healthcare

Live From The Valley


Reading time – 6:39; Viewing time – 9:12  .  .  .

Washington D.C. (mostly)
Election Announcement

I’m not a registered Democrat, but like Bernie Sanders, I caucus with them. That’s why I’m announcing my candidacy for the Democratic nomination for President of the United States.

I thought I’d have more time for this, at least enough to put together an exploratory committee. But what with our never-ending campaigns, I don’t even have time to learn what an exploratory committee does. And there’s no chance to line up mega-donors now, either, because they’re already taken.

So, I’m left to make this major announcement via blog post. Good news for you: You’re the first to learn of this. Not even my wife knows about this yet. Man, I hope she won’t be angry.

Anyway, Kamala, Elizabeth, Bernie, Amy, Beto, Joe, Eric, Pete, Kirsten, John, Jay, Cory, Julián, Tulsi, John, Marianne, Wayne, Tim and Andrew, it’s nice to be in such a large and non-exclusive club.

Worry Announcement, or, Are We Really This Stupid?

What do you suppose Americans worry about the most: Illegal immigration? Foreign terrorists? Brown skin people from south of the border or Muslims? Nope, it isn’t nearly that dopey.

According to a current survey by the Gallup Organization you and I worry about healthcare more than anything else. Take a look at the chart below or, better yet, click on it for an expanded view of the chart and the complete Gallup report. Here’s another.

Healthcare is our biggest worry for the 5th year in a row. Oddly, our president has decided to do a full court press next year to increase our worry by repealing and replacing Obamacare. There’s just one thing: In the 9 years since the ACA passed the Republicans have tried dozens of times to repeal Obamacare and they haven’t succeeded, even when they were in control of the Senate, the House and the presidency.

Even worse – and that’s “worse” as in: both destructive and hypocritical – they’ve had 9 years to come up with a replacement healthcare plan for the “replace” part of “repeal and replace” and they’ve sat on their hands. They have no replacement or even the beginning of an outline for a replacement plan. So, if Trump gets his way, he and the Republicans will repeal Obamacare and replace it with NOTHING.

Then some of us will die needlessly, some will go bankrupt and pre-existing conditions won’t be covered, just like it was before the ACA. So, you better worry that if Trump and the Republicans get their way, there will be no replacement healthcare plan and you may have no healthcare at all.

Puerto Rico Aid Announcement

The president just announced that we have supplied $91 billion of aid to Puerto Rico, which means that we really didn’t totally blow off the survivors of that terrible hurricane that killed 3,000 Americans.

That’s good news, indeed, except for one little detail: the actual, real world, fantasy-free number is just 12% of Trump’s claimed amount. That aid has barely scratched the surface of what’s needed and it hasn’t provided food for the one-third of the population that’s going hungry.

Trump continues to astound all sentient beings with his constant lying and his ease in inflicting cruelty on people who desperately need help. Maybe he should go back to San Juan and toss out a couple more cases of paper towels to a crowd of suffering people to once again show his true support.

Proud State Announcement

It’s understandable if you think of North Carolina only as the leader in Republican crafted voter suppression, voting fraud and generally crazy politics. For example, former Republican Governor Pat McCrory blamed his loss in the 2016 election on non-existent voter fraud and refused to leave the governor’s mansion. Turns out his real electoral problem was his zeal for the infamous “Bathroom Bill.”

Yet, the Tar Heels are even more creative than that. They’re button-busting proud of the craftiness revealed by the recent indictment of Greg Lindberg, a major political donor, plus a couple of his associates and state GOP chairman and former congressman Robin Hayes for bribery through an insurance scheme.

These guys should have known that the FBI has no sense of humor about people lying to them, but lying repeatedly to the FBI is one of the indictments against them, as is attempting to bribe the current state insurance commissioner. U.S. Rep. Mark Walker was identified in the indictments as “Public Official A.” He was the recipient of $150,000 in political donations from Lindberg, but he’s not under indictment. Yet.

But just a second: the North Carolina Republicans may not have a monopoly on creativity. The current North Carolina Democratic Party chairman was the insurance commissioner during the time of some of this scandal. We’ll see if he, too, becomes a candidate to be a ward of the state.

Stay tuned, as this likely will prove to be the basis of a super hero movie – a Marvel Comics “State Dumb Stuff” thriller, staring Captain Greed.

Many thanks to DN for bringing this inspired piece of graft to our attention. It gives us all a renewal of appreciation for the human gift of imagination.

Special Award Announcement

You may recall Rep. Steve King (R-IA), who, in a rant against Dreamers declared that,

“For everyone who’s a valedictorian, there’s another hundred out there who weigh a hundred and thirty pounds—and they’ve got calves the size of cantaloupes because they’re hauling seventy-five pounds of marijuana across the desert.”

That was quite the visual image and just the thing to introduce a new congressional award.

On Tuesday of this past week Rep. Steve King was presented the first ever “Congressional Bag Full of Stupid Award.”

In a dignified ceremony on the floor of the House, Speaker Nancy Pelosi began the proceedings by playing a video of King’s remarks. She then recounted his many dalliances with racism, white supremacy and fantasized hate.

Pelosi expressed concern that King’s years of commuting between Iowa and DC had left him with a huge bulge on the side of his head from carrying 75 pounds of stupid across the Iowa border into Illinois. She said that she hoped that his upcoming stupidectomy surgery would be successful. However, she warned that the medical community is united in the opinion that you can’t fix stupid. She said, “We all hope that this surgery will cause Steve’s stupid to go into remission for a while.”

At last and in a sincere and heartfelt closing, Pelosi recognized King for his well earned award and wished him a fine and very remote retirement beginning in January 2021.

And finally,

From the You Can’t Make This Stuff Up File
A short compendium of dumb current events that are too unbelievable even for fiction
  1. Vile, hateful, wacko conspiracy nut case Alex Jones is the defendant in a lawsuit brought by parents of children murdered in the Sandy Hook Elementary School massacre. He’s floating a defense that he has a “form of psychosis” that causes him to believe that certain events were staged. He says his psychosis was brought on by government and media lies, causing him to feel like “.  .  .  a child whose parents lie to him over and over again. Pretty soon you don’t know what reality is.” So, Alex Jones, the grand perp of hateful, harmful conspiracy theories that fattened his wallet dramatically, is a poor victim.
  2. Fox and Friends unveiled a new geographic phenomenon when it boldly declared. “TRUMP CUTS AID TO 3 MEXICAN COUNTRIES.” That came as startling news to those who erroneously thought there was only one country named Mexico.

Live, on the ground in the Valley of Stupid, I’m Jack Altschuler.
                 ————————————

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

“How Ya Gonna Pay For That?”


The original announcement for this post lost its link to the full post. To quote Bullwinkle, “This time for sure!“

Reading time – 5:01; Viewing time – 6:56  .  .  .

The “How ya gonna pay for that?” question is an important and even vital question for any policy decision. The Democrats are promoting bold new initiatives now and there’s a price tag for everything, so let’s look at what that means for a couple of issues.

We’ve taken several stabs at fixing our over-priced healthcare system. It is vast and there is enormous money at stake, so the medical establishment universally opposes any changes. Indeed Obama had to bribe the medical establishment to get the ACA passed. Still, the studies are clear that:

  1. We have the costliest healthcare system in the world BY DOUBLE.
  2. Our outcomes are largely no better than and are sometimes worse than those in other countries.
  3. The great cost of our healthcare causes millions of Americans to go without.
  4. Over 50% of personal bankruptcies are due to catastrophic illness.

These things are facts and they are not in dispute. And they are what drives progressives to propose things like universal healthcare, Medicare for All, single payer and various other names for “everybody gets to see a doc when they need one, regardless of their ability to pay, and nobody goes bankrupt because of catastrophic illness.”

Paul Waldman wrote a most interesting essay in The Washington Post looking into this concept and acknowledged that universal healthcare will cost a lot, like $32.7 trillion over 10 years. That’s a lot of money and asking how we’ll pay for that is mandatory. What Waldman points out is that to answer the “How ya gonna pay for that?” question, “You have to compare what a universal system would cost to what we’re paying now.” Very sensible.

And what we’re paying now is about $50 trillion over 10 years. Someone please help me to understand how $32.7 trillion for universal healthcare is a worse deal than the $50 trillion cost we’re on a slippery slope to spend. Read Waldman’s essay for more and be sure to look at the bar chart. You’ll understand it instantly.

Sometimes, the answer to “How ya gonna pay for that?” requires holistic rather than linear thinking.

Last thought about healthcare: put some thought to how we’ll control costs if a universal healthcare program leaves Americans with no skin in the game – i.e. no sense of cost containment responsibility simply because they aren’t charged when they receive care. Metaphorically, how do we avoid promoting in users of our healthcare system the attitude of the reckless driver who says, “I don’t care – this car is just a rental.”

Next, let’s look at progressives’ proposal for free college tuition at state schools.

First, let’s dispel the nonsense that it’s free. It may not bear direct costs to entering students, but the money to fund tuition will have to come from somewhere. Likely we and, indeed, if they have held jobs, even entering freshmen will have to pay through taxes in some form. So, progressives, please stop calling it free tuition.

From Wikipedia:

“In 1965 the far-reaching Elementary and Secondary Education Act (‘ESEA’), passed as a part of President Lyndon B. Johnson’s “War on Poverty”, [and] provided funds for primary and secondary education .  .  .”

Fundamentally, we decided that being economically competitive required extra education, so we funded it.

Times have changed and this is the 21st century. We have world competition the likes of which would be incomprehensible to our forebears of the last century. Indeed, China graduates three times more engineers every year than the U.S; further, both China and India have far more STEM graduates every year than the U.S. We’re falling behind.

We can resist change, wallow in our familiarity and ignore what’s all around us, but the price we’ll pay for that will be gigantic. This will be the Chinese century and we will be a follower nation instead of the leader, with all the implications that attach to that. We can either get with the program and make college more affordable, like we did with high school in the last century, or we can make ourselves irrelevant. Which is why publicly paid college tuition makes sense.

There are other reasons as well, like the insufficient numbers of workers who are qualified for the millions of jobs that are now going unfilled. Those jobs going wanting hobbles our economy. And it also means that we don’t have the highly educated people we need to protect our nation. The answer to “How ya gonna pay for that?” comes, in part, by acknowledging that it is both an economic and a national security nonnegotiable.

The dollar answer is the same one as when we moved to universal high school. We simply roll up our sleeves and find the best way to pay for it. That doesn’t necessarily mean through property taxes, because that system has turned out to be an impediment to millions of kids. It does mean that we have to have a really good answer to the question.

Sometimes things simply must be done and asking “How ya gonna pay for that?” can be a major roadblock instead of a sensible question.

Last thing  .  .  .

President Trump delivered his delayed State of the Union address and bragged about his miraculous transformation that has supercharged our economy. Further, he worked very hard to make us afraid of the imagined brown hordes crossing into our country from the south and how it’s worse now than ever.

To put these issues into perspective (think: reality),

  1. Have a look at fact checking of his claims, and
  2. Have a look at fact checking of Stacey Abrams’ response, and
  3. Have a look at the graphs below that are from actual Earth-based data from reliable sources. Note the trends and how they’ve stayed steady since the Great Recession 10 years ago and then decide for yourself who gets the credit. Hint: It isn’t Trump.

Click any chart for a larger view.

GNP
Source: Federal Reserve Bank of St. Louis

Illegal Border Crossings
Source – U.S. CBP & NPR

Unemployment rate.
Source: U.S. Bureau of Labor Statistics

Note To Readers and Commenters

There has been no small battle waged on the Jax Politix website in order to balance your ease of commenting with blocking the torrent of spam that attempts to clog the system. It seems that the methods used to tighten up spam filtering can make it more difficult for you to post comments. I believe we’ve made significant progress and the Comments function is working properly and easily.

So, please share your ideas, reactions, suggestions and wisdom for all to learn and grow and do so without fear of endless identifications of street signs, cars, buses, dogs and intersections. Many apologies for your frustration – and thanks for your patience.

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Ed. Note: I don’t want money (DON’T donate) 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 be better informed.

Thanks!

 

 


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

Plans for What?


Reading time – 2:45; Viewing time  – 3:58  .  .  .

Healthcare is our current favorite distraction from the Russian cyber invasion of America and the possible involvement of Trump groupies, so let’s have a look at what the geniuses in Congress have proposed for the health and well being of all Americans.

It’s well established that the House and Senate attempts at delivering on the brainless “repeal and replace” mantra have little to do with healthcare delivery to Americans. Healthcare is simply the cover for an $800 billion dollar gift to already rich people. In the unlikely circumstance that you aren’t fully enraged by that, consider that part of the windfall for the wealthy is a reimbursement of taxes paid on financial transactions, money that was used to fund Medicare expansion for our poor under Obamacare.

That’s right: these plans dig a deeper hole of debt for America because the 1% need more money. I guess I missed that turn when Republicans stopped obsessing over debt. Nice to know that it doesn’t matter any more, so it’s okay to slather more cash on the rich.

Enough about the struggling wealthy. We’ll let them pull themselves up by their Gucci bootstraps and instead have a look at how the House and Senate plans will affect you.

Click me to see the 5 things to know about Mitch McConnell

If you’re poor, you’re screwed. The Congressional Budget Office”s analysis is that under the House plan 23 million more Americans will be cut out of healthcare insurance entirely, which will effectively leave them without primary healthcare; under the Senate version that number drops to an only slightly less cruel 22 million more Americans whose medical needs we’ll ignore. Either way, tens of millions of Americans will have nothing but a last ditch, begging for mercy trip to the emergency room as their primary healthcare. Those trips are always made well after medical attention is needed, so the conditions presented to emergency room staff are far worse and often irreversible. That means people who might have been cured will die.

Plus a visit to the emergency room costs more than any other way to deliver healthcare, driving our overall cost much higher. Be clear that every hospital is required to deliver healthcare to whoever shows up at their door, regardless of a patient’s ability to pay. That means that the cost to care for a poor person who drags into the emergency room and receives that expensive care is passed along to all the patients who can pay, like you. That’s how slashing Medicaid will drive up your cost of healthcare.

Click me to link to the article

The Kaiser Family Foundation has crafted a nifty way to learn how the various cruel congressional plans stack up against the ACA (Obamacare). Access the comparison with the Senate plan (“BCRA”) here; link to the comparison with the House plan (“AHCA”) here. Just enter your age, income and the state in which you live. Then click on your county, review the results and decide which plan you like best. Be sure to look ahead to what these plans will cost you 10 or 20 years from now. Good chance you’ll be surprised – and not pleasantly so.

But that’s just you. Before deciding which plan to support be sure to consider the poor people who will have no place to go but the emergency room for medical care under either congressional plan. Also, don’t forget the rich people who need your financial support.

Click me to link to the article

The net of this is that both the Republicans in Congress and the president are so desperate to “get a win” that they are sucking up to the wealthy and abandoning our poor. That is to say, the win means more to them than life or death of our most vulnerable.

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

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