Tag Archives: Affordable Care Act

Short takes (July edition).

Another one of those weeks spent drinking from the political firehose. I’m going to try to run through a few of the items that have been top-of-mind for me over the last few days. Let me know if my list looks anything like yours.

Saudi-US cooperation at workYemen Horror. The WHO reported that cholera is spreading like wildfire in war-ravaged Yemen, infecting more than 400,000 people with almost 1,900 deaths attributed to the outbreak. This is in addition to the many thousands killed by the Saudi-led and U.S.-supported terror bombing of this unfortunate country. Since Congress is all about sanctions this week, one would hope they would consider slapping a few on the freaks running this horror show from Riyadh. Fat fucking chance. This is a bipartisan atrocity and it will only stop when we insist upon it.

Cracker abuse. Trump is unloading on his pal Jeff Beauregard Sessions, talking as though the AG’s job consists entirely of running interference against any investigative probes that come too near the President. Can’t say as I feel sorry for that racist old cracker – at his age, he should know better how to pick his friends. Better start ironing that bedsheet, Jeff-boy.

Trumpcare Fail. Okay, this started out to be a rant about John McCain and how he was dragging himself back to Washington right after surgery to deny millions of other Americans the ability to, well, have surgery when it’s needed. I was going to say that you can never count on him to do the right thing, but then he shocked me by doing the right thing, so credit where credit is due – he helped to kill the Obamacare repeal. I say Obamacare repeal because that’s what it has always been. The GOP has been waging political war against this thing called Obamacare for seven years, except that Obamacare doesn’t really exist. That’s why they seem to be having so much trouble agreeing on how to get rid of it – they keep stepping on  popular provisions of the ACA that are lying around like rakes, waiting to hit them in the face. Mitch McConnell blames the Democrats, of course, but it’s really just about him and his party. This is a big fail, fucker. Suck on that.

Drop the T. Trump announced by Tweet that transgender people will no longer be allowed to serve in the United States military. This has thrown the service into a state of uncertainty and caused tremendous consternation among those who recognize our transgender comrades as human beings worthy of our love and respect. In other words, mission accomplished, Donald! Your alt-right supporters in the little mustache brigade are probably over the moon right now. They’ve probably already forgotten what you’ve said about Sessions. (Of course, they’re probably ADD.)

Manatee in a Suit. Gingrich was interviewed on NPR Morning Edition this week (7/26) and proceeded to throw the entire Justice Department under the bus in an attempt to make his new BFF Trump look a little better. Aside from hawking a book by Sidney Powell, the most hated man in America called the Justice Department “a extraordinarily left-wing institution” citing campaign contributions and decrying the Mueller probe as a “fishing expedition.” Wow, what a crackpot. The left wing conspiracy keeps expanding – last week it was Susan Collins and Lisa Murkowski being tagged “leftists” by Limbaugh and others; this week it’s our entire federal law enforcement establishment.

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For the people.

I live in New York’s 22nd Congressional district, a sprawling, largely rural riding that stretches from the Pennsylvania border to just a stone’s throw from Lake Ontario. On the map, it looks a bit like the silhouette of someone in a Klansman get-up standing on a soapbox with his/her arms out stretched, crucifixion style. In reality, it’s a lot less dramatic than that, though through the decades I have seen more than a small number of confederate flags stuck to bumpers (and one full-size battle flag waving at me from the back of a pickup truck just a few months back). Cook has us as an R+3 district, meaning strong lean-Republican – NY22 went for Trump 55-39% in 2016, which is pretty lopsided even for us, though it suggests a solid 6% independent vote.

Who's intimidating whom?Our current Congress member, Claudia Tenney, won a three-way race with about 47% last Fall. Since her election, she has been a little hard to pin down. It took some weeks to open a district office in the Utica area – she blamed this on the bureaucracy, of course. Up until this week, Tenney has been knocking down any suggestion of holding a town hall-style meeting in the district, having seen what’s been happening to her colleagues. Her big announcement this past Wednesday was that she would call a town hall, though no announced date. Also, she says she’s been receiving threats. Well, welcome to being famous, Claudia. Anyone who raises their head above obscurity in this culture gets threatening emails, Tweets, posts, etc.

Like her colleagues in the House, she does not want to answer directly to constituents for the policies she has supported or plans to support, particularly the repeal of the Affordable Care Act (or “Obamacare”). When you hold one of these town halls, it’s hard to maintain the fiction that you actually care about what happens to people. And it is plainly that – a fiction. This whole “repeal and replace” line is their way of finessing a very harsh reality; namely that they are taking votes that will result in the loss of coverage for millions of Americans. I don’t just mean people who will be thrown off of their health insurance – I also mean people who will be subscribed to something that’s called “health insurance” but that, in fact, doesn’t cover anything. I had a policy like that, long before the ACA, and it was pretty awful.

Let’s face it: Tenney and her GOP colleagues only see the ACA as a political tool. Flawed as it is, it has, in fact, saved lives, and should be improved upon, not scrapped. If Tenney wants to do something for the people who sent her to Washington, she can start by concentrating on that.

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Crapucopea.

Not sure what to concentrate on this week for my rant, so I’ll break it up into bits.

Ukraine drama. I have heard endless reports on NPR and NBC about the Russian flag being raised above the Crimean capital and how much this is becoming like the bad old days of the Cold War. Much, too, has been made of Russian military exercises near the border of Ukraine, termed by the media as “provocative” – a word they no doubt borrowed from McCain or some other favored pol. Just rewind to their last reports about Korea and our planned military exercises there – did they use the same modifier? Didn’t think so. Not provocative in any wayThat potentially catastrophic confrontation-in-waiting apparently can withstand mock-invasions of North Korea and simulated bombing runs without being “provocative”. So, why are the Russian exercises any worse? If there’s a return to Cold War mentality, it’s on the part of our corporate media. (Most of our politicians have never left that particular ideological space.)

Arizona anti-gay bill. This notion of religious freedom, based on the dodgy concept of “who would Jesus refuse to serve,” is obviously based on a very skewed interpretation of Christian values – namely, tolerate no one different from you. That Jan Brewer vetoed it is no surprise. Why did it take her several days? Because the attention of the nation was on her for that stretch of time, and she was happy to bask in it – an art form the senior senator from her state has perfected over his decades in office.

Jobs and health. I’ve heard a number of reports about the CBO estimate of potential job losses related to the Affordable Care Act. These are mainly attributed to people who work specifically for a job related health care benefit choosing to opt out of the workforce. One economist / commentator I heard this morning suggested this might be a drag on the economy. But what, after all, is the economy? Is it metrics on productivity … or is it how well individuals are doing? When someone leaves a job they really don’t want, doesn’t that open a position for someone else? Should we really be chaining people to work and holding them hostage for the sake of health insurance coverage?

I think not.

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jp

Lies, etc.

The airwaves are thick with heated commentary on how President Obama overstated the simplicity of his signature health insurance legislation, popularly known as Obamacare. “If you like your health care plan, you can keep it,” was how the refrain went throughout his first term. It was an unqualified statement and, indeed, an emotionally potent oversimplification of the type we see in political rhetoric, I don’t know … how about all the time?

Right, so, he lied in the sense that what he said was not accurate for 100% of the people who have health insurance, 100% of the time. It is, however, accurate for about 95% of the people 100% of the time, and for the other 5%, only some of the time. If you have a super crappy individual health insurance plan with an enormous deductible and you signed onto Who lied about Obamacare? Seriously?it before implementation of the Affordable Care Act, sure, you can keep that dog – it’s grandfathered in. The insurance companies simply can’t continue selling those policies now that the law is in effect because – and this is important – THEY SUCK TOO BADLY, and because of that, they do not comply with the law.

To hear t.v. commentators of nearly every stripe talk about this, you would think individual life insurance is some kind of Eden from which subscribers are being exiled by pitchfork-wielding devils. Let me tell you, I spent many years in the private insurance market. I had a plan with Mutual of Omaha and one with Excellus BlueCross BlueShield. Mutual of Omaha paid for exactly nothing; the money went one way, from me to them. BCBS was mostly BS – I had a high deductible, as did my wife. I remember once going to my doctor because of a persistent cough, having to get some blood work, and being declared well. That cost me $500 (in 2005). My wife had an emergency room visit that came to $2,000. (She was fine, also.)

My point? Jon Stewart made it best. The people who are yelling “liar!” the loudest are the same ones that have been telling ridiculous lies about the ACA since its passage. In the liars hall of fame, Obama’s “never” clause ranks far behind “death panels” and not even in the same league as “Saddam Hussein has weapons of mass destruction.”

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Bugs in the system.

So the government’s Affordable Care Act web site doesn’t work. Does that surprise anyone? It’s a big, honking, outsourced engineering project that has had the budget axe swinging over it for the past three years. It’s been under constant threat of being defunded or declared unconstitutional, subjected to incessant political attack in Washington and around the country by a party dedicated to disabling it anyway that they can.

The fact is, the most dysfunctional part of the Affordable Care Act is Medicaid expansion, not because it doesn’t work but because half of the states in the union have refused to participate, even with 100% funding from the federal government. We hear so much about the Web site being a piece of shit (and rightfully so), and yet I don’t see anyone on the right wringing their hands over the fact that something like 7 million people, the vast Four star general in war on healthmajority of whom are working poor, will have no access to health coverage simply because the governors and legislatures in their state capitals are intent on making a political point. Throw needy (working!) families under the bus, and that’s fine. But build a buggy Web site? Unforgiveable!

It’s pretty clear, in fact, why Republicans are pulling the rug out from under their needy constituents. Chris Hayes interviewed an Ohio state representative on Wednesday night, and while the fellow tried his best to conceal his objection to Medicaid behind some blather about legislative process, he eventually got around to saying that Medicaid was a program people would get “locked into” because they would enjoy the benefit so much, it would be a disincentive for them to raise their standard of living to the point where they wouldn’t receive it anymore. Health coverage makes you lazy. The same old G.O.P. and conservative Democrat trope about welfare, still with us after all these years. They don’t like owning up to it, but it’s still there.

I have to say that this nationwide refusal by Republicans to sign on to Medicaid expansion is certainly one of the most craven domestic policy decisions I have witnessed in my adult life. Hearing them complain about a Web site would be laughable … if this were a laughting matter.

Once again – they’re the reason our kids are ugly.

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jp