Medicare

The Nation’s Business


Reading time – 4:54; Viewing time – 7:08  .  .  .

Reader JC wrote in response to my column last week that he wants me to let go of focus on Trump and instead focus on the nation’s business. My reply was that stopping Trump from further damaging our democracy is the nation’s business, leaving the implication that dropping focus on Trump would be a bad idea. Nevertheless, we’re all weary of dealing with his blatantly dishonest and sometimes obviously criminal behavior. We’re all sick of the impeachment debate, too. So, okay, let’s focus on the nation’s business.

I recall something about “draining the swamp,” which would be good business for the nation, but all I see from Trump says that he wants to populate the swamp with even slimier creatures. His current pick for the Federal Reserve Board is Stephen Moore, who boldly claimed that he’s not a big believer in democracy. Got a problem with that? Or his frequent and blatant mashing of facts? What do you suppose that attitude might do to the nation’s business if Moore gets his hands on the Fed?

Click the pic for the essay

Trump can’t get away with misappropriating funds in order to build his useless monument to himself on our southern border without the Senate Republican refusal to override his veto. And he can’t get away with de-funding Medicare and giving whopping tax breaks to already rich people without the support of Republicans in Congress. Neither can he get away with packing our federal courts with young and crazy righty judges, many of whom aren’t remotely qualified for their jobs, without help from our complicit Republicans. Read Paul Krugman’s clear, focused take on this Congressional spinelessness in his essay, The Great Republican Abdication. As well, read some of the reader comments attached to his essay.

All of this is about the nation’s business that isn’t being properly served. Are you getting the feeling that we have to stay focused on both our less courageous legislators and Trump?

Click the pic for the full stupid

Climate change is the biggest existential threat to our nation and likely to the entire world since the dinosaurs were wiped out 60 million years ago. Sen. Jim Inhofe (R-OK) is my favorite whipping boy for the idiotic denial of this reality. He brought a snowball into the Senate in February 2015, claiming that its very existence proved that there is no global warming. Gotta love blatant stupidity that makes the hollowness of false claims so obvious.

None of the 3% of scientists who claim that there is no man-made global warming is a climatologist. The other 97% are climatologists and, by definition, they know what they’re talking about. They are unified and clear that we are in the process of hard boiling our planet. Nevertheless, Trump has pulled us out of the Paris Climate Accords and pushed the levers for increased fossil fuel burning. And the Republicans in Congress won’t stand up to him. That’s a problem for our nation. That’s going to cause terrible consequences for your grandchildren, so watch here to see how they feel about that. Shouldn’t our nation’s business have some focus on the future?

or in stopping the Russians and Chinese from hacking our next election, or hurricane relief, or infrastructure rebuilding, or gun safety, or net neutrality, or white extremist violence, or the shrinking middle class, or draining the swamp, or wealth inequality, or   .  .  .

Which brings us to my favorite chant:

Q. What do we want?

A. Science!

Q. When do we want it?

A. After peer review!

Our leadership has been allowed to ignore what the vast majority of us want, like universal background checks before the sale of any firearm (about 90% of us) and universal healthcare (over 60% of us). We all know that our infrastructure is crumbling and we want it fixed. Indeed, we’ve been wringing hands over that for decades and we want action to rebuild it. The number of good paying jobs that will come from that long term investment in our country would be tremendous.

Meanwhile, our Congress has done nothing to make things better. Trump has brayed lies about how world-class our airports will be and the vast rebuilding of our nation that he will deliver, but he’s done literally nothing to start that ball rolling. All of that is the nation’s business, but public demand for those things doesn’t seem to matter.

We have citizen super-majorities for many of the nation’s issues which are ignored by those in power. Read Tim Wu’s piece on this and decide for yourself if you’re okay with the majority of Americans being blown off and the nation’s business ignored. Sadly, because these issues are being ignored by our Congress and the president, if we’re to deal with the nation’s business, losing focus on Trump simply isn’t an option.

Frustratingly, Trump’s continuously outrageous behavior gives him what he really wants – constant attention. We really do have to keep watch on this infant tyrant and stop him from breaking yet more stuff.

It’s time to recognize that this situation didn’t come about in a vacuum.

While we Americans aren’t the first to disempower ourselves through brainless acceptance of propaganda, we’re quite good at it. And we excel at demonizing one another and, in service to that, have perfected the art of “othering,” which keeps us divided and weak. Those things happen in the presence of leadership that undermines what we believed were our values and replaces them with constant fear as the driver of our behavior, like fear of Muslims and fear of immigrants.

Our nation’s business is ignored when we’ve metaphorically barred the door and stand ready with a shotgun at all times, because we’ve made ourselves so easy to manipulate.

Our job – your job – is to keep an eye on Congress, the president and DC fear mongering and stay conscious and active. And VOTE! Perhaps one day we’ll have a Congress and president that attend to our nation’s business.

Final thought  .  .  .

In the race for the Democratic nomination for president the constant question is about who can beat Trump. I have a contrarian thought on that positioning.

Watch for Ohio Governor John Kasich to announce his candidacy for the Republican nomination, even as he has little use for what passes for today’s Republican Party. He’s a traditional Republican and will appeal to those who aren’t burdened by a permanently extended middle finger. Don’t be surprised if he turns out to be that party’s front runner.

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Ed. Note: I don’t want money or your signature on a petition. I want you to spread the word so that we make a critical difference. So,

YOUR ACTION STEPS:

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!


Copyright 2019 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

There’s a Surprise On The Way


Reading time – 3:57 seconds  .  .  .

I admit that I got a kick out of this picture from a Tea Party rally several years ago. First and most obvious is that Medicare is government, so there’s no way to have Medicare without government being in it. Second, there’s no way this guy is old enough to qualify for Medicare, so, what’s he doing with that sign?

Then this pic popped up. C’mon, people. Medicare is socialized medicine. It seems that some neurons may not be firing properly for this guy, or he’s confused because medicine is a science-y thing and we don’ need no stinking science-y stuff.

Later that same year, we went about tackling the Medicaid problem but, as you can see, did it without using spell check. And there’s that same vexing problem again, that Medicaid is government. What’s a Tea Partier turned Trump supporter to do?

This really is laughable stuff from Trump country, so it’s easy to dismiss and ridicule, which I confess I did. Now it isn’t quite as laughable because these unsuspecting folks are about to get thrown under the bus.

“From” on, dood

That’s because your Congress and your President just passed a sweeping tax act that is designed to create over $1 trillion of additional debt. And we just can’t have that additional debt because true blue Rs hate debt, right? Well, yes and no. Hint: we just reentered the “yes” phase.

Republicans hated debt during the Reagan, H.W. Bush and Clinton years – at least they said so, even as they created the largest debt in the history of the world. Then Bush II came along. With him came their clever verbal reversal on this issue, as Dick Cheney declared the new Republican truth, “Deficits don’t matter.” So Dubya doubled the debt. It seemed that debt really didn’t matter any more.

Until Obama came around. Then the Republicans told us that deficits and debt were the worstest things of all, and any additional federal spending should be rejected, regardless of the need.

Now your Republican Congress and President have set about dumping over $1 trillion of tax act debt onto the backs of our children and grandchildren, so I guess once again debt doesn’t matter. But wait!: The Republicans are telling us that we’re now back to hating deficits and debt.

Let’s see, we’ve already lowered taxes on our wealthiest citizens, especially the big donors to legislators, and we all know that we can’t reverse that because that might adversely affect politician’s sources of campaign cash, so there’s only one thing to do to prevent the debt we now don’t like any more: we’ll just spend less. Hmmm, where should we cut?

Before the new tax plan had even gone into effect Paul Ryan was already talking about cutting the very programs that Trump nation demanded he leave his slimy government fingers off. That’s right, the fundamentalists and white supremacists and citizens in so-called flyover states, the disgruntled mid-west factory workers, the coal miners in West Virginia, Kentucky and Ohio, the absolutists in North and South Dakota and all the Bubbas in Alabama, Mississippi and Louisiana who refuse to see the reality that is right in front of them are about to have something dropped on them that they cannot ignore or rationalize.

The Republicans have declared open warfare on Medicare, Medicaid and Social Security and it’s going to hit these folks hard. It’s possible that Trump will stand up to the Congressional Rs for a while with chest-thumping declarations that he is taking care of his people, this so that they worship him with yet greater fervor, but don’t count on it. These programs are on the chopping block and Trump has no policies or any firm principles, so you can’t rely on him for protection from those benefit sucking government hands.

Have your answer ready by Monday, January 15, 2018

So, Trump voter, if you’re a poor mom, start thinking about what you’re going to cut from your meager budget in order to pay for your healthcare once they put their government hands on your Medicaid. If you depend on Social Security and Medicare in your later years, don’t count on a nice retirement. Grabby government hands are headed directly toward those programs to cut funds from them.

Rep. Alan Grayson (D-FL) told us several years ago what’s coming: it’s the comprehensive, low cost Republican healthcare plan, which is, “1. Don’t get sick; 2. If you do, please die quickly.”

The services you were promised won’t be there for you. I know, you just don’t want to believe it, but that bus is headed directly at you and when it arrives you’re going under it. After all, we can’t keep supplying the services you were promised and at the same time stuff the pockets of big political donors and other rich people. Something has to give. Looks like it’s you.

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Ed. note: There is much in America that needs fixing and we’re on a path to continually fail to make things better. It’s my goal to make a difference – perhaps to be a catalyst for things to get better. That’s the reason for these posts. To accomplish the goal requires reaching many thousands of people and a robust dialogue.

YOUR ACTION STEPS: Offer your comments below and pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!) and engage.  Thanks!

Copyright 2019 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Healthcare Reality


Reading time – 3:44; Viewing time – 5:17  .  .  .

The most recent policy issue – in contrast to the daily dump of Trumpian crazy – was healthcare. That issue deserves one last piece of clarity.

Conservatives believe that small government is best. They like minimum taxes, which obviously means that in their view the government cannot take on the 17% of our economy that is healthcare, because taxes would have to increase to pay for that. That’s a key reason they rail against Medicare and Medicaid, claiming that the government has no business being in that business. Some say that the issue should be handled by the states, while others think the citizenry, we rugged individualists, should be responsible for ourselves and that government should just butt out. These notions are offered in earnest, but let’s get serious about the actual facts, not magical thinking (see How America Lost Its Mind). Let’s take a look at Medicaid.

Medicine has changed dramatically over the past 100 years. We have amazing pharmaceuticals and they come with astronomical prices. We can replace joints and modify genes, all at very high cost. Medicine is finely specialized and the medical people in those highly specialized fields spend ungodly amounts of money for the schooling required and, in consequence, it’s expensive to use their services. Medical tools like MRIs and robots that do surgery are crazy expensive, but if you need what they do in order to save your life or restore you to health, there has to be a way to pay for that.

The point is that when Doc Smith came to the house with his black bag, it was possible to pay his bill with a couple of chickens. But Doc Smith doesn’t work that way today and the price of everything is orders of magnitude higher now. So if all you have are a couple of chickens, unless you get help from somewhere, you’ll have to go without healthcare.

In the absence of Medicaid, that means that poor people never visit the doctor until things are dire. Then they go to the emergency room, where they can’t be turned away even though they can’t pay for their care. By the time they get there, symptoms are far worse than had they earlier been under the care of a primary physician. They require even more extensive and more expensive medical care, all delivered in the very costliest manner, in the ER; worse, the patient may be too ravaged by disease to be saved.

What that means is that leaving people nothing but the ER for their medical care produces less than the best outcomes and has the highest cost. Because hospitals have to admit ER patients who can’t pay for their care, the cost of their care is passed along to the rest of us through inflated charges when we use the system, like the $40 Band-Aid. And what that means is that one way or another you and I have, are and will pay for the healthcare for poor people.

Medicaid was created so that poor people could get better, earlier medical care at lower cost and not have to rely solely on the ER. Limiting or removing that support will make the cost to taxpayers that much higher and cause unnecessary suffering and even early death for poor people.

So, forget the idea that getting government out of healthcare is fiscally sensible. The libertarians, conservatives and neo-cons are simply wrong – factually wrong about who covers the costs.

Click for the commercial

Yes, we have higher taxes on you and me to do that. The alternative is a dramatically higher cost you and I will pay when we go to the hospital. It’s a little like that old Fram oil filter commercial. You can pay your mechanic a little bit now to install a new oil filter, or you can pay him big time later when  your engine breaks down. Translated to healthcare, you can pay for healthcare for our poor through taxes or by grossly inflated hospital and doctor charges when you need care. Pick one.

And another thing  .  .  .

On his way out the door of the White House in January, 2001, President Clinton issued a pardon to Marc Rich, the financier and hedge fund manager who had fled to Switzerland to avoid prosecution for tax fraud. Using his wife’s name, Rich donated $1 million, distributed among Hillary’s campaign for the Senate, the Democratic Party and the Clinton Library. Righties and lefties alike cried foul, as this had the profound and unmistakeable stink of Rich having bought a pardon.

Now that President Trump has issued a pardon to the justice flaunting, law breaking, immigrant hating Joe Arpaio, one of the first public officials to endorse Trump for President, I’m looking for that same blend of howlers from the law and order types. Where are those tough-on-crime voices now that a severe rightie is the perp and the President is a Republican? I want to hear the Congressional tough guys and the Fox News propeller heads and the radio talkers crying, “Foul!” As of this writing, it’s been eerily quiet.

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Ed. note: There is much in America that needs fixing and we are on a path to continually fail to make things better. It is my goal to make a difference – perhaps to be a catalyst for things to get better. That is the reason for these posts. To accomplish the goal requires reaching many thousands of people and a robust dialogue.

YOUR ACTION STEPS: Offer your comments below and pass this along to three people, encouraging them to subscribe and engage.  Thanks!  JA

Copyright 2019 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

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