Showing posts with label health care reform hearings. Show all posts
Showing posts with label health care reform hearings. Show all posts

Wednesday, December 16, 2009

Health Care Hits Highland Park Apartments

A place most Senators will never see.

A quick tour of Highland Park Apartments

This otherwise nondescript setting is introduced here primarily because it is the Galactic Nerve Center of MeanMesa. The place stretches out to include eighty two-bedroom apartments. There are spacious grassy courtyards where the children play. A few giant trees from a better time in the past provide welcome shade during hot New Mexico summers.

The high desert winter finds most apartments with plastic sheeting covering the inside of the aging casement windows and residents wrapped warmly in sweat shirts and long underwear even when they are at home. MeanMesa's neighbors here are mostly concerned with jobs, schools and immigration matters. Apartments rent for $600 to $700 a month, depending on whether they have one outrageously small bathroom or two.

Highland Park is in Precinct 384. Intensive campaigning during the months prior to the 2008 election effectively delivered Highland Park votes to the Democrats and President Obama. People here do not usually rush home after work to watch the national news and most of them do not have inter net service in their homes. Almost every family is aware -- generally -- of the effort to reform health care insurance, but most Highland Park residents can't afford it and work in jobs which do not provide it.

Predictably, what the residents experience with their health care problems reflects a "survival mode" approach much more than some sort of "picky" debate about details. As a community, we are too busy to be the proletariat hordes of Les Miserable. We are also, probably, too poor.

Senate Health Care and Highland Park Apartments

So, does the "dump job" masquerading as the Senate bill puzzle us? Hardly. We're quite accustomed to being either ignored or screwed by the moneyed class of bought off Senators. In fact, opinions around here are now hoping for "ignored" over "screwed."

We've known all along that we were simply not rich enough to expect much relief. The part which remains on the table as a rather gloomy threat is the possibility that we will be forced to buy health insurance which doesn't really work from parasitic insurance corporations under some form of the new law. We couldn't afford it before, and we won't be able to afford it after, either.

MeanMesa made an informal, unscientific poll of what the neighbors were thinking. You know, a quick question or two at the dumpster or in the laundry room. We asked, "Where are we going on health care reform?"

Chuckling, they answered stoically, "We're going nowhere."

As is probably the case with millions of Americans in our income bracket, we are fairly well accustomed to being gang raped. We know that the choices are to have a "date" with an insurance company or a Doctor we can't afford. This dream isn't over, it never started.

Our New Mexico Senators -- both good Democrats -- have done everything they could to get this dead pony back on its feet, but we're a poor state filled with poor people. They know that we're a durable bunch, used to pretty much second class treatment. The way this is turning out is nothing new to us.

The "rich boys" like Lieberman and the other crooks on the Republican side of the aisle are killing 45,000 of us every year they are able to delay -- that's about ten times the number of citizens who were killed on 9/11, about ten times the number of service men and women killed in Iraq and Afghanistan so far. Stories about health care in Highland Park unscientifically substantiate this Harvard research number of 45,000 dead per year due to lack of health care insurance.

Here at MeanMesa headquarters, we have purchased the last prescription of an expensive (for us) drug for the year. Although we could probably get through the $55 per month co-pay, the thing grabs an additional $250 per month from our Medicare Part D plan. If we took it as prescribed, that is, all year round, it would tank our "doughnut hole," making all the other, cheaper prescriptions we take go to a "cash basis."

So, we take a "drug vacation" every year from January to July. We can handle this. Other folks around here have it lots worse. Oh, by the way. MeanMesa's Part D was not paid for by screaming neo-con ninnies. MeanMesa dutifully paid those premiums for years before retirement.

Highland Park's Conclusions about the Senate Bill

We are actually pretty understanding of the "difficult negotiations" going on behind closed doors in the Senate.

Democrats "negotiated" single payer down to "public option" and wound up with nothing.

Then they "negotiated" public option down to a modest increase in Medicare and wound up with nothing.

Then they "negotiated" Medicare changes into no changes and wound up with nothing.

Now, finally, they have "negotiated" nothing down to a law which will deliver us, whether we can afford it or not, into the hands of the health insurance gangsters.

We get it.

It would be inaccurate to say that folks like Highland Park residents are upset about what's happening to them.

We are infuriated. If anyone from the Senate is visiting MeanMesa, pay attention.

We are WHITE HOT!

We will, most likely, remember this.

See you at the polls.





Tuesday, December 15, 2009

The "30 day" Filibuster and Other Dinosaurs from a Happier Past

What is it about politicians from Connecticut? Gosh, aside from being "home base" for a big bunch of health insurance gangsters, it always seemed to be a nice place.

Will Chanukah become Easter for the Bush Jr. Wanna-be? Egad! Maybe Lieberman, resurrected yet one more time as a health care obstructionist, should move to Texas, pretend to be a cowboy, get a hat and a cow and pretend to "fit in."


MeanMesa visits "Old Joe" Lieberman in a Past Life

(He ain't no Lazarus...)


Ah, 1994. What a year! MeanMesa can remember that old year. The world was very different then. Some of the people were different then, too.


To date this story, we can note a few historical events which were unfolding fifteen years ago, We can make a few quick comments about folks who were running things. What they were saying. What they were doing.


The Serbians, led by a few fellows who are now waltzing with cranky war crimes judges at the Hague, were violently shelling the largely undefended city of Sarajevo. The Rwandan Hutus and Tootsis were massacring each other in what turned out to be a historical genocidal slaughter. O.J. was arrested for the murder of his wife. Nelson Mandela, finally freed from an apartheid prison, was elected President of South Africa.


The neo-cons were busy, too. Sexually challenged crooks such as Newt Gingrich, Richard Armey and ex-exterminator, Tom DeLay, in the company of some friends who were even stinkier than those three, were cooking up the famous "Contract on America," an early "looting scheme" which would fully materialize after the GOP captured the House of Representatives.


However, sitting there in the back of the room was someone we might have recognized. That would have been "Old Joe" Lieberman. Interestingly, he was promoting a change to the filibuster regulation in the Senate.


Now, however out of character it might seem to a modern day, 2009 MeanMesa visitors, "Old Joe" was actually sponsoring a bill which would have shifted the time limit on filibusters to 30 days maximum. The idea in his old law wasn't all that out of line compared to the seemingly endless string of clap trap he is injecting into the discussion these days.


Now, however out of character it might seem to a modern day, 2009 MeanMesa visitors, "Old Joe" was actually sponsoring a bill which would have shifted the time limit on filibusters to 30 days maximum. The idea in his old law wasn't all that out of line compared to the seemingly endless string of clap trap he is injecting into the discussion these days.


For anyone interested, a simple Google search will turn up all sorts of stories concerning this. Rather than "reinvent the wheel," MeanMesa will post a copy from the Huffington Post here where all can see.


This article is written by Sam Stein, a very engaging Huffington Post reporter. It offers a nice, reasoned account of the entire affair along with a quote of what "Old Joe" said at the time. In the days when these words were news, the Republicans were preparing to take over, paving the way for yet another period of outrageous looting and other regressive forms of dismal mismanagement (the infamous Contract on America).


We must, however, also give "Old Joe" a break on his new loyalties. Connecticut is "full to the gunnels" of remarkably generous health insurance corporations who have been pumping campaign contributions into "Old Joe's" war chest like the Matanuska Glacier on a hot Alaskan day. Further, Mrs. Lieberman turns out to be sitting in a well positioned seat as a major health insurance lobbyist ("lobbyiestta?") raking in untold more thousands of dollars. Between the war chest contributions and the Missus, the Lieberman household is actually now, physically, mentally and spiritually unable to allow health care reform in any but the most toothless form escape "Old Joe's" filibuster threats.

Lieberman In '94: The Filibuster "Ails Washington" And Should Be Eliminated

Lieberman



Senator Joseph Lieberman's (I-Conn) threat to filibuster health care legislation that includes a public option for insurance coverage has sent minor shock waves throughout Washington.

Among Republicans, the Connecticut Independent inspired a round of cheers for another streak of political independence. Among progressives the question being asked is: How could one senator, through threat of filibuster, hold a historic reform process hostage?

It's a question Lieberman himself once asked. And it's a procedural ploy he once lamented.

Fifteen years ago, as a freshman Democrat, Lieberman actually worked to have the filibuster killed. He deemed the parliamentary maneuver "a dinosaur" that had become "a symbol of a lot that ails Washington today." And, in tandem with Sen. Tom Harkin (D-Iowa), he introduced legislation that -- if it had been enacted -- would have made his current opposition to health care absolutely toothless.

After the congressional elections of 1994, in which the power of both chambers switched hands from Democrats to Republicans, Lieberman and Harkin made a rather bold move. Political obstructionism, the two said, had grown out of hand. And even though Democrats were now in the minority, if the Senate ever wanted to make legislative progress the rules needed to be revamped. On November 22, 1994, the senators held a press conference announcing their intention to drastically water down the power of the filibuster. Lieberman offered the following quotes (which, in today's context, seem utterly out of place for the now Connecticut Independent):

"[People] are fed up -- frustrated and fed up and angry about the way in which our government does not work, about the way in which we come down here and get into a lot of political games and seem to -- partisan tugs of war and forget why we're here, which is to serve the American people. And I think the filibuster has become not only in reality an obstacle to accomplishment here, but it also a symbol of a lot that ails Washington today."
"But I do want to say that the Republicans were not the only perpetrators of filibuster gridlock, there were occasions when Democrats did it as well. And the long and the short of it is that the abuse of the filibuster was bipartisan and so its demise should be bipartisan as well."
"The whole process of individual senators being able to hold up legislation, which in a sense is an extension of the filibuster because the hold has been understood in one way to be a threat to filibuster -- it's just unfair."
"I'm very proud to be standing here with Tom as two Democrats saying that we're going to begin this fight, because we've just been stung by the filibuster for a period of years, and even though the tables have now turned, it doesn't make it right for us to use this instrument that we so vilified."

(MeanMesa added the text color to the Huffington content. The shade is "manure sienna.")

Lieberman concluded the conference by noting that his effort was an uphill battle. What he and Harkin wanted to do was to make it so that senators could delay the consideration of legislation, but not inevitably. The Senate would still need 60 votes on the first motion to end debate, (the cloture vote). But the next motion would require just 57 votes, the third motion 54 votes, and the fourth and final effort would need just 51 votes -- a simple majority. In all, roughly 25 days would elapse between the first and fourth vote.

"There's no question that there's going to be resistance," Lieberman predicted at the time. "I mean, we're asking individual members of the Senate to give up power, but if you give up a little bit of power yourself, you make the whole body more productive and better. And you all gain as a result of that."

But the resistance proved too strong. Lieberman and Harkin got their legislation to a vote. But it died on the Senate floor by a margin of 76 to 19. Every single Republican and a majority of Democrats voted to keep the procedural tool in their pockets, with the chamber's senior Democratic member -- West Virginia's Robert Byrd - leading the way.

"This issue is not going away," Harkin said after the vote.

He was correct. In the 15 years since then, the use of the filibuster has proliferated even further. There were, in 1994, just 39 cloture motions filed on the Senate floor. Last year, that number stood at 139. This year, meanwhile, Lieberman is threatening to add to those totals.

He was correct. In the 15 years since then, the use of the filibuster has proliferated even further. There were, in 1994, just 39 cloture motions filed on the Senate floor. Last year, that number stood at 139. This year, meanwhile, Lieberman is threatening to add to those totals.

"I've told Sen. [Harry] Reid that if the bill stays as it is now I will vote against cloture," the senator said this past week. "I can't see a way in which I could vote for cloture on any bill that contained a creation of a government-operated-run insurance company."

Neither Lieberman nor Harkin's office returned a request for comment. Though, in a bit of irony, the two, have once again been brought together on the question of the appropriate use of a filibuster. Only this time, they're in opposition. On Thursday, Harkin was asked what he thought of Lieberman's threat to torpedo health care reform with a public plan (something Harkin adamantly supports).

"[Lieberman] still wants to be a part of the Democratic Party although he is a registered independent," the HELP Committee chair responded. "He wants to caucus with us and, of course, he enjoys his chairmanship of the [Homeland Security] committee because of the indulgence of the Democratic Caucus. So, I'm sure all of those things will cross his mind before the final vote," he said in a conference call with local reporters.


stein@huffingtonpost.com HuffPost Reporting

http://www.huffingtonpost.com/2009/10/30/lieberman-in-94-the-filib_n_340255.html



Of course, "Old Joe" is not the only corrupt Senator intent on protecting his corporate sponsors at all costs, he is simply the most egregious.



Public opinion polls in "Old Joe's" home state of Connecticut show a whopping 70% plus in favor of health care insurance reform. On the other hand, 1/10 of 1% of "Old Joe's" Connecticut constituents are insurance executives -- those would be the ones with the check books.


Yup.

Friday, August 14, 2009

Tulsa, Teheran and Terre Haute: Creepy Commonalities

Yes, the cultural nuances vary, but, also yes, the common structure is historically suspicious. 109

Recent events in Teheran, at least for those more excited by quick similarity than by more distant analysis, remain detached from recent events in our own country. After all, those suspicious Muslims crowding into the streets or chanting “Allah Akbar” from their night time roof tops don't, at first glance, seem to have much in common with the simultaneous and contemporary dilemma faced by Americans. Yet, when considered, perhaps with a cooler head, the structural similarities are disturbingly refreshing.


The events and motives driving this remarkable similarity are, well, historically explosive.


By the numbers, 2009 Iranian – American parallels:


1. Small issues leading to larger issues:


We have seen the uprising in Iran. Its first, clear cause was the illegitimate election. Prior to the election, there was – at least seemed to be – a passive acceptance of an Iranian government “slightly” tilted toward a medievalist cultural approach, but still “close enough” to comfortable, cultural norms to be generally supported. However, the question of supporting that government had never before been formalized into a volatile, concrete “yes” or “no” dichotomy.


The election revealed the careless, unpremeditated arrogance of an unprepared theocratic autocracy. The Iranian government had not been wringing its hands, lying in wait for an opportunity to very visibly express contempt for popular opinion. It was caught in events astonishingly similar to what “caught” the population. By “caught,” we mean actions taken which were equally unanticipated and unsponsored. In both cases, all parties seem to have been “snatched” by relatively uncontroversial developments which suddenly “grew legs.” There was probably no particular conspiracy to elevate the defects of the election to such a contentious state. Both government and resistance, even now, might agree that it just happened to turn out that way.


In the United States, the population has gradually been confronted with the intractable inertia held by its own “theocrats.” Being a capitalistic, free market nation, those “theocrats” turned out to be “oligarchs,” a privileged rich so highly moneyed as to enjoy a heretofore unexamined authority similar to that of the Iranian mullahs. The American equivalent to the botched Iranian election has emerged in the very suspicious matter of Obama's health care proposal.


Of course, everyone reasonably expected such a fundamental change to unavoidably incite some heated debate. However, the fabrications which “captured” the media's attention in the nation-wide town hall meetings seemed to “grow like Topsey” disguised as a populist frenzy. The carefully dramatized popular uprising against health care, largely populated by Americans who would greatly benefit from the changes proposed, is, like the Iranian election, an affront which the perpetrators assumed would be effective. These scripted fanatics were supposed to influence public opinion, but not in any manner which might require a close examination of any details


Instead, the perpetrators were caught in an unanticipated social conflict. Their assault had been meant to be a background talking point, a subtle bias which could quietly reshape public opinion as a shadowy, detail-free, reaffirmation of ideas supporting their ambitions. In fact, they intended to provide nothing more news worthy than a slight addition to the “straws which might assist in breaking the camel's back,” not an awkward fire storm of “pro-health care” versus “anti-health care” polemics.


2. Revelations I:


The Iranians had not carefully crafted a public relations mechanism to deceive the voting population about the validity of the election. Instead, they had assumed that the election itself would be “close enough” to something appearing legitimate that only a few miscreants would comment on its execution. Low level issues of dissent such as this one, they presumed, could be dependably suppressed by generally accepted applications of theocratic force. When the issue rose above this modest level of anticipated discontent, the Iranian theocrats were unprepared to initiate a “surgical” response. Instead, the waters seemed to be immediately and uncontrollably “muddied” by a “meat handed” reaction. From there, the entire affair quickly “turned South” on them.


Here in the United States, the sponsors of the unruly “grassroots constituencies” made a similar mistake in their estimation of the general impact of the performance of their poorly trained actors. The heavily biased corporate media grasped the fraud far too quickly and far too respectfully, subverting what had been intended as a mere “glancing blow.” The cheap theater was transformed from a useful background innuendo into a front line reporting point. As a background subtlety, it might well have been accepted quietly, effectively plying their relentless wares of deception, that is, constructing simply another unexamined “sand hog,” made real as a mistaken certainty by their usual approach of “1,000 kisses” for consumption by the American public.


3. Invitations to a momentary, culturally numbing acceptance:


Both the Iranians and the masters of the American oligarchy presented their public premises with the hope that they might fulfill this bashful, sideline ambition. Once either of the two outrages had passed through the high speed news exposure, the perpetrators assumed that the implications of their frauds would subside into a very effective “axiom status.” In both cases, the unexpected volatility of their machination caught them by surprise.


Both the embarrassed theocrats and the unprepared corporatists then proceeded to compound their self-inflicted exposure with, at first, plausible adjustments, but these were followed by further insults resulting from unreasonable assessments of what opportunities might suddenly have sprung into existence. The trip out along the “limb,” was transformed into a seriously troubling tactical mistake which threatened to sweep away the numbing, popular acceptance they had previously counted on so heavily. In both Iran and the United States, this describes the situation in which the corresponding electorates find themselves mired at this moment.


For both sets of the schemers, the unsettling realization that the “genie cannot be returned to the lamp” came to call with a very impolite proximity.


4. Revelations II:


Both the Iranian theocrats and the elitist, American billionaires have suffered a penetrating moment of bright illumination. Denizens of the dark realm of cynical manipulation consistently flourish best in dark, dank places. After the phony election and the manipulated town halls, the mullahs and the “capitalists” realized that the interest they had stirred up was now roaming the streets with fog lamps, filled with curiosity. There were questions being muttered on those streets. Who were these powerful few with such outrageous ambitions? How long had they been controlling everything that, at the time, seemed to be something akin to representative democracy?


The Iranian theocrats had been very careful to disguise the luxury of their existence. In a land awash with international oil money, yet still economically castrated by the greed of an authoritarian elite, indulgences must be shielded from public sight. The Ayatollah had inherited a population groomed by our Shah to accept their poverty, an acceptance the new residents of the caliphate's palace were determined not to mismanage. However, this turmoil was not – immediately and directly – founded on a simple disparity of wealth. This Iranian problem was arising from a newly revealed disparity of entitlement. The hoarding habits of a few greedy mullahs might have subsided quietly, but the people in the streets of Teheran now felt disenfranchised.


In the United States, similar revelations were unfolding. The privileges of CEOs of health insurance corporations were unexpectedly “uncovered.” While the masses of Americans were either uninsured or cruelly deceived by the insurance they were buying at an ever increasing price, they discovered that executives were being paid as mush as $5,000 and hour, amassing in one day a greater sum than their victims could hope to earn in a year. In lock step with their Iranian peers, these “free market” giants had always previously guarded their secret lives, and especially, their secret avarice for unbridled power and fortune. The daylight was, well, uncomfortable to the cock roaches – whether Iranian or American.


Much like the “genie,” it turns out that these cockroaches could not be “replaced in the lamp,” either.


5. The chilling reality of “class war” in Iran and in the United States:


The outcome in Iran and the outcome in the United States shared yet another common feature. In both cases, quiet, deeply held beliefs were submitted to a conceptual meat grinder. In Iran, minor difficulties living under the theocracy had been patiently set aside previously. Although this part of the Iranian situation is one which is a dismal constant in nation states which continue to extract legitimacy from revolutions, in Iran there had been some actual improvements since the Shah's stumbling abdication. These, for a while, justified the excesses of the Iranian revolution and the heavy handed suppression by security forces. However, the theocracy found those validations “too tired” among an unwieldy population of unemployed young people who had missed both the battles with Sadam and the unelected Shah.


What became all too clear in the demonstrations following the election was that there had always previously been at least one additional justification for the oppression. That was the paranoia of the theocrats. The clerics had been a marginally religious, secretive elite of power brokers intent on operating every bell and whistle in the entire Islamic Republic to their own benefit. The protesters on the street may have “unofficially” realized this, but the reactionary response of the election doubters brought the image to the very front row. The Iranian public finally realized that, quite aside from the carefully crafted counter revolutionary forces and colonial interventionists, they had been in the midst of a class war with their own religious rulers.


The election brought forth the inescapable conclusion that the Iranian people had lost that class war and were now in the cultural doldrums of the vanquished. The Theocracy had carefully gathered every tiny bit of social power and was hoarding it like an old woman with her farthings. The Iranian population had remain passively malleable as the theocracy had introduced one external threat after another, but, riding the wave of a new, brave awareness after Obama's speech in Cairo, they had proved to have much less of an appetite for simply walking quietly back into the night after the fraudulent presidential election.


Meanwhile, across the ocean in the United States, new players had emerged on the political scene. Although they remained nameless, the common population could still confidently identify them by their uncounted, tax free billions. They were literal dynasties of ill gotten gains. The fact that the health care debacle forced them into the sunlight was only mildly troubling to them. Their comfort arose from their idea that no constitutional process would ever allow the common people to “reach” any of their money. Just as was the case with the ill prepared mullahs, the fear of losing their “franchise” as owners of the United States began to loom larger and larger. The response of reactionaries in such cases is to be even more reactionary.


However, such a state of economic hierarchy did not sit well with the voters. They had been bombarded with difficult to consolidate facts about this horde of predators during the election, the stimulus, the auto bail out and the banking pay-off, but the totality of the situation had, previous to the health care matter, remained conveniently discarded as possibly true but stoically inconvenient to consider too long or too seriously. The people of the United States had been informed of the magnitude of the outrage, but, hypnotized by the fraudulent media, they had succumbed to a silent acceptance of its inevitability.


An American Class War? An exaggeration? Sobering up, the American citizens took another look at the numbers, this time with what they had experienced from this crowd during the health care debate. 400 of the richest Americans had increased their net worth by $630,000,000,000 ($630 billion) during the Bush autocracy. In the depths of the economic collapse of 2008, the top 1% of the population had incomes exceeding the total of the lower 50% of the people.


The entire U.S. economy was shuddering helplessly as a comatose victim of greed and corruption. Laying aside all the complicated answers as to the cause of such a global plague, the salient features paint the picture well enough. The Bushites had managed to extract roughly $3,000,000,000,000 ($3 trillion) dollars from the economy. The “books” had been thoroughly cooked. A trillion dollar tax cut for the very top end wealthy had been covered with borrowed money. The trillions of dollars of expenses for the two wars were also paid for with borrowed money, but never put on the books of the Federal Budget. The Treasury had been ruthlessly emptied. The rich were richer, and everyone else was ordered to do with less.


For the first time during the health care debate, common citizens were staring at a Senate almost completely owned by these billionaires. Before, these voters thought they could still induce the government to do what they wanted in the democracy. After the health care matter was utterly trounced in the Congress, the U.S. citizens began to have the same impression of things that their Iranian counterparts did. There had been a class war in the United States, and the citizens of the country had lost. The visible issue was that, regardless of what they wanted, they would have the health care that the billionaires decided they could have. You know, class war.


The Iranian dream of representative democracy was shattered. Soon the bumbled election moved to the back seat, and the Iranians in the streets were mad not about the election, but about the government. The American dream of fair treatment in the representational democracy was also shattered. The frustration about the health care legislation began the avalanche, but, expanding, it moved quickly into the exposure of corruption in the United States House and Senate. The corruption which “sneaked through” the colossal media fraud reporting it produced United States citizens who were over the health care crime, now focusing on – like their Iranian counterparts – larger issues.


6. The outlook for an uncertain future:


History offers two alternate outcomes for situations such as these. In one case, the momentarily sensitive hides of the voters simply become numb again, edging back into the state of hypnotic acceptance. In the other case, well, let's just say that hypnotic acceptance is no longer the “coping tool” of the voters. The reactionaries have already lost control of their instigators.


It is the studied opinion of MeanMesa that the course of events will pursue the second path. The violence has already begun. The electorate is infuriated. One reactionary Congressman, speaking and writing far too much for those with such a shaky strategy, said that he hoped the health care contest would be Obama's Waterloo. Well, there is to be a Waterloo, but it will not be Obama's.


With the American population already incoherent at the depth of their wounds from the economic collapse, they are in no mood for maudlin dramatics. The Republicans have self-destructed. When the U.S. economy takes its final plunge for this recession sometime in September or October of 2009, and any manageability – even previously imagined -- over the electorate becomes no more than a distant, ancient dream, the reactionary billionaires will become even more reactionary, that is, even more self-destructive.


The cynical division which was the result of the Bush autocracy's attempts to validate its unelected status has a certain new, overly odorous, special quality now. The “sides” are no longer sectioned by politics or ideology, but by psychology. The “brown shirts” of the now deposed autocracy, populated to a man by hillbillies, crooks and bigots, jumped on the command from their reactionary masters to a sort of brief effectivity two weeks ago when they began wrecking town hall meetings, but now, accidentally inebriated by the mishandled media, they are out of control. Although both the “foot soldiers” and the party leadership (Rush Limbaugh?) have now become grotesque, unwanted guests at the country club, all their feet still stink. For their billionaire masters, all these thugs have migrated from being slightly useful to being an endless public relations toothache. There are no opportunities left for which they might serve.


We are certain that the Iranians have not finished with their complaints about the theocracy. Here in the United States, a similar development is unfolding. Obama gets this. He has no intention of succumbing to the traditional corruption he was elected to counter. How will it turn out? Hide and watch.



Thursday, June 4, 2009

Healthcare 2009: Medicare Part D on the "Kitchen Table"

Welcome to the E.O.B.

A "real life" example of a health care question. A huge part of health care reform will be the removal of everything which has been added by the special interests who have designed and legislated every part of what we now have. The switch will be legislation which directs health care at health instead of profits.98

A MeanMesa post about healthcare could easily extend to far too many inches -- and even that approach would still omit many important facts! So, in an effort to keep this short, let’s just say that we won’t mince words.

In order to get right to the point, let’s take a look at the illustration included here. This is a monthly report from Presbyterian Senior Care in Albuquerque, New Mexico. A similar form is mailed to the author of this blog every month. ( Just click for an enlarged image.)




When we look very carefully at exactly what this form says, we can get a glimpse of one aspect of the Medicare Part D Pharmaceutical Coverage as it was written by the pharmaceutical lobbyists when it was passed during the Bush Autocracy. Taking a look at the actual results of the program in action can, hopefully, reveal far more than abstract analysis offered by media pundits. What we will examine here is the reality of what Americans using Medicare Part D encounter across our nation.

The cover letter accompanying this little jewel describes it as an: E.O.B.,
an Explanation of Benefits for Your Medicare Prescription Drug Coverage (Part D).
THIS IS NOT A BILL. Keep this notice for your records.

This notice includes:
1. How much you’ve paid so far this year for your prescriptions.
2. Your recent claims for prescriptions.

Now, to the information on the form.

The second row of numbers is high lighted. It is labeled as “Your Current Phase.” Moving across the boxes in Row 2, “Your Current Phase,” we see the following.

The second box shows the maximum allowed drug costs for the period, $2700.

Now, although one might think that this figure of $2700 represents the maximum prescription costs which will be paid by Medicare Part D under this plan, the fact is that this $2700 figure, thanks to the careful way the original legislation was written, actually represents the maximum which will be paid by either the insurance or the individual.

The third box as we move along this row is the amount actually paid by the insurer, in this case, Presbyterian Senior Care, $160.24. This figure represents the cost of my prescriptions paid for by Presbyterian Senior Care, an HMO which handles my Medicare Part D coverage. This $160.24 is the part of the cost of these prescriptions other than the co-payments I made when they were purchased.

The fourth box shows the figure $80.92. This amount is the total of the co-payments.

Now, it gets a little more interesting. The fifth box shows the figure $80.92 again. This time that amount is described as the amount “you/others on your behalf paid that counted toward your out of pocket expenses.” This means that this $80.92, although not paid by the insurer, is still counted toward the $2700 limit of “this phase” of coverage.

Moving along, the sixth box shows the amount of prescription expenses, $0.00, also paid by the individual, which do not count against the $2700 initial coverage limit. Apparently no one receiving these benefits has ever had any amount listed in the sixth box. All the expenses paid by the individual for prescriptions count against the $2700.

To compute the figure in the seventh and final box on the second row, we will add the figure from box three to the figure in box four, that is, $160.24 + $80.92 = $241.16, the total cost of all prescriptions so far this year regardless of who paid for them. To arrive at the total amount of the $2700 initial coverage limit remaining for future payments during this coverage period, Jan. 1, 2009, to Dec. 31, 2009, we subtract that total from the “Initial Coverage Limit,” $2700 - $241.16 = $2458.84.

Our last stop on this interesting form is on Row 3. The second box on row 3 is described as “Maximum you/others on your behalf pay in this period.” The “this period” part of that label refers to what is called “Coverage Gap.” It is, also, lovingly referred to as “The Black Hole” or “The Doughnut Hole” by folks relying on Part D coverage to help pay for their prescriptions. The “Maximum you/others on your behalf pay in this period is: $4350.00." All the figures shown in Row 3 deal with this “Coverage Gap.”

The final box on Row 3, clear at the right on the form, shows a figure for the “Amount left before catastrophic coverage.” That figure is derived by subtracting the total paid for prescriptions by all payers, calculated in Row 2 and amounting to $241.16, from the “Coverage Gap,” that is, $4350.00 - $241.16 = $4269.08.

The “Coverage Gap,” that is, when total prescription costs have reached $2700 (based on the way they calculate this in Row 2) and gone on until they have reached $4350, means that there is no Part D coverage for this “period” or "phase." Part D becomes active again only after prescription costs have passed $4350, and is then called “Catastrophic Coverage.” Row 4 describes the features of this part of the program.

Relax. All the math is finished.

Now, what exactly is the point? To illustrate “the point,” let’s compare it to a different example of common insurance, say, auto insurance.

When we have a car wreck, our insurance company comes to the rescue. Our policy describes precisely what our insurance covers, and also states very clearly that there are limits on various possible costs resulting from a car wreck. For example, even if you were "drunk as a skunk" and collided with a bus full of orphans from a home supported entirely by trial lawyers, your insurance company would not be willing to pay a trillion dollar settlement.

A trillion dollars would be far more than the limit of liability your policy contains for that sort of accident. The idea of clearly stating the “maximum coverage” provided by your auto insurance policy is a completely standard practice of that type of contract. “Maximum coverage” or “liability limit” simply spell out just how much you have contracted your insurance company to pay. If you had wanted them to pay more, you could have purchased a contract with a higher “liability limit” for a higher premium.

However, if we were to insinuate the Medicare Part D coverage structure into this auto policy, we would arrive at a bewildering conundrum. The “liability limit” on such a policy would include not only the total amount the insurance company might possibly have to pay, but it would also include everything you might pay out of your own pocket! This means that if you had to add any of your own money to the amount finally paid to the orphans, your insurance company would consider that to be a part of what they paid!

In this version of auto insurance, anything you paid would count against your “liability limit” in just the same way as if your insurance company had paid it!

If auto insurers could sell this kind of policy, they would love all the extra money they would earn settling such claims! Unhappily for them, no driver in his right mind would ever purchase a contract like this one. If such a policy were ever offered, drivers shopping for insurance would immediately be on the phone to a different company.

However, with the “special attention” the pharmaceutical lobbyists paid to writing the Part D legislation, the equivalent of this “crazy auto insurance company” turns out to be the only insurer in the market for millions of Americans. Aside from passing the thing at 3 o’clock in the morning in the House and aside from the fact that they had to rely on good old Dick Cheney to break the tie in the Senate, this Part D bill was absolutely “chuck full” of legislative “doo-dads” which guaranteed its pharmaceutical sponsors some outrageously huge profits. And, as of now, those PHARMA sponsors have been doing, well, just great!

It was just the end of one of those binge "looting" parties that George Bush liked the very most. If all of his lobbyist friends were “snorting” and “cavorting” when he signed it into law, he figured that he had done his work very well.

Some of those “doo-dads” have already turned into billions of dollars in profit to the pharmaceutical companies and billions of dollars worth of fraudulent extortion costs for Medicare For example, unlike our auto insurance analogy, there is, by law, absolutely no competition or negotiation allowed. The price tag the pharmaceutical companies stick on any prescription is the price which will be paid under Part D. Period. No Americans will be allowed to go to Canada and purchase the same prescription for a lower price because “it simply isn’t safe for our elder citizens.” Right. They need to buy those prescriptions here where the full price can be charged to be safe!

Gotta' take care of the old people -- and, of course, the pharmaceutical corporations.

Under this weird legislation, even if old people did illegally go to Canada and paid for their prescriptions out of their own pockets, Medicare Part D would consider any money they spent this way to count against their “coverage.” It would appear in Row 2 of our form as an addition to the figures in box four and box five.

All of this "special" accounting might be no more than another Federal policy fluke, except...
When neo-cons are busy "proving" that "we can't afford health care reform," they are using a rather deceptive number to calculate that cost! The figures which are derived as the "cost of the program" are NOT BASED on the amounts that Medicare will pay for covered prescriptions. Instead, those numbers include all the amounts that ANYBODY PAYS for prescriptions. They include the amount that Part D will pay, but they also include the part that individuals will pay in co-payments and for drugs not included on the Part D formulary! Or in Canada! They even include the amount of coupons given by drug companies to lower the price of their own prescriptions!

Snakey. But, what did we expect?

The following e-mail arrived in my computer from the “Organizing for America” folks:

We knew healthcare reform would face fierce opposition -- and it's begun. As we speak, the same people behind the notorious "swift boat" ads of 2004 are already pumping millions of dollars into deceptive television ads. Their plan is simple: torpedo healthcare reform before it sees the light of day by scaring the public and distorting the President's approach.

When the swift boaters flood the airwaves with distortions, we'll flood the streets with volunteers armed with facts. When they send lobbyists to tell Congress to back down, we'll send millions of calls, letters, and stories from real Americans asking them to stand up.

At the very bottom, Bottom Line of all this mischief, health care outcomes in the United States, although the most expensive in the world, are some of the worst in modern developed countries. In most European systems, it is illegal for a for-profit health insurer to even insure primary care.

Yuck. These American parasites seem to have a "thousand mouths."

I hope MeanMesa visitors will remember just how crazy this “gang rape” legislation actually is.

They should remember. They are paying for it, like it or not.

For an account of the scandal of the PHARMA Bill's passage:

http://dailypharmacist.com/wordpress/?p=66

and, straight from the Social Security Administration, a compilation of Part D:

http://www.socialsecurity.gov/OP_Home/ssact/title18/1860D-04.htm

Still interested? An earlier post from MeanMesa: "Health Care Without the Lipstick"

http://meanmesa.blogspot.com/2008/10/health-care-without-lipstick.html



Thursday, May 7, 2009

U. S. Senators Forced into Frightening Health Risk!

The following news snippet appeared last week. MeanMesa's attention was brought to it by comments on the Ed Schultz radio show, May 7th (1350AM, Albuquerque, "The Ed Schultz Show," 10AM to 1PM weekdays)93

Protesters disrupt Senate health care hearing

May-5-09 8:51am
From: www.ap.org

Protesters pushing for a government-run health system have been thrown out of a Senate hearing room after disrupting the meeting.

It happened at the start of a Senate Finance Committee session on overhauling the health care system to cover some 50 million uninsured Americans.

Finance Committee Chairman Max Baucus, D-Mont., has said that a so-called single-payer system — one that's run by the government — is not on the table. Many liberals favor that approach but Baucus and others say it's not practical or politically feasible.

Single-payer supporters repeatedly interrupted as Baucus tried to convene Tuesday's hearing.

When one protester shouted "we want a seat at the table," Baucus responded, "We want police."

Capitol Police removed eight people.

Democratic Senator Max Baucus of Montana. Senator Baucus's current term expires in 2009.

By now we have all watched the Senate long enough to understand the terrifying gambit our democratic system places on Senators. The health care question is a great example.

Of course, there is the voting population which is painfully aware that any approach to health care which excludes the single payer option will never amount to anything other than more of the same. Wallowing under a patiently and carefully crafted umbrella of Senatorial protection, the entire health care industry franchise has every intention of extending its incredibly profitable extraction scheme well into the future. That is, well into our future.

Down here on the “receiving end” of the current health care outrage, we know about the constantly increasing prices for coverage, the ever more rapacious denial of “preexisting conditions,” the total control over treatment in the hands of the corporate bureaucrats who make the decisions about what treatment will be available.

40 or 50 million of us know what it feels like to have no health care coverage at all.

Even those who are “covered” know that any kind of health emergency can plunge them into bankruptcy. Yet, that flow of “profits” to the health care providers, the HMO’s and the pharmaceutical giants must not be interrupted, must not be interfered with in any way. Our lot in this disaster is to simply keep paying and paying or simply suffer silently through illness and injuries. Too often, even for the “covered,” it amounts to both.

The industry has paid billions in campaign contributions to reinforce this strangle hold and the guarantee the “profits” it will inevitably provide to them. Now, the “rooster is home to roost.” The Senators who have received such extravagant largesse are now on the spot to perform their part, to provide the services they have been paid so well to render.

Here’s what these poor, belabored Senators now must face.

On one side, there is the immense money for campaign contributions from their “friends” (masters?) in the industry. The idea here is that enough money will keep getting them elected regardless of how unrepresentative their Senate votes might be on the matter. On the other side, there are all these voters who can’t count on access to the health care system because they have crappy coverage or no coverage at all. The problem is, although all these health care victims can’t provide campaign financing, they can provide votes.

If you are one of these Senators, the beautiful song from reelection heaven is a chorus of uninformed voters.

The gambit for the Senators? Can enough campaign contributions overcome not enough votes? Oh, dear.

Of course we expect greedy neo-con reactionaries to be against anything that might injure their corporate sponsors. There is no reason for us to whine with expectations of them actually representing the needs of their constituencies. The neo-con approach promises that enough campaign spending will bury any serious issues and replace them with tried and true hillbilly favorites such as god, gays and guns. That gamble is based on reaping the advantage of an under-informed or un-informed electorate which can be maintained in that state by constant inebriation with endless rounds of free reactionary KoolAid. This has been the quite successful strategy of both the stinky Senate bigots from the south and their proteges peddling the same gaseous lies in the north.

These crooks have managed to convince their constituencies with relentless, frenzied lies that:
health care is way too expensive
universal health care is a nightmare of lethally bad service
government bureaucrats will decide if they can get care or treatment
that poor people just want to go to the Doctor because it will be free.

Now, however, President Obama has “soiled the pot” for Democrats in the Senate. He has raised the unruly possibility of actually providing actual health care for the entire country. For the broke, nearly “over the edge” urbanites. For the presently uninsured. For the “wrong colored.” For those too poor to purchase Senators. For everyone.

Reactionaries and neo-cons claim that they don't actually ever get sick because they always seem to be able to "lift themselves up by their bootstraps" in time for more tax cuts. That is because, uh, they are so superior. No problem. Obama wants them to have health care, too.

Well, Senator Max Baucus, having no single payer voices at the table during your health care hearings was already an outrage. The arrest of any citizen in the audience who asked why you did that was even more of an outrage. Too bad your health insurance benefactors didn’t pony up a little extra cash to buy off Ed Schultz. The “fat redhead” is getting ready to feed you a delicious recap of all this on his radio and television shows.

Ahem, it’s already reached MeanMesa.

The Senate reactionaries can’t do anything else besides what they’ve been paid to do. Of course there’s going to be a scrap. As voters, our job is to keep a list of which Senators voted for what we want and which Senators voted for more profits from their campaign contributors. Will they pick “cash” or “votes?” Or, will they keep thrashing along on a wet dream that, if only they manage us a little better, they can have both?

In 2006 and 2008 we met the Republicans.

In 2010 and 2012 we will meet the incumbents.

Gosh. I wonder how that’s going to turn out?

For a recap with plenty of statistics, check out:

http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.63/DC1

and the article cited for the account of the hearing:

http://www.zimbio.com/Senator+Max+Baucus+of+Montana/articles/52/Protesters+disrupt+Senate+health+care+hearing