Healthcare, health policy, cognitive science. , and the path to Universal Healthcare..
It speaks for itself…
LINDSTROM, Minn. — Ki Gulbranson owns a logo apparel shop, deals in jewelry on the side and referees youth soccer games. He makes about $39,000 a year and wants you to know that he does not need any help from the federal government.
He says that too many Americans lean on taxpayers rather than living within their means. He supports politicians who promise to cut government spending. In 2010, he printed T-shirts for the Tea Party campaign of a neighbor, Chip Cravaack, who ousted this region’s long-serving Democratic congressman.
Yet this year, as in each of the past three years, Mr. Gulbranson, 57, is counting on a payment of several thousand dollars from the federal government, a subsidy for working families called the earned-income tax credit. He has signed up his three school-age children to eat free breakfast and lunch at federal expense. And Medicare paid for his mother, 88, to have hip surgery twice.
Even Critics of Safety Net Increasingly Depend on It – NYTimes.com
The Obama administration’s proposed cuts to Medicare Advantage plans — the private insurance plans that cover almost 30 percent of all Medicare beneficiaries — are fair and reasonable. As it happens, they are also mandated by law. Yet Republicans, sensing a campaign issue, are telling older and disabled Americans that the administration is “raiding Medicare Advantage to pay for Obamacare.” The health insurance industry, for its part, is warning that enrollees will suffer higher premiums, lower benefits and fewer choices among doctors if the cuts go into force.
Some of this could in fact happen, although the industry has cried wolf before and continues to thrive. But the key point is this: Over the past decade, enrollees in Medicare Advantage have received lots of extra benefits, thanks to unjustified federal subsidies to the insurance companies. Now they will have to do with somewhat less, unless the insurers are willing to absorb the cuts while maintaining benefits. Enrollment in these private plans, offered by companies like UnitedHealth and Humana, has more than doubled since 2006, in part because of lower premiums and extra benefits, like gym memberships, that are not included in traditional fee-for-service Medicare.
It’s hard to remember a time when a major political party and its media arm were so actively rooting for fellow Americans to lose. When the first attempt by the United States to launch a satellite into orbit, in 1957, ended in disaster, did Democrats start to cheer, and unify to stop a space program in its infancy? Or, when Medicare got off to a confusing start, did Republicans of the mid-1960s wrap their entire political future around a campaign to deny government-run health care to the elderly?
Of course not. But for the entity of the Obama era, Republicans have consistently been cheerleaders for failure. They rooted for the economic recovery to sputter, for gas prices to spike, the job market to crater, the rescue of the American automobile industry to fall apart.
I get it. This organized schadenfreude goes back to the dawn of Obama’s presidency, when Rush Limbaugh, later joined by Senator Mitch McConnell, said their No. 1 goal was for the president to fail. A CNN poll in 2010 found 61 percent of Republicans hoping Obama would fail (versus only 27 percent among all Americans).
Wish granted, mission accomplished. Obama has failed — that is, if you judge by his tanking poll numbers. But does this collapse in approval have to mean that the last best chance for expanding health care for millions of Americans must fail as well?
Does this mean we throw in the towel, and return to a status quo in which insurance companies routinely cancel policies, deny health care to people with pre-existing conditions and have their own death panel treatment for patients who reach a cap in medical benefits?
“I have agreed to give this talk today because I am still amazed at how much misunderstanding there is about the current system of health care, how it works, how it compares with what other people in other countries pay for health care,” Mr. Clinton told the crowd assembled in a hall around the corner from a montage of black-and-white photographs of the 1992 presidential campaign. The audience of about 250 included Gov. Mike Beebe, a Democrat, and Speaker Davy Carter of the Legislature and Michael Lamoureux, president of the State Senate, both Republicans.
Despite the bipartisan show, health care is a contentious topic in Arkansas politics that conservatives have seized on in local campaigns. Mr. Pryor did not attend the event for risk of being too closely associated with the health care law, according to one person with knowledge of his plans, but who was not authorized to discuss them publicly. A campaign spokesman has said that Mr. Pryor had a scheduling conflict.
With the new insurance markets set to open on Oct. 1 for an initial six-month enrollment period, the White House has asked cabinet officers and other presidential appointees to step up efforts to promote the law. The administration has also recruited actors and entertainers and is seeking athletes and disc jockeys to whip up enthusiasm. Last week, the singer Katy Perry retweeted a Twitter post from President Obama encouraging young people to sign up for coverage. He responded, “Thanks for spreading the word.”
Mr. Clinton’s speech, which the White House broadcast live on its Web site, was not the first time that the former president, whose own attempt to sell a universal health care law failed drastically in his first term, has stepped into the debate over the new law. At the Democratic National Convention last September, Mr. Clinton delivered an endorsement of Mr. Obama that included concrete, well-received explanations of his policies, including on health care. That speech in particular signaled to the White House that Mr. Clinton could be an effective surrogate to sell the highly complicated Affordable Care Act.
On Wednesday, the former president carefully laid out Mr. Obama’s plan without delving into politics. But his mere involvement in selling the law provides him with a platform to reframe the failed battles of “Hillarycare” from his own administration.
“It would not be in her interest to be running for president and have this be a huge controversial issue in 2016,” said Robert J. Blendon, a professor of health policy at Harvard who closely follows public opinion of the law. “The Clintons have a lot of interest in getting this up and working and making it a legacy for the Democratic side.”
Reading glasses perched on his nose, Mr. Clinton struck a professorial tone as he explained in extensive detail the intricacies of the act. He laid out who would qualify for federal subsidies to help pay for the cost of coverage through the new markets and even ticked off Web addresses and phone numbers where Americans could find information.
Clinton Urges Americans to Sign Up for Health Care Exchanges – NYTimes.com
Hurray for Health Reform – NYTimes.com: It’s said that you can judge a man by the quality of his enemies. If the same principle applies to legislation, the Affordable Care Act — which was signed into law two years ago, but for the most part has yet to take effect — sits in a place of high honor.
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The Long Con: Mail-order conservatism | Rick Perlstein | The Baffler
Ever wonder why right wing talk sponsors are so loyal?
In 2007, I signed on to the email lists of several influential magazines on the right, among them Townhall, which operates under the auspices of evangelical Stuart Epperson’s Salem Communications; Newsmax, the organ more responsible than any other for drumming up the hysteria that culminated in the impeachment of Bill Clinton; and Human Events, one of Ronald Reagan’s favorite publications. The exercise turned out to be far more revealing than I expected. Via the battery of promotional appeals that overran my email inbox, I mainlined a right-wing id that was invisible to readers who encounter conservative opinion at face value.
Subscriber lists to ideological organs are pure gold to the third-party interests who rent them as catchments for potential customers. Who better suits a marketing strategy than a group that voluntarily organizes itself according to their most passionately shared beliefs? That’s why, for instance, the other day I (and probably you) got an advertisement by way of liberal magazine The American Prospect seeking donations to Mercy Corps, a charity that helps starving children in the Third World. But back when I was getting emails every day from Newsmax and Townhall, the come-ons were a little bit different.
Dear Reader, I’m going to tell you something, but you must promise to keep it quiet. You have to understand that the “elite”would not be at all happy with me if they knew what I was about to tell you. That’s why we have to tread carefully. You see, while most people are paying attention to the stock market, the banks, brokerages and big institutions have their money somewhere else . . . [in] what I call the hidden money mountain . . . All you have to know is the insider’s code (which I’ll tell you) and you could make an extra $6,000 every single month.
Soon after reading that, I learned of the“23-Cent Heart Miracle,” the one “Washington, the medical industry, and drug companies REFUSE to tell you about.” (Why would they? They’d just be leaving money on the table: “I was scheduled for open heart surgery when I read about your product,” read one of the testimonials. “I started taking it and now six months have passed and I haven’t had open-heart surgery.”) Then came news of the oilfield in the placenta.
“Dear NewsMax Reader,” this appeal began, leaving no doubt that whatever trust that publication had built with its followers was being rented out wholesale. “Please find below a special message from our sponsor, James Davidson, Editor of Outside the Box. He has some important information to share with you.”
Here’s the information in question: “If you have shied away from profiting from the immense promise of stem cells to treat disease because of moral concern over extracting stem cells from fetal tissue, pay close attention. You can now invest with a clear conscience. An Israeli entrepreneur, Zami Aberman, has discovered‘an oilfield in the placenta.’ His little company, Pluristem Life Systems (OTCBB: PLRS) has made a discovery which is potentially more valuable than Prudhoe Bay.”
Davidson concluded by proposing the lucky investor purchase a position of 83,000 shares of PLRS for the low, low price of twelve cents each. If you act now, Davidson explained, your $10,000 outlay “could bring you a profit of more than a quarter of a million dollars.”
Not long after I let the magic of the placenta-based oilfield sink in, I got another pitch, this one courtesy of the webmasters handling the Human Events mailing list and headed “The Trouble with Get-Rich-Quick Schemes.” Perhaps I’m a little gullible myself; for a couple of seconds, I believed the esteemed Reagan-era policy handbook might be sending out a useful consumer advisory to its readers, an investigative guide to the phony get-rich-quick schemes caroming around the right-leaning opinion-sphere. But that hasty assumption proved sadly mistaken, presuming as it did that the proprietors of outfits likeHuman Events respect their readers. Instead, this was a come-on for something called“INSTANT INTERNET INCOME”—the chance at last to “put an end to your financial worries . . . permanently erase your debts . . . pay cash for the things you want . . . create a secure, enjoyable retirement for yourself . . . give your family the abundant lifestyle they so richly deserve.”
Partisanship guides American attitudes on health-care reform
Predictably, individual views on the law’s effects — for good or ill — also fell along party lines. Twenty-two percent of Democrats say the ACA has had an overall positive effect on their lives, compared to only 4 percent of Republicans. Similarly, 42 percent of Republicans deem the overall effect as negative, compared with 9 percent of Democrats.
“Republicans are much more likely to see negative effects of the ACA, including some effects (increased taxes or a decline in quality of care) which are almost certainly not linked to the Affordable Care Act,” Taylor said. “Democrats tend to see positive effects that [also] may be real or imagined.”
Although the poll numbers appear mixed, Ron Pollack, executive director of Families USA in Washington, D.C., believes that public attitudes will lean more toward the positive as 2014 approaches and more of the law’s key elements are enacted.
I am a job creator: A manifesto for the entitled – The Washington Post
I am the misunderstood superhero of American capitalism, single-handedly creating wealth and prosperity despite all the obstacles put in my way by employees, government and the media.
I am a job creator and I am entitled.
I am entitled to complain about the economy even when my stock price, my portfolio and my profits are at record levels.
I am entitled to a healthy and well-educated workforce, a modern and efficient transportation system and protection for my person and property, just as I am entitled to demonize the government workers who provide them.
I am entitled to complain bitterly about taxes that are always too high, even when they are at record lows.
I am entitled to a judicial system that efficiently enforces contracts and legal obligations on customers, suppliers and employees but does not afford them the same right in return.
I am entitled to complain about the poor quality of service provided by government agencies even as I leave my own customers on hold for 35 minutes while repeatedly telling them how important their call is.
I am entitled to a compensation package that is above average for my company’s size and industry, reflecting the company’s aspirations if not its performance.
I am entitled to have the company pay for breakfasts and lunches, a luxury car and private jet travel, my country club dues and home security systems, box seats to all major sporting events, a pension equal to my current salary and a full package of insurance — life, health, dental, disability and long-term care — through retirement.
There’s lots more and it is all dead on!