Healthcare

Destiny


Reading time – 2:46  .  .  .

President Trump has not just bungled facts, spewed false happy talk and continued to lie his way through his presidency and this pandemic. He has also made clear that he is not responsible for anything that’s happening if he thinks it might make him look bad.

He told us that he’s not responsible for our total lack of preparedness for COVID-19 or for its reach or for the severity of its impact, this in the face of his having completely disbanded our Pandemic Response Team and cut funding for the CDC in 2018. The people he canned are the very people who made up the very team that could have minimized our suffering due to COVID-19, had they been in place and had they proper funding and authority. Of course, the President would also have had to listen to them, follow their advice and not say stupid stuff. There was never much of a chance of any of that happening.

So, here’s a little snark from last Sunday’s post, in case you missed it. It is not offered because of the snark; it is offered because this is our reality.

[youtube=http://www.youtube.com/watch?v=BIjZae-hSiU&w=300]

As Granny struggles in her hospital bed, gasping for just a little more air from her respirator for her pneumonia-soaked lungs, her MAGA hat wearing family is gathered around her. They know this is the end and they weep for their love of her and for their looming loss. Suddenly, the lights go blue-black, the walls begin to shake, and the ceiling speakers boom in Darth Vader’s voice: “It is your des-ti-ny.” And they tremble in their horror and their fear, because all at once they realize that this is what they chose.*

It didn’t have to be this way for Granny, but we made it this way. We made this our destiny.

Last Friday the President bragged about non-existent tests for COVID-19 and about drive-thru testing sites that are nothing but fantasy. He has no plans to enlist the Army Corps of Engineers to transform buildings to meet the enormous hospital capacity we’ll need in just a couple of weeks. There’s no action to re-purpose unused manufacturing capacity to build the ventilators, hospital protective gear or anything else that is already in desperately short supply. The result of this ineptitude is that more people will die for lack of testing and care.

The differentiator that is invisible to Trump is that this isn’t a reality TV show, a make believe land where he can make up stuff and it becomes so, where everyone goes out for drinks after the taping. This isn’t a Hollywood movie where murdered characters get up after doing a scene and go home at the end of the day. This is real life and death and the people who will die from this virus will never go out for drinks or ever go home again because they will stay dead. Worse, more will die because of Trump’s ineptitude and dishonesty, including Granny.

This pandemic is completely over the head of this President and this time it isn’t a little thing like a trillion dollar gift to his rich pals. This time it is life or death for countless Americans. He is incompetent to discharge the duties of his office, including protecting the citizens of this country.

Back to the Star Wars metaphor:

Both Darth Vader and the evil Emperor told Luke Skywalker that joining with them was his destiny. With just the force of his will he refused both of them and that destiny and eventually set things right throughout the galaxy. We can do that. We can refuse the destiny of so many Americans gasping their last breaths due to COVID-19. We can lead our country and the world to set things right.

It’s about our choices as a nation and the consequences our choices bring. We can make our own des-ti-ny. That’s always been the American way.

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Finally, the people of Italy are just ahead of us in dealing with this killer disease. Here is a video message from them that you’re sure to want to watch .

Second finally, Mike Pence proudly claimed on Monday that we have a million COVID-19 test kits out right now. Great – perhaps that’s true. Only 319 million to go.

Really finally, it’s St. Patrick’s Day. Large gatherings are prohibited, so drink a Guinness in your kitchen and be your own parade.

* The legal thing: The Empire Strikes Back (from which this clip is taken) and all other movies are copyrighted material. I pay royalties to be allowed to use movie clips legally both here and in my leadership keynotes and workshops. Just thought you might like to know.

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Ed. note: We need to spread the word so that we make a critical difference, so

  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!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Consequences


Reading time – 3:55  .  .  .

Caution: There’s just a little bit of snark at the very end. Please practice safe snark.

We’re still in the early stages of the COVID-19 pandemic, although if they were able to speak for themselves the over 5,800 people who have died of the illness might describe this stage a bit differently. Nevertheless, all healthcare professionals have made it clear that this is going to get far worse before it gets better. What you need to know is where we are and how we got here. That will be instructive for knowing where we must go.

To become clear about where we are with this disease you can view a regularly updated global tracker at the Johns Hopkins CSSE site. The acceleration of the numbers is most alarming, as we’re seeing a doubling of cases every six days. Click here for a most useful analogy that explains that.

As for how we got here, start with this: we knew about this virus as far back as December 2019 – a quarter of a year ago. The epidemiologists were clear at that time that this was going to be a very big problem and advised immediate preparation; however, their cautionary recommendations were ignored. Perhaps as bad, had we taken their advice, there would have been a huge obstacle to overcome in order for anything helpful to happen. Here’s why.

President Donald Trump fired the U.S. Pandemic Response Team in 2018, calling it a cost cutting measure. I don’t buy it.

The Pandemic Response Team had been instituted by President Obama following the successful battle against the Ebola virus in 2014. It included sub-teams at the CDC, the Defense Department and at the National Security Agency so that we would be ready in all those areas when – not if – the next pandemic arrived. Based on so many other episodes of Trump, in his boundless insecurity, deleting Obama’s programs regardless of their value to the nation, my belief about his motivation to disband this critical unit is that it was yet another effort to erase everything bearing Obama’s name.*

Regardless, the professionals were removed. Those firings left us with no immediate expertise or mechanisms to deal with a new pandemic. None. And Trump accepts no responsibility for that. Further, “Trump also cut [overall] funding for the CDC, forcing the CDC to cancel its efforts to help countries prevent infectious-disease threats from becoming epidemics .  .  .  Among the countries abandoned? China.”

COVID-19 was first identified in Wuhan City, China. Had we helped to mitigate its spread then, world conditions might be far better right now.

This story gets worse, as you know, because we still don’t have one tenth of one percent of the testing capability we need. The CDC’s kit was fouled by a bad reagent, making it essentially useless. Our commercial labs are still ramping up and we haven’t sourced test kits from abroad. The resources we do have are not just insufficient in quantity, but are also slow and cumbersome. There are other proven options ready to go now, including a machine made in Germany that can produce accurate results in 1 hour instead of 4 hours or even a day or two. However, the FDA is bumbling through authorization to use these machines. Here’s a link to a full report on how this COVID-19 testing ineptitude happened.

The truth is that we don’t know how many people in America have the virus because we are unable to test any but extreme cases due to our lack of test kits. That’s an impediment to our knowing who needs to be quarantined so they don’t infect others, where the virus is spreading, the extent of its impact, where to deploy resources like ventilators, protective gear for hospital staff, oxygen generation equipment, surgical masks and so much more.

During Trump’s Oval Office talk on March 11 he told us, “Testing and testing capabilities are expanding rapidly, day by day. We are moving very quickly.” None of that was true. That is a key problem, not just because of our inability to know what’s going on, but because as Trump continues to spew happy talk and magical thinking, he isn’t firmly addressing our very real challenges or providing the leadership we need. Almost as bad, he contradicts the experts who, unlike Trump, are knowledgeable. That leaves all the rest of us not knowing what to believe. That’s a potent way to spread fear.

In my day job I deliver keynotes and workshops on great leadership and I know when I don’t see it.

The point of all of this is not to pen yet another diatribe about our incompetent President. Rather, it is to illustrate how we got to where we are. We must be clear about what can happen when we aren’t careful in our political choices, because this pandemic, which could have been minimized, is in the process of killing hundreds, thousands or even millions of Americans who could have been protected had we been prepared.

Elections do have consequences and what’s happening right now is one of them.

It didn’t have to be this way.**

Links to Resources

There is a cost to getting people tested and to help those who need treatment. Watch the entire clip – ALL THE WAY TO THE END – of Rep. Katie Porter (D-CA) making sure we’ll get what we’ll need.

Advice For the Public – World Health Organization – WHO

Nine Charts that Explain the Corona Virus Pandemic – Vox

CoronaVIrus (COVID-2019) – What You Should Know – Centers for Disease Control and Prevention (CDC)

Download and read this. It is a PDF format of an email received yesterday from a local shop and contains the comments of four doctors, two of them in Italy. It is long – please read all of it.

Beware of those who poo-poo the threat of COVID-19, claiming far more people die annually from the flu and other terrible things. Every year the flu starts with small numbers; that’s how it was with the terrible Spanish influenza epidemic of 1918; it was the same for Bubonic Plague, which eventually killed 25% of the people in Europe. The disease number comparisons are meaningless until it’s all over. Right now we can’t even see to when this corona virus will be over. Worse, these comparisons can lull people into carelessness. Ignore them.

Fun Facts

We’re already running out of respirators and, as mentioned, the patient load doubles every six days.

It is expected that between 75 – 150 million Americans will contract COVID-19 and 15-20% of those affected will require hospitalization. That’s between 11,250,000 and 30,000,000 hospital patients, nearly all of whom will need to stay a while. Those numbers don’t include patients suffering from other maladies requiring hospitalization.

There are 924,107 staffed hospital beds in the U.S.

Do the math.

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Finally, stay well and don’t do medically foolish stuff. Help your family, friends and neighbors, the old lady across the street – and do it carefully. We’re all in this together. Because Hillary Clinton was right: It takes a village. And we are that village.

  • *President Trump has repeatedly insisted that he’s not to blame for our medically threatening conditions. His having disbanded the Pandemic Response Team puts the lie to his words.
  • ** “This way” – As Granny struggles in her hospital bed, gasping for just a little more air from her respirator for her pneumonia-soaked lungs, her MAGA hat wearing family is gathered around her. They know this is the end and they weep for their love of her and for their looming loss. Then the walls shake, as the ceiling speakers boom in Darth Vader’s voice: “It is your des-ti-ny.” And they tremble in their horror and their fear, because all at once they realize that this is what they chose.

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Ed. note: We need to spread the word so that we make a critical difference, so

  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!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Science and The New Police Squads


CAUTION TO SENSITIVE READERS: This post contains snarky descriptors that include a couple of words Mom told you not to say. Reader and viewer discretion is advised.

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Reading time – 4:05; Viewing time – 6:27  .  .  .

We’ve had many years of various people denying science:

It’s Sen Marco Rubio (R-FL) denying global warming, even as the tides rolled across the streets of Miami Beach, flooding the sandals and pants legs of tourists and the businesses of his constituents.

It’s Sen. James Inhofe (R-OK) speaking from the well of the Senate and displaying a snowball as proof that there is no global warming .

It’s Donald Trump not only denying global warming, but blaming the entire controversy on the Chinese, saying they created a hoax designed to harm our economy. He makes his phantasmagorical claim, even as Pacific islands are swallowed by the waves.

But here’s the thing: The disappearance of huge amounts of Arctic and Antarctic ice and the commensurate rise in sea levels don’t care whether anyone believes in them; they just continue to be the stark reality.

Storms are becoming more frequent and more severe. Rainfall distribution is drastically altered, creating both zones of flooding and expanded zones of drought where those never existed. The changes are impacting food production, health and habitability. Reality denial doesn’t affect any of that.

It’s the same reality thing with gravity. It will continue to glue us to the ground and will make the Earth continue to do laps around the sun instead of flying off into the cosmos regardless of whether anyone thinks gravity exists. We know that because scientists who have studied this, who are really smart and really knowledgeable have drawn valid conclusions from facts that are irrefutable. That’s the reality, whether we like it or not.

It’s both remarkable and wondrous that each of us is free to believe whatever stupid, short-term, self-serving crap we want to believe. There are no Police Dumb-Ass Squads to lock up wingnuts who reject observable reality. But we’ve reached a new low, however impossible it may seem that there is someplace lower, and it involves the denial of science and reality.

At his hastily called press conference on Wednesday, the President of the United States gave us a verbal pat on the hand that was devoid of both reality and science. He told us not to worry because Coronavirus (COVID-19) is no biggy. He told us that we’ll have a vaccine to deal with it “very soon,” even though everyone from our government healthcare agencies to the healthcare industry itself, the people who are working to develop a vaccine, have told us flatly that it will take a minimum of 12 – 18 months before a vaccine is available, and that’s only if all goes well.

Trump continued with his reality denial, telling us that the risk of Coronavirus to Americans is small. He told us our 15 cases (actually, there were 60 when Trump spoke) would be down to 1 or 2 soon and the virus would disappear almost magically. And you can believe that’s all true only if you block your eyes and ears so that you can’t detect the lightning fast spread of this killer disease around the world.

To be clear, “risk” involves not what exists, but what may be coming. Trump ignored and continues to ignore the reality of the risk we face and he put us all in greater danger with his false words. We should be alarmed by this risk of pandemic. Not panicked; alarmed.

Trump has put VP Mike Pence at the head of our response team to deal with Coronavirus, explaining that he made that decision because of Pence’s expertise and great success when he was governor of Indiana dealing with HIV. That’s when Pence took 2 months to do anything at all. Then he refused to implement a needle sharing program that would have limited HIV infections. Then he declared the cure was to pray away HIV. That was his great success in Indiana. Seriously.

In addition, Trump has muzzled our healthcare experts, the very people we need to hear from regularly. That leaves us to decide whether we can trust whatever dribbles out of the mouths of our healthcare ignorant politicians. Putting Pence in charge and muzzling the people who actually know something about disease are yet more Trump reality denial and are likely to harm Americans.

Because as John Pavlovitz wrote, You Can’t Gaslight a Pandemic, Donald. It’s that pesky reality thing. It just won’t go away, no matter how many lies and misleading statements are spewed. And reality denial isn’t limited to politicians.

Shockingly, a group of anti-vaccine activists in Maine got an initiative called Question 1 onto their ballot, seeking to repeal a law requiring schoolchildren to be vaccinated. Their slogan is “Reject Big Pharma.” I think instead they should be honest and use the slogan, “We don’t care if our kids infect your kids.”

There’s no vaccine for Coronavirus, but when there is, the reality is that we’re going to force-vaccinate everyone in order to stop this pandemic. And we damned well will be thanking Big Pharma for saving our lives. To the anti-vaccine activists in Maine: Just shut up.

Reality tells us that we are facing an existential threat from Coronavirus, regardless of Trump’s or anyone else’s denials of science and reality. This pandemic is coming soon to a community near you and there is precious little any of us can do about it, other than to be sensibly defensive. Don’t let “He Who Lies When the Truth Would Do” lull you into passivity. His lying and misleading are now more than moral outrages; they are life threatening if we allow them to be. It’s time to prepare and to take extra healthcare measures.

And it may be time to recruit Police Dumb-Ass Squads to arrest the reality deniers, who will harm us unless we stop them. Come to think of it, we can do that on November 3rd. And we must not get this one wrong.*

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*This is important: Read Tom Friedman’s astonishingly sensible post, Dems: You Can Defeat Trump in a Landslide from the Feb. 25 New York Times. Click this link to view it online or click here to download a PDF hard copy.

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Quote of the Week

“Mike Bloomberg wants to buy the election with his own money. Bernie Sanders wants to buy it with ours.” – courtesy of R.M.

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Ed. note: We need to spread the word so that we make a critical difference, so

  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!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

How To Lose an Election


Reading time – 3:52; Viewing time – 5:08  .  .  .

Set aside for the moment your notions of what you want and how you want to go about making it happen. Focus, instead, on how to win the presidential election, presented here in inverted format as the sure path to the Democrats’ loss.

Start with this: The Democrats already have all the votes of their True Believers and those a bit closer to the center. Lots of women and lots of people of color will vote Democratic for the obvious reasons. The battle is for the marginal voters, the independents and the former Trump voters who only voted for Trump because he wasn’t Hillary. Be reasonable with them and they’ll vote for the Democrat. Be foolishly partisan and extreme and they’ll vote for Trump and we’ll get 4 more years of insanity.

Key point: Change scares people and big, rapid change scares people a lot. Small incremental change is easier to tolerate, so offer that.

Marginal voters will vote for Trump if you tell them that you’re going to take away their private healthcare insurance. It doesn’t matter that he’s trying to do worse. Explaining how Medicare for All will be better for them will fall on deaf ears. Parsing out the nuanced differences between extreme plans will, at best, put voters to sleep. It will not shift a single vote to Democrats.

In order to scare away red, white and blue Americans, all you have to do is to tell them about the socialist Medicare for All program that Democrats are going to force on them. To most Americans that’s the same as telling them that Comrade Vladimir or Chairman Xi will be our next president. So, stop with the socialism, because it’s a guaranteed election loser. Explanations are useless to blunt the enormous fear that will be fostered by the threat of socialism.

In fact, for all policies, if you have to explain it, it’s a loser.

If you want to be sure that all gun owners vote against the Democrat candidate, tell them you’re going to take their guns. Regardless of what the Democrats say about military assault rifles, all you will hear from Republicans is “slippery slope”. Opponents will claim that taking their military assault rifles is just the first step to confiscating all guns and making criminals of otherwise law abiding citizens because they didn’t turn in their target pistols.

You’ll hear that a thousand times and there will be over-the-top SuperPAC ads warning of an Orwellian dystopian future and the subjugation of the people if gun confiscating Democrats have their way. Democrats will lose and Trump will win.

What about telling voters you’re going to give everyone $1,000 per month? Or $10,000 per month? Or that the solution to all problems is for the government to give away cash? Who believes this lunacy?

Another sure loser is to tell the American people that we’re going to have open borders. Seriously, now, the people are already afraid of terrorists and immigrants who they think will steal their jobs. Telling them that when you’re president you’ll make it easier for such people to just walk into the country is a guaranteed victory for Trump.

This is just a short list of actual candidate policies and positions that are enthusiastically being promoted. Every one of them will drive away millions of voters and give President Orange more time to trash our democracy, suck up to Putin and hurt yet more people.

I don’t have the sense that you can change candidate policy positions, but you can work for and vote for people in primaries who aren’t going to scare the daylights out of Americans. That will lead to a candidate who can contrast powerfully with Trump, and his bullying, cluelessness and incompetence will be on full display and he will disqualify himself.

Recall that Trump won in part because he spoke to people’s fears, many of which were borne of rapid change, like globalization. If Democrats incite people’s fears with the promise – perceived as a threat – of large, rapid change, they will have surrendered in 2020, lost the election and Trump will stay in the Oval Office for 4 more disastrous years.

Key point: Change scares people and big, rapid change scares people a lot. Small incremental change is easier to tolerate, so offer that.

Smarten up, Democrats.

Finally,

In one of life’s great ironies we learned that Donald Trump, the chosen one, is capable of making John Bolton a sympathetic character. Who would have thought it possible?

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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!

NOTES:

    1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
    2. Errors in fact, grammar, spelling or punctuation are all embarrassingly mine. Glad to have your corrections.
    3. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Where Political Influence Comes From – and a Destructive Snit


Reading time – 4:19; Viewing time – 6:49  .  .  .

It’s going to take decades to clean up the mess that our terrible infant president is creating. Some things will take much longer and will leave permanent scars. Other Trump damage, like loss of endangered species, will be impossible to fix.

We’re told that the Donald Trump Environmental Protection Agency intends to “sharply curtail rules on methane emissions.” It’s possible that methane isn’t a focal point of your day, so I’ll explain what this newest EPA ruling will mean to you.

Methane is likely the gas that burns in your home furnace and water heater. Burning natural gas instead of other fossil fuels produces less carbon dioxide, so it adds less to global warming, and it’s cheaper to use, too. That’s where the methane happy stuff ends. The rest requires a little story to explain it.

The phenomenally destructive Supreme Court decision in Citizens United v. Federal Election Commission granted Big Money interests – deep pocket individuals and corporations – the power to dominate and control our politics using their cash. That was more than surprising, since the case was only about the Citizens United organization wanting to show their movie trashing Hillary Clinton right before each primary in 2008. It wasn’t about campaign contributions and domination of politics.

The McCain-Feingold Act prohibited such “electioneering” within 30 days of a primary, so Citizens United was enjoined by the district court from showing their 30-minute attack ad that was designed to influence the primary elections. They filed suit and the case wound up before the Supreme Court, which reversed the district and appellate court rulings against Citizens United. That should have been the end of the case, but it wasn’t.

Chief Justice John Roberts ordered the attorneys to return to the Court to re-litigate the case, this time testing the rights of corporations and speech equivalency. In that gross distortion of the original case, the 5-4 conservative majority decided that corporations have all the same rights as flesh and blood human beings, including the right to make campaign contributions and air political advertising.*

Justice John Paul Stevens

As outrageous as that is, if you’re a Constitutional purist, get that, “[In addressing an

issue that was not raised by the litigants], the majority changed the case to give themselves an opportunity to change the law.” That is from the blistering dissent of this decision, written by Justice John Paul Stevens.

Effectively, the Supreme Court legislated from the bench on issues that were not in contest in this case. Citizens United v. FEC had nothing to do with human rights or corporate rights or political contributions, but its adverse effect in those areas will be felt for a very long time.

Dig into the case a little deeper and you’ll have a new and dark understanding of Chief Justice John Roberts. Be sure to pay attention to his Senate confirmation hearings, where he did the now familiar confirmation dance, spewing volumes of words while not answering questions. More specifically, though, he invoked stare decisis, the principle of not upsetting prior court decisions and making current decisions based upon precedent. Roberts had a solid belief in that, he told us.

Turns out that stare decisis actually wasn’t a real important thing to John Roberts and that allowed him to legislate from the bench. That bench-created new law gave us things like the NRA being such a powerful campaign contributor to legislators that our elected officials refuse to create the gun safety legislation that 90% of Americans want them to create. Sadly, we have a government of, by and for Big Money, not you and me.

Here’s how that connects to the EPA lifting methane emission regulations.

Point #1: Over the course of 20 years methane released into the atmosphere has 86 times more powerful global warming effect than does carbon dioxide. The EPA has taken down its web page detailing this.

Point #2: Natural gas comes largely from fracking wells and as many as 50% of them leak methane into the atmosphere. The page for that has been taken down from the EPA site, too.

Point #3: The Obama administration generated regulations to cause the actors in the methane extraction business to take action to reduce methane emissions.

Point #4: Trump’s EPA is in the process of trashing those Obama era regulations and allowing essentially uninhibited methane leakage.

Some major oil companies have stated that they are opposed to the change the EPA is proposing. Do your own math on why they’d do that, especially since their own industry association and lobbying arm, the American Petroleum Institute, has come out in favor of EPA’s proposal to eliminate methane emission regulations.

There’s a really good chance that you are not in favor of the EPA’s proposal that will dramatically increase the rate of global warming. The problem for you is that our legislators don’t really care what you think about that, any more than they care about the 90% likelihood that you want strict gun safety regulations.

Just like healthcare, immigration reform, voting rights, education and so many other issues, you’re not getting what you want and it can all be traced back to Citizens United.

That’s now compounded by Trump’s ongoing snit over being dissed by President Obama at the White House Correspondents Dinner in 2011. Since that time Trump has been doing everything he can to negate everything Obama accomplished, including DACA, regardless of the harm he does to you and all of us, our allies and our planet.

Such is the behavior of this terrible infant president. We are paying the price for his temper tantrum and, as I said earlier, it will take decades to clean up his mess.

Quote of the Week

Trump is a man who has been progressively hollowed out by the acid of his own self-regard. David Brooks

Opinion Piece of the Week

The Frauding of America’s Farmers, Paul Krugman

*Justice Anthony Kennedy, writing for the majority, wrote,

“The First Amendment does not allow prohibitions of speech based on the identity of the speaker  .  .  .  even if the speaker is a corporation.”

It is beyond any possibility that the Founders intended the Bill of Rights to have any connection whatsoever to non-human entities, like corporations. The purpose of the Bill of Rights was to protect the rights of people. Humans. Read the amendments and it will be clear to you.

So much for Justice Antonin Scalia and Clarence Thomas being “originalists.” They claimed to interpret the Constitution as the Founders originally intended. so they liked to call themselves originalists. Clearly they were/are not.

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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!

NOTES:

    1. Writings quoted or linked to my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
    2. Errors in fact, grammar, spelling or punctuation are all embarrassingly mine. Glad to have your corrections.
    3. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

What Are We Missing?


Reading time – 3:20  .  .  .

The daily outrages and incessant infantile furies create a barrier to focusing on important but non-urgent issues. Indeed, this post is being written just 10 days after the weekend massacres in El Paso and Dayton. This is during the ongoing intransigence of Senate Majority Leader Mitch McConnell. On full display are his dual betrayals of, 1. refusing to bring legislation to the floor of the Senate for a vote to defend against foreign invasion of our democracy, and, 2. refusal to bring any gun safety legislation to a vote. Happening at the same time is the President’s lying and misleading about both issues. But his behavior is so consistent that it’s hardly worth a yawn. Still, he’s the president, so his narcissism-on-display does suck up our national focus.

We have to make time to shine a light on the important but non-urgent issues. These things beg for answers, so let’s look at one as a placeholder for all: our gargantuan healthcare complex and changes we don’t notice.

STAT, the daily briefing from The Boston Globe focusing on healthcare related issues, reported on August 12,

“A new report from UnitedHealth Group finds that hospital prices increasing at current rates could end up costing $250 billion over the next decade. The report says that prices set by hospitals for services  — and not physician salaries or how much hospital services get used — are what’s driving up patients’ spending. Between 2013 and 2017, for instance, hospital prices increased by 19% while the cost of physician services increased by half that amount.”

To put that into perspective, healthcare accounted for 17.9% of GDP in 2017 and inflated 3.9% that year to a total of $3.5 trillion, or $10,739 per person. We spend a crazy amount of money battling injury and disease and this report says the cost to do that is getting far worse.

The un-examined tidbit that seems like a throwaway in this report is that over that same 4-year period the cost of physician services increased by almost 10%. Did we receive 10% greater value? Why should we pay the extra 10%?

Silly question. We pay it because healthcare isn’t like deciding which car to buy or whether now is a good time to install an energy efficient furnace. There isn’t a marketplace of cost competitive choices for doctors and when you need healthcare you need it now, regardless of your ability to pay.

That’s compounded by most of us getting a major portion of the cost of our healthcare from a third party – an insurance company – so we may only see the co-pay and be ignorant of the true cost. The result is that doctors and hospitals can charge what they want. There will be some moderation of the cost as the insurance companies arm wrestle with doctor and hospital office managers over their invoices, but that’s pretty much it.

We are so accustomed to the price of healthcare going up, reflected in our insurance premiums that may right now be getting deducted from your paycheck, that we don’t even squawk any more. Millions are so accustomed to the ever-escalating cost system that they won’t even look at alternative ways to fund our healthcare or ameliorate its cost.

Extending our willful blindness about our pockets being picked begs an answer to how many other ways we’ve allowed ourselves to become numb, as others eat away at our financial well being. That stuff is bankrupting us, so the question begging for an answer is, “What are we missing?”

Bonus Section

In that same edition of STAT they report,

“President Trump announced late last month a plan to import drugs from Canada to help lower Americans’ prescription costs, and Canadians are not happy about it.”

Just think for a moment about the multiple crazies of this. First, most of those drugs are made in the U.S. and exported to Canada at substantially reduced cost, where they are sold for somewhat more sane prices to consumers. Trump wants to create a massive importation of those same drugs back into the U.S., thus effectively swatting at symptoms and refusing to deal with the root cause. And it’s worse than that.

The predictable Canadian backlash to this vacuum-headed idea is driven by shortages of drugs in Canada. Reports STAT,

“You are coming as Americans to poach our drug supply, and I don’t have any polite words for that,” said Amir Attaran, a professor at the University of Ottawa. Read more here.

This is just another of Donald Trump’s strategy-vacant ideas without any thought to consequence to others, especially to our strong ally and second biggest trading partner.

————————————

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,

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NOTES:

    1. Writings quoted or linked to my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
    2. Errors in fact, grammar, spelling or punctuation are all embarrassingly mine. Glad to have your corrections.
    3. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

This Isn’t About Trump – It’s About What’s Important


Reading time 5:02; Viewing time – 6:59  .  .  .

Trump politicized the Fourth of July.

There were M1A2 Army tanks and Bradley armored vehicles in front of the Lincoln Memorial.

Not content with just stationary vehicles, Trump ordered the military to have airplanes and helicopters pass overhead, saving the Battle Hymn of the Republic to blare over the loudspeakers as the Navy Blue Angles did a fly-by.

The military was there because Trump won’t get his military parade to one-up President Macron of France. Such a massive show of hardware would rip up Pennsylvania Avenue and cost more than he could scam through Congress. And they were there because the violent machines of war make him feel powerful and self-important.

He gave a speech written by others which included concepts he doesn’t understand, interspersed with self-serving grandiosity. He anchored it to the military because his base would thrill to that; but of course that was only a fraud to justify focus on himself.

“It’ll be like no other – it will be special  .  .  . ” Trump had promised of his spectacle. Of course, that turned out to be true – it was like no other. But not in the way he meant. (Just for fun you can review his speech here.)

For this Trump “look-at-me” event using our military for political purposes, only big Republican donors and pols were offered tickets. No Democrats were invited. He refused to disclose how much the event actually cost, but we already know that he robbed $2.5 million from our national parks as partial payment.

And all of that is the problem.

Trump made our national birthday party all about Trump instead of all about America. It is the perfect exemplar of what has happened to our country since the craziness began, as foreign affairs, immigration, trade policies, the wall, threats of war, healthcare, taxation and all the rest are solely about Trump, not about America.

That is why we have to do absolutely everything necessary to get the hands of this dangerous person off the levers of government. Because it’s not supposed to be about Trump; it’s supposed to be about you and me and 320 million of our country-men and -women.

I’m not an “all Democrats all the time” guy. I am a democracy guy full time and it matters that a huge percentage of our democracy has been demolished by this would-be tyrant. It needs to be rebuilt before we lose it all. I’ve written about that in many ways, including how We The People aren’t getting what we want. A part of what submarines rule by the people is a Republican Congress that is dedicated to chest-thumping fictions and obstruction.

The Republican mantra for the last two Democratic presidents – that’s 16 years of government – has been opposition to everything those presidents promoted. That was true regardless of how sensible the policies were and even if Republicans had supported those policies before there was a Democrat in the White House.

That produced hyper-partisan warfare and gridlock. It’s why we don’t have even a plan to rebuild our infrastructure, yet politicians tell us in every election cycle that they’re going to fix it. It’s why we don’t have common sense gun laws, even as over 90% of us demand them. It’s why Roe v. Wade continues to be attacked, while 76% of Americans want it left alone as settled law.

The same is true about healthcare, education, the DACA kids, global warming, Putin’s invasion of America and so many other issues. We aren’t getting what we want and our pride as Americans continues to slip almost entirely due to – let’s call it displeasure – with our politics.

We need to put the building blocks of democracy back in place and the only way to get beyond the Congressional gridlock of the past 30 years is unitary government, at least for a time.

Yes, I know that the very vocal Democrat far left is off-putting to independents and traditional Republicans and even to centrist Democrats. Read Nick Kristoff’s piece for more on that. I suspect that there will be a strong moderating force, should the Dems take over Congress, especially if Nancy Pelosi is in charge of the House. I, for one, will be lobbying for that moderation.

And I will be lobbying for democracy and for for clarity about what We The People want and the best ways to deliver that. Join me now in two ways.

First, support candidates who will create the change you want to see. Right now there’s about an 85% chance they’re Democrats, especially if they’re opposing one of the spineless Republicans who hasn’t the moral courage to stand up to Trump.

I really don’t care if you’ve never voted for a Democrat, because your predisposition to oppose Ds has no place in our teetering democracy.

The second way may appear to be just for fun, but it isn’t.

Read the hat carefully – click the pic for a larger view

Confucius tells us that the beginning of wisdom is to call things by their proper name. We certainly need more wisdom in America right now. If Trump is to be removed from power in 2020 so that we can restore our democracy, we must properly name him with unmistakable clarity so that We The People make sensible choices.

What is the name that captures Trump? Put your notion in the Comments section to help expand our wisdom and make America America again. NOTE: This isn’t about venting; it’s about accurate description.

And this isn’t about Trump. It’s about Independence Day.

BTW – Senate Majority Leader Mitch McConnell tweeted a happy Fourth of July message on Thursday morning that included a picture of the Betsy Ross 13-star flag. White supremacist and other hate groups have been using that flag to promote themselves and spread hate, likely because slavery was the law of the land when Ross made that flag. Click through and read McConnell’s tweet; then read the comments below it. They are stunning in their rebuke of him. Indeed, pass along the link to your friends in Kentucky so that they will remove this democracy killing “Grim Reaper” – that’s how he describes himself – from the Senate.

————————————

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Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Focus


Reading time 3:18; Viewing time – 4:05  .  .  .

It’s been quite a month – all just this week! – as the outrageous deluge from 1600 Pennsylvania Avenue goes on. It’s been this way with Trump since way before the 2015 escalator “Look at ME!” stunt, when he announced with his customary ignorant certainty what he had just fabricated, claiming Mexico was sending us rapists and murderers.

He had spent years fomenting Birtherism. And he had bought the back page of section 1 of the New York Times and called for the execution of the Central Park Five. He did this after they had been cleared by DNA evidence. Yet in customary Trumpian doubling down of his boneheaded statements, he continued to call for the execution of these men.

Just this week Trump declared that he would/wouldn’t contact the FBI if a foreign government or individual offered dirt on a political opponent. For sure he’d “have a look,” he told us.

The point is that accepting anything even just to “have a look” is the crime, not the value of the information to a campaign. He also told us that Iran was behind the attack on two oil tankers, offering no evidence but his expansive declaration while ignoring evidence to the contrary. He took credit for various healthcare pluses, like reductions in the cost of prescription drugs, which hasn’t happened. All of that and far more was just Thursday and Friday.

The point is that Trump is the master of garnering attention by saying and doing outrageous things. He is the P. T. Barnum of our time.

We all love the sensational. It’s why the local news motto is “If it bleeds, it leads.” It’s why when you click on The Weather Channel you’re smacked in the face with multiple sensational pictures and headlines and it’s why supermarket tabloids sell.

We’re suckers for clickbait. Trump provides it 24/7 and the world watches. The trick is to ignore the merely outrageous and pay attention to the dangerous and the cruel:

– Like his saying it’s okay for political campaigns to accept anything of value from foreign sources. Yes, I know it’s just words, but this matters to our upcoming election, because it’s another “Russia, if you’re listening” invitation.

– Like fabricating a run up to war with Iran.

– Like putting yet more children in cages.

– Like defending Kellyanne Conway over her dozens of obvious violations of the Hatch Act – this because “she’s loyal.”

– Like ordering all agencies to cut scientific advisory boards by at least one-third.

– Like hosting a conference of climate science deniers at the Trump International Hotel.

I had breakfast recently with a couple of highly educated, highly accomplished women who each declared that they don’t watch the news. They are the latest in a continuing string of intelligent people I have heard say the same thing.

They are weary of the continuous barrage of political warfare and the painful to watch Trumpian cruelties and stupidities. They are way past overload from political bickering and lying, so they’ve tuned out. And that’s a problem for them and for America.

In some measure, many of us have become numb to the continuing outrage, which leaves us vulnerable to the dangerous things slipping past us.

This isn’t a circus freak show that we can ignore; it’s our country.

So our job is to let the outrageous and freaky stuff go. Focus on the things that can hurt us and damage our democracy.

Pence Visits Conversion Therapist for Routine Gay-Preventative Check-Up. Click me for the story.



           ————————————

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Reproduction and sharing are encouraged, providing proper attribution is given.

Moral Values


Reading time – 3:56; Viewing time – 5:43  .  .  .

The Gallup organization does polling on lots of things, one of which is how we feel about ourselves. They just produced a report that shows that we believe our moral values aren’t good and are getting worse.

That got me to thinking about what that means. What are our moral values? I don’t recall seeing them posted on any wall. We listed some values in the Declaration of Independence. Maybe those are the ones.

The Republicans have been claiming to be the party of “family values” for decades, but I don’t remember any clarification of what that means, which makes that claim nothing more than a bumper sticker like, “I’ve been to Wall Drug.”

The American divorce rate has hovered around 50% for decades, but is now decreasing, this due entirely to Millennials, so marriage commitment likely isn’t a driver of our notion that our moral values are getting worse.

Both violent crime and property crime in this country have been dropping for decades, according to Pew Research, Gallup and many others. Perhaps that says something about our notion of honesty and how sticky that is. That doesn’t seem to be the cause of our worsening self-image, either.

So, exactly which moral values do we view as bad and getting worse? And does that apply to all of us or to some of us most especially? I think it’s the latter.

I think that outside of our government, no Americans are ripping children from their mothers and then leaving them in cages or in vans. I think that outside of our government most people keep their word, they don’t stab friends in the back and they don’t cozy up to people they know are bad guys. I think that most of us have the courage to stand up for what’s right and to oppose what’s wrong.

And I believe that hasn’t changed much over the decades. We have roughly the same proportion of heroes and cowards, honest people and crooks and all the rest as in years past. What’s changed is our notion about how we are, far more so than how we’ve actually changed. And if that’s correct, then where are we getting these notions of how we’re morally slip-sliding away? I think we need to look to leadership.

Note that the tens of thousands of Brits who demonstrated weren’t protesting America; they were protesting Trump. Clearly, they see the real moral values problem.

Johnson gave us the Vietnam War. Nixon gave us Watergate. Ford gave us absence of accountability. Carter gave us a wimpy handshake. Reagan gave us supply side economics and Iran-Contra. H.W. Bush gave us “Read my lips.” Clinton gave us Monica. W. Bush gave us two unnecessary – some say illegal – wars that continue to be U.S. tar babies. Trump gave us endless lies and corruption, brainless deconstruction of what makes our country work, continuing abuse of migrant children and his wearying narcissism. And most of these presidents gave us stagnant wages for all but a fabulously wealthy few and invested them with grossly out-sized power and influence.

Yes, I know I left Obama off this list. I just can’t seem to conjure his horrible scandal, betrayal or criminal behavior. Although there was that tan suit that so infuriated Congressional Republicans.

Here’s my point. I think that the constant drumbeat of horrible leadership that stabs our intuited moral values in the back warps our thinking about ourselves.

That doesn’t relieve us of our responsibility for having elected these presidents and members of Congress who fall so terrilbly short. That’s on all of us. If our notions about our moral values are to improve, the responsibility lies with us and what we do. We can start to make things better by voting. And I don’t mean just the 60% who typically show up for presidential elections. I mean the other 40%, too. Then perhaps we’ll feel better about our moral values when we’ve ousted the greatest violator of them all, as well as his enablers.

My pal David Houle is a futurist. That means that while you’re doing whatever you do throughout the day, he’s researching what’s to come. His recent post suggests that things are and will be changing dramatically, specifically as we move beyond 20th century thinking into 21st century thinking. Have a look at his post and see what you think.

Just get that only a few years ago the Green New Deal wasn’t a remote possibility even for discussion. Recall Al Gore’s Inconvenient Truth and how he and his notions were mocked. Neither was Medicare for all open for discussion, nor was immigration reform or prison reform or gun safety and so many other issues. Our changing cast of characters in government to people with 21st century thinking has already changed the discussion and change in action can’t be far behind. It’s likely we’ll feel differently about ourselves as all this unfolds. Stand by for a new Gallup report in a few years – it’s going to look very different.

Final unrelated point: Read David Brooks’ essay “The Coming GOP Apocalypse.” And before you cheer on that apocalypse, do a gut check on your belief in diversity. America needs Republicans. It’s just that they got lost in the woods of self-important chest thumping a few decades ago and can’t hear anyone else over the sound of their certainties. What we need is not their demise; we need them to come to their senses.

So, find an old school conservative friend and convince them to run for office to save our nation from today’s so-called Republicans.

Many thanks to JC for the pointer to Brooks’ essay.

————————————

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Copyright 2025 by Jack Altschuler
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Public Opinion


  • Reading time – 2:29  .  .  .

You know what George Santayana  said:

“Those who cannot remember the past are condemned to repeat it.”

confirmed by “Metaphors Be With You”, by Dr. Mardy Grothe, page 301

The world has had innumerable returns to authoritarianism, as though we believe that a strongman leader can and will fix our ills, but history teaches us that more often than not those leaders deliver far worse suffering.

Now, with our ignorance of how to deal with globalization and the internet and with authoritarian-led nations seeking to do us harm, a huge minority of our fellow citizens want a tough guy leader for our country. It’s possible many of our 320 million people have forgotten the past – you know, like when our Founding Fathers led a rebellion against an authoritarian despot, King George III.

I know little about Walter Lippmann, his writings and his politics, but I came upon this quote recently:

“Men who have lost their grip upon the relevant facts of their environment are the inevitable victims of agitation and propaganda. The quack, the charlatan, the jingo  .  . .  can flourish only where the audience is deprived of independent access to information.”

from “Liberty and the News“, 1920, by Walter Lippmann

That was penned a generation after Santayana and it suggests something insidious, something far more dangerous than the forgetfulness to which Santayana speaks. It suggests leadership that intentionally manipulates what we see, hear and are able to learn. It’s fed by the lack of a free and independent press. It’s fed by the demeaning and slandering of the people and institutions that report on leaders and hold them accountable.

Forming the basis of the Almond–Lippmann consensus about public opinion are three assumptions:

Public opinion is volatile, shifting erratically in response to the most recent developments. Mass beliefs early in the 20th century were “too pacifist in peace and too bellicose in war, too neutralist or appeasing in negotiations or too intransigent”

Public opinion is incoherent, lacking an organized or a consistent structure to such an extent that the views of US citizens could best be described as “nonattitudes”

Public opinion is irrelevant to the policy making process. Political leaders ignore public opinion because most Americans can neither “understand nor influence the very events upon which their lives and happiness are known to depend.”

Lippmann later recanted these views, as he saw that the public was far more clear-headed about the Vietnam war than were politicians.

Nevertheless, re-read those three points and imagine what political manipulation of the news can do to public opinion. Think about what undermining our free press can do to enable leaders to pervert democracy. Then think about why so often Americans are ignored in public policy making on issues like gun safety, climate warming, healthcare and so many others where the overwhelming majority of the public doesn’t get what it wants.

Rosa Parks: Nevertheless, she persisted.

Are you okay with that?

                                       ————————————

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Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

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