Tuesday, June 11, 2013

Plan B for Plan B

After several court battles, the Obama administration and the Department of Health and Human Services has dropped their opposition to imposing age limits on emergency contraception, aka Plan B.

The government’s decision means that any woman or girl will soon be able to walk into a drugstore and buy the pill, Plan B One-Step, without a prescription.

The Justice Department had been fighting to prevent that outcome, but said late Monday afternoon that it would accept its losses in recent court rulings and begin putting into effect a judge’s order to have the Food and Drug Administration certify the drug for nonprescription use. In a letter to Judge Edward R. Korman of the United States District Court for the Eastern District of New York, the administration said it would comply with his demands.

The Justice Department appears to have concluded that it might lose its case with the appeals court and would have to decide whether to appeal to the Supreme Court. That would drastically elevate the debate over the politically delicate issue for Mr. Obama.

I think Booman is on to something:  President Obama was really in favor of letting anyone have access to Plan B, but he knew that if he said he supported it, that would galvanize the opposition simply because he’s in favor of it.  He also knew that it would infuriate his base among pro-choice voters.  But he also knew that if he put up a fight and then gave up after making an adequate attempt, he would have cover on an issue that could have been used against Democrats in the mid-terms.  Got it?

It’s exasperating, but that’s how the game is played.  The worst part of it is that time, money, and political capital was wasted on a fight that was fixed from the start.

Short Takes

Syria — Rebel losses make choices tough for allies.

Turkey — Police push protesters out of Istanbul square.

Afghanistan — Taliban still surging ahead of election and NATO departure.

Leaks raise question of outsourcing intelligence work.

Obama administration drops opposition to age limits on morning-after pill.

The Tigers lost on the road to KC 3-2.

Wednesday, June 5, 2013

How Original

Marco Rubio has a solution for the evils of Obamacare: amend the Constitution.

Sen. Marco Rubio (R-FL) on Tuesday introduced a constitutional amendment aimed at invalidating the individual mandate to buy health insurance under Obamacare.

The text of the “Right To Refuse” amendment, according to Rubio’s office: “Congress shall make no law that imposes a tax on a failure to purchase goods or services.”

“ObamaCare is a disastrous policy that is not only destructive to job creation, it will also unleash the corrupt and scandal-ridden IRS on taxpayers simply for not buying health insurance,” Rubio said in a statement.

This is his idea of being a Constitutional “originalist”?  Seriously?

Only The Talk Is Cheap

Being a stalwart guardian of democracy and the free market is going to cost a lot of money.

The states that declined to expand Medicaid will lose out on a total of $8 billion in federal funds, have millions more residents uninsured, and spend about a billion dollars more on uncompensated care as compared to states that accept the expansion.

That’s the conclusion of a new study in Health Affairs by two RAND Corporation scholars, who model the impacts on the first 14 states that opted out of Obamacare’s Medicaid expansion, which was made optional by the Supreme Court.

In total, mathematician Carter Price and economist Christine Eibner find, the 14 states that rejected the expansion will wind up with 3.6 million more uninsured people, $8.4 billion less in federal funds, and up to $1 billion more in spending on uncompensated care in 2016.

Oh, and a lot of people are going to become a burden of the state and their taxpayers because they don’t have insurance.  But hey, as long as you brave souls like Gov. Rick Perry of Texas and the patriots of the Florida legislature can flip off that black man in the White House, it doesn’t really matter, does it?

Tuesday, June 4, 2013

Fundamental Flaw

After the Newtown shootings, the conservatives and the gun lobby said that we should focus on treating people with mental illness rather than go after guns.  They have a point; mental illness has been ignored as a part of our national healthcare for far too long, a lot of people suffer from them to some degree, and we should do something about it.

So when President Obama convened a national conference on mental health, you would think that he would garner support from the conservatives, whom you would think would be in favor of treating mental illness seriously.  (Okay, insert your cheap shot here.)

But of course you would be wrong.

President Obama convened a mental health conference today to encourage a national conversation about mental illness, including a public service announcement campaign targeted at young people and veterans. If you think that sounds fairly innocuous, the Daily Caller’s Neil Munro is here to straighten you out:

President Barack Obama urged depressed, stressed and disturbed Americans to depend on the U.S. government’s growing corps of taxpayer-funded mental health professionals.

That phrase—”taxpayer-funded mental health professionals”—seems to hint that a simple PR campaign to treat mental illness would lead to Obamacare Creep, even though the majority of mental health treatment is paid for through private insurance.

But the real meat of the story is Munro’s assertion that anxiety and depression aren’t real illnesses

Honestly, if the right wing came out in support of the president on this, I would think that they might have a problem themselves.

Wednesday, May 29, 2013

Dick Perry

Gov. Rick Perry (R-TX) refuses to expand Medicaid in Texas for only one reason: it’s got Barack Obama’s name on it.

Under the Affordable Care Act, the federal government fully funds Medicaid expansion until 2016 and gradually reduces its contribution to 90 percent in 2020 and subsequent years. Texas – which has the highest percentage of uninsured residents – would never pay more than 7 percent of the cost of providing coverage to Texans, but Texas Republicans argued that “even $1 in the name of ‘Obamacare’ was a dollar too much.” ”Texas will not be held hostage by the Obama administration’s attempt to force us into this fool’s errand of adding more than a million Texans to a broken system,” Perry said. The decision means a loss of approximately $7 billion for Texas hospitals, which comes on top of the $700 million a year reduction in Medicaid payments from state budget shortfalls and cuts under sequestration.

That means that 1.5 million people in Texas will go without healthcare because the governor of the state is a political whackjob, willing to make a choice that not even Rick Scott of Florida or Jan Brewer — neither of them known for their moderate points of view — are willing to make for the sake of the people of their state.

On the upside — if there can possibly be one — it may be the straw that breaks the back of the Tea Party grip on the state.  How many of those 1.5 million people vote?

Tuesday, May 7, 2013

Florida To Poor People: Drop Dead

As noted previously, the Florida legislature adjourned without voting to expand Medicaid.  Which means that a whole lot of poor people here will go without health insurance next year.

It seemed like a watershed moment for the Affordable Care Act when Florida Gov. Rick Scott (R), a staunch Obamacare opponent, embraced the Medicaid expansion in February.

“While the federal government is committed to paying 100 percent of the costs, I cannot deny Floridians who need access to health care,” Scott told reporters at a press conference.

Scott wouldn’t be the one to “deny Floridians” a part of the health care law—but the Florida legislature had other plans. Lawmakers adjourned Friday after passing a budget that does not include funding for a Medicaid expansion. Unless the Republican-controlled legislature comes back for a special session later this year—which some Democrats are calling for—Florida will not expand Medicaid in 2014.

In Florida, where one in five non-elderly residents lack insurance coverage, the consequences are especially large: An estimated 1.3 million Floridians were expected to gain coverage through the the Medicaid expansion.

But we did get a bunch of new specialty license plates, so we’re good.

I have friends and colleagues who are conservative Republicans who work with the elected representatives of the state of Florida who shake their head in mystified sorrow over the stupidity and just plain ignorance that passes for what goes on when the legislature is in session.  It isn’t just the conservative mindset or the lingering effects of the shock of finding out that the country has elected a ni-CLANG! twice as president.  It’s a blend of fundamental ignorance and blatant anti-everything that has happened since the Roosevelt (Theodore, not Franklin) administration.  Government-subsidized healthcare?  Augh!  Socialism!

Gov. Scott, to his credit as a politician if not as a craven cynic who believes he can get re-elected by suddenly coming across as a pragmatist, is now trying to get the genie that he yanked out of the bottle back into it before the Teabaggers at The Villages find out he’s gone squishy and they come after him on their Medicare-supplied scooters.  The only thing that will save him is the fact that the Florida Democrats are so weak that the best hope they have is a warmed-over Charlie Crist.

Meanwhile, 1.3 million Floridians will be turning to the emergency rooms for medical care and the rest of us will be paying for it at a much higher cost because… FREEDOM!

Wednesday, May 1, 2013

Short Takes

President Obama will try again to close Gitmo.

Also, the president backs the way the FBI handled the Boston bombers.

Victims ID’d in Afghanistan cargo plane crash.

Witnesses and satellite photos show extent of Nigerian massacre.

It’s Markey vs. Gomez in Massachusetts primary for the Senate.

FDA says morning-after pill safe for 15 and up.

The Tony nominations are out.  (Missed again.)

R.I.P. Deanna Durbin, 91, film star of the ’40′s.

The Tigers beat the Twins 6-1.

Rabbit, rabbit, rabbit.

Friday, April 12, 2013

Short Takes

The U.S. tells North Korea to knock it off.

Syria — Massacre reported as forces move south.

One good thing in the Obama budget is federal health care benefits for same-sex couples.

Toyota, Honda, Nissan, and several other car companies (including Pontiac) face recalls over airbags.

Korean War P.O.W. gets posthumous Medal of Honor.

Tornadoes hit Mississippi as storms head east.

The Tigers beat the Blue Jays 11-1.

Monday, April 8, 2013

Florida High

TPM points to an article in the Palm Beach Post about backers of legalizing medical marijuana in Florida and the connection to Charlie Crist.

Trial lawyer John Morgan, one of President Barack Obama’s top Florida fundraisers, has thrown his clout behind a medical marijuana initiative whose proponents have struggled for more than three years to get the question before Florida voters.

Morgan recently pledged to raise money — and plug in his own, if necessary — to get a measure on the 2014 ballot that would make Florida the 19th state to legalize the growing and purchase of marijuana for medical purposes.

Morgan also happens to be the boss of Charlie Crist, whose name might be alongside the pot measure as the Democratic nominee for governor. Crist served as the Republican governor of Florida from 2009 until he became an independent to finish his losing campaign for the U.S. Senate. He registered as a Democrat in December and has said he’s mulling another run for governor.

Morgan, head of the Orlando-based Morgan & Morgan law firm, says he hasn’t spoken about the measure with Crist, who works as a lawyer in the firm’s Tampa office.

“That has not factored into my decision here,” Morgan said recently. “I plan to talk to Charlie and see what he thinks about all this. But what I do is not governed by what I think Charlie Crist might do.”

But others say the medical marijuana initiative could help draw voters to the polls who would more likely support Crist or another Democratic candidate than Gov. Rick Scott, the Republican incumbent who is seeking re-election.

Pop Tarts and Pringles go great with orange juice.  Or so I’ve heard.

Medical marijuana legalization, like marriage equality, is one of those issues where the dire predictions of doom and debauchery, fire and brimstone, has been thoroughly debunked.  Pot for healthcare has been working in 19 states, and were it not for federal drug laws, chances are that it would be legalized — and regulated — in a lot more places the same way liquor is.  And it would be taxed like crazy, thus insuring the states with a steady stream of revenue.

It’s also a safe issue for politicians to take a stand on.  There’s enough anecdotal evidence to show that medical marijuana is used by people of all different political stripes, and even the Tea Party folk must see that there’s freedom in being able to get baked when the chemo starts to get to you or Glenn Beck is just too much to handle without being stoned.

As for Charlie Crist, he’ll run on anything that will offer a glimmer of getting back to Tallahassee.

Saturday, April 6, 2013

Short Takes

President Obama faces backlash from left over budget plans; says it’s not “ideal.”

March job numbers were much weaker than expected.

Judge rejects age limits on morning-after pill.

Get with it — Immigration reform advocates tell Marco Rubio to stop dragging his heels.

Fashion Tip — Arizona lawmakers invited to wear bulletproof vests to work.

Deploy the tractor beam — Plans afoot to capture an asteroid.

R.I.P. Milo O’Shea, Irish actor with many credits including The West Wing and The Verdict.

The Tigers beat the Yankees in their home opener.

Monday, March 11, 2013

Friday, March 8, 2013

Getting Better All The Time

Thanks for the cold-ease advice and the wishes.  I’m getting better…good enough that today being one of my scheduled vacation days, I will actually get up, get showered and dressed, and do things other than shuffle between the living room, the kitchen, the office, and the bedroom.

I actually have some things to do, such as laundry and a couple of errands, and then later on this afternoon I’ll be meeting with some friends who are going to be performing in a staged reading of two of my short plays at a coffee house in Fort Lauderdale next weekend.  More on that later.

Anyway, I’m feeling better and should be back to full blogging strength just in time to take it easy for the weekend.

Thursday, March 7, 2013

Deluge

The tickle became a trickle, then a flood, and now I know it’s not the trees or the dust.  So I’m taking a sick day and I will be in my regeneration cycle for as much of the day as possible.

Thanks in advance for all your good wishes and remedies.

Tuesday, March 5, 2013

Rick Scott Gets Pwned

Florida Gov. Rick Scott’s attempt to turn left on Obamacare and expand Medicaid in the state ran smack dab into a wall known as the state legislature.

On the eve of convening of the 2013 session, the House Select Committee on the Patient Protection and Affordable Care Act rejected the expansion. A Senate counterpart committee postponed consideration of the issue, which is sure to be one of the biggest controversies of the session.

Scott, a Republican who bitterly fought President Barack Obama’s national healthcare plan as a candidate and in his first two years as governor, stunned conservative supporters on February 20 when he endorsed a three-year expansion of Medicaid, provided the federal government picks up the full cost for the first three years as promised.

“There’s definitely a fight between the governor and the (state) legislature over this. The Republicans in the legislature are much more fiscally conservative than his actions have shown him to be,” said Susan MacManus, a Tampa-based political scientist at the University of South Florida.

Republican legislative leaders have been openly hostile toward the plan, emphasizing that state lawmakers will make the final decision in drawing up a budget for next fiscal year.

While Democrats have pushed for full implementation of so-called “Obamacare,” the controlling Republican leadership has warned that the federal government might not keep its end of the bargain, leaving the state with a million more Medicaid recipients and reduced federal funding to cover them.

Whamo.  And the only reason that the federal government might not keep its end of the bargain is because the Republicans in Congress won’t let it.

Now a complete cynic would say that Gov. Scott knew all along that expanding Medicare would be a non-starter with the gang in Tallahassee but he went through the motions to sound all moderate and stuff just so he could campaign for re-election next year by saying that he tried to help out the poor people of Florida, but gosh darn it, those folks in the state capital wouldn’t budge.  But if you re-elect me, why, I’ll do my best to try, try again.  C’mon, gimme another chance.

That, or he just plain got blindsided by the wingnuts up there in Lower Alabama.

Wednesday, February 27, 2013

Thursday, February 21, 2013

Rick Scott Suddenly Likes Socialized Medicine

Florida Gov. Rick Scott (R) pulls a switch.

Gov. Rick Scott 05-08-11TALLAHASSEE — Gov. Rick Scott said Wednesday he supports expanding Medicaid and funneling billions of federal dollars to Florida, a significant policy reversal that could bring health care coverage to 1 million additional Floridians.

“While the federal government is committed to pay 100 percent of the cost, I cannot, in good conscience, deny Floridians the needed access to health care,” Scott said at a hastily called news conference at the Governor’s Mansion.

Scott, a former hospital executive, spoke with unusual directness about helping the “poorest and weakest” Floridians — a stunning about-face for a small-government Republican who was one of the loudest voices in an aggressive, and ultimately unsuccessful, legal strategy to kill a law he derided as “Obamacare.”

Gee, I wonder why he did that (cough 2014 cough).

Not surprisingly, the tea cups are rattled.

“This is just another example of Republicans lying to Floridians,” said Everett Wilkinson of Palm Beach Gardens, calling Scott “the Benedict Arnold to the patriot and tea party movement in Florida.”

But when it comes down to it, Gov. Scott, who made a huge fortune in the healthcare industry — and nearly ended up in the joint — before he became governor, knows that a big chunk of those federal dollars will end up in the hands of private hospitals.  When it comes to making a choice between sticking to the principles he’s adopted to win an election and making a buck, he’ll go for the buck, especially when he thinks he can turn it into a win at the voting booth, too.

PS: Mother Jones has a look at what has happened to Florida since Rick Scott came to Tallahassee.

Wednesday, January 16, 2013

Take The Money

Arizona Gov. Jan Brewer (R) does her best to exemplify the Marxist maxim of “Those are my principles, and if you don’t like them… well, I have others.”

Although Brewer has been a consistent opponent of Obamacare, she acknowledged Monday that the law is now an unavoidable reality and that Arizona would be worse off turning down the federal dollars that will come with broadening Medicaid. ”Try as we might, the law was upheld by the United States Supreme Court,” Brewer said. “The Affordable Care Act is not going anywhere, at least not for the time being.” The Arizona governor said the federal funding would help pay for some individuals already covered by the state’s Medicaid program and provide some protection for the state’s rural hospitals.

Gov. Brewer is refusing to set up a healthcare exchange in her state, which means the federal government will do it, and she’ll get free money to boot.  In other words, socialized medicine.

Why stand on political principle when there’s a shitload of money to be had?

At some point, Gov. Rick Scott here in Florida is going to get in on the money train… as soon as he can figure out how to direct the money to his own interests without leaving a trail of probable cause for a grand jury.

*

Tangential to that is the burgeoning cottage industry of people who opposed the healthcare law now raking in money from it, at least indirectly.  No one ever went broke exploiting the greed, fear, and paranoia of the American public.

Friday, January 11, 2013

Wednesday, January 9, 2013

Sorry, Wrong Numbers

Florida Gov. Rick Scott has been digging in his heels and refusing to implement the Medicare expansion mandated by Obamacare because he says it will cost the state $26 billion over the next ten years.

Except, as Health News Florida says, he’s citing a flawed report.

The state’s chief economist has warned the staff of Gov. Rick Scott that his Medicaid cost estimates are wrong, but Scott keeps using them anyway, according to a series of e-mails obtained by Health News Florida

Scott says he opposes expanding Florida Medicaid because it would cost too much: $63 billion over 10 years, he says, with the state paying $26 billion of that.

But those numbers are based on a flawed report, according to a legislative budget analyst and State Economist Amy Baker. A series of e-mails obtained by Health News Florida shows the analysts warned Scott’s office the numbers were wrong weeks ago, but he is still using them. He cited them in a Tampa Bay Times op-ed on Sunday and at at a Washington press conference on Monday.

What’s more, he’s basing it on the assumption that the feds won’t keep up their end of the bargain.  That could happen… if the Republicans in Congress refuse to vote the money for it.  The Department of Self-Fulfilling Prophecies is on Line 1.

How far off are Mr. Scott’s cited numbers?

Truth is, the most authoritative estimate of state costs associated with the Medicaid expansion, from the Kaiser Family Foundation, put Florida’s costs at $1 billion over ten years, and that doesn’t even include potential savings from costs currently incurred by the state in uncompensated care for the uninsured.

So Scott’s costs estimates are off a mere 96%, at least.

Not exactly a rounding error.  And, just to remind you, Mr. Scott gained his fame and fortune by running a healthcare business.