Archive for category Health Care
While making another lame attempt to politicize Ebola, Utah’s own Rep. Jason Chaffetz accidentally brought up a serious issue. Acceding to Tea-GOP demands for an “Ebola czar” to address a nonexistent national crisis, President Obama appointed Ron Klain, a former chief-of-staff to Vice President Joe Biden. Did that make the right-wing happy? Not a chance.
Via Think Progress (emphasis added):
On Wednesday, Rep. Jason Chaffetz (R-UT) appeared on Fox News to complain that Klain had not yet agreed to testify before Congress, firing another criticism at the White House. “Why not have the surgeon general head this up?” Chaffetz said, adding, “at least you have someone who has a medical background who has been confirmed by the United States Senate, that’s where we should be actually I think going.”
But Obama can’t appoint the Surgeon General to lead the Ebola response because his nominee, Dr. Vivek Murthy, is being opposed by the National Rifle Association and Republican senators (as well as a few Democrats) for supporting the expansion of background checks during gun purchases. In February, Sen. Rand Paul (R-KY) officially placed a hold on the nomination.
Chaffetz seemed unaware of this wrinkle during his Fox interview, and his office would not return repeated requests for comment…
We don’t have a Surgeon General because Dr. Murthy’s nomination has been blocked for the past year by Rep. Chaffetz’s party.
Media Matters offers a four and a half minute compilation of how right-wing media have been trying to spread unfounded hysteria and conspiracy theories about Ebola. Apparently it’s just part of the GOTV operation to make sure all the wingers show up at the polls on November 4. It’s hyper-partisan politics as usual, and the good of our nation and the world is not even a consideration.
Sure, FOX news gets away with blatant racism and nobody bats an eye because it’s just part of their act, but they are not alone in their uncompassionate reporting on the thousands of people currently suffering from Ebola.
…We speculate endlessly over the fictionalized and sensationalized prospects of an epidemic that will never become a legitimate threat within the US, but no one finds the time to even mention the horror that must face the individuals, the families, the health care workers and the citizens of an impoverished country who are slowly watching this unspeakably devastating disease spread within their midst. For the moment, we are too busy asking ourselves, “What does this Ebola outbreak mean for me and my life?” instead of the questions we should be asking, such as “How can we as a global community best act to stop this terrible disease everywhere?”
So whether anchors are talking about travel bans for everyone and anyone coming from West Africa, or discussing the domestic “Ebola epidemic” in regards to the few cases we’ve had in the U.S., it is important to realize that it is all just well-disguised racism and Western exceptionalism being paraded around under the banner of “national security.”…
The Ebola Truthers Have Arrived and Their Conspiracy Theories Are Completely Insane
POLITICO poll: Democrats in danger over Ebola
Poll: Majority Of Americans Worried About U.S. Ebola Outbreak
Gallup: One-Fifth of Americans Worry About Getting Ebola (Those would be the regular Faux News Channel viewers)
Politicians Who Say ‘I’m Not A Scientist’ On Climate Offer Their Advice On Ebola There is a method to the madness: Tea-GOPers always reject science when it runs counter to their political interests of the moment.
A guy shows up in the ER, has symptoms of Ebola, and says he just came from Liberia. But from the hospital’s point of view, the most important fact about this patient is he has no health insurance!
On Friday, Sept. 25, 2014, my uncle Thomas Eric Duncan went to Texas Health Presbyterian Hospital Dallas. He had a high fever and stomach pains. He told the nurse he had recently been in Liberia. But he was a man of color with no health insurance and no means to pay for treatment, so within hours he was released with some antibiotics and Tylenol.
…Thomas Eric Duncan was a victim of a broken system.
Of course, we know how this story ends. Mr. Duncan became the first person to die from Ebola in America. The whole letter is worth reading.
Isn’t it astounding to learn that 13 years after the 9/11 attacks and Anthrax, out of all the hospitals in the entire USA there are just four level 4 biohazard facilities with a combined capacity to handle nine (9) Ebola patients at a time? Right now four of those beds are occupied, and there are five available. Didn’t anybody see “Contagion” (2011)?
Why don’t the cable news channels report that the Tea-GOP cut NIH funding, delaying the development of an Ebola vaccine? This is not something Big Pharma cares about, because they make their biggest profits from drugs that treat long-term chronic diseases, not epidemics that kill people (especially poor people in Africa).
Finally, where is our nation’s Surgeon General during all this? Oh that’s right, we don’t have one because the Tea-GOP has been blocking the nomination of Vivek Murthy for the past year.
I’m a Hazmat-Trained Hospital Worker: Here’s What No One Is Telling You About Ebola
11 People Who Should Really Shut Up About Ebola
The Smoking Ebola Gun: Rand Paul’s Senate Hold Is Why The Nation Has No Surgeon General
It’s always there, the lack of empathy on the part of right-wing extremists. We all remember the GOP presidential debate audience that cheered for letting people die without health insurance. More recently, we’ve seen an eruption of fear and hatred on the right directed at children fleeing the violence in some Central American countries.
Today we have the story of a California man who came home and discovered two burglars in his house.
“The lady, she couldn’t run as fast as the man, so I shot her in the back twice,” Greer explained. “She’s dead, but he got away.”
“She says, ‘Don’t shoot me, I’m pregnant! I’m going to have a baby!’ And I shot her anyway,” Greer said.
John Amato attempted to explain the “vile behavior” of wingers as an effort to emulate their heroes, the rich:
The thing about right-wing populism is that it’s manifestly self-defeating: those who stand to primarily benefit from this ideology are the wealthy, which is why they so willingly underwrite it. It might, in fact, more accurately be called “sucker populism.”
The 1 Percent want to keep us afraid, desperate, and divided by ignorance and prejudice. Otherwise, Americans might decide to blame Wall Street for crashing our economy. We might demand an end to pointless wars, or want to get rid of tax laws that are unfair to the middle class. We might realize that government health insurance is the best kind. Who knows, we might even want other good things from government such as infrastructure improvements, Internet access, cheap renewable energy programs…
California 80-year-old satisfied after gunning down fleeing pregnant home intruder
Hey, gun nuts: Shooting someone who is running away in the back is not self-defense
Fox hosts outraged that Texas 911 operators are ‘forced’ to help dying non-English speakers
Tea Party town hall erupts as Texas state Rep urges ‘compassion’ for migrant kids
The original title given to this petition is “Tell Obama: ACA’s A Scam, We Need Medicare For All.” However, I strongly suspect President Obama knows it’s a scam. [Note: the article excerpted below was written by Dr. Margaret Flowers, not by me – the whole thing is worth reading (emphasis added)]:
I am currently uninsured, so I have to make a choice. I don’t qualify for Medicaid and I’m too young for Medicare. By law, I am required to buy private insurance or pay a penalty. But I find myself in the position of not being able to do either. I can’t in good conscience give money to the health insurance industry that I am fighting to eliminate. And I can’t in good conscience pay a tax penalty that will be given to that industry. So, I am going to be a Conscientious Objector to the ACA.
…The mass media and politicians are constantly talking about the health care marketplace. We are being indoctrinated with market rhetoric. Patients are called consumers and health insurance plans are called products. The problem with this is that health care doesn’t belong in the marketplace whose logic dictates that care should be denied if a profit cannot be made. Health care is a public good and something that everyone needs throughout their lifetime.
…The industry spent tremendous amounts of money and time to get a law that would force people to buy insurance in order to protect and enhance their assets. They want everyone to buy their products and to make people feel reckless or irresponsible if they don’t. This is a massive campaign to distract people from asking the questions that really matter, such as whether people with insurance will be able to afford health care, whether bankruptcies from medical debt will continue and whether overall health outcomes will improve.
In the United States, having health insurance does not guarantee access to necessary health care. In fact, rather than creating health security, the ACA is degrading health care coverage in the U.S. It is also creating the largest transfer of public dollars to a private industry ever, as UNITE HERE reports “most of the ACA’s $965 billion in subsidies will go directly to commercial insurance companies.”
…It is essential to remember that nothing about the basic business model of insurance companies has changed. They exist to make a profit and they are very good at it. While they complain about the ACA, because its regulations require more work on their end to find ways around them, it has been very lucrative for them. Health insurance stock values have doubled since the law passed in 2010.
…The solution to the ongoing health care crisis is obvious. We need to reverse direction completely and move to a national publicly-funded health insurance for everyone. Some call this a single payer or ‘Medicare for all’ plan. We are already spending enough on health care in the U.S. to provide high quality care to everyone.
Sign the petition if you are opting out of the ACA private for-profit insurance mandate.
Bill Maher points out the obvious- Democrats are mostly political invertebrates, and they are headed for a disaster this November if they don’t find some courage.
“When a Tea Partyer says Obamacare is a government takeover, say ‘I wish!’ Because that would mean Medicare for All. And you know, Medicare is hugely popular in America. So let’s see — getting behind something that’s hugely popular, for all… No, too hard a sell.”
Also, Jimmy Carter was right about energy and so much else. Why are Dems ashamed of him?
Let’s recall that President Obama dragged his feet for more than four years before putting solar panels back on the White House — because he didn’t want Faux News Channel to compare him to President Carter.
Gary Herbert is the governor of Utah. Many fast food workers are moments away from having to spend more then they can afford to get any healthcare. Maybe I missed it, but I haven’t seen our governor out there every day to promote his plan to give them the Medicaid plan that might save their lives.
It’s probably too late to prevent the fast-food workers from signing up for the plan, even if Herbert came clean and rejected the Republican plan to oppose Obama at any cost.
Americans shouldn’t have to give up everything they have if they get sick. We should care for our fellow veterans and people by paying taxes. Grover Norquist can go to hell.
We need single-payer healthcare; NOT something that was dreamed up by the “Heritage Foundation”, or the “Americans For Tax Reform”. We need REAL organizations in our country, but who has time?
Update: I changed the post a little, because I have procrastinated on signing up for Obamacare, and it actually looks pretty darn good. I would still prefer single-payer, of course.
Update: I take it back! They are saying that Obamacare is working now, but I can tell you it isn’t! I have spent ten hours listening to music that fades out and skips like a broken record. Maybe I should have told them I was 22 instead of 62, but I can’t get through.
First from The Commonwealth Fund:
In 2013, more than one-third (37%) of U.S. adults went without recommended care, did not see a doctor when they were sick, or failed to fill prescriptions because of costs, compared with as few as 4 percent to 6 percent in the United Kingdom and Sweden.
And the second from JDI conservative Andrew Sullivan:
When a private sector system means you have ten times as many people failing to get basic treatment as in Britain’s uber-socialized NHS, you realize just how great the market failure is. I’m all for markets, but the facts seem to me to reveal that in healthcare, they are toxic to most people’s actual, you know, health. In what other area does socialism work so much better than capitalism? Isn’t that a first order question conservatives should address?.
The US healthcare system is a grotequely expensive disaster; plagued with inefficiencies, disconnected from the needs and wants of patients, distorted by massively misaligned priorities and goals, it consumes vast amounts of our national wealth without delivering corresponding benefits. More and more, it seems to me that healthcare and defense are exemplars of American dysfunction. Delivering sub-par outcomes in exchange for exorbitant amounts of money, driven by fear and a deep-seated mindset of scarcity, both healthcare and defense are expressions of American’s sense of vulnerability. We overspend on defense to keep us safe against military and other threats and we overspend on healthcare in a frantic desire for wellness. In both cases, our actions undermine our goals.
One of the challenges in managing health care costs is the way in which they’re distributed across the population.
According to the Agency on Healthcare Research and Quality, in any year 5% of the population accounts for 50% of health care expenditures, the top 10% of health care users account for 64% of overall spending. In any given year, 50% of the population accounts for only 3% of overall health care spending. To put it another way, 50% of the population accounts for 97% of health care spending. These numbers have been relatively stable since the 1970s. Half the population is responsible for a negligible portion of overall healthcare spending in any given year.
Who are the 5% that spends half the health care dollars in any year? They are persons with cancer, heart disease, pulmonary disease, mood disorders, and trauma.
To put it another way, healthcare spending is concentrated on a small portion of the population during any given year. The problem in managing health care costs whether it’s at a personal level or at the national level is their unpredictability.
We don’t know which persons are going to be in accidents or be diagnosed with cancer or heart disease in any given year. In our system, even persons without insurance, receive treatment; given the massive costs of the big five, those persons are likely going to not be able to pay the bills. So they get spread to the rest of us in the least efficient way possible.
Many of the individual plans that have caused the brouhaha about their cancellation don’t meet ACA minimum coverage standards. That’s why they’re being cancelled. At a consumer level, they were crappy products – people paid for them and got little for them in return. The reason the ACA established minimum levels of coverage was simply because people with inadequate health insurance are a lot like people without any health insurance.
Via TPM (emphasis added):
The Medicaid expansion field is tentatively set for 2014, and the nation is split down the middle: 25 states (plus D.C.) are expanding, and 25 states are not, according to the Kaiser Family Foundation.
… according to the foundation, 4.8 million Americans won’t be covered as the law intended in those non-expanding states. They don’t qualify for Medicaid now, but would have under the expansion, and they don’t make enough money to qualify for financial help to buy private coverage.
States with either a Republican governor or a GOP-controlled chamber in the legislature (or both) are opting out. In Utah, 57,850 people will not get health coverage due to the lack of Medicaid expansion. In Texas, the number will be 1,046,430.
Senator Rafael (“Ted”) Cruz (R-TX), yesterday:
“Obamacare is reducing health care options, increasing costs and hurting jobs. It has no place in Texas and must be repealed so we can empower Americans and their families by offering real health care choices rather than a government-written menu of plans they don’t want and can’t afford.
President Obama should take his broken promises tour elsewhere so Texans can continue focusing on the solutions that have allowed our state to become and remain the nation’s economic and job creation powerhouse.”
Texas needs health care reform more than any other state. In addition to having the highest rate of people without health insurance in the nation, Texas also has the largest number of children without health insurance and the highest rate of poor adults without health insurance.
Therefore, it’s fair to ask if Senator Cruz has his own health care plan that’s better than the ACA. Actually, he does! Through his wife’s employer, Goldman Sachs, he’s enrolled in a fabulous health insurance policy worth at least $20,000 per year, including an $8,500/year federal subsidy.
Oh, you wanted to know if Senator Cruz has come up with a better health care plan for ordinary Americans? No, nothing.
But the sabotage is a story, too. A huge one. It’s almost without precedent in American history, and the precedent it does have includes some of the ugliest chapters in this nation’s history. It gets coverage, yes. But not nearly the coverage it deserves. As is so often the case—as with Benghazi, as with Fast and Furious, as with the IRS—the bigger scandal is on the Republican side.
What’s that precedent?
. . . to find obstinacy like this, you have to go back, yes, to the pre-Civil War era. The tariff of 1828, the Kansas-Nebraska Act, which led to the civil war in “Bloody Kansas” and ultimately to the Civil War itself. Not comforting thought. But it’s where we are.
The biggest story is from Politico.
Then, in the months leading up to the program’s debut, some states refused to do anything at all to educate the public about the law. And congressional Republicans sent so many burdensome queries to local hospitals and nonprofits gearing up to help consumers navigate the new system face-to-face that at least two such groups returned their federal grants and gave up the effort. When the White House let it be known last summer that it was in talks with the National Football League to enlist star athletes to help promote the law, the Senate’s top two Republicans sent the league an ominous letter wondering why it would “risk damaging its inclusive and apolitical brand.” The NFL backed off.
It just gets worse and worse, Tomasky:
Now, with people trying to sign up, some Republican legislators are openly saying that they won’t permit their staffs to answer constituents’ questions about Obamacare. This is really the main job of a member of Congress, especially a House member: People call up all the time with questions about how to slice their way through the federal government’s briar patches, and you have caseworkers on duty—typically a couple in Washington and several more back home in the district regional offices—whose job is exactly that.
Purdum quoted Kansas Rep. Tim Huelskamp as saying he instructs his staff to refer callers to Kathleen Sebelius. But Huelskamp is not alone. Tennessee’s Diane Black says she doesn’t feel comfortable referring people to navigators. Utah’s Jason Chaffetz is referring people back to the administration, saying: “We know how to forward a phone call.”
I think this quote from Mother Jones says it all:
As one White House official told the Post, “You’re basically trying to build a complicated building in a war zone, because the Republicans are lobbing bombs at us.”
There’s a lot more to be said about Republican sabotage of the ACA. But this is a good start.