Archive for the ‘obamacare’ category

Essential Services

January 15, 2019

Under the Affordable Care Act (Obamacare), employers must provide a basket of “essential women’s health services” including birth control (family planning) methods.  The Trump Administration, in an open nod to fundamentalist and evangelical religious groups, put forth new procedures which would allow employers, who claimed deeply held religious beliefs which prohibited birth control, to simply not provide this service to their employees.  The States of Pennsylvania and New Jersey filed suit and US District Judge has issued an order temporarily banning the Trump Administration from enforcing these new rules.  

Pundits predict this case will land shortly in the Supreme Court.

These “deeply held” religious views represent a theme running freely within conservative circles.  Cynically, IMO, this assertion serves as a “get out of jail” card for those wishing to discriminate or exert their personal beliefs beyond what is their right to free speech.  These arguments have politicized views that do not belong in the public square.

The judge ruled that the new guidelines would disadvantage far more than would be satisfied and the essential services played an important role in women’s health.

No problem with that obvious rationale. 

But what about the even more obvious aspect: 

  • Providing essential services does not in any way require the employer or any employee to use them. 
  • Almost as obvious, eliminating essential services hurts only the poor and most vulnerable because anyone with average or higher income can afford to obtain these essential services on the open market.

For those conservatives, claiming deeply held religious beliefs, to stand up and claim injury (to their beliefs) while professing to be christians, is hypocrisy at its best.

Advertisements

McCain’s Repeal and Replace

September 23, 2017

Senator John McCain informed Senate Republican leadership that he could not support the latest “repeal and replace” bill (Graham-Cassidy). This placed the proposed legislation one vote away from defeat and would then end a Republican only healthcare action. Was this McCain’s finest hour?

Senator McCain rejected partisanship saying healthcare was too important a matter to not have bi-partisan support. Life could have been much simpler for McCain if he had just chosen to wait and in the end go along. But for the 80 year old Senator afflicted with brain cancer, the future might not seem so endless. For whatever his reasons, Senator McCain made a principled decision without regard to special interest pressure and money.

Hip, hip, hurrah for John McCain.

$700 Billion For Defense?

September 19, 2017

The Senate has overwhelmingly approved a Defense authorization bill which carries a $700 billion price tag. Championed by Senator John McCain, the Defense bill has been positioned as absolutely necessary to keep America’s world leadership role secure. With North Korea, China, Russia, Iran, Afghanistan, and ISIS posing threats to American interests, McCain feels it is imperative that defense spending increase.

There is a problem, however, “where will the money for this spending come from”?

Republicans have suggested their new Graham-Cassidy “Obamacare repeal and replace” will save tax payers money. Republicans do not, however, say one must accept less coverage, revisit open season on pre-existing conditions, and allow less Medicaid funding if Graham-Cassidy becomes law. Hmmm.

Tax reform has been held out also. The GOP promises to stimulate the economy, put people to work, and in the his process generate the same or greater tax revenue with lower tax rates. (Sound like a free lunch?).

But there is a far bigger problem than finding funding sources. What would the Trump Administration spend the increased defense budget on?

What is the Trump foreign policy? What is its goals and what strategic relationships would the Administration employ?  What would be the State Departments’ role?

President Obama proposed “pivoting” US military assets from the Middle East where arguably, it was no longer necessary to secure the region’s oil reserves to the far East where China was posing new worries about freedom of the seas for all nations.

Underpinning Obama’s vision was protecting free trade and independence of the region’s trading partners. Countries which prosper are simply less likely to find hostilities attractive.

What does President Trump see? “Making America Great” does not meet commonsense tests. Why would any country, especially a Southeast Asian country cooperate with the US if the outcome was a zero sum, America wins-the other country loses?

And the Trans Pacific Partnership, aimed directly at building win-win trade relationships, along with discrediting the Paris Climate Agreement which called for cooperation among the worlds nations appear not part of Trump’s vision.

How can anyone conclude other than President Trump sees “going it alone” (with a big stick) as his preferred strategy, either because it is simple and he can understand it or because he now finds his campaign rhetoric has boxed the US into a tight spot.

Spending $700 billion on defense may be in the US best interest but until a clear and coherent US foreign policy emerges, these expenditures will be wasteful in themselves, and will require deep cuts in domestic expenditures since there appears to be no appetite amongst Americans to pay more in taxes.

The potential cost of Trump presidency is becoming clearer.

The Big Fat Lie

July 25, 2017

Exaggeration and Hyperbole are staples of public speaking and popular literature. President Trump, since day one of his Presidency, has added these speech forms to his Presidential Addresses. It appears the possibility of being tagged with multiple Pinocchio’s is not a deterrent for America’s “communicator in chief”.

Yesterday, in a staged photo op, President Trump spoke out over the Senate “repeal and replace” stalemate. Pointing to the gathered group (J Crew looking group), the President asserted that they were Americans who had incurred the injurious nature of the Affordable Care Act (Obamacare). The implication was that here, in flesh and blood, were Americans who were harmed by ACA and wasn’t that proof positive that repeal and replace was necessary?

Maybe, but what about the 22 million Americans who the Congressional Budget Office say will lose healthcare coverage should either the Republican House or the Senate legislation pass. Is that Exaggeration or Hyperbole?

No, Deception or Misdirection would better describe the President’s statements. For someone who appears to have no regard for any statement’s accuracy, President Trump is more complex than just a “truth stretcher”, the President is purposeful and says what ever is necessary, no limits considered, to achieve his goals.

So, as if to say the misdirection statements about how many Americans would benefit from Obamacare were not enough, the President stood before this group and into the camera said, Democrats lied about the Affordable Care Act in order to get it passed, “every single thing they said was a lie, a big fat lie”. Hmmm.

Liar, liar, pants on fire.

The Presidency appears in a race for the bottom. What more outrageous mistruth or magician’s misdirection will President Trump put forth? The larger question might be, how much more exaggerations and hyperboles will Americans accept before deciding to dismiss all statements from our communicator in chief?

Don’t Blame Trump

July 22, 2017

The first six months of the Republican Administration has not lacked for fireworks. Most pundits, however, would describe this rare period of Republican control as a “nothing” burger. If so, who’s to blame?

President Trump has blamed Democrats and the “fake news” media. The Republican controlled House has blamed the Republican controlled Senate while the Senate has quietly pointed to the lack of White House leadership. President Trump when not blaming Democrats counters, instead, claims the first six months have been the most successful first six months ever!

What else would you expect the “mistruth commander in chief” to say?

The frightening aspect of this question is that many claim that the Trump Administration and Congressional Republicans could have passed much of their legislative objectives had they approached matters differently. And then there has been that pesky “Russian thing”, the investigation into Russian collusion with the 2016 Presidential election. Hmmm.

For Americans the way things have progressed could be a blessing. Both President Trump and the Republican controlled Congress have been exposed as what they really are, mean spirited, unprepared to govern, and hand maidens of certain wealthy interests.

The center piece of the hopeful Republican legislative program has been the Obamacare repeal and replace. As Congress processed this legislation, slowly but never the less, step by step, it has become clear Republicans lacked a plan and more importantly were clueless over improvements. “Beautiful healthcare Americans can be proud of” instead turned into “healthcare that gamers and the very rich can be proud of”. Replacement legislation passed in the House by a single vote and floundered in the Senate altogether. Not surprisingly, tweak after tweak fell short too. Why?

Each of the Republican healthcare proposals failed in the same way. Each insured fewer Americans, provided less coverage, and benefited the very wealthy. So, how did President Trump get it so wrong?

President Trump is not the architect of this Republican farce. The President is more interested in the pomp that goes with the office, flattering headlines in the media, and a slam dunk reaction win in 2020. There is not much more substance than that.

So don’t blame President Trump for proposing defective healthcare replacement legislation or proposing tax reform which masquerades as (you guessed it) tax cuts for the rich, or for the appointment of Neil Gorsuch to the Supreme Court. Each of these topics is that straight out of the Republican handbook and 100% the responsibility of the Republican controlled Congress.

Troubling is the realization that the Affordable Care Act (Obamacare) is far from perfect legislation and is badly in need of fixes. And who can not agree that the US tax code is more aptly a “jobs” program for accountants than a fair method of raising government revenue. But these goals were not part of any Republican agenda.

The news media has published plenty of reports claiming Trump White House dysfunction and most of it seems well deserved. Never the less, the greater tragedy would be to hold Congress blameless and clear of the ugliness and mean spiritedness of President Trump’s rhetoric.

Democrats had better be taking notice and realize it is not impossible that they will be given the reigns of Congress in 2018. Democrats should be wondering, WWDD?

Close To Greatness

July 14, 2017

Republicans are running the ship. The GOP controls the Presidency and both Houses of Congress. What more could any party want if they wished to leave their imprint upon America. Each day, however, Americans are observing a President and a Congress aim at greatness but suddenly swerve away, missing the mark by a mile.

  • The “Healthcare” train went off the tracks quickly. Instead of focusing on premium and drug costs, the GOP struck up the “repeal and replace” band only to find they possessed no consensus on “replace”. The one attempt at attacking cost was instead diverted to bait and switch. The GOP offered to sell “stripped down” policies, as if they were Obamacare quality, for lower price. That was their version of cost reduction. Would you buy a car with no passenger or back seat (just the open space) just because the price was slightly lower?
  • Even more obvious as a ripe target is the cost of prescription drugs. What other country in the world makes drugs and sells these patented compounds in other countries for less than they sell the exact same materials in the US? The GOP could have seemed genuinely interested in the well being of Americans had they not taken the “repeal and replace” course.
  • The “Tax Reform” train, on a different track, seems destine for a similar miss. Anyone who prepares their own taxes knows full well how complicated a reasonably straight forward process can be. But “tax reform” is political code for “tax cuts”. And if you are wondering how much you might realize, don’t waste your time, the GOP tax cuts are about those who don’t need them, the wealthy.
  • Infrastructure investment, like building roads, bridges, harbors, and airports, is a time proven method to improve productivity by modernizing shared means necessary for economic growth (read jobs). Infrastructure investment is also a popular method to just put people to work regardless of whether the work produces any economic return. Under certain circumstances, even just employing people can be a good thing.
  • Not, apparently, with this Administration. Infrastructure investment means privatization and transferring more wealth from tax payers to private investors.
  • Along these same lines, the growing crisis around student loan debt is viewed as another opportunity to use private enterprises to assist the financial needs of students seeking higher education… at a substantial profit.
  • If training skills and higher education are needed to make workers more employable and more productive, then why would government add a layer of profit from loan administrators? Why would government treat student loans differently in bankruptcy cases than if someone bought too much house or too many cars?

Americans may have been frustrated with these situations in 2016, and decided Hillary Clinton and the Democrats were not the route to fixing them, hence Donald Trump became the 4 5th President and the Republican Party got control of both Houses of Congress. With seven months of this new Administration, Americans instead are seeing “greatness” by-passed in favor of wealth transfer from the average American to the wealthiest Americans. Hmmm.

Healthcare Debate Show Down?

July 10, 2017

Republicans have fought mightily to pass legislation which “repeals and replaces” the Affordable Care Act (Obamacare). Divisions within their own party have prevent Senate ratification of a repeal and replace, and now back from the 4th of July holiday, Republican Senators are back to the grindstone. Will they be successful?

Unlikely, unless one counts failure as success.

Medicaid expansion, thanks to Obamacare, has provided many more Americans with healthcare than before. These voters have made it known that they would not be pleased with Republican Senators were this coverage to disappear. Hmmm.

Pre-existing condition coverage is another “must have” option in voter’s minds. Relatively speaking this is an expensive option and Republican law makers are worrying how they can pay for that option and still provide a tax cut. Hmmm.

And the thinking that no one should be required to have healthcare insurance comes also with the freedom for companies to elect not to offer their employees group insurance plans. This “freedom” might have Americans beginning to wake up to the possibility that although they may have health insurance today, tomorrow they might be laid off or their employer may just choose not to offer coverage. In both cases these Americans will be out of luck.

But what seems to have gotten the GOP’s attention is not the impact poor coverage or no coverage at all will have upon Americans, it is the phasing out of Federal Government funding of the Medicaid expansion and the dawning that States would need to increase their contribution to maintain coverage.

What? States would need to raise taxes or become responsible for dropping State residents from Medicaid rolls.

This line of reasoning reflects a morally bankrupt political party. Public shaming has not worked to date in changing Republican thinking. Maybe the political reality and risk of being voted out of office will have a different result.