Rural Hospitals Are No Longer Providing Maternity Care

The Daily Escape:

Perseid meteor shower, from Mt. Evans, CO – August 13, 2023 photo by Paul Blais Photography

Welcome to our Saturday Soother, but first, Wrongo intends to spin you up before eventually letting you slow down.

There’s a crisis in rural healthcare in America. Rural hospitals are closing at a rapid rate. Our county (Litchfield) in Connecticut has one of three remaining hospitals that are designated as rural in the state (Sharon Hospital).

A problem for rural hospitals is that many are closing down their labor and delivery services in order to try and remain economically viable. WSHU, a CT-based NPR affiliate, has covered the impact of these closures to Connecticut. They quote Peiyin Hung, a researcher on maternal and rural health at the University of South Carolina:

“My team has been tracking nationwide, hospital-based obstetric unit closures since 2008 up to 2022,…. Almost 300 hospitals closed their OB units.”

WSHU points out that more than 60% of those closures were in rural areas. Why are so many hospital groups moving away from delivering babies in rural locations?

WSHU quotes Dr. Robert Roose, chief medical officer at Johnson Memorial, a hospital in rural Stafford Springs, CT that closed its obstetric unit. He said that it’s a safety issue. Hospitals with fewer than 200 deliveries a year, like Johnson Memorial, are considered low-volume birthing centers:

“There is a clear and critically important correlation between volume and quality of services provided when it pertains to labor and delivery and maternity care…”.

Three years ago, Hartford HealthCare’s Windham Hospital in Willimantic, CT stopped delivering babies, citing the same concern.

Also, malpractice insurance rates go up for low birth-volume hospitals because insurers feel the risk is higher if doctors aren’t getting sufficient practice with birthing. Hung says another problem is the level of reimbursement:

“Medicaid…pays half as much on average [as] private insurance pays for labor and delivery across the country”.

That’s important because about four in 10 of all Connecticut deliveries are covered by Medicaid. Simply put, delivering babies doesn’t pencil out for many rural hospitals.

There are other factors: Rural America’s demographics skew older. Young families in general prefer living in the suburbs or exurban areas. Couple that with America’s lower birth rate and rural hospitals really can’t maintain the birthing volume they need to remain economically viable.

The Center for Healthcare Quality and Payment Reform, (CHQPR) a Pittsburg-based health policy group published “A Crisis in Rural Maternity Care in the United States” which shows the problem:

“Fewer than half (45%) of the rural hospitals in the US currently offer labor and delivery services, and in 9 states, less than one-third do. Over the past decade, more than 200 rural hospitals across the country have stopped delivering babies”.

More:

“Hundreds of additional communities are at risk of losing maternity care because of the financial challenges rural hospitals are facing….More than 1/3 of the rural hospitals that still have labor & delivery services have been losing money on patient services, so their ability to continue delivering maternity care is at risk.”

CHQPR reports that more than half of small rural maternity care hospitals lost money in 2021-22.

They suggest that a primary reason rural hospitals are losing money is that private insurance plans pay them less than what it costs to deliver many of the services they offer patients, not only maternity care. They point out that while rural hospitals are losing money on uninsured patients and Medicaid patients, the losses from private payers have the biggest impact on their overall profit margins.

CHQPR suggests that a potential solution is to require that health insurance payments actually cover the cost of rural maternity care. With more than 40% of births (on average) in rural communities paid for by private health plans, having the private insurers pay more would help keep rural maternity care viable:

“Payment amounts must be higher in communities that have difficulty attracting staff, and payments must also be higher in communities with smaller numbers of births to ensure that revenues cover the fixed costs.”

This means that the fee-for-service model isn’t working in low-volume hospitals. Rural hospitals are only paid when they actually provide a service, but a small hospital has proportionally higher overheads than larger hospitals, since they must be staffed and ready to deliver a baby at all times, even if there are no deliveries at all. Read CHQPR’s report “A Better Way to Pay Rural Hospitals”.

Back to Connecticut, Sharon Hospital has proposed closing its labor and delivery unit. There will be a public hearing to consider the closure later this year. But Sharon is about an hour from its affiliated hospital (Danbury Hospital) that has a fully-staffed labor and delivery facility. Sharon may actually be closer to two other unaffiliated hospitals in New York state than it is to its own parent facility.

It’s now time for our Saturday Soother. Litchfield County is having beautiful weather this weekend. We’re taking advantage of it by going to a live Baroque music concert, and possibly heading off to the annual fair in a local town.

To help you relax and zone out from all of the Trump indictment analysis, grab a chair outside in the shade and watch and listen to “Gortoz a Ran” (I’m Waiting) sung by Denez Prigent and Lisa Gerrard. The language in the song is Breton, spoken in Brittany, France. It is closely related to Cornish and Welsh, and all three are Celtic tongues. When the Angles, Saxons and Jutes invaded Britain in the fifth century (400-500 AD), many of the Britons in Cornwall, Devon, and the West Country fled across the English Channel to France. Because of the influx of Britons, the region became known as Brittany.

Most of the images in the video are of Scotland, England, Wales, and Brittany. Lisa Gerrard isn’t singing in any language; she’s just vocalizing. The Uilleann pipes, an Irish instrument, are heard at 3:50:

Lyrics: English Translation

I was waiting, waiting for a long time
In the dark shadow of grey towers
In the dark shadow of grey towers

In the dark shadow of rain towers
You will see me waiting forever
You will see me waiting forever

One day it will come back
Over the lands, over the seas

The blue wind will return
And take back with it my wounded heart

I will be pulled away by its breath
Far away in the stream, wherever it wishes

Wherever it wishes, far away from this world
Between the sea and the stars

The song describes waiting, possibly forever: Aren’t we all waiting? What are we waiting for? For whom are we waiting? Happy Saturday!

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Saturday Soother – July 22, 2023

The Daily Escape:

Sunset, Yarmouth Port, Cape Cod, MA – July 2023 photo by Cynthia Maciaga

Wrongo continues to find demographic differences between the voters of 2020 and today. Most of those differences favor the Democrats. A WaPo op-ed by Celinda Lake and Mac Heller talks about some of them:

“Every year, about 4 million Americans turn 18 and gain the right to vote. In the eight years between the 2016 and 2024 elections, that’s 32 million new eligible voters. Also every year, 2½ million older Americans die. So in the same eight years, that’s as many as 20 million fewer older voters.”

This means that between 2016 and 2024, the cohort of eligible voters will have changed by a net 52 million. That difference is largely driven by new young people entering the pool and older people exiting. Those 32 million new voters are mostly “Gen Z”, who now constitute 20% of today’s American electorate.

In other words, it is highly unlikely, despite what national polls are showing, that the 2024 election will be a repeat of either 2016 or 2020.

Lake and Heller address the nuances of the demographic changes that are reshaping the electorate. The data show that today’s electorate is younger, more educated, and more issues-focused than in 2016 when Trump won. These factors tend to favor Democrats but do not guarantee success. Their takeaway is that Democrats are better positioned than Republicans to take advantage of these demographic changes. Lake and Heller stress that how Democrats reach them must be different from previous elections:

“Meet young voters where they are: on social media, not cable news. Make your messages short, funny and somehow sarcastic yet authentic and earnest at the same time. Your focus should be issues first, issues second, candidates third and party identity never.”

More from Lake and Heller:

“About 48% of Gen Z voters identify as a person of color, while the boomers they’re replacing in the electorate are 72% White. Gen Z voters are on track to be the most educated group in our history, and the majority of college graduates are now female.”

They also say that since voting participation correlates positively with education, we should expect women to have a larger voice in our coming elections.

Gen Z voters say their motivation for voting is not necessarily to support a party or candidate. Instead, it’s passion about one or more issues: They have a much more policy-driven approach than the more partisan voting motivations of their elders.

That policy-first approach, combined with the issues they care most about, have led young people in recent years to vote more frequently for Democrats and progressive policies than prior generations did when of similar age — as recent 2022 elections in Kansas, Michigan and Wisconsin have shown.

There’s a looming problem for both Parties: The possibility that young voters may embrace third-party candidates:

“Past elections show that Gen Z voters shop for candidates longer and respond favorably to new faces and issue-oriented candidates. They like combining their activism with their voting and don’t feel bound by party loyalty.”

With the “No Labels” movement and the efforts by the wacko Robert F. Kennedy Jr. to both field insurgencies, there’s potential danger from young people who are both committed and apolitical. Look for Gen Z to tire of waiting for Washington to solve problems. They may simply grab the national microphone from their elders and decide the 2024 presidential race.

Wrongo for one, is glad that they’ve arrived, and he believes they will fully understand the reasons why Trump must lose in 2024.

The weekend is here, and at least in our corner of the northeast, it is expected to be dry and warm. That means we can try to give more discipline to our disobedient plants. But before slapping on bug spray and sunblock, let’s take a few moments for our Saturday Soother, when we try to forget whatever Florida is doing to the teaching of the history of slavery, and center ourselves for another news-filled week to come.

Start by grabbing a tall glass of lemonade and find a chair outside in the shade. Now, let’s spend a few minutes remembering the life of Tony Bennett, who died on Friday. You know Bennett the singer, but you probably don’t know that he was a role model in other ways. As a soldier in World War II he helped liberate Jewish prisoners from a concentration camp, and he later marched in Selma with Dr. Martin Luther King, Jr. He refused to perform in South Africa when it was under apartheid.

Let’s watch and listen to Bennett perform “Body and Soul” in a duet with Amy Winehouse from Bennett’s 2011 album “Duets II: The Great Performances”. Bennett and Winehouse won the 2012 Grammy for best pop duo for this.

Tony may have been the best ever, but here, Amy is great, sounding a little like Billie Holiday:

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Saturday Soother – July 8, 2023

The Daily Escape:

There are currently 13 turkey chicks roaming the Fields of Wrong. One mom has nine and the other, four. While each year we hope for the best, we live amongst always hungry Coopers and Red Tailed hawks. Oh, and watch out for the foxes, coyotes and bobcats – July 2023 iPhone photo by Wrongo.

In Wrongo’s last column, he talked about the need to fight and win the long battle to reclaim rights that were lost in recent Supreme Court decisions:

“It won’t be easy to win these rights back, but it isn’t impossible.”

And new data from NBC offers a ray of hope:

“Republican primary voters are older, whiter and much more conservative than the electorate at large…. 39% of Republican primary voters are age 65 and older, compared with 25% of the overall electorate and 25% of Democratic primary voters, according to the poll…..89% of GOP primary voters are white, versus 72% of all voters.”

Here’s a chart from the poll:

Only 24% of GOP voters are under age 50, compared to 57.9% of the US population. More:

“…67% of Republican primary voters say they are conservative, including 41% who are “very” conservative…..That compares with 36% of all voters who are conservative, including 18% who are “very” conservative.”

There’s more bad news for the GOP in recent census data:

  • One of the most significant developments in the run-up to the 2024 presidential election is that census data show that the number of white people without college degrees (a core of Trump’s support) has fallen by 2.1 million since 2016.
  • Over the same period, the number of white people who have graduated from college (an increasingly Democratic constituency) has grown by 13.3 million.

Worse for the GOP and Trump, the reliance of the GOP on the electorate without college degrees has grown. In 2012, 48% of Republicans didn’t have college degrees. By 2016, that percentage had increased to 58%, but according to the NBC News poll, it’s now 63%.

They’ve also lost many of the college educated over the past eight years. And the population of the non-college educated is shrinking. It’s not a good formula for victory. It all points to having a decent chance to win the town by town, state by state fight to blunt the Supreme Court’s extremism. Forget what the media are saying, 2024 doesn’t have to be a close election.

And let’s also forget about the news, or where in the world Prigozhin is hiding. Rumors say he’s in St. Petersburg, Russia. Soon we’ll want proof of life.

And if you want to know just how far to the right the House Freedom Caucus has moved, they just ousted Marjorie Taylor Greene (R-GA) for being too liberal.

But it’s time to leave all of this behind and concentrate on our Saturday Soother.

We’re in the middle of a heat wave here in northwest Connecticut, and that makes all of the necessary yard work much more difficult to do. This year, we’ve had rabbits in our vegetable garden along with the usual horde of chipmunks, so Wrongo put up some of the deer fencing we use in the winter around the garden. We’ll see if it is successful.

This morning grab a cold brew coffee and take a seat in the shade outdoors. Now put on your Bluetooth headset and watch and listen to Sissel Kyrkjebø, a Norwegian soprano, perform “Going Home”. This song is about Antonin Dvorak, who wrote his Symphony No. 9, “From the New World” soon after arriving in America in 1893.

The song is based on the larghetto movement from Dvorak’s 9th. One of Dvorak’s students, William Arms Fisher, put words to the melody from the second movement. He called the new song, “Goin’ Home“. It was published in 1922.

Dvorak outlived his entire family, and returned home to Bohemia from the US. He died in 1904, at the age of 63. Sissel, who Wrongo knew nothing about before today, sings beautifully. Consider that English may not even be her primary language:

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Saturday Soother – May 27, 2023

The Daily Escape:

Milky Way, Monument Valley Navajo Tribal Park – May 2023 photo by Hasanur Khan

The WaPo’s Paul Farhi writes about “The looming existential crisis for cable news”:

“As recently as 2016, when Trump was narrowly elected president, just over 70% of all households with a TV had cable or satellite TV subscriptions. Today the figure is just under 40%, according to S&P Global Market Intelligence, a research firm.”

And it’s dropping fast:

“During the first quarter of 2023, another 2.3 million customers (or 7% of the total) cut the cord to traditional cable…the number of homes receiving TV via cable is now about the same as it was in 1992, when the industry was still on the rise.”

So, what does this mean for the Cable TV industry? Last year, the licensing fees collected by the six biggest cable news networks (Fox, CNN, MSNBC, CNBC, Fox Business and HLN) amounted to just over $4 billion. Advertisers added another $2.6 billion.

Farhi quotes Alan Wolk, a veteran advertising executive and media consultant:

“Cable news is dying….Not because it’s become irrelevant, but because the medium it lives on, cable TV, is dying.”

He predicts that cable could:

“…for all intents and purposes, disappear within a decade”.

The popular cable networks are profitable, largely because of how pricing works in the cable industry. The financial foundation of cable news isn’t advertising but the license fees that cable-system operators pay for the right to carry them. Regardless of whether a cable subscriber watches Fox, CNN or MSNBC, their monthly cable payments fund those companies.

The day could soon come when the exodus of cable subscribers leaves cable operators unable to pay the hefty license fees that those cable companies now command.

The cable industry sees what’s coming. They have all tried to distribute programming via streaming apps, YouTube channels, podcasts, and social media platforms in an effort to meet the cord-cutters where they are.

Yet so far, no news app comes close to matching cable in popularity and profitability.

Alan Wolk thinks cable news will have a particular problem in crossing the bridge to streaming: The median cable-news viewer is in their 60s and is resistant to new technologies.

The trouble signs are there. Viewers of the cable lineup other than news has sagged over the past decade as younger viewers have deserted cable. USA Network, once the most popular cable channel, has lost 75% of its nightly audience over the past 10 years. FX is down 68%, while the History Channel is off by 65%.

So what does this mean for US politics? Kyle Tharp posts weekly political advertising statistics on new media:

“…political advertisers spent just over $6.6 million on Facebook and Instagram ads last week…. For the fourth week in a row, the Biden campaign was the top-spending political advertiser nationwide on Facebook and Instagram. Their team continues to lean heavily on the platforms for growing their network of grassroots donors…..Political advertisers in the US have spent around $800,000 on Snapchat advertising in 2023.”

Tharp reports that DeSantis’ campaign launch video was heavily watched across all social media:

“On Twitter, the video received 23.8 million impressions…. compared to 2.9 million impressions for Tim Scott’s…launch video, and 9.1 million impressions on Nikki Haley’s…launch video…..Joe Biden’s launch video received 44.8 million impressions. The [DeSantis] video also received 125,000 views on Facebook, 1.9 million views on Instagram, and 236,000 views on Rumble. It’s a strong showing by any measure.”

(An “impression” is how many times it was displayed or had potential “eyeballs” on it.)

When you learn that Trump’s CNN town hall attracted an audience of just 3.3 million viewers, It’s clear that social media is already a major competitor to cable for the political class.

OTOH, if cable news goes away, how will Wrongo get his daily diet of pharmaceutical commercials?

That’s enough for this week. It’s time to forget about the “groundhog day” feeling that you get with the news bunnies constantly talking about the Debt Ceiling. It’s time for our Saturday Soother.

Here on the fields of Wrong, the baby bluebirds have fledged, and you can see them flying from tree to tree. We seem to be in for about 10 days of warmth and sun, with no rain in sight. People around here will soon need to choose between watering their plants and having a full well.

So grab a chair outside in the shade and put on your sunglasses. Now watch and listen to Dvořák’s “Piano Trio No. 4 in E minor, Op. 90 (the “Dumky”)”. Dvořák completed the trio in February 1891, and it is among the composer’s best-known works. The term Dumky is Ukrainian. It refers to epic ballads.

Here the Dumky is performed in the Herbst Theater, San Francisco in 2008 by the Beaux Arts Trio, with Daniel Hope on violin, Antonio Meneses on cello and Menahem Pressler on piano:

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Monday Wake Up Call – May 15, 2023

The Daily Escape:

Scarlet Tanager, Manomet Observatory, MA – May 2023 photo by Ken Grille Photography

Today, Wrongo is going to be a grumpy old mossback. It rarely suits his politics or his outlook on life, but the WaPo is reporting that automakers are removing AM radio from their new models:

“Automakers, such as BMW, Volkswagen, Mazda and Tesla, are removing AM radios from new electric vehicles because electric engines can interfere with the sound of AM stations. And Ford, one of the nation’s top-three auto sellers, is taking a bigger step, eliminating AM from all of its vehicles, electric or gas-operated.”

More:

“Now, although 82 million Americans still listen to AM stations each month, according to the National Association of Broadcasters, the AM audience has been aging for decades. Ford says its data, pulled from internet-connected vehicles, shows that less than 5% of in-car listening is to AM stations.”

Wrongo remembers car radios before FM, and long before SiriusXM, listening to Wolfman Jack at night, beaming his show from the USMexico border. Or hearing Alan Freed talk about the “submarine races” in NYC. Later, living in London, he would listen to pirate radio instead of the BBC.

At night, rotating the AM dial to bring in stations like KDKA in Pittsburgh or WWVA in Wheeling, West Virginia was an art. It required that you avoid the interference of other stations or the snap and crackle of lightning. While driving in the car, the AM signal could also be corrupted by the hum of overhead power lines.

Now that less-than-ideal experience will soon be only a memory. But as always in America, there’s a political argument to be made about AM radio leaving a few high priced cars. More from WaPo:

“The removal of AM radio from cars — where about half of AM listening takes place — has sparked bipartisan protests. Some Democrats are fighting to save stations that often are the only live source of local information during extreme weather, as well as outlets that target immigrant audiences. Some Republicans…claim the elimination of AM radio is aimed at diminishing the reach of conservative talk radio, an AM mainstay….Eight of the country’s 10 most popular radio talk shows are conservative.”

But the auto makers aren’t abolishing AM radio; they’re just not offering it in their new cars. AM will persist on the dial in most of America.

As usual, the issue in America is profits. Eliminating AM is all about the numbers. From WaPo:

“Of the $11 billion in advertising revenue that radio pulled in last year, about $2 billion came into AM stations, according to BIA Advisory Services, which conducts research for broadcasters. And some of the country’s most lucrative radio stations are still on AM, mostly all-news or news and talk stations in big cities such as New York, Chicago, Atlanta and Los Angeles.”

BIA Advisory says that about 40% of AM stations have news, talk or sports formats; 11% are oriented to specific ethnic groups; and another 11% have a religious format. About a third of AM outlets play music, including Mexican and Spanish music. But they also report that the AM audience is getting smaller and older. The in-car streaming technology has grown exponentially, as has the trend away from music and toward podcasts and other spoken-word formats.

WaPo also quotes Pierre Bouvard from Cumulus Media, which owns more than 400 (mostly AM) stations:

“Radio is still the soundtrack of the American worker….It’s what people listen to on the way to work. And Ford owners are massive users of AM radio — 1 out of 5 AM listeners are Ford owners, so Ford is missing something here.”

But people can stream AM broadcasts into their cars if they must have AM programming.

The demographics of in-car listening aren’t fully understood. A new study by Edison Research found that young people often prefer AM and FM broadcast radio because it’s free. Edison says that overall, AM and FM radio still account for 60% of all in-car listening. SiriusXM satellite radio makes up 16%, followed by drivers’ own music from their phones at 7%, with podcasts and music videos at 4% each.

If this makes a difference to you, several manufacturers including Mitsubishi, Nissan, Subaru, Toyota, Honda, Hyundai, Kia and Jaguar Land Rover, said they have no plans to eliminate AM.

Time to wake up America! Nobody is shutting down AM radio stations! If you need AM in your new car, you’ll just have to shop for a car that offers it. Wrongo has nostalgia for the old days of AM radio, but the one AM station he listens to in the car can easily be streamed through Apple Air Play.

Let’s not create another faux cultural war issue over whether your new Tesla must have an AM dial. To help you wake up listen to Meatloaf performing “Paradise By The Dashboard Light” with Ellen Foley. It’s from his 1977 album “Bat out of Hell”:

Props to Mike and Marie S. who did the absolutely best karaoke version of this tune!

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Immigration Reform Has To Happen

The Daily Escape:

Eastern Sequoia Canyon NP viewed from Mt. Whitney trail, CA – April 2017 photo by Peerman Craft Photography

The federal government is expecting a surge in migrants at the southern border after next week’s lifting of Title 42, a pandemic-era policy that has allowed the US to refuse to process asylum claims on public health grounds. In anticipation, the Biden administration is preparing to deploy an additional 1,500 troops to the southern border for 90 days.

Those troops are on top of about 2,500 who are serving there currently. None of the soldiers are armed. They are largely performing administrative tasks that free up Customs and Border Protection (CBP) staff to handle the anticipated surge of migrants.

This could be a critical political moment for Biden, who’s just launched his 2024 reelection bid. We seem to be on the verge of another potential border crisis, which brings the certainty of new attacks by Republicans. The GOP has been hammering the administration, saying Biden’s immigration plans are too little too late.

When Title 42 is lifted, CBP will rely on the existing Title 8 law, under which any individual who is deemed ineligible to be in the US faces a five-year ban on readmission – and criminal charges if found crossing illegally.

On Wednesday, US and Mexican officials agreed on new immigration policies. Under the agreement, Mexico will continue to accept up to 30,000 migrants from Venezuela, Haiti, Cuba and Nicaragua who are turned away at the US border; and up to 100,000 individuals from Honduras, Guatemala, and El Salvador who have family in the US will be eligible to live and work in Mexico.

The US is accepting 30,000 people per month from Cuba, Haiti, Nicaragua, and Venezuela for two years and offering them the ability to work legally, as long as they enter legally, have eligible sponsors and pass vetting and background checks. We’re continuing to turn away migrants from those four countries who cross the border illegally.

We’ve been following the same ad hoc approach to immigration for the past several administrations: We find a temporary solution that can handle a surge in migrants while not providing an open door for all who wish to enter the US.

We share this problem with most other rich countries. On Tuesday, the World Bank’s latest World Development Report said that about 184 million people across the world now live in countries where they’re not citizens. About 37 million of the total are refugees, a number that has tripled over the last decade.

Most of the transit happens through Central America before migrants reach the southern US border. Border security isn’t rigorous enough there to stem the northward flow. Recognizing that problem, the administration announced that it will set up regional processing centers for migrants to apply to come to the US. These centers will be located in Colombia and Guatemala, two countries migrants often pass through on their way to the US-Mexico border.

Deciding who gets to stay in the US is a bigger challenge when the migrants have few job skills and they’re not seeking asylum. We differentiate between asylum seekers and economic migrants. With a current backlog of 1.3 million asylum cases to be heard (equal to 4.25 years), the system is clearly broken.

The question is what should we do to stop/slow the flow of hundreds of thousands of migrants attempting to cross our southern border? Bloomberg shows the scale of the problem:

What’s the answer to this? Wrongo doubts that there is ONE answer.

Do we create a kind of reverse Berlin Wall like Trump tried to do? If it became a militarized border, we could surely cut down on the migration and the southern border would be controlled. This is the wet dream of the anti-immigration hawks. But the cost of building and manning the wall with soldiers would be ruinous, and to date, militarized borders aren’t who we are as a country.

Do we undertake nation building in Central and South America, hoping that those countries can become more attractive to their potential migrants? America’s track record with nation-building is terrible. And think about the cost, which could be far greater than the cost of a militarized wall. Think about how much money would be skimmed into the pockets of local politicians.

But we can’t just leave our borders open. Open borders are a sign of a government that has lost control of its geography. It would ultimately lead to a reality that no American wants. This is the specter that instills fear into most Americans about the growing migration problem.

It appears that we’re going to continue using an orderly throttling and vetting process at the southern border to decide who among this new surge of migrants is allowed into the country. The bigger question is what should our immigration policy be going forward?  We haven’t had immigration reform since the 1980s. We’re unlikely to have reform any time soon.

Biden and the Democrats are vulnerable if they can’t articulate a plan (that they can back with numbers) that shows the American people what we’re doing to control immigration. Developing a clear position on immigration could draw significant public majority support.

There are plenty of Democrats and Independents who are strongly against migration. So Biden needs to show progress soon by demonstrating that we’re controlling the problem.

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How To Look At The Electorate

The Daily Escape:

Aurora seen from Purgatory Overlook, Blue Ridge Parkway, VA on Sunday. The aurora was visible in 30 states on Sunday – April 2023 photo by Jason Rinehart

(Wrongo and Ms. Right are very happy for friend and blog reader Gloria R. who is making a great recovery from a life-threatening illness.)

Yesterday, Wrongo pointed out that independent voters were the fastest growing segment of the eligible voter population. With the partisan vote evenly divided between the two Parties, this means there are serious challenges ahead if either Party is to establish a sustainable majority with American voters.

But independents aren’t the only group we need to discuss. Doug Sosnik’s latest in the NYT talks about the “diploma divide”:

“…college educated voters are now more likely to identify as Democrats, and those without college degrees — particularly white voters….support Republicans.”

Sosnik says education level has become the single best predictor of how Americans will vote, and for whom.

Part of the reason for this shift is economic. According to the Federal Reserve Bank of St. Louis, since 1989, families headed by college graduates have increased their wealth by 83%, while for households headed by someone without a college degree, there was relatively little or no increase in wealth.

That has opened non-college homes to the grievance messaging of the Republican Party.

In the 2022 midterm elections, Democrats carried White voters with a college degree by three points, while Republicans won White non-college voters by 34 points, a 10-point improvement from 2018.

Today 42 states are firmly controlled by one Party. The only states that voted for the winning presidential candidates in both the 2016 and 2020 elections rank roughly in the middle on educational levels — Pennsylvania (23rd in education attainment), Georgia (24th), Wisconsin (26th), Arizona (30th) and Michigan (32nd).

Sosnik says that in 2024, Democrats are likely to enter the general election with 222 electoral votes, compared with 219 for Republicans. That means the presidency will be decided by whomever does best in just eight states, comprising 97 electoral votes: Arizona, Georgia, Michigan, New Hampshire, North Carolina, Nevada, Pennsylvania, and Wisconsin. Sosnik says that:

“…for these states, education levels are near the national average — not proportionately highly educated nor toward the bottom of attainment.”

This means that they are up for grabs by the Party with the stronger candidate and message. It also means that the Parties should look beyond education for like-minded voters in these states, so they should also focus on independents. Independent voters disproportionately live in suburbs. More from Sosnik:

“….the suburbs are the last battleground in American politics.”

We said yesterday that most of these independents are younger voters, millennials and Gen-Z. Many have also experienced weaker job markets than their elders, so they may be more disillusioned than most in the suburbs. So they are likely up for grabs.

Suburbs voting was decisive in determining the outcome of the last two presidential elections: Voters in the suburbs of Atlanta, Detroit, Milwaukee, Philadelphia, Pittsburgh and Phoenix helped determine the winner in those two presidential elections. They are likely to play the same role in 2024.

Since the 2024 presidential election will likely be won in those eight states, turnout is also a huge issue. Econofact says that richer people are more likely to vote than poorer people. The chart below shows turnout by income level for the 2016 presidential election:

The 48% voting participation rate for families in the lowest income category in 2016 was a little better than half of the 86% rate for families in the highest income category. Econofact states that the ratio of differences across income groups is similar for other election years as well.

Finally, there is an emergent anti-MAGA segment of the population. Michael Podhorzer writes a Substack newsletter about politics and economics. He says that:

“In 2016, despite losing the popular vote, Trump became president by virtue of his Electoral College victory. That election made clear that Arizona, Georgia, Michigan, Pennsylvania and Wisconsin had become the fulcrum of American politics.

In those five states, on the day that Trump was sworn in, only one state had a Democratic governor (Pennsylvania), only four Democrats served in the Senate, and Democrats did not constitute a majority in any of the 10 state legislative chambers.”

Now, four of the five governors are Democrats, nine of the ten Senators will be Democrats, and three of the state legislative chambers will have Democratic majorities. Podhorzer attributes this to Dems winning a big share of the anti-MAGA cohort.

It’s far too early to know how independents, or the non-college educated, or the relatively poorer Americans will vote in 2024.

But the winning Party had better be able to speak to and for the working classes.

Democrats say they’re a big tent, that all classes are welcome. They seem willing to back everything from trans rights to expanded Medicaid. But that messaging isn’t getting through to less educated, or to working class folks. They don’t believe it.

The Party’s political future requires Dems to speak up loudly on behalf of working men and women.

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Monday Wake Up Call – April 24, 2023

The Daily Escape:

Mountain Park in Globe, AZ  – April 2023 photo by Karen Coffelt

(Earth Day was yesterday. Wrongo was at the first Earth Day on April 22, 1970 in NYC. Then-mayor John Lindsay closed Fifth Avenue from 59th Street to 14th Street. Nearly one million people marched downtown. It was an upbeat and friendly crowd. In July of 1970, Nixon established the Environmental Protection Agency by executive order.)

Today let’s return to talking politics. Axios had an interesting chart from Gallup on the distribution of voters by party preference:

We spend our days listening to politicians who’s Parties, individually, now represent a minority of Americans. This trend means there are serious challenges ahead for our two traditional Parties. It also adds some context to our evenly split politics.

Here’s an analysis of the vote share of independents by Party in recent elections: (the numbers do not total to 100% because voters who chose “another” or didn’t vote aren’t shown)

Interestingly, the Democrats have lost 10 points of independent support from 2020 to 2022, but the GOP only gained 1%. At the time, the Associated Press reported:

“Republican House candidates nationwide won the support of 38% of independent voters in last month’s [2022] midterm elections, VoteCast showed. That’s far short of the 51% that Democrats scored with the same group in 2018…picking up 41 seats. The GOP’s lackluster showing among independents helps explain why Republicans flipped just nine seats…”

Going back to the trends in the first chart, Axios reports that Gallup analyst Jeff Jones says a big reason for this change is driven by the younger generation:

“It was never unusual for younger adults to have higher percentages of independents than older adults….What is unusual is that as Gen X and millennials get older, they are staying independent rather than picking a party, as older generations tended to do.”

So who are these independents? Krystal Ball explains in a YouTube video that most of these “independents” are younger voters, millennials and Gen-Z. They’ve also stayed more disillusioned than their elders.

This means that the nation is evenly split between those who think that one of our two political parties is telling the absolute truth, while the 49% majority basically don’t trust either to have their back.

The question with independents is whether they are truly a part of some mythical center or if they are a segment (half) of the population that isn’t politicized, meaning they don’t believe they have a personal stake in elections.

Or are independents simply that half of the US electorate that just doesn’t bother to vote?

The American political system is dysfunctional. That’s making people opt for being independent rather than Democrat or Republican. They see the choice between the Parties as choosing between the red shit sandwich and the blue shit sandwich.

Time to wake up America! Democracy is our country’s feedback mechanism, but just 46.8% of us voted in the 2022 mid-terms. So it’s clear our current brand of democracy isn’t working. More of us need to vote, and that means we have to help our Parties change. We don’t need a third Party; we need our two Parties to reflect what grassroots America needs. More about this tomorrow.

To help you wake up, and in honor of Earth Day, watch and listen to Neil Young perform “After the Gold Rush”, live at the Shoreline Amphitheater in 1993. He’s playing a pump organ, which generates sound as air flows past the vibrating reeds.  Also, he’s wearing Uggs:

Sample lyric:

Look at Mother Nature on the run In the twentieth century
Look at Mother Nature on the run In the twentieth century.

She’s still trying to outrun us 50 years later.

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My Way Or The Highway

The Daily Escape:

Azalea gardens at the Biltmore, Asheville NC – April 2023 photo by Sherry Maddock

We all know that the US is staring down a series of domestic threats to American democracy. Here’s a short list: Corruption on the Supreme Court, fundamental rights being lost via Supreme Court decisions, and voting rights being on the ballot in many states. Then there’s the question of whether any high level politician will ever be held to account for the Jan. 6, 2021 coup attempt.

These threats require that we convince every voter to turn out in 2024. Even so, surprisingly the presidential race in 2024 could be very close.

All of this could be undermined by the plans of the emerging political party called No Labels. They are gathering signatures to get on the presidential ballot in all 50 states in 2024, while recruiting both Democrats and Republicans to run as a bipartisan ticket. The WaPo reports that the group has already gained ballot access in Arizona, Colorado, Alaska and Oregon. Apparently, they are backed by shadowy donors who have provided them with $70 million in seed money.

Former Connecticut Sen. Joe Lieberman is associated with No Labels. Other names often mentioned as possible No Labels candidates are Sens. Joe Manchin (D-WVA), Kirsten Sinema (I-AZ), Susan Collins (R-ME), and former Republican Governor of Maryland, Larry Hogan.

Here we go again. Another centrist third party effort to create a “unity” ticket that supposedly appeals to those Americans who say they want to end the partisan bickering in Washington. This year, it’s No Labels who are trying to throw a big monkey wrench onto our Electoral College map. If they are successful, it could possibly send Trump back to another term in Washington.

All in the name of unity, of course.

Lieberman is acutely aware of the impact third-party bids can have on presidential elections. He ran as Gore’s VP candidate in 2000, when the Democratic campaign fell 537 Florida votes short of an Electoral College victory. That year, Ralph Nader, the Green Party nominee, won more than 97,000 Florida votes.

It might be useful for Lieberman et al to remember that in the 2016 presidential election, Jill Stein got 50,000 votes in Michigan, allowing Trump to win Michigan by 14,000 votes. Ross Perot in 1992 arguably shifted the race to Bill Clinton.

The No Labels website specifically describes itself as an “insurance policy against a Trump-Biden rematch.” From Larry Hogan:

“The vast majority of people in America are not happy with the direction of the country and they don’t want to see either Joe Biden or Donald Trump as president.”

Hasn’t Biden worked productively with Republicans to pass a broad array of bipartisan legislation? His main partisan domestic initiative was essentially written by Manchin, who now wants a larger voice with No Labels.

First, it seems bizarre for No Labels to equate Biden with Trump. Comparing the two when Trump is under indictment in NY and likely to be indicted in several more cases, after having incited an insurrection is crazy. What’s Biden’s crime? Not paying off porn stars?

Second, why is a group dedicated to promoting moderate, bipartisan legislation working against a president who has actually accomplished just that? Jonathan Chait in NY Magazine reports that No Labels’:

“…own polling suggests its candidacy would serve as a spoiler on behalf of Republicans. In December, it found an unnamed moderate third-party candidate would win just 20% of the vote, against 33% for Trump and 28% for Biden.”

This result seems completely logical given Biden’s greater reliance on moderate voters than Trump. But still they persist. For Wrongo, you only needed to say “Joe Lieberman” to convey that this organization is wrong-headed on its face. When politically marginal people like Lieberman and Manchin are interested in a new political organization, you know they’re looking for a way to insert themselves more deeply into our politics, despite how little actual support they have.

They’re willing to cause great harm for an outside shot at real power.

We need to understand that political centrism isn’t the halfway point between today’s median Democrat and today’s median Republican. Biden has governed basically as a 21st Century centrist; otherwise, the left of his Party wouldn’t be so frustrated with him. The No Label people need to realize that there’s already a perfectly good moderate Party in America, and it’s called the Democratic Party.

The No Label centrists seem to be living in some kind of dream world where the Electoral College isn’t closely divided and today’s political stakes aren’t monumental.

This is a vanity political project that could easily lead to a political disaster. Let’s hope it fizzles like most centrist third party bids have done in the past.

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Saturday Soother – March 11, 2023

The Daily Escape:

Sunset, Santa Elena Canyon, Big Bend NP, TX – March 2023 photo by Rick A. Ludwig. Cliff on left is in Mexico, the one on the right is in US. The Rio Grande is in the middle.

Signs that we’re starting to think about the 2024 election are everywhere. Wrongo wants to connect a few dots regarding Biden’s recent efforts to move the Democratic Party more to the middle on crime and immigration while staying left on financing the country’s social and military needs.

Biden proposed a budget to reduce the deficit, protect Medicare and Social Security, and raise taxes on wealthy individuals and corporations. From the NYT:

“In a speech in Philadelphia on Thursday, Mr. Biden said that his budget was designed to ‘lift the burden on hard working Americans’ and drew sharp contrasts with the proposals that Republicans have offered, which the president argued would threaten the nation’s social safety net programs and benefit the rich.”

This contrasts with Biden’s right-leaning position on the recent DC crime bill. Since DC is controlled by the Congress, it’s legislation can be vetoed by the US Senate. Also from the NYT:

“The Senate…voted overwhelmingly to block a new District of Columbia criminal code that reduces mandatory minimum sentences for some violent offenses, with Democrats bowing to Republican pressure to take a hard line on crime in a move that underscored the rising political potency of the issue ahead of the 2024 elections.”

By an 81-to-14 vote, with 31 Democrats voting with the Republicans, the Senate passed the Republican-written measure to undo the District’s law. It now goes to Biden, who after initially opposing it abruptly changed course and said he would sign it.

So, Biden’s tacking left on spending but to the center-right on crime. He’s making a series of calculated moves to position his Party to compete successfully in 2024. Still, it’s disappointing that Biden and 31 Democrats joined with the Right to deny DC residents the right to govern their own city.

But this shouldn’t be surprising. Last year, Biden and the Democrats turned their backs on labor during their contract battle with the railroads.

Here’s Nick Catoggio in the Dispatch: (Brackets by Wrongo)

“[Biden has]…begun to tiptoe toward the center lately on another major Democratic liability, immigration…..Centrist analysts…have warned Biden and his Party that their political viability depends on escaping the…“cultural bubble” in which an unsecured border is treated as a civic good.”

And last week Biden changed his immigration policy. He’s requiring asylum seekers to seek refuge in nations they pass through rather than waiting to do so in the US.

These new policies bring Biden closer to public opinion. Among Democrats, a plurality want to see the number of asylum applicants increased rather than reduced. Among the overall public, it’s the opposite. Biden is tilting toward the latter.

Biden wants to be seen as strong on crime. Democrats walk a fine line of being against crime but not wanting to wholly support the police. Doing that would risk looking anti-Black in cities that are so important to their political success. Dems support compassionate justice and not retributive justice, so they get tied up in knots when violent crime increases, which is rising in America. The problem of course is that the descriptor “violent” isn’t consistently applied.

Biden’s idea is to try to win more votes from people who are not fanatic MAGA types. That means picking off White suburban voters, Asian voters and Hispanic and Black voters, all of whom are concerned about crime.

Tom Sullivan points out that while the moderate-to-conservative White population is in slow decline, their votes remain significant, and that Democrats shouldn’t ignore them over the next two years:

“Sadly, Democrats often do. Campaigning in concentrated urban areas that tend to vote your way is simply easier and more cost-effective. What it means for largely rural states like North Carolina is that while it remains possible to elect a Democrat like Roy Cooper as governor, Democrats’ urban focus bequeaths him a Republican-dominated legislature…”

Sullivan says the Democrats need to start acting like the big-tent party that they used to be.

And that’s what Biden is attempting to do.

Time to say “enough” to war-gaming the 2024 election. It’s time for our Saturday Soother. The daffodils have sprung through the snow, a sure sign of spring. We turn back the clocks tomorrow night, another win for those who hate dark days.

So, it’s time to take a few minutes to center yourself. Start by sitting in a comfy chair and watch and listen to Lili Boulanger’s “D’un matin de Printemps” (On a spring morning). She wrote this piece in 1917 when she was 23. Boulanger battled bronchial pneumonia throughout her short life, dying a year later at age 24. Here, it is played by the Seattle Symphony conducted by Cristian Măcelaru.

Listen and think about her writing this during the darkest days of her life:

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