with LaMalfa’s staffers, they were told the congressman’s office was flooded with calls from middle-income consumers like this.

But poor folks on Medi-Cal didn’t call to say how much they appreciate the program. In fact, clinics struggled getting people to sign up for Medi-Cal, at first.

“They feel like it’s a handout and they’re too proud, they don’t want to,” said Carol Morris, an enrollment counselor for the Mountain Valleys health clinics in Shasta County.

One way clinic workers get around the stigma is to avoid calling it Medi-Cal. Instead, they promote the name of the insurer that manages the Medi-Cal contract in that region. People get a card for “Partnership Health Plan” and may not realize they’re actually covered by a government program.

“It feels like it’s more of an insurance,” Morris said. “It’s like a laminated, wallet-sized card that’s got your numbers on it. It just looks exactly like an insurance card.”

One patient at the Mountain Valleys clinic in Beiber, Kay Roope, 64, knew she had Medi-Cal, and she liked it.

“It did me good,” she said.

Now she has a subsidized commercial plan through Covered California, with modest premiums and copays, and she likes that, too.

“It’s OK. ‘Cause I’m at the doctor’s at least once a month,” she said.

But when asked what she thinks of Obamacare overall, she says she doesn’t like it.

“Because of Obama himself,” she said with a laugh. “I rest my case.”

The confusion and the contradictions are common among patients, explained Morris, the enrollment counselor.

“People just don’t understand the different names,” she said. “But, of course, it’s the same thing.”

Morris has seen the difference Obamacare has made for people in the region. She’s seen patients get treatment for diabetes and breast cancer, or get knee surgery that they otherwise wouldn’t have gotten.

Those patients won’t fight for Obamacare, Morris said, so that’s why the clinics have to.

This story is part of a partnership that includes KQEDNPR and Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.

This story was produced by Kaiser Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Posted in ACA, AHCA, American Health Care Act, Better Care Reconciliation Act, Health Care, Trump, trumpcare | Tagged | Leave a comment

United States Files Civil Action To Forfeit Thousands Of Ancient Iraqi Artifacts Imported By Hobby Lobby

Yes, this is the same Hobby Lobby that was “holier than thou” before the US Supreme Court
US Department of Justice   FOR IMMEDIATE RELEASE
Wednesday, July 5, 2017

Cuneiform Tablets Were Falsely Labeled as Product “Samples” and Shipped to Hobby Lobby Stores, Inc., and Two Corporate Affiliates

Earlier today, the United States filed a civil complaint to forfeit thousands of cuneiform tablets and clay bullae. As alleged in the complaint, these ancient clay artifacts originated in the area of modern-day Iraq and were smuggled into the United States through the United Arab Emirates (UAE) and Israel, contrary to federal law. Packages containing the artifacts were shipped to Hobby Lobby Stores, Inc. (“Hobby Lobby”), a nationwide arts-and-crafts retailer based in Oklahoma City, Oklahoma, and two of Hobby Lobby’s corporate affiliates. The shipping labels on these packages falsely described cuneiform tablets as tile “samples.”

The government also filed a stipulation of settlement with Hobby Lobby, in which Hobby Lobby consented to the forfeiture of the artifacts in the complaint, approximately 144 cylinder seals and an additional sum of $3 million, resolving the civil action. Hobby Lobby further agreed to adopt internal policies and procedures governing its importation and purchase of cultural property, provide appropriate training to its personnel, hire qualified outside customs counsel and customs brokers, and submit quarterly reports to the government on any cultural property acquisitions for the next eighteen months.

The complaint and stipulation of settlement were announced by Bridget M. Rohde, Acting United States Attorney for the Eastern District of New York, and Angel M. Melendez, Special Agent-in-Charge, U.S. Immigration and Customs Enforcement (ICE), Homeland Security Investigations (HSI), New York.

“American collectors and importers must ensure compliance with laws and regulations that require truthful declarations to U.S. Customs and Border Protection, so that Customs officers are able to scrutinize cultural property crossing our borders and prevent the inappropriate entry of such property,” stated Acting United States Attorney Rohde. “If they do not, and shippers use false declarations to try to clandestinely enter property into the United States, this Office and our law enforcement partners will discover the deceit and seize the property.” Ms. Rohde thanked U.S. Customs and Border Protection for its role in intercepting shipments and safeguarding the seized antiquities.

“The protection of cultural heritage is a mission that HSI and its partner U.S. Customs and Border Protection (CBP) take very seriously as we recognize that while some may put a price on these artifacts, the people of Iraq consider them priceless,” stated Special Agent-in-Charge Melendez.

According to the complaint and stipulated statement of facts filed with the court, in or around 2009, Hobby Lobby began to assemble a collection of historically significant manuscripts, antiquities and other cultural materials. In connection with this effort, Hobby Lobby’s president and a consultant traveled to the UAE in July 2010 to inspect a large number of cuneiform tablets and other antiquities being offered for sale (the “Artifacts”). Cuneiform is an ancient system of writing on clay tablets that was used in ancient Mesopotamia thousands of years ago.

In October 2010, an expert on cultural property law retained by Hobby Lobby warned the company that the acquisition of cultural property likely from Iraq, including cuneiform tablets and cylinder seals, carries a risk that such objects may have been looted from archaeological sites in Iraq. The expert also advised Hobby Lobby to review its collection of antiquities for any objects of Iraqi origin and to verify that their country of origin was properly declared at the time of importation into the United States. The expert warned Hobby Lobby that an improper declaration of country of origin for cultural property could lead to seizure and forfeiture of the artifacts by CBP.

Notwithstanding these warnings, in December 2010, Hobby Lobby executed an agreement to purchase over 5,500 Artifacts, comprised of cuneiform tablets and bricks, clay bullae and cylinder seals, for $1.6 million. The acquisition of the Artifacts was fraught with red flags. For example, Hobby Lobby received conflicting information where the Artifacts had been stored prior to the inspection in the UAE. Further, when the Artifacts were presented for inspection to Hobby Lobby’s president and consultant in July 2010, they were displayed informally. In addition, Hobby Lobby representatives had not met or communicated with the dealer who purportedly owned the Artifacts, nor did they pay him for the Artifacts. Rather, following instructions from another dealer, Hobby Lobby wired payment for the Artifacts to seven personal bank accounts held in the names of other individuals.

With Hobby Lobby’s consent, a UAE-based dealer shipped packages containing the Artifacts to three different corporate addresses in Oklahoma City, Oklahoma. Between one and three shipments arrived at a time, without the required customs entry documentation being filed with CBP, and bore shipping labels that falsely and misleadingly described their contents as “ceramic tiles” or “clay tiles (sample).” . After approximately 10 packages shipped in this manner were received by Hobby Lobby and its affiliates, CBP intercepted five shipments. All of the intercepted packages bore shipping labels that falsely declared that the Artifacts’ country of origin was Turkey. No further shipments were received until September 2011, when a package containing approximately 1,000 clay bullae from the same purchase was received by Hobby Lobby. It was shipped by an Israeli dealer and accompanied by a false declaration stating that the bullae’s country of origin was Israel.

In executing the stipulation of settlement, Hobby Lobby has accepted responsibility for its past conduct and agreed to take steps to remedy the deficiencies that resulted in its unlawful importation of the Artifacts. Hobby Lobby has agreed to the forfeiture of all of the Artifacts shipped to the United States.

The government’s case is being handled by Assistant United States Attorneys Karin Orenstein and Ameet B. Kabrawala.

 

E.D.N.Y. Docket No. 17-CV-3980 (LDH) (VMS)
Exhibit A
Sample Images of the Defendants in Rem

 

Cuneiform Tablet

 

Cuneiform Tablets

 

Clay Bullae

 

Posted in Civil Rights, Discrimination, Religion & tolerance | Tagged , , | Leave a comment

Noam Chomsky: On Trump and the State of the Union – SCARY!

Over the past few months, as the disturbing prospect of a Trump administration became a disturbing reality, I decided to reach out to Noam Chomsky, the philosopher whose writing, speaking and activism has for more than 50 years provided unparalleled insight and challenges to the American and global political systems. Our conversation, as it appears here, took place as a series of email exchanges over the past two months. Although Professor Chomsky was extremely busy, because of our past intellectual exchange, he graciously provided time for this interview. Professor Chomsky is the author of numerous best-selling political works, translated into scores of languages. Among his most recent books are “Hegemony or Survival,” “Failed States,” “Hopes and Prospects,” “Masters of Mankind” and “Who Rules the World?” He has been institute professor emeritus at the Massachusetts Institute of Technology since 1976.— George Yancy

George Yancy: Given our “post-truth” political moment and the growing authoritarianism we are witnessing under President Trump, what public role do you think professional philosophy might play in critically addressing this situation?

Noam Chomsky: We have to be a little cautious about not trying to kill a gnat with an atom bomb. The performances are so utterly absurd regarding the “post-truth” moment that the proper response might best be ridicule. For example, Stephen Colbert’s recent comment is apropos: When the Republican legislature of North Carolina responded to a scientific study predicting a threatening rise in sea level by barring state and local agencies from developing regulations or planning documents to address the problem, Colbert responded: “This is a brilliant solution. If your science gives you a result that you don’t like, pass a law saying the result is illegal. Problem solved.”

Quite generally, that’s how the Trump administration deals with a truly existential threat to survival of organized human life: ban regulations and even research and discussion of environmental threats and race to the precipice as quickly as possible (in the interests of short-term profit and power).

G.Y.: In this regard, I find Trumpism to be a bit suicidal.

N.C.: Of course, ridicule is not enough. It’s necessary to address the concerns and beliefs of those who are taken in by the fraud, or who don’t recognize the nature and significance of the issues for other reasons. If by philosophy we mean reasoned and thoughtful analysis, then it can address the moment, though not by confronting the “alternative facts” but by analyzing and clarifying what is at stake, whatever the issue is. Beyond that, what is needed is action: urgent and dedicated, in the many ways that are open to us.

G.Y.: When I was an undergraduate philosophy student at the University of Pittsburgh, where I was trained in the analytic tradition, it wasn’t clear to me what philosophy meant beyond the clarification of concepts. Yet I have held onto the Marxian position that philosophy can change the world. Any thoughts on the capacity of philosophy to change the world?

N.C.: I am not sure just what Marx had in mind when he wrote that “philosophers have hitherto only interpreted the world in various ways; the point is to change it.” Did he mean that philosophy could change the world, or that philosophers should turn to the higher priority of changing the world? If the former, then he presumably meant philosophy in a broad sense of the term, including analysis of the social order and ideas about why it should be changed, and how. In that broad sense, philosophy can play a role, indeed an essential role, in changing the world, and philosophers, including in the analytic tradition, have undertaken that effort, in their philosophical work as well as in their activist lives — Bertrand Russell, to mention a prominent example.

G.Y.: Yes. Russell was a philosopher and a public intellectual. In those terms, how do you describe yourself?

N.C.: I don’t really think about it, frankly. I engage in the kinds of work and activities that seem important and challenging to me. Some of it falls within these categories, as usually understood.

G.Y.: There are times when the sheer magnitude of human suffering feels unbearable. As someone who speaks to so much suffering in the world, how do you bear witness to this and yet maintain the strength to go on?

N.C.: Witnessing it is enough to provide the motivation to go on. And nothing is more inspiring to see how poor and suffering people, living under conditions incomparably worse than we endure, continue quietly and unpretentiously with courageous and committed struggle for justice and dignity.

G.Y.: If you had to list two or three forms of political action that are necessary under the Trump regime, what would they be? I ask because our moment feels so incredibly hopeless and repressive.

N.C.: I don’t think things are quite that bleak. Take the success of the Bernie Sanders campaign, the most remarkable feature of the 2016 election. It is, after all, not all that surprising that a billionaire showman with extensive media backing (including the liberal media, entranced by his antics and the advertising revenue it afforded) should win the nomination of the ultra-reactionary Republican Party.The Sanders campaign, however, broke dramatically with over a century of U.S. political history. Extensive political science research, notably the work of Thomas Ferguson, has shown convincingly that elections are pretty much bought. For example, campaign spending alone is a remarkably good predictor of electoral success, and support of corporate power and private wealth is a virtual prerequisite even for participation in the political arena.The Sanders campaign showed that a candidate with mildly progressive (basically New Deal) programs could win the nomination, maybe the election, even without the backing of the major funders or any media support. There’s good reason to suppose that Sanders would have won the nomination had it not been for shenanigans of the Obama-Clinton party managers. He is now the most popular political figure in the country by a large margin.Activism spawned by the campaign is beginning to make inroads into electoral politics. Under Barack Obama, the Democratic Party pretty much collapsed at the crucial local and state levels, but it can be rebuilt and turned into a progressive force. That would mean reviving the New Deal legacy and moving well beyond, instead of abandoning, the working class and turning into Clintonite New Democrats, which more or less resemble what used to be called moderate Republicans, a category that has largely disappeared with the shift of both parties to the right during the neoliberal period.Such prospects may not be out of reach, and efforts to attain them can be combined with direct activism right now, urgently needed, to counter the legislative and executive actions of the Republican administration, often concealed behind the bluster of the figure nominally in charge.There are in fact many ways to combat the Trump project of creating a tiny America, isolated from the world, cowering in fear behind walls while pursuing the Paul Ryan-style domestic policies that represent the most savage wing of the Republican establishment.

G.Y.: What are the weightiest issues facing us?

N.C.: The most important issues to address are the truly existential threats we face: climate change and nuclear war. On the former, the Republican leadership, in splendid isolation from the world, is almost unanimously dedicated to destroying the chances for decent survival; strong words, but no exaggeration. There is a great deal that can be done at the local and state level to counter their malign project.On nuclear war, actions in Syria and at the Russian border raise very serious threats of confrontation that might trigger war, an unthinkable prospect. Furthermore, Trump’s pursuit of Obama’s programs of modernization of the nuclear forces poses extraordinary dangers. As we have recently learned, the modernized U.S. nuclear force is seriously fraying the slender thread on which survival is suspended. The matter is discussed in detail in a critically important article in Bulletin of the Atomic Scientists in March, which should have been, and remained, front-page news. The authors, highly respected analysts, observe that the nuclear weapons modernization program has increased “the overall killing power of existing U.S. ballistic missile forces by a factor of roughly three — and it creates exactly what one would expect to see, if a nuclear-armed state were planning to have the capacity to fight and win a nuclear war by disarming enemies with a surprise first strike.”The significance is clear. It means that in a moment of crisis, of which there are all too many, Russian military planners may conclude that lacking a deterrent, the only hope of survival is a first strike — which means the end for all of us.

G.Y.: Frightening to the born.

N.C.: In these cases, citizen action can reverse highly dangerous programs. It can also press Washington to explore diplomatic options — which are available — instead of the near reflexive resort to force and coercion in other areas, including North Korea and Iran.

G.Y.: But what is it, Noam, as you continue to engage critically a broad range of injustices, that motivates this sense of social justice for you? Are there any religious motivations that frame your social justice work? If not, why not?

N.C.: No religious motivations, and for sound reasons. One can contrive a religious motivation for virtually any choice of action, from commitment to the highest ideals to support for the most horrendous atrocities. In the sacred texts, we can find uplifting calls for peace, justice and mercy, along with the most genocidal passages in the literary canon. Conscience is our guide, whatever trappings we might choose to clothe it in.

G.Y.: Returning to the point about bearing witness to so much suffering, what do you recommend I share with many of my undergraduate students such that they develop the capacity to bear witness to forms of suffering that are worse than we endure? Many of my students are just concerned with graduating and often seem oblivious to world suffering.

N.C.: My suspicion is that those who seem oblivious to suffering, whether it is nearby or in remote corners, are for the most part unaware, perhaps blinded by doctrine and ideology. For them, the answer is to develop a critical attitude toward articles of faith, secular or religious; to encourage their capacity to question, to explore, to view the world from the standpoint of others. And direct exposure is never very far away, wherever we live — perhaps the homeless person huddling in the cold or asking for a few pennies for food, or all too many more.

G.Y.: I appreciate and second your point about exposure to the suffering of others not being far away. Returning to Trump, I take it that you view him as fundamentally unpredictable. I certainly do. Should we fear a nuclear exchange of any sort in our contemporary moment?

N.C.: I do, and I’m hardly the only person to have such fears. Perhaps the most prominent figure to express such concerns is William Perry, one of the leading contemporary nuclear strategists, with many years of experience at the highest level of war planning. He is reserved and cautious, not given to overstatement. He has come out of semiretirement to declare forcefully and repeatedly that he is terrified both at the extreme and mounting threats and by the failure to be concerned about them. In his words, “Today, the danger of some sort of a nuclear catastrophe is greater than it was during the Cold War, and most people are blissfully unaware of this danger.”

In 1947, Bulletin of the Atomic Scientists established its famous Doomsday Clock, estimating how far we are from midnight: termination. In 1947, the analysts set the clock at seven minutes to midnight. In 1953, they moved the hand to two minutes to midnight after the U.S. and U.S.S.R. exploded hydrogen bombs. Since then it has oscillated, never again reaching this danger point. In January, shortly after Trump’s inauguration, the hand was moved to two and a half minutes to midnight, the closest to terminal disaster since 1953. By this time analysts were considering not only the rising threat of nuclear war but also the firm dedication of the Republican organization to accelerate the race to environmental catastrophe.

Perry is right to be terrified. And so should we all be, not least because of the person with his finger on the button and his surreal associates.

G.Y.: Yet despite his unpredictability, Trump has a strong base. What makes for this kind of servile deference?

N.C.: I’m not sure that “servile deference” is the right phrase, for a number of reasons. For example, who is the base? Most are relatively affluent. Three-quarters had incomes above the median. About one-third had incomes of over $100,000 a year, and thus were in the top 15 percent of personal income, in the top 6 percent of those with only a high school education. They are overwhelmingly white, mostly older, hence from historically more privileged sectors.

As Anthony DiMaggio reports in a careful study of the wealth of information now available, Trump voters tend to be typical Republicans, with “elitist, pro-corporate and reactionary social agendas,” and “an affluent, privileged segment of the country in terms of their income, but one that is relatively less privileged than it was in the past, before the 2008 economic collapse,” hence feeling some economic distress. Median income has dropped almost 10 percent since 2007. That’s apart from the large evangelical segment and putting aside the factors of white supremacy — deeply rooted in the United States — racism and sexism.

For the majority of the base, Trump and the more savage wing of the Republican establishment are not far from their standard attitudes, though when we turn to specific policy preferences, more complex questions arise.

A segment of the Trump base comes from the industrial sector that has been cast aside for decades by both parties, often from rural areas where industry and stable jobs have collapsed. Many voted for Obama, believing his message of hope and change, but were quickly disillusioned and have turned in desperation to their bitter class enemy, clinging to the hope that somehow its formal leader will come to their rescue.

Another consideration is the current information system, if one can even use the phrase. For much of the base, the sources of information are Fox News, talk radio and other practitioners of alternative facts. Exposures of Trump’s misdeeds and absurdities that arouse liberal opinion are easily interpreted as attacks by the corrupt elite on the defender of the little man, in fact his cynical enemy.

G.Y.: How does the lack of critical intelligence operate here, that is, the sort that philosopher John Dewey saw as essential for a democratic citizenry?

N.C.: We might ask other questions about critical intelligence. For liberal opinion, the political crime of the century, as it is sometimes called, is Russian interference in American elections. The effects of the crime are undetectable, unlike the massive effects of interference by corporate power and private wealth, not considered a crime but the normal workings of democracy. That’s even putting aside the record of U.S. “interference” in foreign elections, Russia included; the word “interference” in quotes because it is so laughably inadequate, as anyone with the slightest familiarity with recent history must be aware.

G.Y.: That certainly speaks to our nation’s contradictions.

N.C.: Is Russian hacking really more significant than what we have discussed — for example, the Republican campaign to destroy the conditions for organized social existence, in defiance of the entire world? Or to enhance the already dire threat of terminal nuclear war? Or even such real but lesser crimes such as the Republican initiative to deprive tens of millions of health care and to drive helpless people out of nursing homes in order to enrich their actual constituency of corporate power and wealth even further? Or to dismantle the limited regulatory system set up to mitigate the impact of the financial crisis that their favorites are likely to bring about once again? And on, and on.  It’s easy to condemn those we place on the other side of some divide, but more important, commonly, to explore what we take to be nearby.

 

Posted in Congress, Ethics, Fake News, foreign policy, GOP, Health Care, New York Times, Politics, Russian connection, science, Trump, trumpcare, Uncategorized, war | Tagged , , , , | 2 Comments

Voter fraud commission may have violated law — TheHill.com  

President Trump’s voter fraud commission may have violated the law by ignoring federal requirements governing requests for information from states, several experts on the regulatory process told The Hill.

Experts say the failure to submit the request to states through the Office of Management and Budget’s Office of Information and Regulatory Affairs (OIRA) violates a 1980 law known as the Paperwork Reduction Act (PRA). They also say the failure could be significant, since states could argue it means they are under no obligation to respond.

“If the commission gets heavy-handed with them, it seems to me that the states are within their right to say, ‘No, we don’t have to respond because you didn’t go through [OIRA],’” said Susan Dudley, a former OIRA administrator who is now director of the GW Regulatory Studies Center at George Washington University.

The Presidential Advisory Commission on Election Integrity asked all 50 states and the District of Columbia for extensive information last week on their voters, including full names and addresses, political party registration and the last four digits of Social Security numbers.

The request is part of work the panel is doing to promote fair and honest federal elections. It was formed after Trump said he only lost the popular vote in last year’s presidential election to Hillary Clinton because of widespread voter fraud, an argument rejected by state election officials from both parties.

A number of states have reacted to the requests with anger, arguing they represent a severe overreach by the federal government. Forty-four states led by Republican and Democratic governments, as well as the District of Columbia, are already resisting turning over information, according to multiple news outlets.

After an initial version of this story was published online, the White House in an email argued that the election commission is exempt from the requirements of the Paperwork Reduction Act, which requires federal agencies to take specific steps before making requests for public information. The reason is simple, according to a spokesman: The commission is not an agency.

“The Paperwork Reduction Act only applies to information collections by agencies,” Marc Lotter, spokesman for Vice President Pence, said in an email. “The Commission is an entity that ‘serve[s] solely to advise and assist the President,’ and is not, therefore, an agency subject to PRA.”

Experts interviewed by The Hill said they believed that the commission did fall under the Paperwork Reduction Act, a 1980 law that requires federal agencies to seek public input, including through a comment period, before making a request for information. A 1995 amendment extended OIRA’s authority to include not only requests for information for the government, but also requests for information to the public.

There are some exemptions from the Paperwork Act’s requirements, but Richard Belzer, a former OIRA economist, said in an email to The Hill that he didn’t recall Trump’s executive order including any provision that would exempt the commission from following the requirements.

Belzer said it would not be unprecedented for OIRA to wave through an approval or issue an exemption at the request of the White House, but he argued this would be “legally dubious” in this case.

The Paperwork Reduction Act defines “agency” very broadly and exempts only requests for information from the Government Accountability Office and the Federal Election Commission from having to follow the requirements of the law. So the voter commission and the type of information it is requesting would be covered.

The law requires that agencies justify their requests for public information, specify how it will be used and provide assurances that data will be protected. The law also obliges the agencies to estimate how many hours it will take entities to respond.

When a request is submitted, documents get a control or reference number from the Office of Management and Budget. No marking is apparent on the letter sent from the Commission to the states, which led several experts on the process to question whether it had gone through the process.

In a letter Monday, United to Protect Democracy and the Brennan Center for Justice called on Trump budget director Mick Mulvaney to take action against the commission for failing to follow the requirements of the Paperwork Reduction Act.

“The PRA reflects a longstanding recognition that when agencies collect information from the public, they must do it in a way that balances legitimate governmental need with the burdens such collections may impose,” the groups said. “To ensure that balance, the statute requires agencies to engage with the public before embarking on such collections. The Advisory Commission has plainly violated those requirements.”

Stuart Shapiro, a professor at the Edward J. Bloustein School of Planning and Public Policy at Rutgers University, told The Hill that a review can take anywhere from six to nine months to complete — a time frame that can be grating to agencies.

Shapiro raised the possibility that the commission violated the Paperwork Reduction Act in a blog post for The Regulatory Review on Wednesday.

He noted that the commission’s letter to the states did not include any indication that its request for information had been submitted for review through the PRA process.

Though the commission asked states to willingly hand over the information, Shapiro said both voluntary and mandatory requests are required to follow the law.

“I think it shows a carelessness in their desire to come in and shake things up and do what they want and to do so with a disregard for the rules,” said Shapiro, who is also a contributor to The Hill.

“We saw it with the immigration ban, we saw it with the court overturning the delay of the methane rules,” he said, referring to a federal appeals court decision on Monday that prevents the administration from suspending enforcement of a rule restricting methane emissions.

“They aren’t following the rules, and when you don’t follow the rules, eventually someone points that out and you have to go back and follow them.”

Trump has been fixated on voter fraud since the election, which found Clinton winning the popular vote by almost 3 million ballots. Trump claimed that the popular vote would have been his “if you deduct the millions of people who voted illegally.”

Dozens of state election officials from both parties have said there is no evidence of significant voter fraud.

Those conclusions have done nothing to dissuade the president, however, and in May he created the 15-member Election Integrity commission to identify the breadth of voter fraud and other improprieties that might compromise the election process.

Kris Kobach, the Kansas secretary of state who heads Trump’s election commission, defended the request on Wednesday and said media reports that it has been rejected by dozens of states are overheated.

“At present, only 14 states and the District of Columbia have refused the Commission’s request for publicly available voter information,” Kobach, a
Republican, said in a statement issued through the Pence’s office. Stories that suggest a larger number are fake news, he added.

Kobach, a prominent anti-immigration activist, is vying to become Kansas’s governor next year. On Monday, a watchdog group filed a complaint alleging that Kobach is using his position atop the election panel to promote his campaign.

Posted in Ethics, Trump, Voter Fraud | Tagged , , , | Leave a comment

Voter “Integrity” and Republican Hypocrisy

You have to love the sheer effrontery of the Trump Administration’s new Presidential Advisory Commission on Voter Integrity, set up to validate Trump’s absurd claim that he only lost the popular vote because of the votes of millions of undocumented immigrants.  Headed by Kris Kobach, longtime crusader against the hordes of “illegal aliens” descending on Kansas to try swinging elections (an alleged effort that based on results must be deemed a flat failure), this “commission” is requesting that every state in the Union turn in personal and public data on its voting rolls to the federal government.  (For a frightening deep dive into the history of Kobach’s campaign of voter suppression see https://resistancesuffolk.blog/2017/07/03/if-you-care-about-the-right-to-vote-here-are-six-things-you-need-to-know-about-kris-kobach/)

Sure, let’s create a national database of the nation’s 200 million voters including names, addresses, birth dates, party affiliations, voting records, felony convictions, and the last four digits of social security numbers.  What could possibly go wrong?  Our friends in Russia, Fancy Bear and Cozy Bear, not to mention Crouching Yeti, must be drooling.  All of this data on 200 million American voters on one big database in one place!  At last!  No more pesky state and local databases to deal with, with their tiresome different standards and formats.

So glaring is the blatant stupidity of this enterprise that it threatens to drown out the blatant hypocrisy behind it.  Remember when the Republican Party was the supposed stalwart defender of “state’s rights”?  Remember the fear and terror that the federal government might somehow acquire a serviceable national registry of gun purchases?  Which is why the ATF is hog-tied by restrictions prohibiting the consolidation or centralization of records, severely hampering law enforcement efforts to gauge and combat gun violence.  Last March the House (including our very own Lee Zeldin of course) voted in favor of ending federal checks preventing more than 167,000 veterans deemed “mentally incompetent” from keeping or purchasing firearms.  This was an effort to reduce the shocking incidence of veteran suicide by firearms.  It seems the problem with preventing these individuals from acquiring firearms was that it relied on a less than perfect Social Security database, which flags individuals incapable of handling their own affairs.  Same reasoning when Congress refused to bar individuals on a terrorist watch list prohibited from boarding aircraft from purchasing firearms.  In spite of all this fuss and bother about federal government “overreach” in these cases and the worries about “due process” (not to mention “Second Amendment rights”), the Republican administration has no issue with putting every registered voter in America on a centralized database when the political stars align its way.  The blatant hypocrisy of this led even Mississippi Secretary of State Delbert Hosemann, a Republican, to state (to his credit) that he would not co-operate with Kobach’s commission: “They can go jump in the Gulf of Mexico, and Mississippi is a great state to launch from. Mississippi residents should celebrate Independence Day and our state’s right to protect the privacy of our citizens by conducting our own electoral processes.”

There are plenty of other examples of this hypocrisy.  On June 28 of this year the House passed H.R. 1215, a bill which overrides state laws on medical malpractice by placing a federal cap of $250,000 on “non-economic” injuries (which includes such things as trauma, elder abuse, or reproductive harm) as well as overriding state joint and several liability laws.  The following day the House passed H.R. 3003 which tramples on the Fourth and Tenth Amendments of the Constitution in its haste to punish cities and states using “community trust” policing policies and failing to do the bidding of ICE to arrest and detain all undocumented immigrants contacted by law enforcement officials, no matter what.  No problems with “due process” here.  Welcome to the big government Republicans; limited government ideals have mysteriously gone missing!  In the words of a writer for the right-leaning libertarian Cato Institute, this bill “violates a basic principle of federalism, which many conservatives have long championed, that the federal government should leave states to experiment with their own policies. I wonder whether Republican members of Congress would still support this legislation if they could imagine Democrats applying this same principle to federal gun laws in the future.”  Even so, it passed in the House of Representatives with a mere seven Republicans voting “No” (Rep. Zeldin, needless to say, was not one of the seven, although Rep. Peter King, a fellow Long Island Republican, was, on the grounds that the bill endangers anti-terrorism funding that would go to  New York City).

What are we to make of this blatant hypocrisy?  The lesson to be drawn, I believe, is that all the protestations about “state’s rights” and the Constitution are tactical only, quickly abandoned when politically expedient.  Such “principles” are not really principles at all, they are merely tactical gambits.

In fact there’s a pattern here.  For decades the GOP has been a fierce defender of “strict constructionism” and “originalism”, i.e. the view that the Constitution should be interpreted according to the original meaning of its writers in 1787.  Yet when the opportunity arose to blockade President Obama’s constitutional right to appoint Merrick Garland to the Supreme Court after the death of Scalia Sen. Mitch McConnell jumped at it, Constitution be damned, declaring “The American people are perfectly capable of having their say on this issue, so let’s give them a voice. Let’s let the American people decide.”  Never mind that this is flagrantly at odds with the clear meaning of the Constitution, which specifically does NOT provide that the selection of Supreme Court Justices be contingent on a popular vote.  So much for “strict construction” and “original meaning”.  What about the “principle” of limited government, particularly at the federal level?  Kobach’s Presidential Advisory Commission on Voter Integrity simply dumps this principle – a mere inconvenience.

More broadly take the supposed “principle” of wholesome “family values” that is supposedly at the heart of the Republican brand, at least if we are to believe what Republicans love to tell voters.  Is it possible to imagine a less wholesome and family-value oriented President than Donald Trump?  A man who openly brags about sexual assault, prides himself on bullying his detractors, has no discernible religious or spiritual beliefs, worships material success only, has an insatiable lust for self-enrichment, has no scruples about lying his head off,  mocks the disabled, despises service and self-sacrifice in general and the service of military heroes he doesn’t like in particular, and seems to violate every value that earnest educators attempt to instill on impressionable young children.  Family values?  Really?  Yet party leaders as well as most of the Republican rank and file in Congress (with a few honorable exceptions of which Lee Zeldin is not one) have no problem overlooking all this as long as it doesn’t impede the implementation of their “agenda” (aka deregulation and tax cuts for the rich).  No, the only way to understand the so-called “principles” of the Republican Party is as propaganda, designed to throw dust in the eyes of voters, not to be taken seriously and acted on consistently.  Where is the “integrity”?  In the words of the immortal Bard: “words, words, no matter from the heart.”

Posted in Congress, GOP, immigration/deportation, Politics, Russian connection, Trump, Uncategorized | Tagged , , , , , , | 1 Comment

Women working in Trump’s White House only make $0.80 to the man’s dollar  

Women working in Trump's White House only make $0.80 to the man's dollar
President Donald Trump waves as he arrives on Air Force One
Source: Carolyn Kaster/AP

The country’s gender wage gap goes all the way to the White House, according to a new CNN analysis.

Using the findings from the White House’s annual report to Congress, which was released on Friday, the outlet found women working in President Donald Trump’s White House earn an average salary of roughly $83,000, while their male colleagues earn an average of roughly $104,000.

That disparity works out to women making just $0.80 to the man’s dollar, a pay gap falling just below the national average: As of April’s Equal Pay Day, women made $0.82 for every dollar earned by a man.

However, the White House’s pay gap problem isn’t specific to Trump.

In 2014, the Washington Post reported that then-President Barack Obama hadn’t yet succeeded in closing the gender wage gap in his White House, albeit a much smaller gap than Trump’s. Under Obama, women in the White House earned an average salary of $78,400 to men’s $88,600, adding up to a 13% wage gap, or $0.87.

Trump speaks along with daughter Ivanka during a video conference in the Oval Office in April.

Source: Pool/Getty Images

Still, a hallmark of Obama’s presidency was his dedication to solving the country’s gender wage gap problem. Just a little over a week into his presidency, Obama signed the Lilly Ledbetter Fair Pay Act, equal pay legislation named for a woman who discovered at the end of her 19-year career that she’d been paid less than her male colleagues all along. In 2014, Obama signed an executive order promoting fair pay and safe work conditions, including mandates for paycheck transparency and a ban on forced arbitration in cases of sexual harassment, gender-based discrimination or sexual assault.

In March, Trump revoked the latter Obama-era policy, just days before Equal Pay Day on April 4.

This move, along with Trump’s apparent animus toward other issues affecting women’s lives, means the wage gap could widen under the 45th president. In a December interview with Mic, Fatima Goss Graves, a senior vice president at the National Women’s Law Center, said it’s in Trump’s power to decide if he wants to close it.

 “[You can either decide to] change the range of factors that really are leading to lower wages, or you can continue to lean into the things you know cause the problem in the first place,” she said. “That’s the question for the Trump administration: Are they on the side of equal pay [and equal rights] for women?”
Posted in Discrimination, Employment, Family Issues, Ivanka Trump, Pay Equality, Trump, Women | Leave a comment

If You Care About the Right to Vote, Here Are Six Things You Need to Know About Kris Kobach

Kris Kobach

On May 11, President Trump formed a commission on “election integrity” to investigate voter fraud and voter suppression in the United States. The executive order follows repeated, unsubstantiated claims from the president that millions of people voted illegally in the 2016 presidential election.

There are immediate red flags that the public needs to be aware of: namely the complete lack of evidence that would justify this use of taxpayer resources and the record of the official tapped to lead it.

Kris Kobach, Kansas secretary of state and vice-chair of the Presidential Advisory Committee on Election Integrity is a known voter suppressor. He has been brought to court — and lost — several times for suppressing the constitutional rights of citizens to vote in Kansas.

Voting is the cornerstone of our democracy and the fundamental right upon which all our civil liberties rest. Americans deserve a champion who will fight to protect and expand voting rights, not suppress them. Kris Kobach is not that person and here are the top reasons why:

  1. Kris Kobach believes that President Trump won the popular vote, once you subtract “three to five million illegal votes” cast in the 2016 presidential election. This theory, first pushed out by President Trump and then parroted by Kobach, does not hold water. Academic and legal experts, election administrators and officials, and even leaders of the Republican Party have all rejected this claim.
  2. Kris Kobach has wreaked havoc on voting rights in Kansas.
    In September 2016, the U.S. Court of Appeals for the 10th Circuit, in a unanimous opinion by Judge Jerome Holmes, an appointee of George W. Bush, found that Kobach had engaged in “mass denial of a fundamental right” by blocking 18,000 motor voter applicants from registering to vote in Kansas.  The ACLU’s Voting Rights Project has sued him four times, and Kobach lost all four cases in 2016.
  3. Kris Kobach says that there are lots of non-citizens voting. He just can’t produce any evidence. But don’t just take our word for it, hear it from the courts:
    • In May 2017, U.S. District Judge Julie Robinson, appointed by George W. Bush, found that Kobach had “scant evidence of noncitizen voter fraud.”
    • In October 2016, the U.S. Court of Appeals for the 10th Circuit described Kobach’s theory of Kansas’ widespread problem of noncitizens voting as “pure speculation.”
    • In September 2016, the U.S. Court of Appeals for the D.C. Circuit said that Kobach had “precious little record evidence” of noncitizen voting.
  4. Kobach is the chief architect of the Interstate Voter Registration Crosscheck program, a notoriously flawed system which Kobach admits generates “a significant number” of “false positives” when trying to find people registered to vote in more than one state. A recent study found that Crosscheck “would eliminate about 200 registrations used to cast legitimate votes for every one registration used to cast a double vote.”  And according to The Washington Post, Kobach “examined 84 million votes cast in 22 states to look for duplicate registrants. In the end 14 cases were referred for prosecution, representing 0.00000017 percent of the votes cast.”
  5. Kobach has a secret voting plan. He showed it to Donald Trump but doesn’t want the public to see it. Last November, Kobach was notoriously photographed carrying documents into a meeting with then-President-Elect Trump, which appeared to reference a proposal to change the federal motor-voter law.  The ACLU sought those documents in connection with litigation against Kobach over his office’s violations of the motor-voter law, but Kobach’s lawyers denied they even existed.

    In April 2017, U.S. Magistrate James O’Hara blasted Kobach for engaging in “word-play meant to present a materially inaccurate picture of the documents,” and ordered Kobach to turn them over.  The ACLU has now received those documents, but Kobach continues to claim that they are “confidential” and cannot be shared with the media or the general public.

  6. Kris Kobach isn’t just a threat to voting rights.
    • Kobach co-authored S.B. 1070, Arizona’s infamous racial profiling law from 2010, which required local law enforcement to demand the papers of anyone they suspected of being in the country illegally. The law prompted a nationwide outcry and economic boycott, and the ACLU fought it in the courts for years. The Supreme Court and the lower courts either blocked or drastically limited all of its major provisions. The anti-immigrant bill gave rise to several copycat bills in other states, including Alabama’s HB56 — which Kobach also helped to draft. The ACLU and allies defeated those laws in the courts as well, exposing the fact that Kobach’s legislation was built on a foundation of legal error.
    • In 2010, Kobach assisted in drafting a bill, designed to end the constitutional guarantee of birthright citizenship for any child born in the United States. That bill was too extreme to gain any traction even among the legislatures that had adopted Kobach’s reprehensible racial profiling laws.
    • Kobach serves as counsel to the Immigration Law Reform Institute, the legal arm of the Federation for American Immigration Reform, which the Southern Poverty Law Center has listed as a hate group since 2007. SPLC has written extensively about Kobach’s role in advancing a nativist agenda.
    • In 2012, Kobach compared homosexuality to drug abuse and polygamy. During his failed 2004 congressional campaign, he accused LGBTQ+-rights groups like the Human Rights Campaign of promoting “homosexual pedophilia.”
Posted in Trump, Voter Fraud | Tagged , , , | 1 Comment

Complete Lee Zeldin Environmental Voting Record

A great resource!   D Posnett
Complete Lee Zeldin Environmental Voting Record (Last Updated 6/29/17)
Introduction
Linked here https://docs.google.com/spreadsheets/d/19e5j3Z3xupufWNReLsO-P69eL316sJDLBbf8EZDFklg/edit?usp=sharing is an easy-to-use Excel spreadsheet summarizing Lee Zeldin’s complete environmental voting record in Congress.
Purpose
This spreadsheet is intended as a resource for letter writers, op-ed writers, those who want to ask well-informed questions at town hall meetings and mobile office hours, candidates and their staffers who want to develop winning campaign positions, and, last but not least, all members of the LVLZ community who care deeply about our environment.
Sources and Updating
This spreadsheet relies heavily on information and analysis provided free to the public by the League of Conservation Voters (LCV) at LCV’s “National Environmental Scorecard” website[1]. We will update this spreadsheet regularly to reflect new votes in Congress.
Format – Cover Page and Chronological Summary
The cover page of the spreadsheet includes a table showing Zeldin’s National Environmental Scorecard scores:
2015 — 14%
2016 — 8%
Lifetime – 11%
This means that Zeldin voted AGAINST THE ENVIRONMENT on 86% of the pertinent House roll call votes in 2015, AGAINST THE ENVIRONMENT on 92% in 2016, and AGAINST THE ENVIRONMENT on 89% for his first term overall!!!
The cover page also shows the number of Zeldin’s pro-environment and anti-environment votes in the new session of Congress that began in January 2017. As of June 29, 2017 Zeldin had voted AGAINST THE ENVIRONMENT on all 12 of the pertinent House roll call votes.
The second page of this spreadsheet is a chronological listing of all of Zeldin’s environment-related votes in Congress, from oldest to newest. This listing identifies the type of issue at stake in each vote and is color-coded to show whether Zeldin’s vote was pro-environment or anti-environment.
Format – How the Votes are Organized
In this spreadsheet, Zeldin’s votes on bills that impact the environment are divided into 11 categories of issues, each with its own tab:
1. Air Quality
2. Clean Energy
3. Climate Change
4. Dirty Energy
5. Drilling
6. Lands/Forests
7. Oceans
8. Other (e.g. public access)
9. Toxins
10. Water
11.Wildlife
Within each issue tab, the votes are listed individually by date (oldest to newest). Each entry identifies the roll call number of the vote, the LCV name for the vote, the formal name of the vote in the House, whether Zeldin’s vote was pro-environment or anti-environment, the importance of the vote for New York’s 1st Congressional District (high, medium, low), key words to aid in searches and the LCV’s one-paragraph description of the background, purpose and significance of the vote.
Two Ways to Search this Spreadsheet
In addition to being searchable by issue, this spreadsheet is searchable by keyword.
Conclusion
We hope you will find this spreadsheet informative and helpful. Use it wisely and well!
Marc Rauch and Chelsea Estevez
Posted in Air Pollution, climate change, Environment, EPA, National Parks & Monuments, Offshore Drilling, Uncategorized, Zeldin | Tagged , , , , | 3 Comments

The Populist Surge – Analysis from Across the Pond

 

On June 27th, Martin Wolf in the Financial Times writes:

Why has the appeal of populist ideas grown in western countries? Is this a temporary phenomenon? In the wake of Brexit and the election of Donald Trump, the collapse in support for established political parties in France and the rise of the Five Star Movement in Italy, not to mention the surge of authoritarian populism in central and eastern Europe, these are important questions.

What, first of all, is a populist? The abiding characteristic of populism is its division of the world into a virtuous people on the one hand, and corrupt elites and threatening outsiders on the other. Populists distrust institutions, especially those that constrain the “will of the people”, such as courts, independent media, the bureaucracy and fiscal or monetary rules. Populists reject credentialed experts. They are also suspicious of free markets and free trade. Rightwing populists believe certain ethnicities are “the people” and identify foreigners as the enemy. They are economic nationalists and support traditional social values. Often they put their trust in charismatic leaders. Leftwing populists identify workers as “the people” and the rich as the enemy. They also believe in state ownership of property. Why have these sets of ideas become more potent? Ronald Inglehart of the university of Michigan and Pippa Norris of Harvard Kennedy School argue that the reaction of older and less educated white men against cultural change, including immigration, better explains the rise of populism than economic insecurity.

This is part of the truth but not the whole truth. Economic and cultural
phenomena are interrelated. This study considers immigration a cultural shift.
Yet it can also be reasonably viewed as an economic one. More important, the
study does not ask what has changed recently. The answer is the financial crisis
and consequent economic shocks. These not only had huge costs. They also
damaged confidence in — and so the legitimacy of — financial and
policymaking elites. These emperors turned out to be naked.

This, I suggest, is why Mr Trump is US president and the British chose
Brexit. Cultural change and the economic decline of the working classes
increased disaffection. But the financial crisis opened the door to a populist
surge.

To assess this, I have put together indicators of longer-term economic change
and the crisis, for the G7 leading economies, plus Spain. The longer-term
indicators include the loss of manufacturing jobs, the globalisation of supply
chains, immigration, inequality, unemployment and labour force participation.
The indicators of post-crisis developments include unemployment, fiscal
austerity, real incomes per head and private sector credit (see charts).

The four most adversely affected of these economies in the long term were (in
order) Italy, Spain, the UK and US. Post-crisis, the most adversely affected
were Spain, the US, Italy and the UK. Germany was the least affected by the
crisis, with Canada and Japan close to it.

It is not surprising, then, that Canada, Germany and Japan have been largely
immune to the post-crisis surge in populism, while the US, UK, Italy and Spain
have been less so, though the latter two have contained it relatively
successfully.

Thus the rise of populism is understandable. But it is also dangerous, often
even for its supporters. As a recent report from the European Economic
Advisory Group notes, populism may lead to grossly irresponsible policies. The impact of Hugo Chávez on Venezuela is a sobering example. At worst, it may destroy independent institutions, undermine civil peace, promote xenophobia and lead to dictatorship. Stable democracy is incompatible with a belief that fellow citizens are “enemies of the people”. We must recognize and address the anger that causes populism. But populism is an enemy of good government and even of democracy.

We can tell ourselves a comforting story about the future. The political
turmoil being experienced in a number of large western democracies is in part
another legacy of the financial crisis. As economies recover and the shock
dwindles, the rage and despair it caused may also fade. As time passes, trust
may return to institutions essential to the functioning of democracies, such as
legislatures, bureaucracies, courts, the press and even politicians. Bankers
might even find themselves popular.

Yet this optimism runs into two big obstacles. The first is that the results of
past political follies have still to unfold. The divorce of the UK from the EU
remains a process with unfathomable results. So, too, is the election of
President Trump. The end of US leadership is a potentially devastating event.
The second is that some of the long-term sources of fragility, cultural and
economic, including high inequality and low labour force participation of
prime-aged workers in the US, are still with us today. Similarly, the pressures
for sustained high immigration continue. Not least, the fiscal pressures from
ageing are also likely to increase. For all these reasons, the wave of populist
anger is only too likely to be sustained.

If so, those who wish to resist the rising tide of populism have to confront its
simplifications and lies, as Emmanuel Macron did in France. As he
understands, they must also directly address the worries that explain it.
Cultural anxieties are relatively immune to policy, except over immigration. But the economic anxieties can and must be addressed. Of course, politicians can also do the opposite. That is what is happening in the US. That will not end the populist surge but promote it. This is, no doubt, their intention.

 

Note:  the italics and bold text are mine!  Addressing economic anxieties is paramount.  We would do well to remember this.  D Posnett

 

Posted in Canvassing, Congress, economy, Employment, GOP, immigration/deportation, Politics, Religion & tolerance, Trump, Uncategorized | Tagged , , , | 1 Comment

Zeldin’s Approval of Senate Healthcare Bill Reveals His Lack of Concern for Veterans

Tester and Senate Veterans Affairs’ Committee Members Highlight Impact of Senate Health Care Plan on Veterans

Approximately 7 Million Veterans’ Health Care at Risk

Tuesday, June 27, 2017

(U.S. Senate) – Ranking Member of the Senate Veterans’ Affairs Committee Jon Tester and Senators Patty Murray, Richard Blumenthal, Joe Manchin, and Sherrod Brown today highlighted the negative impacts of the controversial Senate health care plan on the nation’s veterans.

Approximately 7 million veterans choose to receive their health care outside of the Department of Veterans Affairs (VA). Since the implementation of the Affordable Care Act, the number of uninsured veterans has dropped by nearly 40 percent.

“This plan, written in secret, will devastate thousands of elderly, disabled and rural veterans who go outside of the VA for all or some of their health care,” said Tester. “This plan guts Medicaid which provides life-saving treatment, mental health care and access to a health care provider for thousands of folks who have bravely served this nation. I will be working hard to make sure that any health care law honors our promises to our veterans, but this plan doesn’t even come close.”

“Our country makes a promise to take care of the men and women who serve, but Trumpcare would do just the opposite,” Murray said.“Hundreds of thousands of veterans in Washington state, not to mention countless military families, could see their costs increase or lose their Medicaid coverage if Republicans jam this bill through, which is why I am fighting it every step of the way.”

“Senate Republicans are recklessly gambling with veterans’ healthcare,” said Blumenthal. “If this bill passes, millions of the men and women who put their lives on the line for this country will lose access to care, including at least 18,000 Connecticut veterans. Every Member of Congress who plans to support this bill needs to imagine looking a veteran in the eye and telling them why their mental healthcare for PTS has been halted, or why they can no longer afford treatment for traumatic brain injury sustained while serving their country.”

“More than 50 percent of our Veterans in West Virginia seek healthcare outside of the VA system. Our Veterans and their families don’t deserve to have their healthcare ripped away from them or to have their out-of-pocket costs skyrocket after they have bravely sacrificed for their country,” Manchin said. “The Republican healthcare bill will raise costs on the 80,000 West Virginia Veterans who are older than 65 and on the 85,000 West Virginia Veterans who live in rural communities. Moreover, with less care available in our community hospitals, the Veterans Health Administration expects to see an uptick in enrollees, which will overwhelm their already overburdened resources. This bill does not reflect our obligation and promise to our Veterans and their families to take care of them when they get home and it is one of the many reasons I cannot support it.”

“The last thing we ought to be doing is making it harder for these men and women who have sacrificed so much for our country to get the care they need,” said Brown. “When returning home, they should be able to focus on spending time with loved ones and rejoining their communities, not worrying about how they’ll afford healthcare.”

After 13 Republican Senators drafted the so-called Better Care Reconciliation Act behind closed doors, they finally released the legislation to the public just days before forcing a Senate vote.

The potential impacts of the Senate health care plan on veterans nationwide include:

  • Nearly 1.75 million disabled and low-income veterans could lose Medicaid coverage.
  • Approximately 600,000 veterans face a tax that could charge them up to 5 times more for health insurance.
  • Over 5 million rural veterans could face difficulty in accessing vital services at their rural hospitals.
  • Up to 20 percent of veterans who have served in Iraq and Afghanistan and up to 30 percent of Vietnam veterans who have Post Traumatic Stress could be charged more for mental health care.
  • Up to 7 million veterans could lose tax credits that help them afford health care. Many of these veterans are not eligible to enroll in VA health care.
  • Approximately 7 percent of veterans could lose access to care for opioid or other substance abuse disorders.
Posted in ACA, AHCA, Better Care Reconciliation Act, Health Care, Trump, trumpcare, veterans, Zeldin | 2 Comments

New County-Level Map Compares Premiums and Tax Credits Under Senate Health Bill and ACA

KAISER HEALTH NEWS

A new interactive map from the Kaiser Family Foundation compares county-level estimates of premiums that consumers would pay under the Affordable Care Act (ACA) in 2020 with what they’d pay under the Senate’s discussion draft, Better Care Reconciliation Act (BCRA), a replacement plan unveiled last Thursday.

The maps include premium and tax credit estimates by county for current ACA marketplace enrollees at age 27, 40, or 60 with an annual income of $20,000, $30,000, $40,000, $50,000, $60,000, $75,000, $100,000, or 351 percent of the federal poverty level (which is just above the cutoff for tax credits under the BCRA). The map includes estimates for premiums, tax credits, and premiums after tax credits, for bronze and silver marketplace plans in each county in 2020.

senate map email snip.png

Both the ACA and the Senate’s bill include tax credits to help consumers pay premiums for individual insurance. Both take into account family income, local cost of insurance, and age in calculating tax credits; however, they differ in how they determine the percentage of income an individual must pay toward their premium. The ACA and Senate bill also base tax credits on different benchmark plans, with the Senate bill tying the credits to plans with higher cost sharing for consumers.

An earlier map from the Foundation compares ACA premiums and tax credits to those in the House-passed American Health Care Act.

Also new from the Foundation: a detailed summaryof the Senate’s new discussion draft, the Better Care Reconciliation Act, a plan released Thursday to repeal and replace the Affordable Care Act (ACA). Users can compare the Senate bill to current law and the House-passed American Health Care Act in 17 key areas of health policy, including Medicaid, premium subsidies to individuals, state role, financing, women’s health, and individual health insurance market rules.

© 2017 Kaiser Family Foundation

Posted in ACA, AHCA, Better Care Reconciliation Act, Health Care, Trump, trumpcare | Leave a comment

CBO: No, seriously, the Senate bill cuts Medicaid spending

Donald Trump and his Republican cohorts are trying to convince their voter base that the Senate healthcare bill does not cut Medicaid spending.  Nothing could be further from the truth, as The Washington Post explains.

June 29 at 6:40 PM
 

There’s a reason that President Trump and his allies have tried their best to claim that the Better Care Reconciliation Act — the Senate GOP health-care bill introduced earlier this month — doesn’t cut funding from Medicaid. A poll released by Suffolk University this week shows that more than 80 percent of Americans say it’s very or somewhat important that low-income people maintain their Medicaid coverage under any health-care bill. Nearly three-quarters of Republicans agreed.

So we end up with arguments like the one, from Trump on Twitter Wednesday afternoon, that the BCRA isn’t a cut to Medicaid, Trump says, because the amount spent on Medicaid would keep going up!

That line of argument hinges on two points. First, that you don’t consider a reduction in future spending to be a cut. And, second, that you don’t include inflation.

The Congressional Budget Office, which provided the numbers for Trump’s graph (see the red line in the graph below), compiles long-term budget projections that we can use to try to replicate Trump’s argument. (The CBO is also the nonpartisan organization that assessed the effects of the proposed BCRA, including that 22 million fewer people would have insurance by 2026 if the bill passed.)

Where the spending cut comes in is how the BCRA spending looks compared to what’s currently planned. Yes, the CBO figures that Medicaid spending will continue to rise, but under the current law (the Affordable Care Act, better known as Obamacare), that spending would rise more. In other words, the future spending has been cut.

On the graph below, that difference is depicted with diagonal lines. That area is the cut in spending.

 

But, again, that’s in nominal dollars — the actual dollars spent each year. Since a dollar in 1960 was worth more than a dollar in 2010, we can adjust everything into 2016 dollars (using conversion tables from the University of Oregon). When we do that, the increase in spending under the BCRA essentially vanishes.

 

Why? Because spending $400 billion in 2016 probably gets you more than spending it in 2026. (It depends on what happens with the dollar over the next decade, but this is generally a fair assumption.)

On Thursday, the CBO released an addendum to its initial analysis, at the request of the ranking Democratic senators. That additional analysis includes an estimate of Medicaid spending past the 10-year window that the CBO usually looks at. Because the GOP Senate bill would change how Medicaid is funded past that window, the cuts would worsen from 2027 on. (We looked at this earlier.)

In the first 10 years, Medicaid funding would drop 26 percent from the CBO’s projected baseline. In the 10 years after that, 35 percent.

This new analysis puts a fine point on it. The Senate health-care bill cuts Medicaid spending. End of story.

For Republicans, the trick now becomes selling that to skeptical voters.

Posted in Better Care Reconciliation Act, Health Care, Medicaid, Trump, trumpcare | Tagged , , | 2 Comments

Cyberbullying opponent Melania Trump defends president’s Brzezinski tweets

Christopher Wilson 7 hours ago
Posted in Trump | Tagged , , , , , | Leave a comment