Category Archives: HealthCare

Hospice Oversight

I’ve been using Countable for awhile now. Every now and then the notifications and articles go completely wrong on some subliminal level. Like this one, apparently asking me if the Feds found fraud in Hospice care,

Countable

[T]he report shows that sometimes, patient needs have been ignored.

For instance, it found that hospices provide significantly fewer services on the weekends than during the week. Patients’ pain levels don’t diminish over the weekend, raising concerns of inadequate pain management.

This can put patients at serious risk, because when they elect hospice care, they are waiving their right for Medicare payment for curative treatment. In some of the cases the report documents, patients were not even aware that they were being enrolled in hospice. – Countable, Feds Find Fraud and Flaws in Hospice Care

Not providing as much care on the weekends is a red flag for regulators in health industries. This is exactly the kinds of things that regulators (if they existed) would be empowered to investigate. It’s a good thing for these fraudulent operations that Republicans are against hospice existing in the first place. Their religious base doesn’t believe they’ll ever die or that bad things happen to good people. So they won’t be anxious to do anything more than shut all hospice down the way they want to shut Planned Parenthood down. But hospice is as essential as Planned Parenthood is, and we need there to be oversight of these facilities.

We also need people to recognize that end of life does occur, but let’s stick to problems we can solve. Starting with getting oversight in place so that the fraud is stopped. 

Vilified but Charitable?


Freakonomics, The Most Vilified Industry in America Is Also the Most Charitable

This episode of Freakonomics comes with a pre-made rebuttal that I was disturbed to discover that Dubner didn’t cop to at some point during the lengthy interview segments. That perfectly reasonable rebuttal takes this form; Since the pharmaceutical industry sets the value of their products independently, and since the vast majority of their generosity is quantified in the value of in-kind charitable donations of their drugs, their charity is really of their own creation. Large or small, high price or low, they dictate what that value is and they expect us to thank them for their generosity.

As if they couldn’t just alter the price of all the drugs they make to make them affordable in the eyes of every person who needs them, while at the same time not bankrupting the people who have to pay for their drugs out of their own pockets.  Heaven forbid they not milk every available dollar out of every unsuspecting customer while at the same time giving away a product at something closer to its actual value. This was a point that Dubner did make during one of the connective segments, but he never actually goes on to fully explain, that the value of in-kind charity is completely within the control of the manufacturer, rendering the reported numbers essentially meaningless.

Don’t get me wrong, here. I don’t want any of the Big Pharma conspiracy fantasists or the naturopathy profiteers they go to to think that I’m somehow on their side in this argument. The fact of the existence of the identifiable label Big Pharma Conspiracy proves that the pharmaceutical industry is unjustly vilified in the general public. It’s just that their insistence that they aren’t profiting to a maximal amount at the expense of the general public rings a little hollow when their prices are so demonstrably fluid in value.

How to Calculate the Federal Budget

I’ve gotten into several arguments over the years about what the US Federal Budget is and how it should be calculated. Planet Money tried to do a humorous take on the budget this week, and frankly, now I want to argue with them about it.


Here’s the problem with Planet Money‘s budget. Social Security and Medicare are paid for in advance with premiums like any other insurance program. So, the cost of their outlays should be (and are) on a separate ledger because (and this is the important bit) if the premiums do not cover the cost of outlays that is not the beneficiaries fault. The government must honor the rightful demands of beneficiaries or it will cease to serve any real purpose. The government will fail because the people who paid for benefits they won’t receive will make sure it comes crashing down.

The end of government is (again​, important) the real goal of those who call these program’s future into question. They want to end government and enjoy the knife & gunfire filled blessings of anarchy. Oh, who am I kidding? The brief period of anarchy involving nuclear physicists building hydrogen bombs for the highest bidder (at the point of a gun if necessary) before whatever form of life succeeds after humans are gone establishes their unquestioned rule of the planet. Here’s hoping that form of life is smarter than human life was.

The budget presented by the Planet Money Team is similar to this one,

You should immediately note that most of the budget is already spent, as in mandatory expenditures. These are the services that have already been paid for. The services that the average citizen can be said to expect from their government in this day and age. Access to healthcare. Insurance against disability. Assistance to families with dependent children. The latter being properly seen as investing in the future, something we don’t do nearly enough of. Something that the Orange Hate-Monkey‘s budget wants to do a lot less of.

The discretionary spending, the only part of government outlays that the currently sitting government should have any control over, looks like this;

As this image should make clear, the only thing that can be easily cut from these expenditures is the military. A military that we spend as much on as the next 9 countries combined. Now, we probably need a good portion of that to continue, but I’ve heard many people say over the years “we need those numbers to continue because they provide jobs for people who need them.”

Here’s a thought. How about we don’t spend money on new and better ways to destroy the world another ten times over? How about we just give the people working for the military the same amount of money but not require them to do any work. The soldiers, I mean. All of the poor, for that matter. I hear you saying “but what will they do to occupy their time?” Let them decide, or give them constructive advice on what kinds of things need done. Forestry and game observation. Construction of infrastructure in other countries as well as infrastructure in our own country.

Spend money on the future and not on the biggest, most glorious explosion ever seen in human history, a history ending nuclear holocaust. Food for thought.

I am a Patriot, and I Love My Country

“The first round of explosions has started.”  –  A July first Facebook status post.

I’m hoping the people who try to burn down our neighborhood every 4th of July will finally make friends in the country so they can go out there and frighten the wildlife. Either that or get someone to drive them downtown for the city’s fireworks display. My dogs hate the explosions and I haven’t celebrated independence day for almost a decade now. Between the dogs and my own disabilities, there is little sense in mucking up the air with burnt offerings to the gods of independence. All of us are dependent on somebody. Some of us are just more cognizant of this fact than others.

The episode of On the Media that was playing in my headphones when I started writing the reply to the above status post was topical for the looming July 4th holiday. A similar holiday also happens on July 1st in Canada. Canada is celebrating 150 years as a nation. Except they really aren’t. Celebrating, that is. Not in the way Americans would recognize.

“Canadians kinda don’t need [patriotism] we have hospitals” – Stephen Marche

Snark aside, there is something about the July 4th holiday and the near-manic manner in which it is celebrated that leaves the outside observer and likewise the cynic wondering “what do they have to celebrate?” With incomes at all-time lows for the average American, with poverty on the rise and the mega-rich in ownership of the entire US government; with popular denial of science leading to defunding of scientific ventures like the SSC, the international space station and the space program which in turn has led to Europe breaking new ground in science exploration over the last decade, one really wonders what it is about America that we really are celebrating.

I mean, we aren’t the free-ist. We aren’t the happiest. We aren’t the richest. The one thing you can put your finger on that we do better than anybody is build an impressively large military, spending more on our military than the next 8 countries combined. We pay a lot more for healthcare than any other country, and we get some of the shoddiest results from this overspending. We  consume the most. We throw away to most. We throw away so much usable stuff that there are countries whose economies are benefitted by buying our cast-offs and putting them to use.

I set this piece up with the chorus from Jackson Browne’s song I am a Patriot several years ago. Before Trump. Before Obama’s second term. That is how long I’ve been stewing on these ideas I’m putting down here, the conflict at the heart of America’s need to scream their love of themselves at the world. There is something really, horribly wrong with this picture.

I am a patriot
And I love my country
Because my country is all I know
I want to be with my family
The people who understand me
I’ve got nowhere else to go

This observation is at once achingly true and laughably simplistic, which is why this song rings true with me. Most people are patriots because, what else would you want them to be? Hate their lives and where they live? Who lives long in that state of mind? Not too many people. Consequently, everyone is a patriot and no one is, simultaneously. This is a truism just as everyone is as free as they want to be is a truism. Absolute freedom is to be released from constraint, to not have to eat or sleep or breath. Not have to feel pain or feel anything at all. Absolute freedom is death, to not know constraint of any kind. Are the enslaved then to blame for their own enslavement? Only if you believe death is a preferable state of being. Of non-being. Embracing freedom as a concept that can unite all people in the third verse is an acknowledgement of the universal appeal of these fuzzy concepts, and yet freedom is as indefinable as patriot in the real world.

So I don’t hate my country anymore than the next fellow. I just don’t understand why it is we in the US feel compelled to try to burn the whole place down every 4th of July. If I had to pick one thing, just one thing, that I thought was superior about the US, about America, I can give that answer without much thought. The best thing about our country is the first amendment to the constitution. Freedom of speech makes everything else possible, because the ability to form concepts and communicate them to another is possibly the most human thing we do. The most distinctive thing about us as living creatures. It is the first of the four freedoms for a reason.

That is why when the US fails to live up to the promise of the First Amendment, it can be so devastating to those caught in the crossfire. People like Aaron Copland.

“Copland’s scores and recordings were banned in hundreds of overseas libraries. Access officially denied.” – Sara Fishko Fishko Files

I recognized Fanfare For The Common Man as the inspirational music for Air Force One almost immediately. But then, I’m a movie buff as even a cursory reading of this blog should illustrate.

Every Independance Day for the past decade and more I have sat down and watched movies with The Wife. My go-to film is 1776 on laserdisc. I like this version better than the streamed or bluray offering because it is actually a statement on the divisive nature of American life.  Visible across the length of that film are splices and ink-marks and scissor cuts where Jack Warner at the direction of the Nixon White House cut scenes and whole songs from the film. Nixon didn’t approve of the apparent cowardice of the conservatives as portrayed in the play. Their stated willingness to allow others to risk so that they could preserve their wealth and security. The words may be placed in the mouths of the actors on the stage, but the sentiment of the time is beautifully captured in the verse of the songs, the fervor of John Adams, the melancholy of the (real) dispatches from George Washington in the field. Franklin’s open pragmatism. The feeling that America must be free to find her own destiny, not ruled over by Europeans intent on subjecting it for the purpose of profit for themselves, no matter the cost. This version speaks to me in my soul, the tension and conflict then and now. The pulls in different directions, to risk for the sake of principle, to recoil at the prospect of loss. This is life in the US and possibly life as it is throughout the world.

The Wife watches either ID4 or Live Free or Die Hard sometimes both of them. Over-the-top explosions, hammy one-liners and the good guys winning in the end. I think she shares more with the sentiment of the average American than I ever could just in her choice of movies. Nothing in life has ever been that simple for me, and maybe that’s the point. She seeks escape in her movies. I seek new ways of looking at the world and myself, insights that have never occurred to me before. That I haven’t driven her screaming mad in 30 years of life together is more a testament to her strength than it is to my willingness to compromise on what movies I will sit and watch repeatedly.

Bullshit is Bullshit.

Since January 20th I’ve been keeping a passing eye and ear on the news. Not really paying attention, just waiting for the talking heads and pundits to start clueing in on the new reality. Waiting for the former gatekeepers and news creators to understand the landscape in front of them. I’m beginning to think I am wasting my time. Every newscast, every podcast, every article I run across with few exceptions falls for the tasty bullshit offered rather than dig into the fabrication that they are being asked to consume and regurgitate for the public’s consumption.

The Muslim ban was one of the first things out of the gate 6 months ago, and it’s still being discussed. Removed, reissued, struck down again, and now the Supreme Court will be asked to weigh in on this xenophobic floating turd in the public drinking water. They’ll couch the destruction of Trump’s attempt to institute an unconstitutional ban on a specific religion in flowery rhetoric, or they’ll debase themselves before the power of the mob that His Electoral Highness is assembling to inflict his will on the unsuspecting public, but in the end the Muslim ban is bullshit just like everything that has been said about it is bullshit. Six months of bullshit about a policy that never had a chance of being real American law. It is a religious test. A muslim ban imposed by christians and their anti-christ Trump, just more of the christian persecution complex that has been on display since Reagan invited them into politics in 1980.

This is how demagogues rule. This is how democracies and republics dissolve. Listening to His Electoral Highness’ bullshit and reporting on it as fact is facilitating the dissolution of the country we have known and, from the perspective of the doddering old fool of the religious right agenda we should know so well by now, ushering in the theocratic government they are convinced will secure god’s blessing for America. But that is just one facet on the polished turd of Trump’s bullshit.

The border wall he announced after descending the flowing golden escalator to proclaim his candidacy, the border wall that will keep out the brown-skinned menace to the South of the US? That bullshit still isn’t a thing, either. It isn’t a thing because it can’t be done and the people along the border don’t even want it done. The Republicans in Texas, ever anxious to keep Tejanos subjected and divided, have embraced the xenophobic fear of the brown-skinned other that Trump embraced as a candidate, only to be stabbed in the back by the rogue force they got elected to the presidency. Texas cities aren’t even sanctuaries according to the Trump justice department. So the sanctuary cities fearmongering that the governor and the legislature spent months on and will spend millions defending amounts to exactly bullshit. Meaningless bullshit clogging up the airwaves, obscuring the real news.

For six years, six years, the Republicans have campaigned on repealing Obamacare, the moniker they hung on the ACA that Obama in one of his moments of wisdom embraced. Trump said they’d fix that day one. It didn’t happen day one, hasn’t happened yet six months later. The Republicans can’t agree on just how to hang themselves with their own rhetoric, so they fidget and hesitate and refuse to do much of anything of measureable impact. They passed a bill through the House that they know won’t pass the Senate, and the Bullshitter-in-Chief threw them a party on the White House lawn to celebrate their victory in doing absolutely nothing at all. Just the kind of thing a lover of bullshit like Trump would celebrate, of course. It doesn’t even matter that the non-plan doesn’t do any of the things he’s forgotten he promised on the campaign trail. It’s the celebration that counts.

Trump promised jobs? How is that lying, cheating scumbag going to create jobs? The only people who stay with him and make money are family and household staff. The only business partners that make money are the criminals who give him money to launder; and they only make money because he knows they’ll kill him if they don’t. Every single word I’ve heard him utter since he declared his intention to build casinos in Atlantic City and then shafted every single person who dared believe anything he said about the project has been bullshit. Look at them, the scattered carcases in his wake. The thousands of people he trickled down on as he was being golden showered himself. The people who are afraid to admit they fell for his bullshit all these years. The people who thought they’d get rich as part of the scheme only to be left holding the bag, paying the bill, after all the important people have checked out. Look at them, the wannabes still following him even now just hoping for a droplet of his time so that they too might be as lucky as he is, to be apparently worth billions all while truthfully being in hock to the eyeballs, afraid of his own shadow and spied on by his Russian bride. Risking everything on this one big final scam, running for president, hoping against hope that it just might turn out alright.

Every single media personality who reports on Trump secretly wants to be Trump. That is the thing they only admit to themselves when they are alone with their thoughts at three am wondering what they did wrong in their lives to end up where they are. They want to be famous like Trump. Charismatic like Trump. Able to pull crap out of their asses like Trump and have total strangers eat it up like cake. The lure of fame so commonly mistaken for infamy, especially in the world of reality television. It is a mark of pride for me, never having seen a single episode of the Apprentice. Never listening to Howard Stern or any of his thousands of imitators and so never consequently being trapped listening to Trump talk about himself. Never being a fan of David Letterman and so also missing him there. It was a blessing, when I could tune out the bullshit so easily.


Inequality Media, Know Your Trump Syndrome

So it goes, round and round and round with no end in sight. This is the goal of the bullshitter. They want to keep people distracted, try to wear out their attention so that when they finally look away in exhaustion the real goals can be pursued. Those goals vary from one bullshitter to the next. Most of them are selling something, and His Electoral Highness was one of those when he was a real estate developer. His bullshit serves a different purpose these days, but bullshit remains bullshit, and anything coming out of that mouth is bullshit, has always been bullshit. The mistake is in listening to what he says in the first place. Listening beyond the necessity to realize he needs to be removed from office and gathering the evidence to achieve that goal. All the reporting and amusement and outrage and even the disaffection and denial all serve the greater purpose that the bullshitter wants achieved so long as the media and his future prosecutors do not realize that ending his bullshit career is the only goal of merit. As long as he remains in play, in office and free to manipulate and profit, his bullshit serves the purpose he creates it for.

Stonekettle Station

Yesterday Robert Reich posted yet another in a series of posts detailing how the president is clearly unhinged and needs to be removed. Today Jim Wright over at Stonekettle Station brilliantly detailed how Trump’s Twitter bullshit remains without substance. I understand that it’s important to convince the people who support him to stop, but I really don’t think that his supporters are vulnerable to reasoned arguments from any quarter. It is far, far too late for that to be effective. We have white power being motivated to violence in the streets across the country, and no one is prosecuting them as we did the Black Panthers and Malcolm X in the 60’s . White supremacists are more powerful and more visible than they’ve ever been in my lifetime and I’ve been paying attention to politics from the inside and the outside since the mid-seventies. We are in a crisis point and I doubt there are very many people reading this that don’t already know this.

When His Electoral Highness intoned “The Media is the Enemy of the People” anyone with an understanding of history and the manipulation of society should have perked up and taken notice. This is a well-known tactic of demagogues and dictators. Discredit the press, make people uncertain of the truthfulness of what they read and hear,

“Part of his purpose there (attacking the press) is to make sure the news source they (his base) accept about Trump is Trump. If the press can’t find a way into that circle, then it really doesn’t matter what a ball they are having as they report on this playground of a White House.” – Jay Rosen, On The Media, Shiny Objects, May 11, 2017  (press think blog)

He is still speaking directly to his supporters, what the media calls his base and what I would refer to as preaching to the choir. He doesn’t care what anyone else thinks as long as his alt-right people stay loyal to him, his brownshirts in waiting. The equivalent to the Reichstag fire hasn’t occurred yet, but His Electoral Highness, the demagogue who serves as a stand-in for Hitler, Stalin, Pol Pot, Mussolini, etc, etc, etc, ad nauseum has been inducted into a leadership position he isn’t capable of executing in a legal fashion. His troops are marshalling now and it only remains for the catalyst to be introduced for the violence in his name and defense to start.

None of this comes as a surprise to me. I recognized the patterns if not the person quite some time ago. Wanting to avoid a Trump presidency is why I voted for Hillary Clinton, not that it did much good since everyone else appears to have stayed home.  Avoiding a Trump presidency is also why I warned everyone who read my blog at the end of last October about Trump and his backer’s true threat level. Apparently I wasn’t clear enough about the kind of violent, uninformed malcontents backing the con artist that was running against Hillary and the system itself, so I explained it more succinctly in a post and with a moniker I gave to Trump when he didn’t burn out as I (and he also) expected to – The Orange Hate-Monkey. Following that I explained the job of the electoral college, to the electoral college and then compared the GOP to their historical predecessors and then, when all else had failed, I explained why we as the owners of this entire mess should act to clean it up as quickly as possible, summed up in the archaic phrase Caveat Emptor. Caveat Emptor, a phrase everyone should be required to understand in this day and age.

I haven’t written much since then because, frankly, I’m waiting for everyone else to catch up. I’m beginning to get tired of waiting. The media still report on every bit of bullshit that passes his lips. They follow his Twitter feed slavishly. Parse his every utterance as if they contain pearls of wisdom. Why do they report these things as news? Surely after years of having to correct what he says, then he says differently, and then changes again, a journalist trained to verify facts would realize that the source is not reliable and find another source. But they don’t. They can’t stop themselves.

Economist: “Beyond that, it’s OK if the tax plan increases the deficit?”
Trump: “It is OK, because it won’t increase it for long. You may have two years where you’ll . . . you understand the expression ‘‘prime the pump”?”
Economist: “Yes.”
Trump: “We have to prime the pump.”
Economist: “It’s very Keynesian.”
Trump: “Have you heard that expression before, for this type of an event?”
Economist: “Priming the pump?”
Trump: “Yeah, have you heard it?”
Economist: “Yes.”
Trump: “Have you heard that expression used before? Because I haven’t heard it. I mean, I just . . . I came up with it a couple of days ago and I thought it was good. It’s what you have to do.”
Earth to Trump: The expression “priming the pump” has been used to refer to government spending that stimulates the economy since at least 1933. If you never heard it before your grasp of economics is below that of most Americans. If you think you made it up, your narcissism is fabulous. “Fabulous” is a word that has been used since 1658. You didn’t make that up, either.

Robert Reich, Facebook, May 12 at 3:41am

Stonekettle Station

He knows these things didn’t come from him. If he doesn’t then he really is as unhinged as most people think these days. It is bullshit; and all of the reporting on what he says simply promotes it. Dr. Reich is flabbergasted that Trump would admit he fired FBI Director Comey because he refused to end the Russia probes. Of course he fired Comey because of Russia. I didn’t believe he’d admit it himself initially, but why shouldn’t he? His base doesn’t believe the Russian conspiracy is real (and it may not be) but why should he care what he admits or what anyone reports? He knows he isn’t going to be hindered by what the media says or doesn’t say. He rules with the support of the mob at his back. The ever more violent white supremacists and malcontents, what we would call terrorists if we were being honest with ourselves. They put him in office and they intend to keep him there.


Waking Up With Sam Harris #79 -The Road to Tyranny
With Timothy Snyder and his book On Tyranny: Twenty Lessons from the Twentieth Century

Life is political, not because the world cares about how you feel, but because the world reacts to what you do” 

This is why the media needs to go cold turkey on their Trump addiction. This binge they’ve been on since almost two years ago now. They need to report facts instead of the touchy-feely bullshit that Trump spews every morning. Facts like his demonstrable theft of service business practices, just waiting to be revealed to the researcher willing to dig deep enough. Where are his tax returns? Now he’s going to release them after he leaves office? Who believes this bullshit? Show of hands? Nobody. He’s never going to release them, they will incriminate him and he knows this. Someone please produce them, so we can get on with the prosecution.

Facts like his complete allegiance to Putin and Russia. He dropped missiles on a Syrian airbase? Where is the outrage? Where are the official state protests? Where is Russia and Syria holding us to account for his act of war? What you hear instead is the sound of crickets chirping. Has the media grown so fatigued they don’t even notice the echoing chasm of a lack of quid pro quo, tit for tat, the kind of behavior that has historically always followed a strike like that? You won’t see it, because it was bullshit executed by the military at Trump’s request. No real effect, planes took off the next day from that base to strike the same targets they’d been striking the day before. In the end, the missile strike simply proved that even the things he does are bullshit, which is quite a feat in and of itself. To be ineffectual even when blowing things up and killing people. You have to be a world-class bullshitter to be able to pull off that level of bullshit.

On June twentieth we’ll have officially hit the six month mark in the Trump presidency. He has already gone on more vacations in 6 months than Obama did in 6 years. He’s produced less work than any other president at this point in his presidency, and his only successful acts have been to undo most of the progress made by President Obama in his last 6 months in office. His congress is on the path to produce less legislation than the last congress, which was the least productive congress in the history of the nation. This is what a constant stream of bullshit earns you. Lots of effort simply to lose ground. He’s made a lot of money over this past six months, though. That I can guarantee you without having to look at his ledger sheets, all of it at the expense of US citizenry and US international standing. Forfeiture of the American hegemony, the end of US international leadership.

I’m going back to Netflix now. I have House of Cards to catch up on. Yes, it’s tame by comparison to His Electoral Highness’ court intrigues, possibly even more believable, but I prefer distraction to watching the slow torture of the American spirit into something that I’d rather not be associated with. Someone wake me when the impeachment hearings start.

“Not even being president could give you any class.” – Spoken by the character Elizabeth Hale in House of Cards Season 4 Ep. “Chapter 40”

Trumpcare Dissected

I find it remarkable that Trump supporters like Steven Moore believe it’s possible to insure the sick and the poor without requiring any sacrifices from the healthy and wealthy. This is conservative rubbish. – Robert Reich on Facebook


RAWSTORY, WATCH: Robert Reich rips into conservative over his ‘specious’ math on Trumpcare

Conservatives and libertarians console themselves with the belief that the charitably minded will pay for required services. I heard that hand-waving excuse countless times when I was a libertarian. I half-believed it myself. The truth is that programs like Social Security, Medicare, Medicaid, etc were established precisely BECAUSE charity failed to take care of these people. That studies have shown the wealthy will not give as much to charity percentage-wise as the middle or even lower classes will. That it is a humanitarian principle that everyone contribute to public health and public welfare, for the benefit of us all.

This kind of civic-mindfulness needs to be re-established in America once again, because we have clearly lost our way. I even encounter professed liberals who do not agree that there shouldn’t be a thing called the working poor. That having a job means you should be able to afford to feed, house, clothe and tend to the health needs of your family. If liberals have lost sight of this grounding principle voiced by the most influential minds in the enlightenment, I fear we have even darker times ahead of us than we are currently living through.

Facebook status update backdated to the blog.

Death Panels?

Modern Eugenics?

And those states are going to let you die.

Yes, they are. They are going to do it for profit. They’re going to do it because they think you are a luxury. They going to do it because they can’t stand the thought of having to pay for some baby with a heart defect or somebody who’s HIV positive or somebody who has cancer or the mentally ill.

These are the REAL death panels, right here.

That is some Nazi shit. Literally. Aktion T4, the Nazi program to eliminate defectives. The people they considered “luxuries.” And don’t your forget for one minute that Eugenics began here in the US, the Nazis got the idea from US. When states were allowed to decide, they were perfectly happy to sterilize those they deemed unfit and less than perfect. Luxuries. – Stonekettle Station on Facebook

What this is, more than anything, is an underscoring of something I’ve known for a long, long time. Employers should be banned from inquiry into the health of any of its employees. Not only should they not be allowed to offer insurance of any kind, they should be forbidden to even ask, officially. My health is my business. Not the states’ business, and not my employer’s business. My business.

It all comes back to the problem of who pays for that for most people. This is what public health is established for. Public health’s job is to pay for the care that the individual cannot afford, or that requiring the individual to pay for reduces the application of good health practices.

If you want to pay less for healthcare as a society, you have to encourage people to seek health advice regularly. Get their injections. Get their screenings and checkups. There should be rewards for this behavior, not costs, because doing these things saves the public money. You never hear conservatives talk about these facts. Why? That’s a good question, one you will have to ask conservatives about. Jim hazards several answers to this question, several pointed answers. But in the end, conservatives will have to answer the question for themselves. Why do you think that individual health is anybody’s business aside from the individual?

Medicare for all is the only way to fix America’s healthcare problems. Medicare for all would move public health out of the commercial morass it has been in and make it tax funded as it always should have been. Require the government to negotiate for better prices from drug manufacturers rather than forbid them from negotiating as they currently are. It is time to stop this slide towards kleptocracy before we wake up and discover we live in Russia.

Facebook status backdated to the blog.

The Resistance; Tea Party Left?

New York Times

“I’m part of the resistance,” Hillary Clinton said today in an interview on CNN, in which she criticized Trump’s conduct in office, his foreign policy, and his penchant for posting on Twitter.

Last Sunday Joe Biden also sounded resistance themes in his visit to New Hampshire to rally Democrats.

I welcome Hillary Clinton and Joe Biden to the resistance.
But two gentle warnings:

1. The more the “resistance” sounds partisan, the less effective it will be – because it then allows Trump and his enablers to characterize as nothing more than the Democrats trying to regain power. In fact, it’s a people’s movement dedicated to protecting our Constitution and system of government from a dangerous sociopath.

2. The resistance is also more than just resistance to Trump. It must be resistance to the conditions that created Trump — which is as much the fault of the Democratic Party as the Republicans. Too many Democratic officials have aided and abetted a rigged economy, most of whose gains have gone to the top. Too many Democrats have sought big money from large corporations and Wall Street — money that has inundated and undermined our politics. The Democrats haven’t had the backbone to demand a hefty tax on the rich — including a wealth tax — to pay for what we need to do as a society, including better schools. And the Democratic Party still hasn’t had the guts to come out for a single-payer health care system.

Resisting Trump is necessary. But getting behind an agenda that takes back our economy and our democracy from the privileged and powerful is essential.

What do you think?Robert Reich on Facebook

The Tea Party started out the same way; controlled by independents, focused on reform. Look at them now. Support is welcome, but support is not leadership. Clinton especially needs to understand this distinction. We don’t want a repeat of 2016.

Medicare for all is a baseline measure, like a litmus test. Get behind it or go somewhere else. I would go further. Parties need to be de-emphasized as power brokers. This means an end to party primaries and an end to party controlled district drawing. It possibly means an end to the house as it has been known since the 435 rule was introduced. We want an electoral college that reflects popular will. That means more, smaller districts. We have to keep beating on this message until it sinks in.

More equal representation. More connection between representatives and their districts. An end to money primaries. An end to money as speech, or legislation that makes everyone a party to the current funding of elections through vouchers for contributions to elections.

Higher taxes on the wealthy. Universal Income. Medicare for all. I’m done playing around with half measures as proposals. If the conservatives can lead with “let the poor die for lack of care” then we should lead with make the wealthy care for the poor until they are no longer wealthy. We can then meet somewhere in the middle.

Facebook status backdated to the blog.

If It Bleeds, It Leads. Same as It Ever Was

For the last year and a half the media have fawned all over His Electoral Highness Donald J. Trump. They can’t stop talking about him. They can’t be kept from giving him airtime to talk about himself. Aside from Trump himself, his biggest fans are the media who think that what this lame duck of a leader says means anything at all. Because of the media’s fawning, I have been forced to spend the last two years ignoring everything Donald Trump says with their generous gift of free airtime. I ignore everything he says because listening to him is what he wants us to do. I ignore him because attempting to make sense of what he says makes me feel ill. I ignore him because listening to him demonstrably makes you dumber; the media being a prime example of people made stupid by the sound of Donald Trump’s voice.

The media’s free gift of airtime helped give him the momentum to take the electoral college if not the popular vote; and now they ask, why is America so divided? If anyone should know the answer to this question it should be the media, but I wouldn’t look to them to give you a truthful answer. Division is what they want. It sells. Conflict and violence always lead the news. The division they are trying to illustrate here is largely a matter of perception. The division is almost entirely of the media’s making, their policy of going with taglines that hype the separation, the division, the conflict,

There’s nothing new about simmering hostility between a President and the press. As Richard Nixon once stated, “The President should treat the press just as fairly as the press treats him.” 

In March of 1974, the Nixon presidency was lurching toward destruction by Watergate, and there was an ongoing tension between the President and the CBS White House correspondent:

President Nixon: “Are you running for something?”Dan Rather: “No, sir, Mr. President, are you?”

Norm Ornstein, a resident scholar at the American Enterprise Institute, was then, and remains now, a student of our political system and our media:

“We would watch network news shows and we would sit there and we would have basically a common set of facts that would emerge from them,” he said. “As we’ve moved to the new media world, the more you’ve got this cacophony of voices, the more you cut through it by, basically, shock value. And that’s why people now are driven not by their own attachment to their own parties; they’re driven by a hatred for those on the other side.” 

CBS News, The great divide: Politics in the Age of Trump

Much like Nixon ushered in the end of the Republican party that elected him, Trump signals the ultimate end of Reaganism and Reaganomics. There will be no possibility of doubt remaining as to the bankruptcy of Reagan’s policies by the time Trump is drummed out of office; policies which have held sway since Reagan was president. The question the media should be asking is, will the Democrats find themselves and their new direction, or will they waste their resurgence as they did with the Carter years? Let me unpack these observations for you.

The eight years of Clinton were not liberal years. The most damning thing to be said about Clinton is that he was and is Republican lite, conservative-ish. He ended welfare in the US because the conservatives demanded that he do it. Because it was something that Reagan promised and compromising with Reagan Democrats was how Bill Clinton got into office. Over and over again he proved that he wasn’t liberal in any real sense of the word. He was a conservative from the old Southern wing of Democratic conservatives who just happened to have married well. Without Hillary’s influence I am convinced he would have been even harder on the poor, even more militaristic than he was. Weirdly, I doubt that would have kept Republicans from manufacturing a scandal in their attempts to remove him.

Barack Obama was pretty close to liberal but still enacted conservative policies because conservative policies were the only ones that the conservatives in the congress he was saddled with would vaguely go for. Obamacare was and is Romneycare. That is why Romney had such a hard time dissing the ACA, because it was his idea offered by a Democratic president and he knew it. Obama was the deporter-in-Chief because, again, that is what conservatives wanted him to do. He was tough on immigration because he hoped it would win points with the other side of the aisle. Only in his last two years did he realize that Republicans would never work with him and so he spent those years ruling by executive order. The Republicans didn’t refuse to work for him because he was black if we are to take them at their word. they didn’t refuse because he was liberal because his policies prove otherwise. They refused to work with him because he was a Democrat.

The sin that Bill Clinton, Hillary Clinton and Barack Obama are all guilty of is the sin of being members of the Democratic party. If they had been Republicans they would have been deemed typical centrists willing to make deals in order to get the government’s work done. It is deal making that the new conservatives hate. They are convinced that there is a true conservative ideology and all they have to do is adhere to it. Never mind that no two conservatives can agree on what conservatism is aside from prosperity gospel Jesus, a completely different kind of Jesus than that socialist hippy Jesus of the seventies. That is religion masquerading as ideology which is all conservatism has left to appeal to, the shadow of religion that Reagan rode to power on.

None of this has anything to do with real ideology beyond the ghost of Reagan that even Reaganite priests can’t quote because Reagan was more liberal than the country is now. The ghost of Reagan and his trickle-down Reaganomics is why the tax rates on the wealthiest people in the US remain low. Anyone making more than a million dollars a year should be taxed at the confiscatory rate of 99% just as the progressive tax rates did during the post-war era. During the times when the middle class grew and the poor were not quite so desperate. Back when Jesus was a socialist hippy. They should be taxed at this extreme rate because they don’t spend more when they have more, so it benefits society not one bit to allow them to keep their incredible wealth.

The subject of monetary policy is too lengthy to get into here, but in the end upper income tax rates were lowered because the increased wealth was supposed to generate more benefits for the rest of us, and the reality we live in has demonstrably proven that the opposite is true. Ergo, some form of income cap has to be reinstituted. Either a scale requiring all boats be raised when the wealthy get paid more, or confiscatory taxes on pay greater than the scale would dictate.

So here we are at the tail-end of the Reagan era, just waiting for the Reagan Democrats to bleep their last heartbeat on the heart monitor they are strapped to before we can get on with progress. It has to be those people because they are the only ones left watching TV, getting their news from TV and from radio. Those are the people who went out and voted for Trump. Those are the people who in their political ignorance voted Republican not realizing that Republicans and conservatives ran everything in the country aside from the presidency already. Politically ignorant people who don’t understand that the president’s job isn’t to fix the country, that is the job of the congress. A job the congress is supposed to achieve through legislation and funding and programs to keep the myriad systems this country depends on running.

Unfortunately for the rest of us, conservatives have swallowed the anarchist notion that government doesn’t work. Republicans have echoed this falsehood because their base believes it, never questioning why they want to elect people to do jobs that they believe don’t need to be done. So it falls to the Democrats to make proposals for government that will work. It falls to them to prove that the poor can get a fair shake in this new America, that the wealthy don’t always get their way. Falls to the Democrats to propose the kinds of changes that populists on both sides of the aisle wanted and would get behind, because the Republicans and conservatives are too scared of socialism to even go someplace where government just might work. If the Democrats can do this, it will be the end of the Republicans for at least a generation.

What I don’t understand is how the media can’t see this happening? Why do they see fractiousness and faction rather than seeing what is really going on? The politically informed vs. the politically ignorant that gave us the current administration? Why can’t they see that they are Donald Trump’s biggest fans? Perhaps they can’t see it because they too are caught in a previous age. The age of the gate keeper and the top-down adminstrator. The feudal society of corporate America, what is fast becoming a corporate globalism. The history of dictators and their five year plans that never worked out. They are soon to be as irrelevant as the Reagan Democrats who will be cashing their last Social Security checks soon. Checking out as movers and shakers and left behind as the world starts dancing to a different beat.

The media and Reagan Democrats will be as baffled by the next election as they were by the last one, because they think the narrative is one they set, and not one that we the people decide.

I am the 99%

I know this photo is from 2011, part of the Occupy demonstrations that year. There were quite a few of these images released with the title “I am the 99 percent” about that time.

I reposted it today because of the events in Washington DC, where the congress and His Electoral Highness Donald J. Trump are trying to undo all the work done by President Obama. They are trying to repel the ACA which they nicknamed Obamacare specifically trying to denigrate his accomplishments and tar him with the failures of the policy they helped to shape. The ACA, deemed to be not going far enough by most Americans especially the ninety-nine percenters, and condemned as going too far by the most vocal minority segment (self-identified conservatives) of the electorate.

In what should have been an obvious if counter-intuitive turn, the same people who protested that Obama did not go far enough voted for what was popularly seen as the opposition party, the Republicans. However, what the Republicans are is the party that confined Obama to the minimum that he was able to do. What is now transpiring in Washington DC is what happens when fiscal conservatives who think they have a mandate propose doing exactly what the people who voted for them don’t want done. To the utter consternation of the public who doesn’t follow politics as maniacally as I do, the hardliners in the party think that this barbaric proposal they’ve dubbed the AHCA is not punishing enough. The hardliners want it to be more punishing on the poor, the sick and the disabled, the complete opposite of what the popular mandate was.

Candidate Trump in one of his only sane moments said he would protect Medicare and make sure that everyone had healthcare better than they did under Obamacare, the ACA. However, His Electoral Highness has also forgotten his own promises on the subject of healthcare in his efforts to rally the party that saw his stances of protecting Medicare and Social Security as being too liberal.

We now find ourselves caught in an example of the argumentum ad absurdum brought to life. The people who voted for one kind of change, people like the one in the image, discovering their representatives apparently do want to see them die in the streets after all. That the reason conservatives knew there were death panels in Obamacare was because they were planning on creating death panels themselves. Death panels staffed by health insurance insiders who want to protect their profits. I’d laugh at the absurdity of it, if only I weren’t so busy focusing on not giving in to vertigo.

When I stumbled across that image in my Facebook timeline for 2011, I was immediately struck by the notion that I could craft a similar statement. Mine would have to be computer printed like his because dysgraphia would make it take two days to write by hand. It would go something like this,

I worked for 30 years until my health failed me. Unable to sit or stand without pain or dizziness, move without assistance, constantly medicated, I faced a future where the only hope of seeing my family fed or for them to continue to have shelter was to apply for disability. The federal government refused to honor my claim for almost five years. They said I wasn’t really sick. They said I wasn’t an American. I had to proved that I was both before they would pay me anything even though I had faithfully paid my taxes for my entire life.

Now I must stay unemployed in order to keep my family fed and sheltered and keep my insurance, the only thing that allows me to live an almost normal life. In the meantime my wife and children do not qualify for aide because my disability payments amount to more income than is allowed for the poor to make and still qualify for benefits. I have better care with Medicare than any of them receive even though they live in my house and must subsist off of the meager payments the government provides for my disability.

I am the 99%

 If you voted for Republicans in the last election what happens next to people like me, people like him, will be entirely your fault. Think about that the next time you are tempted to complain about your taxes, or to vote for people who promise to save you money by taking a lifeline away from other people. You could well be me one day. Probably will be.

While the current word is that the AHCA is dead, we should never forget that the hardest of the hardliners, the most conservative of the conservatives, the ludicrously named Freedom Caucus, refused to vote for it because it didn’t strip enough benefits from the poor, the sick and the disabled. Think about that the next time you go to vote.


As of this writing, the Senate has postponed their version of the AHCA (which finally did pass the House, a meaningless achievement that they still celebrated on the White House lawn) it won’t come up for a vote until after the July 4th holiday. If there is any justice in this world, it will never be voted upon at all. It is a waste of time, a waste of lives and a waste of fortunes. What needs to happen now is Medicare for all, a basic level of coverage that every American chips in for, so that everyone pays into the system that we need when we get sick, and all of us will be sick at some point in our lives.

I am currently on Medicare and having the least trouble I’ve ever had getting my health problems tended to. Sadly, becoming chronically ill appears to have improved my overall health. That is what making your health a non-commodity will do for you. Make you healthier.