Putting health care into perspective when discussing the budget

Check out this short comment and the accompanying chart in this Mother Jones article by Kevin Drum. He has some good advice on how to get serious when discussing the budget. If you are not considering spiraling health care costs, you are are not being serious. Connecting the dots, Obama's health care "reform" was not serious. The Republican proposals are even less serious, amounting to government-implemented social darwinism. I would add that our immense military expenditures also deserve scrutiny and the budget axe.

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Proposition C in Missouri is Meaningless

Much hoopla and political punditry has been given over to the recent passage of “Proposition C” in Missouri. Proposition C, in effect, says Missouri law will not permit any tax to be levied by the federal government upon its citizens for failure to purchase health insurance. The issue was framed as a direct challenge to the health insurance mandate of the recently passed healthcare reforms. Many Republicans and their leadership laud the passage of Proposition C as a death knell for healthcare reform in America. Nothing could be further from the truth. Proposition C received 71.1 % of the votes cast statewide but, reports show that little opposition was mounted to oppose the ballot measure and that only 16.27% of eligible voters turned out and supported Proposition C (667,780 of the state’s 4,104,834 million registered voters). Voter turnout in normally large vote areas of Kansas City and St. Louis City were 12.78% and 13.56%, respectively. Clay County had 18.27%. Jackson County had 22.34 %. St. Louis County had 20.93%. These counties have 1,605,083 voters and make up 39.1% of Missouri’s eligible voters. Historically, the above counties have supported Democratic candidates and issues. The voter turnout in these counties has frequently provided the differences between victory and defeat in hotly contested state wide elections such as are expected in November 2010. It is simply not the case that the Proposition C vote indicates anything other than a well organized effort to get out the vote by its supporters in traditionally conservative areas of Missouri.

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Do You C What I C?

The Tea Party apparently did well in Missouri during the mid-term primaries this week. They (or someone) managed to stage contests for most Republican candidates, while most Democrats ran unopposed in our state. Why might anyone do this? Proposition C. This piece of "legislation" is an arguably unconstitutional attempt to stop Health Care Reform by claiming States Rights against an unpopular provision in the Obama plan: Mandatory Health Insurance. Universal insurance is an attempt to pay for the impending regulation doing away with preexisting condition coverage denials. If everyone is covered, then there will be no preexisting conditions. But if everyone can sign up only when they need it and insurers cannot deny coverage, then insurers will go bankrupt and the Federal Government will have to completely take over. This is what they want? But Missourians voted overwhelmingly in favor of denying the Federal Government the right to enforce this provision necessary to interstate commerce. But if you look at detailed election results, you'll see that the vote on Proposition C is proportional to the ratio of Republicans to others who bothered to vote. In a state that was razor-close in November 2008, three Republicans showed up for each Democrat to vote in this primary. Here is another view of this Proposition: What the passage of Proposition C in Missouri means, and what it does not mean. In brief, it is grandstanding. Given the likely turnout at the polls, and given the correct wording, it was an unsinkable piece of "voter mandate" with no actual significance. But it looks good as a jab-in-the-eye to an embattled administration. Unless you actually read about the issue. But the point was to pick one unpopular clause of the 2,500 page law, and publicly display how "the people" are against the whole thing. I'm curious to see how the Tea Party will stack the November election. Will other states be so dumb?

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People Are Idiots. A Cynical Observation

The video below from TED is chilling in many ways. Michael Specter touches on observations about the resistance people have toward anything that seems to threaten their hobbit-hole view of the world. A little of this, as he rightly points out, is fine, even agreeable, but when it burgeons into matters that threaten lives and seek to derail all that has made this present era as wonderful as it is---and it must be stressed, in the face of overwhelming negative press, that we are living in a magnificent period of history---then it loses whatever quaint appeal it might otherwise have. We respect the Amish, but they don't tell the rest of us how to live and try their level best to be apart from the world they disapprove. When you see people filing lawsuits with the intent to halt necessary, beneficial progress because they have bought into some bogeyman horror movie view of science or politics or morality, it behooves us to come to terms with a fundamental reality with which we live today. First, though, the video. Watch this, then read on. Okay, what reality? That many people are just idiots. I cannot think of a more tasteful way to phrase it. But when you consider the list, justifications and rationalizations fade. The Tea Party. The Anti-vaccine Movement. The Birthers. Young Earth Creationists. Medjugorje. Deepak Chopra. PETA. Free Market Capitalism. Global Warming Deniers. Holocaust Deniers. Abstinence-Only. Just Say No. The Shroud of Turin. Astrology. Texas Board of Education. Evolution Deniers. Frankenfood Protesters. Homeopaths. Herbalists. Psychics. Scientology. I could go on. [more . . . ]

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What Healthcare Reform REALLY Does For Us

In an historic vote late Saturday evening, the US House passed into law the Patient Protection and Affordable Care Act on a mostly party line vote of 219-212. The Act will be made into law (the bill passed by the US Senate 60-39) upon signature by President Obama. On Tuesday, March 23, 2010, President Obama signed the bill into law in a ceremony attended by members of Congress, the US Senate, staff and an 11-year old advocate of healthcare reform who had lost his mother to cancer. There’s been a lot of confusion and misinformation spread about the bill as to what it contains and when certain aspects of the legislation go into effect. The terms of the new law were discussed in impressive clarity by Rachel Maddow and Barney Frank. See also, this article from the New York Times. As of March 23, 2010, consumers will be entitled to the following: - Tax credits go to small businesses for buying health insurance for their employees, and; - The so-called “doughnut hole” for seniors under Medicare Part D (drug) coverage is going; if you’ve reached the total for 2009, you will be immediately sent a rebate check of $250.00, and; - Pre-existing conditions will no longer be allowed for denials of health insurance coverage on new policies issued, and; - States will be required to maintain their existing Medicaid and children’s health insurance coverage based on policies currently in effect. While states can expand their programs, they are not allowed to cut back on eligibility and are not allowed to put in place any paperwork requirements that would make it harder for people to sign up for coverage, and; Freestanding birth centers” are now eligible for Medicaid payments, and; - Another provision that appears to take effect right away is an expansion of Medicare to cover certain victims of “environmental health hazards,” which was aimed specifically at the town of Libby, Mont. - A requirement that the secretary of health and human services establish criteria “for determining whether health insurance issuers and employment-based health plans have discouraged an individual from remaining enrolled in prior coverage based on that individual’s health status.” On April 23, 2010, - The secretary of health and human services must post on the Internet “a list of the authorities provided to the secretary under this act.” In June, 2010, - High Risk Insurance pools open to cover those with any pre-existing conditions (June 1, 2010),; and - The Secretary of HHS must “develop a standardized format to be used for the presentation of information relating to coverage” — so that consumers have a more understandable way of comparing health benefits — like medical, surgical, hospital and prescription drug coverage — offered by private insurers (June 23, 2010). On September 23, 2010, - Children may not be excluded from any coverage because of pre-existing conditions, and; - Insurers will not be allowed to deny coverage because you get sick (so called “rescissions”), and; - No more lifetime limits on coverage or benefits allowed, and; - Children are covered under your policy, if you want, until age 26. [more . . . ]

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