Tag: Medicare

(Wanted this to be days’ earlier, but it wasn’t possible.  So, TMC’s diary here seemed a perfect place to comment, but then the comment became very long . . . . so!)

While traveling to an appointment last Thursday (April 7th), I listened to David Sirota, filling in for Thom Hartmann.*  Sirota began by talking about Pentagon horrendous wastes, even to the extent that the Pentagon has an Entertainment Division.  Essentially, the Pentagon puts up money to back films about war and for war and does everything, with money included, to discourage film makers from making films that are against war.  He said he has detailed that information in his book, “Back to Our Future.”

Several veterans (one of VietNam era) called in speaking about the excesses of Pentagon spending and blatant waste.  Both discussed Halliburton and Blackwater, in particular.

Cross posted from The Stars Hollow Gazette

The Federal Government is being held hostage by a few radical right corporate puppets that want to destroy this country’s social safety net and further shift the wealth from majority to the wealthy with more tax cuts for corporations, millionaires and estates and destroy Medicare and Mediciad for the elderly and neediest Americans. The assault is now be led by the pretty boy, Paul Ryan (R-WI), who defeated Russ Feingold in November (a lot of buyer’s remorse in that state). Last night President Obama had a late night meeting with Senate Majority Leader, Harry Reid and Speaker of the House John Boehner with no success at a compromise to avoid a shut down of the federal government this weekend. For what’s at stake here, Mike Lux hits it on the head, “All the hue and cry about this year’s budget fight – whether or not we’ll have a government shutdown; whether we’ll cut $33 billion or $40 billion out of the remainder of this year’s budget – is a minor sideshow compared to the implications of the Ryan budget.”

Mike explains just what those some of those implications are for senior citizens:

With his proposal, Ryan will radically cut and privatize Medicare, ending the guarantee of health care to our senior citizens; radically cut Medicaid and throw it into a block-grant program that will end any guarantee of coverage for the poor, people with disabilities, and many, many children; deliver breathtakingly large tax cuts to the wealthy while raising taxes for the middle class. As far as I can tell, more than 90 percent of his cuts impact either low-income people or senior citizens who are currently middle class but might no longer be if these Social Security and Medicare cuts go through. As to who benefits, while some things remain vague (like which middle-class taxes will have to go up to cut down the revenue losses because of lower taxes in the high-end brackets), it is likely that more than 90 percent of the benefits go to the very wealthy, who not only get to keep their Bush tax cuts but get some big and lucrative new tax cuts besides. As Citizens for Tax Justice (pdf) notes, under Ryan’s proposal, the federal government would collect $2 trillion less over the next decade, yet require the bottom 90 percent to actually pay higher taxes. Ryan leaves a lot details out, but if you read in between the lines, it is clear that the reason certain details are missing is because of how awful they are.

snip

Without Social Security, Medicare, and Medicaid, retirees would live in poverty, and family incomes would be wiped out trying to take care of parents, grandparents, and disabled family members. Without unions, wages and benefits would be ever more stagnant, or would decline in many sectors. Without student loans, fewer young and poor people would make it onto the first rungs of the ladder into the middle class. Without rebuilding our infrastructure and investing in our schools, fewer American businesses would be able to compete in the world economy. Without research and other government investments, the technological breakthroughs that have helped fuel our economic growth over the last 70 years would stop happening. And without some restraint on the power of multinational companies, our economy would be rocked by more financial collapses, and our pluralistic democracy will get more and more dysfunctional.

And this is what the callously, heartless, self centered, Tea Partier, Republican Eric Cantor said the other day:

So 50 percent of beneficiaries under the Social Security program use those moneys as their sole source of income. So we’ve got to protect today’s seniors. But for the rest of us? Listen, we’re going to grips with the fact that these programs cannot exist if we want America to be what we want America to be.”

According to the Congressional Budget Office‘s (CBO) analysis of Ryan’s plan:

1. SENIORS WOULD PAY MORE FOR HEALTH CARE

2. ELDERLY AND DISABLED WOULD LOSE MEDICAID COVERAGE

3. THIRTY-TWO MILLION AMERICANS WOULD LOSE HEALTH COVERAGE (pdf)

4. SHORT TERM DEBT INCREASES RELATIVE TO CURRENT LAW

5. NO CONFIRMATION ON TAX REVENUES (pdf)

The rest of it is even worse and pure fantasy that included “wildly optimistic revenue assumptions that dramatically changed the effect the plan would have on the federal debt.”

OK, Barack, it’s time for you to not cross that line you drew and stand up for the people.

The question of budget deficits and the health of government programs has been the largest can frequently kicked down the road.  Though it’s become repetitive to warn or caution in this fashion, we need to make the appropriate steps and institute the proper reforms now.  This issue is not going to go away.  It is perhaps the least politically popular and most divisive.  As we have seen with Health Care Reform, it may even inspire a backlash that shows the door to many courageous legislators who dared to paddle upstream against a strong headwind.  There are some issues which can be dodged without much harm being done, but then there are others which must be confronted.  Some politicians could write whole books (and teach others) about their genius system of embracing political expediency, but what we need now is not an escape artist or a magician.  We need leaders.  

December 7, 1964  from a newspaper in the national archives

Says Medicare Bill Will Be Passed

Newark – Speaking at a meeting of the New Jersey Association of Health Underwriters at the Military Park Hotel here Friday, Joseph J. Sear, president and chairman of the board of the Progressive Life Insurance Company of Red Bank, said the outcome of the recent election makes it virtually certain that the 89th Congress, meeting in January, will pass a Medicare bill, and that it will be signed by the President.

“We, in the accident and health insurance business,” he said, “should have no fears that the passage of such a bill will hurt our business unless it becomes the opening wedge for a socialized medicine program such as in Great Britain, which includes everyone from cradle to the grave. The bill before Congress is generally restricted to providing medical aid for persons 65 years of age and older under the Social Security Program, and we are still insuring primarily persons below the age of 65.

“Since I last spoke to you 13 years ago, (note: 1951) the people cared for by hospital expense policies increased from $85 million to $145 million and the people cared for by medical expense policies increased from $28 million to $102 million, and the trend is still upward.”

Forty Six Years Later

March 23, 2010. Patient Protection and Affordable Care Act (PPACA), aka Dole/Nixon/RomneyObamaCare, signed into law by “Democratic” President.   2009 Bill passed by Senate still lacks universal coverage and the option of purchasing government insurance, but contains universally loathed tax mandate and excise tax pushed by “Democratic” Senator from Massachusetts and WH “Economist” consultant from MIT.  Bill not designed to add more Medicaid coverage until 2014.   http://en.wikipedia.org/wiki/P…

September 17, 2010. Number of uninsured Americans now rises to 50.7 million, or 1 out of 6, or 16%.   Workers now paying 47% more for family health insurance coverage than in 2005, while employers pay 20% more.

http://www.usatoday.com/news/n…

January 3, 2011 New Republican Majority leader Eric Cantor introduces bill to rules committee called “Repealing the Job Killing Health Care Law Act”   “Effective as of the enactment of Public Law 111- 148, such act is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such act had not been enacted.”

pdf download text here: http://rules-republicans.house…

January 4, 2011  from Kaiser Health News-

House Republicans have scheduled a Jan. 12 vote to repeal the health care law. While the measure is expected to pass the House, Democrats in the Senate have pledged to stop the bill.

http://www.kaiserhealthnews.or…

January 5, 2011 Shuffle the Deck Chairs on the Titanic

The Office of Consumer Information and Insurance Oversight, created just after the law passed, is about to be folded into the federal Medicare agency, signaling a major organizational shift just months after the office was created, administration officials said.

In addition, Michael Hash, who has been serving as a top White House health adviser, has taken the reins of the Office of Health Reform at the Department of Health and Human Services. Hash succeeds Jeanne Lambrew,  who has been director of the office since May 2009 and has played a central role on the health law. Lambrew, a former aide to President Bill Clinton, will stay on at HHS as an adviser to Secretary Kathleen Sebelius.

The insurance oversight office was headed by Jay Angoff, who battled with insurance companies both as a Missouri official and a class-action litigator. He’ll become a senior adviser to Sebelius.

The office will become part of the Centers for Medicare and Medicaid Services, and will be managed by Marilyn Tavenner, deputy administrator of CMS.

http://www.kaiserhealthnews.or…

January 5, 2011.   Blue Shield of CA seeks rate increases of up to 59% for customers by March 1st. They blame costs of hospitals

http://www.latimes.com/health/…

Hospitals treat the un insured when their health descends into the most expensive crisis mode,  and pass the markup, make it up prices along to the insured, while charging the uninsured the highest rates, so they can still have their debts “sold.”

And nothing has changed the basic dynamic of leaving a portion of the population uncovered to act as a price lever on the rest.

Nothing.

A million and a half people filed for bankruptcy last year.  The leading cause is uncontrolled medical debt.

Blue Shield spent $16 million on federal lobbyists in 2010.  The top recipient was “Democrat” There Will Be No Public Option Blanche, the former Sen. Lincoln of Arkansas.  Eric Cantor got $22,500.

http://www.opensecrets.org/org…

They have a PAC, too, for their executives to use.

http://www.campaignmoney.com/p…

There’s more – each of those executives will be making other, individual donations.

But in CA, the real action is at the state level.  How they loved Schwarzenegger, the ex governator.  And the Republicans. And the Democrats.  Last year’s money bomb:

http://cal-access.ss.ca.gov/Ca…

http://cal-access.ss.ca.gov/Ca…

most complete list of donations in 2009 – 2010 election cycle:

http://cal-access.ss.ca.gov/Ca…

Poor Jerry Brown only got $2,500 out of all of that ?  

 

  Merriam-Webster named its Word of the Year for 2010 based on the number of searches. That word is the 14th century noun “austerity”.

 If you watched 60 Minutes the other night, you would have heard New Jersey’s Republican governor Chris Christie tell us how we have no choice but to slash wages and benefits and lay off thousands of school teachers, police, and firefighters in every state.

 You will also hear lots of economists use the phrase “competitive”, as in “the American economy needs to be more competitive in the world”. What they really mean is that we need to accept lower wages and a lower standard of living. If we do this then it will be “good for us”, that there is economic value in this.

 What is really going on is a set of false choices that even the world’s financial leaders don’t believe.

Just before midnight, Wednesday, November 10, 2010, Pacific West Coast time:

Just when you really wanted to effing just go to bed and bury your head in a pillow for the next 24 hours, White House top advisor (at this hour….) David Axelrod has been tasked with imparting this cheery news:  The George W. Bush Tax Cuts for the Wealthiest, began at the beginning of the Afghan and Iraq wars (2001 and 2003) due to expire at the end of the year, are alive and well, and won’t be rescinded after all.  Yay Chicago Neoliberal Ekonomists !  

HuffPo 11/10/10

White House Gives In On Bush Tax Cuts

http://www.huffingtonpost.com/…

“We have to deal with the world as we find it,” Axelrod said during an unusually candid and reflective 90-minute interview in his office, steps away from the Oval Office. “The world of what it takes to get this done.”

“There are concerns,” he added, that Congress will continue to kick the can down the road in the future by passing temporary extensions for the wealthy time and time again. “But I don’t want to trade away security for the middle class in order to make that point.”

Axelrod said the President would not comment on the Deficit, aka the Catfood Commision’s, draconium domestic spending cut proposals until the report is formally finished and presented on December 1.  A preliminary report by the Presidential appointed co chairs, Simpson and Bowles, was released earlier today.

https://www.docudharma.com/diar…

Oh, and that story I deconstructed earlier, https://www.docudharma.com/diar…      that the Cable News Peeps were sort of ignoring or downplaying earlier this evening, from Tuesday’s McClatchy, http://www.mcclatchydc.com/201… which quoted “administration and military officials”   about the change in the timeline for beginning withdrawal of troops from Afghanistan ? Axelrod walked it back.

Meanwhile, on the war in Afghanistan — an expensive and increasingly unpopular conflict — Axelrod pushed back hard against the notion, floated in some recent stories quoting “senior administration sources,” that the deadline for beginning troop withdrawals had been pushed back from July 2011 to some time in 2014.

“If it is being sourced to senior administration officials, than someone has bad administration sources,” Axelrod said. “There is no change in the president’s position. There is no change in that basic commitment.”

http://www.huffingtonpost.com/…

Well, look at the McClatchy story link again.

….administration and military officials have told McClatchy.

So far, the U.S. Central Command, the military division that oversees Afghanistan operations, hasn’t submitted any kind of withdrawal order for forces for the July deadline, two of those officials told McClatchy.

…. said one senior administration official.

….. one Pentagon advisor said

…. on Tuesday, a White House official who spoke with reporters in a conference call

“Bad administration sources ?”

This was a very coordinated trial balloon that fell like a lump of lead.  Or the guy left babysitting the press at the Oval Office in DC, Axelrod, is either out of the loop, or trying to spin it as nothing to see here.

Axelrod has lots of practice at spinning. In March 2008, Businessweek wrote “The Secret Side of David Axelrod, a master of astroturfing who has a second firm that shapes public opinion for corporations.”

The website is here http://askps.com/whatwedo.php  altho Axelrod’s name is not on the masthead now, they continue to specialize in “a disciplined focus on message development and message delivery.”  And they create lots of front groups for clients to do that.

March 2008

http://www.businessweek.com/bw…

From the same address in Chicago’s River North neighborhood, Axelrod operates a second business, ASK Public Strategies, that discreetly plots strategy and advertising campaigns for corporate clients to tilt public opinion their way. He and his partners consider virtually everything about ASK to be top secret, from its client roster and revenue to even the number of its employees. But customers and public records confirm that it has quarterbacked campaigns for the Chicago Children’s Museum, ComEd, Cablevision, and AT&T.

Eric Sedler, 39, a former public relations director at AT&T and corporate-reputation specialist at PR giant Edelman, is the “S” in ASK and the company’s managing partner. The “K” is John Kupper, 51, a former congressional press secretary and ad-industry consultant…

In politics, Axelrod’s AKP&D is as partisan as they come. But ASK travels easily across the aisle. Gene Reineke, head of Hill & Knowlton’s Chicago office and former chief of staff for Republican Governor Jim Edgar, says his PR firm shared ComEd as a client and now works with ASK on the Children’s Museum. “Their firm is outstanding,” he says. “I think it’s one of the best in the field, to be honest.”

Here’s another version, in the New York Times, with names you might recognize.  Of course they were out of the bleeping country when they said it.  Maybe we should check with Julian Assange of wikileaks ?

US Tweaks Message on Troops in Afghanistan

http://www.nytimes.com/2010/11…

Nov 10, 2010 By Elisabeth Bumiller

In a move away from President Obama’s deadline of July 2011 for the start of an American drawdown from Afghanistan, Defense Secretary Robert M. Gates, Secretary of State Hillary Rodham Clinton and Adm. Mike Mullen, the chairman of the Joint Chiefs of Staff, all cited 2014 this week as the key date for handing over the defense of Afghanistan to the Afghans themselves. Implicit in their message, delivered at a security and diplomatic conference in Australia, was that the United States would be fighting the Taliban in Afghanistan for at least four more years.

The 2014 date will be a focus at a NATO summit meeting that Mr. Obama is to attend next week in Lisbon, Portugal, where the alliance is to be presented with a transition plan, drawn up by Gen. David H. Petraeus, the top NATO commander in Afghanistan, that calls for a gradual four-year shifting of security responsibility to the Afghans. Administration officials said that the document had no timetable for specific numbers of troop withdrawals and instead set forth the conditions that had to be met in crucial provinces before NATO forces could hand off security to the Afghans.

per the NYT, another “WH spokesman,” Tommy Vietor, insisted that there had been absolutely “no change” to the original drawdown policy.   And a “White House official” said that “we’re bringing some clarity to the policy of our future in Afghanistan.”

To paraphrase Bush’s Secretary of Unpreparedness, Rumsfeld:

You go to war with the tax rate you have, not the tax rate you might want or wish to have at a later time.

Even if it will add $700 billion more to that deficit the Republicans and the Catfood Commisssion are baying about.

______

update Thurs And we already have some “Democratic” Senators indicating a willingness to put Social Security on the table because of their “concern” for the deficit.

http://thehill.com/blogs/blog-…

Sen. Tom Udall (D-N.M.) on Thursday said Congress should consider all of the proposals coming from President Obama’s fiscal commission, including the controversial proposals to reform Social Security.

In a phone interview with The Hill, Udall said the 50-page proposal released Wednesday by former Clinton White House Chief of Staff Erskine Bowles and former Sen. Alan Simpson (R-Wyo.), the chairmen of the National Commission on Fiscal Responsibility and Reform, should be seriously considered even though “none of them are going to be very popular.”

“This is going to be a very painful process. But we must bring down the deficit and the debt, and everything needs to be on the table.

Blue Texan at FDL asks   “If the White House Gets Rolled by the GOP on Tax Cuts, What’s the Point of Voting for Democrats ?”

_______

edited to add link to orig story Huffpo

and links to business week article on Axelrod and his old PR firm, ASK

edited thurs to add link from The Hill about Udall and from FDL

Something not particularly well known about Social Security Disability is that after two years, a disabled person, regardless of age, is eligible for Medicare.  An eligible person isn’t just given the option, he or she is automatically moved to the program unless he or she specifically declines it.  Until that point, a disabled person usually has to make do with Medicaid and all of its maddening restrictions and budget shortfalls.  One would think that the ability to transition to a better program for health insurance would be reason for celebration.  In some ways, it is, but in unexpected ways, it has not proven to be been appreciably better.