Tag: Trumpcare

Saturday Soother – March 25, 2017

The Daily Escape:

(Bobcat in Yosemite – photo by Rollie Rodriguez)

It’s Saturday of a week filled with political body blows. First, Rep. Devin Nunes acted as Trump’s Poodle by grandstanding in front of the press and then running to the White House to tell on the Intelligence Community. Then we all watched the Trumpcare fiasco. Trump issued an ultimatum to pass or forget Trumpcare, and Congress (as of this writing) can’t do either. Considering that Trumpcare has support of about 17% of the people, what special hell do Republicans wish on the country?

Finally, Neil Gorsuch. The Supreme Court nominee carved his way through the Senate Judiciary Committee, dodging substantive questions, and playing hard not to lose the nomination. A Supreme Court decision that potentially impacts Judge Gorsuch’s chances was announced during his second day of testimony. You probably didn’t hear anything about it, what with all of the cacophony Trump generates, so here you go:

 About 40 minutes after Supreme Court nominee Neil Gorsuch began his second day of testimony before the Senate Judiciary Committee, all eight of the justices he hopes to join said a major disability decision Gorsuch wrote in 2008 was wrong.

That’s right, the Supremes voted 8-0 against a Judge Gorsuch opinion.

Both the Supreme Court’s decision this week and Gorsuch’s 2008 opinion involved the Individuals with Disabilities Education Act (IDEA), which requires that public school systems which take certain federal funds provide a “free appropriate public education” to certain students with disabilities.

These were two different cases, but Chief Justice John Roberts wrote the unanimous opinion that mentioned Gorsuch’s opinion. In Thompson R2-J School District v. Luke P., a case brought by an autistic student whose parents sought reimbursement for tuition at a specialized school for children with autism, Gorsuch read IDEA extraordinarily narrowly. Under Gorsuch’s opinion in Luke P., a school district complies with the law so long as they provide educational benefits that “must merely be ‘more than de minimis.’”

“De minimis” means so minor as to merit disregard. So Gorsuch essentially concluded that school districts comply with their obligation to students with disabilities so long as they provide those students with slightly more than nothing. But, the Supreme Court rejected Gorsuch’s approach. The IDEA, Chief Justice Roberts wrote:

Is markedly more demanding than the ‘merely more than de minimis’ test applied by the Tenth Circuit.

The Tenth Circuit is Judge Gorsuch’s. Roberts added that Gorsuch’s approach would effectively strip many students the disabilities of their right to an education:

When all is said and done, a student offered an educational program providing merely more than de minimis progress from year to year can hardly be said to have been offered an education at all. For children with disabilities, receiving instruction that aims so low would be tantamount to “sitting idly… awaiting the time when they were old enough to ‘drop out.’

To the contrary, the unanimous Supreme Court concluded, in most cases a student’s progress should be measured according to whether they are able to keep up with their peers without disabilities.

When even Clarence Thomas goes against you, you know your ruling isn’t mainstream. The last thing we need is another justice who votes for the big-guys (business and government) over the little people.

Unfortunately, Gorsuch is a mainstream Republican. Another one who has a policy of doing “de minimis” for everyone in America who isn’t a big donor to the GOP’s mean-spirited agenda.

As the weekend begins, you really need a break. Take a few minutes and think about Annie Moore, who was the first person to enter Ellis Island when it opened for immigrants in 1892. Annie came from Ireland.

This song, “Isle of Hope and Tears” was written by Brendan Graham. It has been performed by many Irish groups over the years. Today, we hear the Irish Tenors:

America used to be the hope of the world. It’s time to decide how it can become that again.

Sample Lyrics:

On the first day of January,
Eighteen ninety-two,
They opened Ellis Island and they let
The people through.
And first to cross the threshold
Of that isle of hope and tears,
Was Annie Moore from Ireland

Who was all of fifteen years.

Isle of hope, isle of tears,
Isle of freedom, isle of fears,
But it’s not the isle you left behind.
That isle of hunger, isle of pain,
Isle you’ll never see again
But the isle of home is always on your mind.

Those who read the Wrongologist in email can view the video here.

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Monday Wake Up Call – March 20, 2017

The Daily Escape:

(Restored American Cars at Jose Marti Airport, Havana Cuba. 2014 photo by Wrongo)

America is snoozing on the Republican effort to turn health insurance into a party for the powerful. The LA Times’ reporter Michael Hiltzik took a look at the back pages of Paul Ryan’s Trumpcare bill and found a loophole that allows health insurance companies to pay their CEOs more money:

It does so by removing the ACA’s limit on corporate tax deductions for executive pay. The cost to the American taxpayer of eliminating this provision: well in excess of $70 million a year. In the reckoning of the Institute for Policy Studies, a think tank that analyzed the limitation in 2014, that would have been enough that year to buy dental insurance under the ACA for 262,000 Americans, or pay the silver plan deductibles for 28,000.

This is the opposite of the executive pay strategy under Obamacare. The ACA decreed that health insurance companies could deduct from their taxes only $500,000 of the pay of each top executive.

That’s a tighter restriction than the limit imposed on other corporations, which is $1 million per executive. The ACA closed a loophole for insurance companies enjoyed by other corporations, which could deduct the cost of stock options and other “performance-based” pay; for insurance companies, the deduction cap is $500,000 per executive, period. The reduced deductions would have been the equivalent of raising $600 million in new taxes over 10 years.

Well, that was more than the executives and their bought and paid for Congress critters could stand, so buried in the 123 pages of the House Republican bill repealing the Affordable Care Act, Hiltzik found that:

The House Republican bill repeals the compensation limit as of the end of this year. The GOP hasn’t exactly trumpeted this provision; it’s six lines on page 67 of the measure, labeled “Remuneration from Certain Insurers” and referring only to the obscure IRS code section imposing the limit. Repeal of the provision apparently means that the insurers will be able to deduct $1 million in cash per executive, plus the cost of “performance-based” stock awards and options, like other corporations.

So now, insurance companies’ executives will have a level playing field with other CEO’s. This fits in with the rest of the GOP bill: It does nothing to bring coverage to more Americans or make it cheaper. But it does help to further line the pockets of the privileged, and maybe that’s the point.

Wake up America! As Don Henley once said, “The large print giveth, and the small print taketh away”. We need to read what the GOP is really doing on the back pages of their legislation. To help us wake up, let’s pay tribute to Chuck Berry. To call him a legend of American musical history is an understatement. He received a Grammy Lifetime Achievement Award and Kennedy Center Honors. Berry’s “Johnny B. Goode” was the only rock-and-roll song included on the Voyager Space Probe Record.

Among the bands in which you hear his influence are The Rolling Stones and The Beatles. Both recorded his songs, and John Lennon said this:

If you tried to give rock and roll another name, you might call it Chuck Berry.

Berry played a Gibson model ES350. Sadly, while many great Rock and Roll guitarists have signature Gibsons, there is no Chuck Berry model. Here is Berry with a live version of “Roll Over Beethoven” from 1956. While the video isn’t the best, check out his guitar work on the intro:

Chuck probably duck-walked up to the Pearly Gates.

Those who read the Wrongologist in email can view the video here.

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Sunday Cartoon Blogging – March 19, 2017

Welcome to the start of another week in Trumplandia. The WaPo had a depressing story about how little some voters know about what in America’s politics impacts their lives:

Soon after Charla McComic’s son lost his job, his health-insurance premium dropped from $567 per month to just $88, a “blessing from God” that she believes was made possible by President Trump. “I think it was just because of the tax credit,” said McComic, 52, a former first-grade teacher who traveled to Trump’s Wednesday night rally in Nashville

She thinks that Trump has already made an important and favorable change to her family’s health insurance. Her son’s price decrease was actually due to a subsidy he received under the Affordable Care Act that Ms. McComic doesn’t realize is still in place. It has nothing to do with the tax credits proposed by Republicans as part of the Trumpcare bill still making its way through Congress.

She is a sample of one, but, Ms. McComic completely trusts Donald Trump. More from WaPo:

McComic said she’s not worried about her disability benefits changing or her 3-year-old granddaughter getting kicked off Medicaid or her 33-year-old son’s premiums going up. “So far, everything’s been positive, from what I can tell,” she said, waiting for Trump’s rally here to begin Wednesday night. “I just hope that more and more people and children get covered under this new health-care plan.”

Anecdotes like this reveal how surprisingly widespread ignorance of the political world is among voters.

Worse, it shows that people who are true believers don’t worry about how political decisions will impact them. Trump voters heard the Overlord promise to take away their healthcare insurance by repealing the ACA.

But they believed him when he said they would get something else that would be much better, so it’s all good.

There are decades of research about how people process information which would probably support the thinking that Ms. McComic is demonstrating cognitive bias. Her trusted news sources tell her that Trump is replacing Obamacare with tax credits, and she concludes that’s why her costs are magically lower.

Is there a way to cut through this and get voters like McComic to think more deeply, or to consider returning to the Democrats? Maybe not. But candidates in 2018 should pound these voters with: “This program you like was brought to you by Democrats.”

You like public parks? High-quality public schools? Medicaid? The GI Bill and Veterans’ benefits? Clean air to breathe? Clean water to drink? The fact that you are much less likely to be injured or killed on the job?

All were brought to you by Democrats. And the 2017 version of the Republican Party is planning to take away ALL of them.

The Guns vs. Butter argument will be resolved in favor of guns. Feeling safer?

The real kicker is that if Trumpcare and Trump’s Budget are both enacted, they will kill tens of thousands more Americans than will all of the Islamic terrorists and Mexican immigrants in America combined.

Certain things that were certain, seem different under the Republicans:

What did Trump REALLY mean?

But don’t worry, you know he has no real intention of making America great…

There are very few things he means “Literally”:

Trump cries “wolf”, and the White House mobilizes to explain:

Care? None of them care:

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Saturday Soother – March 18, 2017

The Daily Escape:

(Ancient Pagoda in Myanmar – photo by Steve McCurry. McCurry is best known for his iconic 1984 National Geographic magazine photograph “Afghan Girl”.)

This isn’t the millennium we thought we’d have. The 21st century was supposed to be a time of enhanced social justice, and a push toward further global integration. We thought that the arc of history bent unmistakably toward a bright Information Age.

Instead, where are we? Lurching forward towards the second decade of the century with the reins of government in the hands of an ultra-nationalist, someone who wouldn’t shake hands with Angela Merkel, the Chancellor of Germany at the close of their meeting. We also learned more about the tin ear that Republicans have when it comes to enacting a health insurance program. Here is the topper: In a conversation with the National Review’s Rich Lowry, Speaker of the House Paul Ryan (R-WI) bragged about how conservatives now have a once-in-a-generation opportunity to take health coverage away from the most vulnerable Americans:

So Medicaid…sending it back to the states, capping its growth rate. We’ve been dreaming of this since I’ve been around — since you and I were drinking at a kegger…I’ve been thinking about this stuff for a long time. We’re on the cusp of doing something we’ve long believed in.

Not the college experience that most of us had, but for Ryan, it was a time to dream about how, someday, he would take health care away from millions of poor people. The media thinks that this guy is the best and brightest that the Republicans have, and cover him like a serious, sober policy wonk focused on reducing deficits and poverty in market-oriented ways. They refuse to believe that a major elected official would devote his life to the Randian belief that the poor deserve what’s coming to them because they lack the brilliance of a John Galt. It’s one thing to have these thoughts at 20, and an entirely different thing to still have them at 47 years old.

To reiterate what we talked about earlier this week, Speaker Ryan’s health bill, if enacted, would lead to 24 million fewer people having health insurance by 2026, according to the Congressional Budget Office. Of those 24 million, 14 million would lose health coverage because of the changes Ryan wants to make to the Medicaid program.

No wonder Charlie Pierce calls Ryan the “zombie-eyed granny starver”. Many Americans voted for this. Perhaps they now understand buyer’s remorse.

Time to get soothed, if it is possible this week. Grab a cup of Hula Daddy Kona Coffee (just $100/Lb. via the web), sit in the sun room with Wrongo, and watch the 20” of snow melt on the fields of Wrong.

We’ll listen to Dvoƙák’s “Romance for Violin and Orchestra” performed by Tanja Sonc with the Slovenian Philharmonic, conducted by Keri-Lynn Wilson. Dvoƙák originally composed this in September and October 1873 as the slow movement of a string quartet in F minor. He re-scored it for violin and orchestra sometime before December 1877. Here is Romance of Violin and Orchestra, Opus 11:

Those who read the Wrongologist in email can view the video here.

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CBO and Ides of March UPDATE

Further to the column below, Bloomberg has a nice chart that puts the CBO report on Trumpcare in a better context. It compares the number of uninsured in CBO’s future forecast for Obamacare (if it remained in place) with their future forecast for Trumpcare. The difference is staggering, particularly if you think America shouldn’t cast aside its people for profits:

The difference between 10% of Americans uninsured and the 19% uninsured under the GOPocalypse Plan must be made clear to voters. Importantly, the GOP version will insure even FEWER people than were uninsured before we had Obamacare!

New HHS secretary Tom Price joined the parade of Republicans who tried to discredit the CBO report. He told reporters that the CBO didn’t analyze the entire plan for health care, including regulatory changes that can be made by HHS:

We disagree strenuously with the report that was put out…We believe that our plan will cover more individuals at a lower cost and give them the choices that they want, the coverage that they want for themselves and their families.

This is hilarious, considering that Price, in his previous role as House Budget chairman, helped to pick the current CBO director. Do you believe for a moment he picked someone who didn’t see things his way?

Finally, hidden in the CBO report on page 33, footnote f, is an assumption that should be headlined around the media today. It states that more people will die if Trumpcare is enacted. TPM reports:

Approximately 17,000 people could die in 2018 who otherwise would have lived if a House Republican health proposal endorsed by the Trump administration becomes law. By 2026, the number of people killed by Trumpcare could grow to approximately 29,000 in that year alone.

You might think that a CBO report showing that your plan will kill thousands of people a year and inflict physical and financial misery on countless more in order to pay for another tax cut for the wealthy would scare the GOP leadership, and some cracks are starting to show.

But, these are people who think that freedom requires that toddlers and those with schizophrenia be allowed to have access to guns, so very few are likely to be moved by the CBO’s forecast.

The disingenuousness of the GOP is to tout that the CBO estimates $935 billion in spending reductions via smaller tax credits and Medicaid cuts.  All this mostly affects the working poor who will pay for its $599 billion in tax cuts, mostly going to the wealthy.

That’s not a winning argument to take to voters in 2018.

It’s a point of theology with Republicans. The market can’t fail, it can only be failed. They have never accepted the concept, widely shown to be correct, that healthcare is not a commodity good like other goods and does not conform to their free market religion.

Read on below.

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The CBO and the Ides of March

The Daily Escape:

(Provence – Photo by Veronika K. Ko.)

The Ides of March are today. The Netherlands holds its parliamentary election, the US debt ceiling agreement expires, and Trump is gonna get a ton of postcards.

Congressional Budget Office estimates for Trumpcare (AHCA) came out on Monday, and they’re worse than expected.  Sarah Kliff, Vox’s healthcare reporter, has this:

  • CBO estimates 14 million would lose coverage in 2018. The report projects that much of the early coverage loss would stem from repealing Obamacare’s mandate that all Americans purchase coverage or pay a fine.
  • After that, increases in the uninsured would be from Medicaid cuts. After 2018, CBO thinks that most of the increase in the number of uninsured would stem from changes the AHCA would make to Obamacare’s expansion of Medicaid, an expansion that allowed many more low-income adults to enroll in the program.
  • The bill would “freeze” enrollment in that program on January 1, 2020. Medicaid enrollees would trickle off the rolls as their incomes changed. And this would lead to another big decline in coverage.
  • The number of uninsured, CBO projects, would rise by 21 million in 2020 and hit 24 million in 2026.
  • The CBO projects that as the individual market shrinks, premiums would rise between 10% and 15% as some healthy people flee in 2018. But over the next few years, the agency expects premiums to go down to 10% lower than under Obamacare.
  • CBO thinks more young people will come into the market, as the GOP plan offers incentives to make the market more appealing to younger, (healthier) enrollees.
  • AHCA would be a huge cut to Medicaid. CBO estimates it would reduce spending on the health program for low-income Americans by $880 billion over the next decade. This helps explain why AHCA would reduce the deficit: The bill spends a lot less money on entitlement programs.

When Paul Ryan’s talking points are that their plan will reduce the deficit, and that premiums will go down by 10% OVER THE LONG TERM, you know that he doesn’t care that 24 million people will lose healthcare insurance.

That the GOP is choosing deficit reduction over covering American citizens is what the public will remember. When you kick out the poor and older folks, of course premiums will go down. But premiums will remain high for those in the 50-64 age bracket, and their premiums will be higher than currently.

The CBO report also finds that this legislation will provide massive tax relief, and make the most fundamental entitlement reform in more than a generation, if throwing people off Medicaid truly is “reform”.

Even before the CBO report was released, the Trump administration began laying the groundwork to discredit the agency and their report. White House press secretary Sean Spicer:

If you’re looking at the CBO for accuracy, you’re looking in the wrong place…they were way, way off last time in terms of how they scored and projected Obamacare.

Since this is the Ides of March, you should have expected some stabbing.

Their criticism is centered on the fact that CBO previously overestimated the number of people who would enroll in the marketplaces. That’s true: Earlier CBO reports estimated that the Obamacare marketplaces would have 26 million enrollees this year. Last year, CBO revised that estimate to 15 million.

Critics don’t mention that the CBO also underestimated how many people Medicaid expansion would cover. The overestimate and the underestimate essentially cancel each other out: Obamacare is covering just about as many people as CBO expected back in 2013.

Curiously, Trump said his health care plan would cover EVERYONE, and it would be much cheaper and much better. Except it won’t.

When you think about bad data, remember that Trump said we shouldn’t trust the Bureau of Labor Statistics numbers on monthly employment last year, he said they were fake. Now, Trump says the numbers in this month’s data release are real. You be the judge:

Obama in February 2016 — 237,000 new jobs
Trump in February 2017 — 235,000 new jobs

Trump: Making America a Slightly Less Great Again.

Your daily musical interlude appropriately is from the group the Ides of March. Here is “Vehicle”, their only hit, originally published in 1970, and performed live at the Chicago House of Blues in 2014:

https://www.youtube.com/watch?v=2aHe5-2SsJY

That 70 year-old guy can still sing.

Those who read the Wrongologist in email can view the video here.

Sample Lyrics:

Well, I’m the friendly stranger in the black sedan

Won’t you hop inside my car?

I got pictures, candy, I’m a lovable man

And I can take you to the nearest star

 

Kinda like the GOP promises on healthcare.

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