Medicaid

Freedom and At Long Last


Freedom

Passover is nearly here. It offers many messages and one of the most important is the message of freedom.  It is the story of a people living without freedom for hundreds of years and they knew that bitterness. It is exactly that bitterness that the Ukrainian people are now fighting to prevent from overwhelming them.

“Injustice anywhere is a threat to justice everywhere. We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly” – Dr. Martin Luther King, Jr.

Freedom loving people all over the world stand with Ukraine and its people. Now is a good time to help, because these days are desperate for the Ukrainian people.

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A Platform, At Long Last

It’s true. Really.

The Republicans at long last actually have a platform!

Pretty much.

Mitch McConnell has publicly declared that Republicans will not have a platform for the 2022 and 2024 elections, just like in 2018 and 2020 when they refused to take a stand on anything. No policies, no positions, no programs, no nuthin’. But opportunist, Medicare defrauder and presidential hopeful Sen. Rick Scott (R-FL) has made his Look-At-Me! mark with his 11-Point Plan To Rescue America.

This crook (details below) is actually declaring he’s for something other than brain-free opposition to the opposition. And what a plan he’s proposing! Here’s a link to his self-serving, gag-on-the-flag explanation. I encourage you to link through to the details of his “points.” CNN had a look and made some comments of their own in their piece, Rick Scott’s ‘Plan to Rescue America’ will do anything but that. Here are some of Scott’s key points:

The Rick Scott 11-Point Plan To Rescue America
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  1. First, we’ll raise $1 trillion in new taxes, almost entirely on the backs of the poorest Americans. And o’ joy! There won’t be any financial impact on Scott’s hedge fund buddies. We’ll tax the poor to ensure that “every American has skin in the game.” Yes, he said that.
  2. Next, we’ll end Social Security.
  3. And Medicare.
  4. And the Affordable Care Act.
  5. And Medicaid,
  6. We’ll end every social welfare/safety net program within five years. He calls it “sunsetting.” What that really means is a knife across the throat of all the programs that help people, so call it “murdering.”
  7. Trump stole $15 billion from the Defense Department and built only 80 miles of his wall in places where there wasn’t already a barrier. Rick Scott will finish the remaining 1,500+ miles of that wall and name it after Trump (“Felon’s Fortification”?). And no, Mexico won’t pay for it. You will.

I know you think I’m making this up, but I’m not. This is the Republican dream that they’ve dreamed for decades. It’s been their hearts’ fondest desire to kill FDR’s New Deal, the collection of programs that led this country and all Americans out of the Great Depression. Rick Scott wants to lead Republicans in stopping all the things that help people.

Did I mention fraud? Before he ran for office, Scott’s healthcare company committed the biggest Medicare fraud in U.S. history and had to pay an $840 million fine. Here’s the complete fact check.

So, let’s see, first Rick Scott defrauds you and me and the U.S. government – he’s the Big Kahuna of Medicare cheats. Now he wants to cheat some more by taking from working and poor people who are barely getting by and then he wants to eliminate all the the things that help them. What would you call that?

Now, at long last, we have a clear declaration of what Republicans will do if they get their hands on the reins of power again.

You good with that?

Must Read

“Democrats need to get back to a fundamental message: When in power, they make government work for ordinary people and defend American values (democracy, opportunity, fairness, playing by the rules). They solve real problems. When Republicans are in power, they create division, conflict and chaos. They are not on your side. That’s it. A simple dichotomy.”                                                                                 Jennifer Rubin, The Washington Post

Gotta add something.

It’s time – long past time, really – to take an axe to Republican lies and cruelties. Call these guys out ruthlessly with the truth.

I know, I know – Democrats like to play nice and they don’t like to be mean.

GET OVER IT!

Because we can already smell the defeat that’s on the way.

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The days are dwindling for us to take action. Get up! Do something to make things better.

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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. There are lots of smart, well-informed people. Sometimes we agree; sometimes we don’t. Search for others’ views and decide for yourself.
  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.
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JA


Copyright 2024 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Consequences In One Long and Two Short Parts


Reading time – 5:36  .  .  .

Part 1. Healthcare Wake-Up

The Kaiser Family Foundation just reported that, “.  .  .  nearly 27 million people will lose health insurance as a result of being laid off during the COVID-19 pandemic.” Some will go on the ACA exchanges; the majority will wind up on Medicaid; and 6 million poor Americans will have no insurance at all to cover the enormous expense of battling COVID-19 or any other malady and will have to figure out the impossible. Said another way, these folks are already struggling to stay financially afloat and a COVID-19 anvil may be dumped hard onto their little boat.

I know a fellow who commented on a different catastrophe, offering a Machiavellian (or Ayn Randian) comment that sounded like this: “It’s sad, but they made their choices and now they have to live with the consequences.” Is that our official attitude toward poor people?

We’re now being told to get out there, go back to work and go shopping, where we will encounter lots of nice people, some of whom will be disease carriers and may send us to the hospital. I worry what will happen in 2 – 3 weeks to those who are packing bars now and are not wearing face masks. Indeed, the CDC tells us that the likelihood of infection is growing greater in many parts of the country.

Wait, greater? And we’re supposed to go back to work and drive the numbers still higher?

Yes, because we’re warriors, wartime President Nero tells us. So, get out there and fight. Drive up herd immunity, which to the best of my understanding, means that those who manage to survive this deadly virus will probably have immunity. Or not. The experts really don’t know how that will work. And you have to get sick first to get that immunity but you might die from the infection long before you would have become immune. Further, well over 6 million Americans won’t be able to pay for their healthcare if they survive the disease.

Can we agree that we need to figure out the best way for all of us to be able to get healthcare when we need it? Actually, we don’t all agree about that, but the overwhelming majority of us do. If that’s the goal, then how do we get there?

What I see is that we’re about to pay for the healthcare, one way or another, for an additional 27 million Americans who got laid off due to the pandemic and who have little or no insurance. What if we just put on our big boy and big girl pants and face up to the facts that the bumper stickers are right, that shit happens, and that we think everyone should be able to get healthcare irrespective of their wealth? We’re paying for much of it anyway, so what if we were intentional and created a really good solution?

I can hear Libertarians wailing and can see Ayn Rand true believers bent over with cramps. I only have two problems with that rugged individualist philosophy. First, it only works for people who are young, healthy and strong. If you can’t check all three boxes, you’re screwed. Second, Ayn Rand wrote novels – fantasies – all of it was not-real, didn’t happen stuff. Doing so brought her fame, fortune and popularity with idealistic (mostly) young men during their formative years. Most of us grew out of believing in the made-up story not long after finding out that there is no Tooth Fairy. Sen. Rand Paul and members of the House Freedom Caucus, however, didn’t get the message and are still looking under their pillows every morning. Okay, that was snark.

We’re living in the real world where not everyone is young, healthy and strong – or wealthy. Not everyone had open to them the path to true free market enlightenment and success. Some are being cast adrift due to layoffs. Doing nothing while watching that little boat of theirs sink after the anvil crashes into it is a cruel consequence of our own design.

There is a Jewish imperative – Tikkun Olam – which means “repair the world.” The Boy Scout version of that is to always leave your campsite better than you found it. Pretty good ideas. No, actually they are imperatives. What repairs are we doing to leave things better than we found them? It is our obligation to our children, grandchildren and great-grandchildren and they are counting on us to do the right things right now.

Which brings us to,

Part 2. Napoleon

There is no shortage of commentary about both what Joe Biden should be doing now, as well as speculation about his relative lack of visibility. I’m reminded of a quotation from Napoleon used by Theodore White in his book The Making of the President 1964. White wrote,

“Never were Republicans denounced [by President Johnson] as such; the opposition was involved in its own civil war, and the president obeyed Napoleon’s maxim: Never interfere with the enemy when he is in the process of destroying himself.”

That proved to be a big help in sending Johnson’s opponent, Sen. Barry Goldwater, back to Arizona and I’m wondering if that is the advice Joe Biden is following today.

In that light, you must read Frank Bruni’s piece from April 26, “Trump Self-Destructs.” He ends his essay this way:

“Americans who take any comfort from [Trump’s nightly coronavirus briefings] were Trump-drunk long ago. The unbesotted see and hear the president for what he is: a tone-deaf showman who regards everything, even a mountain of corpses, as a stage.”

Which brings us to,

Part 3. The Math Update

Our first reported death from coronavirus was on February 6; the next two deaths were on February 26. Things ramped up slowly at first and then, as you well know, the death count ramped up very quickly.

It has been 100 days since that first case and we now have a minimum of 89,000 of our fellow citizens dead from coronavirus. We’re losing about 2,000 of our friends, neighbors and family every day, which translates to a Pearl Harbor every 1.2 days and a 9/11 every 1.5 days. The White House tells us that things could get worse and predicts that 100,000 – 240,000 Americans will die from this disease.

Well, things are worse right now. We better be really careful how we “open up” our economy, including doing COVID-19 testing in numbers a couple of orders of magnitude greater than we’re doing now or we may find out that the White House finally got something right – the counting of our dead. And that is a disastrous consequence of our federal ineptitude.

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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. Refreshing when someone wants to get the facts right, eh?
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2024 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 2024 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 2024 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

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