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From now on, such discussions should be relegated to the same exile as those about bathroom habits---to which, in many ways, they have evolved to bear a striking resemblance, anyway.
"A nation of sheep soon begets a government of wolves."
--Edward R. Murrow
Many obstacles and stumbling blocks remain in the way of health care reform. The House and Senate bills will have to be merged, and then the House and Senate both will vote on the final bill. We don’t yet know what will be in the final bill, or if the final bill will be passed into law. Passage will be especially difficult in the Senate, where it will need 60 votes to pass. It is still possible that after all this angst, just one grandstanding senator could kill the whole thing.
But just for fun, let’s look at what conventional wisdom says will be in the final bill and see if there is anything in it that will be an immediate benefit to people with mesothelioma cancer and other asbestos-related disease.
It is likely that the final bill will provide additional funding for state high-risk insurance pools. Currently more than 30 states run such pools, which are nonprofit, state-sponsored health insurance plans for people who can’t buy insurance because of pre-existing conditions. The biggest problem with such pools is that, often, the insurance they offer is too expensive for many who might need it. Both the Senate and House bills provide $5 billion in subsidies for state high-risk pools to make the insurance more affordable.
Under the Senate bill, beginning in 2014, private companies would no longer be able to deny coverage to adults with pre-existing conditions, nor could they charge higher premiums for people with pre-existing conditions. Until then, the state high-risk pools could provide some help.
Closing the Medicare Part D coverage gap — also called the “doughnut hole” — is another potential provision that could help some patients with asbestos-related disease. The “doughnut hole” is the gap between the coverage for yearly out-of-pocket expenses provided by Medicare Part D and Medicare’s “catastrophic coverage” threshold.
For example, in 2009 Medicare Part D paid at least 75 percent of what patients paid for prescription drugs up to $2,700. After that, patients must pay for all of their prescription medications until what they have paid exceeds $6,154. At that point, the catastrophic coverage takes over, and Medicare pays for all but 5 percent of the patient’s drug bills. The final health care reform bill probably will provide for paying at least 50 percent of out-of-pocket costs in the doughnut hole.
You may have heard the bills include budget cuts to the Medicare program, and this has been a big concern to many people. Proponents of the bill insist that savings can be found to pay for the cuts, and that people who depend on Medicare won’t face reduced services. But this is a complex issue that I want to address in a later post.
The long-term provisions probably will include many other provisions that would benefit patients with asbestos-related disease, including increased funding for medical research. Although there are many complaints about the bill coming from all parts of the political spectrum, on the whole it would be a huge benefit to many people.
— Barbara O’Brien
In a Message to Democrats, Wall St. Sends Cash to G.O.P.
...this year JP Morgan Chase’s political action committee is sending the Democrats a pointed message. While it has contributed to some individual Democrats and state organizations, it has rebuffed solicitations from the national Democratic House and Senate campaign committees. Instead, it gave $30,000 to their Republican counterparts.
The shift reflects the hard political edge to the industry’s campaign to thwart Mr. Obama’s proposals for tighter financial regulations.
Wall Street lobbyists say the financial industry’s big Democratic donors help ensure that their arguments reach the ears of the president and Congress. White House visitors’ logs show dozens of meetings with big Wall Street fund-raisers, including Gary D. Cohn, a president of Goldman Sachs; Mr. Dimon of JPMorgan Chase; and Robert Wolf, the chief of the American division of the Swiss bank UBS, who has also played golf, had lunch and watched July 4 fireworks with the president.When is the last time you or one of your friends tried to have a meeting with your elected representatives? Did you sit down for hours-long discussions? Were you freely invited back again and again so your views could be aired and considered? Did you have little breakfasts with plenty of goodies, or a few rounds of golf on a private course? Were you ushered into the special rooms set aside for such meetings and waited on by the staff? Did you representative take your call as soon as he or she learned it was you?
Republicans are rushing to capitalize on what they call Wall Street’s “buyer’s remorse” with the Democrats. And industry executives and lobbyists are warning Democrats that if Mr. Obama keeps attacking Wall Street “fat cats,” they may fight back by withholding their cash...It wasn't "buyers' remorse" he was trying to tap into, you can bet on that. Is Cornyn actually trying to say these people---who boldly sucked the money out of the economy with their bad faith Ponzi schemes, beggared huge swaths of the middle and working class, and created the house of cards that collapsed the job market and resulted in the worst unemployment situation since the Great Depression---is Cornyn really saying these Burberry-suited carny barkers DON"T deserve to be punished? These regulations that Obama is considering, no matter how watered-down they may be, are aimed at preventing the re-occurrence of our recent financial meltdown and protecting the little guy on "Main Street", goals that the Republicans and their teabagger fifth column like to claim they are fighting for in the face of the Democratic party's rank pandering to the corporate elite. So why is it that when action is taken toward these ends, we see the Republicans lining up with their palms and their tongues out, practically orgasmic at the possibility of representing the very corporate community they took no end of delight in bashing while the TARP money and the subsequent bonuses were handed out?
...UBS’s political action committee has shifted its contributions, according to the Center for Responsive Politics. After dividing its money evenly between the parties for 2008, it has given about 56 percent to Republicans this cycle.
Most of its biggest contributions, of $10,000 each, went to five Republican opponents of Mr. Obama’s regulatory proposals, including Senator Richard C. Shelby of Alabama, the ranking minority member of the Banking Committee.
The Democratic campaign committees declined to comment on Wall Street money. But their Republican rivals are actively courting it.
Senator John Cornyn of Texas, chairman of the National Republican Senatorial Committee, said he visited New York about twice a month to try to tap into Wall Street’s “buyers’ remorse.”
“I just don’t know how long you can expect people to contribute money to a political party whose main plank of their platform is to punish you,” Mr. Cornyn said.
The British medical journal The Lancet yesterday offered a mea culpa of sorts for its role in launching a global vaccine scare. Its regrets come about 12 years too late.I won't hold my breath waiting for the wave of media attention to this. More likely the usual suspects will continue along, endangering their own and everyone else, and their groundless paranoiac bullshit will entwine itself into the conventional wisdom for decades to come. After all, this is a country where the fact that H1N1 did NOT result in a medieval pile-up of corpses at doorsteps is taken as proof that we were lied to about the pandemic.
The journal finally issued a full retraction of a study it ran in 1998 linking measles-mumps-rubella vaccines to autism. The paper, with Dr. Andrew Wakefield as lead author, sent British parents fleeing from inoculations and fed U.S. alarm over preservatives in vaccines.
Even in 1998, overwhelming scientific evidence showed vaccines to be safe. Yet the press-savvy Dr. Wakefield had been getting headlines for his research, and the Lancet's publication fed the controversy by giving him an aura of respectability.
Evidence of vaccine safety continued to build, but the Lancet stuck to its story through 2004, when it was revealed that Dr. Wakefield had been paid to conduct his study on children who were clients of a lawyer ginning up a lawsuit. Even then the journal offered only a partial retraction, saying it had been correct to "raise new ideas."
Meanwhile, Britain's child vaccination rates had plummeted to below 70% in some areas, down from more than 90% in the mid-1990s. The country has since suffered waves of measles outbreaks. In 1998 England and Wales had 56 cases; by 2008 the number was 1,370. In 2006, the first British child died of measles in more than a decade.
The Lancet decision came after the General Medical Council—Britain's medical regulator—ruled last week that Dr. Wakefield had acted "dishonestly and irresponsibly." The panel confirmed years of allegations that he had been untruthful about his patients and funding and had shown a "callous disregard" for the children—subjecting them to invasive and unnecessary procedures. Only with the GMC now considering whether to strip Dr. Wakefield of his license has the Lancet finally said it "fully retract[s] this paper from the published record."
“This isn't about financing. It's about whether Americans get to keep Social Security, a program of guaranteed retirement insurance, which unlike the other key elements of a good retirement plan -- investments and pensions -- cannot be taken away.”Michael Kinsley, on the contradictions inherent in the argument for change.
"Surely, extending the retirement age to reflect current longevity expectations should also be on the table."Surely, no reasonable person with a 6 figure income, a portfolio to die for, and plenty of investments squirreled away offshore, anyway.
"As long as the subject of raising the retirement age keeps coming up, let's talk about what that would mean for people whose work consists of hard physical labor, often with physical side effects that can be debilitating over a long period of time.The question is now: Who will stand up for these people? Who is left to be their voice in the media, the government, and on the street now that the Democrats have abandoned human rights and justice for the sexy language of "moral values", and the Republican party has safely made the final transition to a completely plutocratic vehicle for the rich and powerful?
I never hear anyone discussing this, probably because the people debating it and most likely to write or influence the law on it themselves work mostly in offices where the hardest labor they encounter may be hauling a couple reams of paper, and the worst disabling injury may be carpal tunnel syndrome.
Getting to the average retirement age in one piece and still working can be a challenge to people who work in meat-packing plants, construction, domestic service, and similar work.
Many of these people are praying every day that their bodies will hold out. To move the retirement age even farther away from them is not only cruel, it is symptomatic of how alienated the governing and academic classes are from the people who create and support the infrastructures of their cushioned lives."
"Franklin D. Roosevelt was adamant, in creating Social Security, that the system was not welfare. To avoid that perception, or that accusation, he insisted that the flat-rate payroll taxes that fund the program be capped. Most Americans don't realize that there's a cap on payroll taxes because most Americans don't make more than $87,900 a year. Those who do, however, get a nice little tax break on their 87,901st dollar, and on every penny they earn beyond that... Well, if you can't beat 'em, join 'em. You want to pretend it's welfare? Fine, let's pretend it's welfare. That means eliminating the cap on payroll taxes. And while we're at it, since this is a "welfare" program we're talking about now, let's keep in place the limit on new benefits for salary above that cap. This would be a fundamental change -- from social insurance to social welfare. And it would likely create a boom in creative new forms of non-wage (and thus nontaxed) income. But the resulting infusion of revenue would ensure the complete solvency of the program until long after the last-living baby boom widow was buried."But after reading the NJ article, I'm not sure whether Rauch was agreeing with conservatives that it is a form of welfare, or whether he was putting that forth as part of an example of conservative argument against excessive interference with public life.
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