“Death panel” as fiction

August 22, 2009

Odd observation: Electronic searches of H.R. 3200, ‘”America’s Affordable Health Choices Act of 2009,” find that the word “death” occurs only twice in the bill, on pages 588 and 596.

On page 588, the reference is to fines to a “skilled nursing facility” for lapses in care that result in the death of a patient. On page 596, again the reference is to a fine to a nursing facility for a lapse in care that results in the death of a patient.

In each case in which the word “death” occurs, the context is a fine for causing death.

The word “mortality” occurs once, on page 620. It occurs in a section that requires the Secretary of Health and Human Services to set priorities in national health care quality improvement, and to give priority to ideas that “have the greatest potential to decrease morbidity and mortality in this country, including those that are designed to eliminate harm to patients.”

In the only case in which “mortality” occurs, the context calls for reducing mortality.

Don’t take my word for it. Go search the bill yourself.

Critics appear not to have read the bill.  When writing fiction, sometimes it’s best not to be bound by reality.  However, when one is not bound by reality, one is writing only fiction.


MomsRising Healthcare Truth Squad

August 22, 2009

I get e-mail.  In all the discouraging folderol on the health care debate, it’s nice to know that a few people are carrying the torch for democracy and good republican government like these ladies.

Red caped mothers and others in Baltimore, before the U.S.S. Constellation, campaigning to dispel false rumors about health care reform, on August 19, 2009.  Image from MomsRising.com

Red caped mothers and others in Baltimore, before the U.S.S. Constellation, campaigning to dispel false rumors about health care reform, on August 19, 2009. Image from MomsRising.com

Watch for the ladies in red capes.  Barney Frank won’t ask what planet they spend their time on, I’ll wager.

Note links to more information, or to join in their merriment, in the letter.

Faster than a toddler crawling toward an uncovered electrical outlet and more powerful than a teenager’s social networking skills, moms across the country have been fanning out to dispel the unfounded rumors, misconceptions, and lies about healthcare reform.

MomsRising Healthcare Truth Squad members, dressed in red capes, have been distributing powerful truth flyers across the nation to passersby to educate them about what healthcare reform will really do, and about how it will help to ensure the economic security of families across the country.

“I must admit that I don’t normally wear a cape in public, but it was oddly empowering.  We knew we were having an impact on the larger conversation about healthcare when a news camera starting following us around. I definitely recommend life as a superhero,” say Donna, a cape wearing SuperMom for Healthcare.

*Let’s give our caped myth-busting moms some “online backup” by Truth Tagging friends with healthcare reform myths & facts today–it’s a virtual distribution of the same facts that the MomsRising Healthcare Truth Squad members are handing out in-person:

http://momsrising.democracyinaction.org/o/1768/tellafriend.jsp?tell_a_friend_KEY=4728

It’s going to take thousands of super heroines speaking up in order to get the healthcare debate back on track. We can’t all be out on the streets in capes, so please take a moment now to spread the word and bust some myths via email to friends and family by clicking the link above.

Why’s this so important to moms right now? Over 46 million people in our nation don’t have any healthcare coverage at all, including millions of children. Not only are families struggling with getting children the healthcare coverage they need for a healthy start, but 7 out of 10 women are either uninsured, underinsured, or are in significant debt due to healthcare costs. In fact, a leading cause of bankruptcy is healthcare costs — and over 70% of those who do go bankrupt due to healthcare costs had insurance at the start of their illness. Clearly we need to fix our broken healthcare system!

Don’t forget to help put some more truth into the mix of the national dialogue on healthcare reform right now:

http://momsrising.democracyinaction.org/o/1768/tellafriend.jsp?tell_a_friend_KEY=4728

Onward!
–Kristin, Joan, Donna, Ashley, Julia, Dionna, Katie, Anita, Sarah, Mary, and the entire MomsRising Team

P.S.  We’ve been hearing so much positive feedback about our caped crusading moms that it might be time to lead a giant march of moms on the National Capitol Mall.  Tell us what you think: http://www.momsrising.org/blog/bust-a-myth-tag-a-friend-with-the-truth-about-healthcare/

P.P.S.  Want to get more involved with the MomsRising Healthcare Truth Squad members? Click here: http://momsrising.democracyinaction.org/o/1768/t/9251/signUp.jsp?key=4284

P.P.P.S. When you go to the Truth Squad Tag page, you can also see a video of our MomsRising Healthcare Truth Squad in action wearing capes! http://momsrising.democracyinaction.org/o/1768/tellafriend.jsp?tell_a_friend_KEY=4727

Here’s the video:


End the hoaxes, part 2a: Great need for health care reform, Flagler County Free Clinic

August 21, 2009

Health care professionals and legislators struggled with the need for reform of health care for the past 40+ years.  Tweaking of specific, small parts produced no great reduction in health care cost inflation.  More millions of people fall out of the pool of people who have access to health care in a timely and affordable way.

And yet people claim not to see the need?

Faith Coleman of Flagler County Free Clinic: Faith Colemans ordeal as an uninsured cancer patient drove her to help others without health insurance. (CNN Image)

Faith Coleman of Flagler County Free Clinic: "Faith Coleman's ordeal as an uninsured cancer patient drove her to help others without health insurance." (CNN Image)

Meet Faith Coleman.  She was a young nurse, delivering health care for many different employers, when she was struck with kidney cancer.  Since she worked part time for so many, no one offered her health insurance as an employee.

Faith Coleman could mortgage her home for the $35,000 to save her life.

Her cancer is in remission.

But she then organized health providers in her town to take care of others in her situation.  Week in and week out, more than a hundred people show up to her essentially free clinic, trying to crawl out of the cracks in the health care delivery floor.  CNN featured the story.

I have been given another chance, and I felt that it was important for me to make a difference and to help other people,” she said.

So after her recovery in 2004, Coleman approached Dr. John Canakaris. The local physician with 60 years of experience had been treating the indigent population for years. Canakaris was eager to reach more patients in need.

The two worked together to establish the Flagler County Free Clinic in Bunnell, Florida, which provides medical care for the uninsured. It has treated more than 6,700 patients.

The clinic opened its doors in February 2005, with eight volunteers treating eight patients. Since then, it has expanded to 120 volunteers who see about 80 patients every other weekend. Coleman said she’s seen an increase in the number of patients at the clinic, which serves people who meet federal poverty guidelines.

Go read the story, look at the videos, and help out where you can.

One sure-fire way you can help:  Stand up for health care reform. We need it now.  In Texas, each person with health care insurance pays $1,800 a year to mend the holes in the safety net — we need to reduce that cost (for my family, that’s $7,200/year).

Stand up for health care reform now, and stand against the hoaxes claiming we have no need, or that expanded programs won’t help.


Pritchett confesses scare tactics, shows lunacy

August 21, 2009

I sent my response to Lou Pritchett[Free Republic folks:  Be sure to read that response to Pritchett.  A typical corporate people-hating hack — if you think he sympathizes with you, you’re more than a few flakes shy of a full box of Ivory] He responded in e-mail:

Since my ‘you scare me’  letter got your shorts in such a knot I hope the following two will increase  the discomfort. Lou Pritchett

PUBLISHED IN FLORIDA TIMES/UNION  NOV. 6, 2008, A FEW DAYS AFTER THE ELECTION

Farewell America–We’ll  really miss you!

Farewell to  the America we have loved for two centuries and hello to a new far-left driven president who promised change and will most likely deliver on it,

Farewell, to an  America  driven by individuals with strong work ethics to one which will resemble French, German, and British societies where big government, big welfare, union controlled labor,  four  day work weeks, ten  week vacations are the rule. Societies which constantly ask  “—where’s mine?”

Farewell to capitalism, job creation, lower taxes, smaller government, fewer entitlements, safer cities, personal responsibility  and sound work ethics.

Farewell to adequate military defense spending to protect us from our enemies who wish and plan  to kill us.

Farewell to  close ties with our  best and  only friend in the middle east—Israel.

Farewell to maintaining a conservative Supreme Court.

Farewell to any chance of keeping Health Care out of the hands and control  of   government.

Farewell to the famous American standard of living–a magnet to the world.

Farewell to conservative ‘talk radio’  as an antidote to the biased media. The Fairness Doctrine will return.

Farewell to any hope for educating our college kids in something other than liberal mush.

Today is truly a sad day for millions of Americans as they slowly  allow the election results to sink in. Today, for the first time in modern history,  America took a giant  step toward changing not only  the direction,  but the entire  character of the country from  free enterprise driven  to  big  government driven.

Our only hope is to start now planning and building a strong conservative base which can  reclaim the Presidency and Congress in four years and start repairing the damage. God help us if we fail.  Lou Pritchett  (www.loupritchett.com)

PUBLISHED IN FLORIDA TIMES/UNION  AUGUST 3, 2009

Take heart America!   In only six months President Obama  has finally awakened the ‘600 pound average American gorilla’  by his  “Ready, Fire, Aim”  approach with the auto industry, the unions, the banks,  Guantanamo, health care, czars, credit cards, and energy. His strategy of deliberately overloading the system with program after program designed to both confuse and deceive the public is right out of the anarchist play book and clearly proves how dangerous he, his administration and his  agenda are.  A universal truth states that the best indication of what a man will do in the future is what a man has done in the past. Given this,  another three and a half years of Obama will be totally disastrous, both financially and morally, for this country. Our only hope is to dump the Congressional clowns and elect adults in 2010 in order to stop the bleeding and then to finish the job by sending Obama back to the thing he does best–community organizing—in Chicago in 2012. Failing this, we fail our children and we fail our country. Lou Pritchett

“Anarchist handbook?”  Well, if Lou Pritchett is reading such things, you can bet it’s not because he wants to know what anarchists might do to him.  He’s looking for tactics.

Some of the things he claims he fears now, a rational patriot might hope for.  Talk radio replaced by fair discussion?  Certainly George Washington would have been encouraged by that.

If Pritchett goes on long enough, he starts making Obama look good.  Sunshine does not favor the pathogens.

Voltaire’s prayer still applies; one worries when so many come up looking so foolish, however.

One wishes Pritchett would go back to lecturing businesses on how to partner with Wal-Mart.  The cynic in him appears to have abandoned all hope in any entrepreneurial spirit left in America.  Too bad.

Can somebody get Pritchett a library card?


Alaska’s salmon go missing. Why?

August 21, 2009

It’s one of those environmental mysteries that would be fun and intrigueing, were it not so worrisome.

Alaska’s King Salmon disappeared from traditional river runs this year.  Again.

From Reuters:  A sockeye salmon scurries through shallow water in the Adams River while preparing to spawn near Chase, British Columbia northeast of Vancouver October 11, 2006.  REUTERS/Andy Clark

From Reuters: "A sockeye salmon scurries through shallow water in the Adams River while preparing to spawn near Chase, British Columbia northeast of Vancouver October 11, 2006. REUTERS/Andy Clark"

Reasons could be one of many, or several:  Changing ocean currents, pollock fishing accidental catches of salmon, plankton blooms, conditions on the rivers, competition from “ranched” salmon.

Consumers may see only the rise in price and a change in labeling in the supermarket.

Effects on employment and food supply in Alaska are huge, and crippling.

Canada fisheries are affected, too.

Climate change probably plays a role, in any scenario anyone poses:

“It’s quite the shocking drop,” said Stan Proboszcz, fisheries biologist at the Watershed Watch Salmon Society. “No one’s exactly sure what happened to these fish.”

Salmon are born in fresh water before migrating to oceans to feed. They return as adults to the same rivers to spawn.

Several theories have been put forward to try to explain the sockeye’s disappearance:

* Climate change may have reduced food supply for salmon in the ocean.

* The commercial fish farms that the young Fraser River salmon pass en route to the ocean may have infected them with sea lice, a marine parasite.

* The rising temperature of the river may have weakened the fish.

The Canadian government doesn’t know what’s killing the fish, but believes the sockeye are dying off in the ocean, not in fresh water, based on healthy out-migrations, said Jeff Grout, regional resource manager of salmon for the Department of Fisheries and Oceans.

In this case, even a small change in climate can have huge effects on ecosystems and specific populations of animals.  It’s one of those climate change issues that climate change skeptics and denialists prefer not to talk about at all.  If, as they allege, concern over climate change is entirely political, driven by bad information and false claims from over-active environmentalists, these problems should not exist at all.

But the problems do exist.  A fishery that had been stable for 50 years previously, the entire time it was tracked so carefully, suddenly becomes fishless.  Watch those rivers and fisheries.

Tip of the old scrub brush to Pamela Bumsted.

Help save the salmon; tell others:

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Lou Pritchett, you make me fear for my nation – an open letter to a former soap salesman

August 20, 2009

It looks like an internet hoax, but it’s not. It’s worse than that.  It is a triumph of cynicism and pessimism wedded to false claims, crafted to impugn a good man.  Lou Pritchett’s letter is scary because he appears to believe it, and others may, too.

Lou Pritchett on a yacht, holding his book, which has nothing to do with politics. Notice the lack of libraries in the photo.

Lou Pritchett on a yacht, holding his book, which has nothing to do with politics. Notice the lack of libraries in the photo. Image from LouPritchett.com

It usually comes with this line:  “Subject:  Letter from Procter & Gamble Exec to Obama.”  It may be entitled “An Open Letter to President Obama.”  It’s a letter filled with rant and inaccurate claims against Obama.  But it demonstrates something troubling.  It’s a letter from a guy who should know better, from a guy who can read newspapers and check facts for himself, but a guy who has been suckered in by every false and calumnous claim made against our President.

In short, it’s a letter from a supreme cynic, who has every reason to know better but appears to refuse to think.

Below the fold, I post the letter completely as it came to me, and I respond, with an Open Letter to Former Soap Salesman Lou Pritchett.


Here’s how the letter came to me, and below that, a careful and more pensive response.

“Subject: Letter from Procter & Gamble Exec to Obama

Please read, even if you are an Obama fan.  It is legitimate, written by respected, Lou Pritchett, formerly of Proctor and Gamble.  Lou Pritchett is one of corporate America’s true living  legends- an acclaimed author, dynamic teacher and one of the world’s  highest rated speakers. Successful corporate executives everywhere recognize him as the foremost leader in change management. Lou changed the way America does business by creating an audacious concept that came to be known as “partnering.” Pritchett rose from soap salesman to Vice-President, Sales and Customer Development for Procter and Gamble and over the course of 36 years, made corporate history.

AN OPEN LETTER TO PRESIDENT OBAMA

Dear President Obama:

You are the thirteenth President under whom I have lived and unlike any of the others, you truly scare me.

You scare me because after months of exposure, I know nothing about you.

You scare me because I do not know how you paid for your expensive Ivy League education and your upscale lifestyle and housing with no visible signs of support.

You scare me because you did not spend the formative years of youth growing up in America and culturally you are not an American.

You scare me because you have never run a company or met a payroll.

You scare me because you have never had military experience, thus don’t understand it at its core.

You scare me because you lack humility and ‘class’, always blaming others.

You scare me because for over half your life you have aligned yourself with radical extremists who hate America and you refuse to publicly denounce these radicals who wish to see America fail.

You scare me because you are a cheerleader for the ‘blame America ‘ crowd and deliver this message abroad.

You scare me because you want to change America to a European style country where the government sector dominates instead of the private sector.

You scare me because you want to replace our health care system with a government controlled one.

You scare me because you prefer ‘wind mills’ to responsibly capitalizing on our own vast oil, coal and shale reserves.

You scare me because you want to kill the American capitalist goose that lays the golden egg which provides the highest standard of living in the world.

You scare me because you have begun to use ‘extortion’ tactics against certain banks and corporations.

You scare me because your own political party shrinks from challenging you on your wild and irresponsible spending  proposals.

You scare me because you will not openly listen to or even consider opposing points of view from intelligent people.

You scare me because you falsely believe that you are both omnipotent and omniscient.

You scare me because the media gives you a free pass on everything you do.

You scare me because you demonize and want to silence the Limbaughs, Hannitys, O’Relllys and Becks who offer opposing, conservative points of view.

You scare me because you prefer controlling over governing.

Finally, you scare me because if you serve a second term I will probably not feel safe in writing a similar letter in 8  years.

Lou Pritchett

The letter came with this explanation attached:

TRUE – CHECK:

http://www.snopes.com/politics/soapbox/youscareme.asp

This letter was sent to the NY Times but they never acknowledged it.

Big surprise!  Since it hit the internet, however, it has had over 500,000 hits.  Keep it going.  All that is necessary for evil to succeed is that good men do nothing.  It’s happening right now.

I disagree.  I think people can actively promote evil, even when they do not intend to.  For example, this letter contains a number of nasty, erroneous claims (I have to work hard not to call them “lies,” but I’ll wager Pritchett just doesn’t know better; I can’t pass judgment on his motives).

No rational person should read anything into the failure of the New York Times to publish the letter.  They get thousands of letters on many topics, and they try to pick the best.  Plus, that paper as most responsible, major papers do, put letters through a basic fact check.  This letter wouldn’t survive that.  Had the paper published Pritchett’s letter, he would have been subject to widespread ridicule.

And, this should not be news, The New York Times does not respond to each of the thousands of letters-to-the-editor it gets every day.

I doubt Pritchett will ever get this letter, though I’d like to be proved wrong.  Garbage should be picked up an carted off so vermin can’t breed in it, however, and so I offer my response below

Open letter to Former Soap Salesman Lou Pritchett

Dear Mr. Pritchett,

Knowing that you’re a voting citizen of the United States, and that you have access to vast stores of accurate information, I look at your letter to President Obama, and I fear for my country. Someone noted the old saw that the only thing necessary for evil to succeed is for good people to do nothing.  On that basis, I cannot let your cynical claims go uncorrected where they err, and unrebutted.

I’ve only lived through 11 presidencies, so you have at least 6 years on me.  But you’re comfortably retired, sitting on a fat pile of assets from your comfortable job at Procter and Gamble.  I will be lucky to be able to retire before I hit 85, after years of public service.  I have reason to be cynical [while you don’t].  Your irrational lashing out puzzles me all the more, and troubles me all the more.

You say you don’t know Barack Obama.  That is no one’s fault but your own.

Barack Obama’s been a character on the national stage since he offered a stunningly beautiful keynote speech to the Democratic National Convention in 2004.  There were dozens of profiles written about him in magazines and newspapers, and profiles offered on national television.  His race for the U.S. Senate in Illinois, a major state, got heavy coverage when the Republicans offered a carpet-bagging man from Maryland as candidate for the seat, when the duly-selected Republican candidate dropped out when scandal caught up with him.

Obama won the right to represent Illinois in the U.S. Senate, in the seat occupied before him by people like Alan Dixon, Adlai Stevenson III, Everett Dirksen, and Stephen A. Douglas.  That seat is always watched closely by national media.

Obama’s popularity was based on many things, including two terms in the Illinois State Senate where he pushed through an ethics reform bill, which most people though impossible, and on his best-selling book, Dreams from My Father, a book contracted for by the publishers after Obama had been elected president of the prestigious journal, Harvard Law Review.   Published first in 1995, it was re-published in 2004.  You’ve had 14 years to get to your local library and read the book.

The book wasn’t a secret.  Wikipedia summarizes some of the reaction to the book:

In discussing Dreams from My Father, Nobel Laureate Toni Morrison has called Obama “a writer in my high esteem” and the book “quite extraordinary.” She praised “his ability to reflect on this extraordinary mesh of experiences that he has had, some familiar and some not, and to really meditate on that the way he does, and to set up scenes in narrative structure, dialogue, conversation–all of these things that you don’t often see, obviously, in the routine political memoir biography. […] It’s unique. It’s his. There are no other ones like that.”[28]

The book “may be the best-written memoir ever produced by an American politician,” wrote Time columnist Joe Klein.[29] In 2008, The Guardians Rob Woodard wrote that Dreams from My Father “is easily the most honest, daring, and ambitious volume put out by a major US politician in the last 50 years.”[30] Michiko Kakutani, the Pulitzer Prize-winning critic for The New York Times, described it as “the most evocative, lyrical and candid autobiography written by a future president.”[31]

The audio book edition earned Obama the 2006 Grammy Award for Best Spoken Word Album.[32]

Your library might have the audio book, too.   Have you looked?

After he joined the U.S. Senate, he wrote another book based on his campaign and what he saw in Washington, The Audacity of Hope:  Thoughts on Reclaiming the American Dream.  It topped the New York Times best-seller list in the fall of 2006.

So, you say you don’t know a guy who strode quickly into the limelight in 2004, wrote two best-selling books spilling his guts on his hopes and dreams as an American for a better and stronger America.  Seriously, man, whose fault is it that you didn’t bother to check him out?

You didn’t know anything about George W. Bush, either, even after he’d spent four years as president.  Did you vote for him?

There is no excuse to claim you don’t know about the man we elect president.  Your lack of curiosity, failure to pick up a newspaper or go to the library, is not Barack Obama’s fault.  You need to read more.

If you’d read the books, or the profiles, you’d know that Obama attended Columbia and Harvard on scholarship.  Most students at those schools, today, attend on scholarship.  Several Ivy League schools tell prospective applicants up front that, if they are accepted, they will have the money to go.  Even in the 1990s they prided themselves on helping bright but poor students.

How can you fail to know that?

Barack Obama left the U.S. for a few years early in his life.  He was born in the U.S.A. — in our 50th state! — and he attended school in the U.S. for eight years — longer than Abraham Lincoln, Andrew Jackson and George Washington combined.  He was raised by his two Kansas-born grandparents — as American as L. Frank Baum’s Dorothy, who was raised in similar circumstances (other than her trip to Oz).

Obama grew up playing basketball, the sport invented in a YMCA in New Jersey.  He attended Occidental College in Los Angeles, that all-American megalopolis in California, hoping to play basketball.  But, like William J. Bennett who said he went to Williams College to play football but discovered he had a brain, Obama woke up to scholarship at Occidental — in a big way.  He transferred to Columbia and graduated, worked building a powerful anti-poverty program from scratch in Chicago, and went off to law school at Harvard where he was a smashing success as a scholar and good guy.

These are all grand, American institutions.  Your claiming that basketball, college, Hawaii, California, New York City, Chicago, and Occidental, Columbia and Harvard are outside American culture is a slander to our entire nation and most of the people who live here.

Neither you nor I are more American than any of this culture, or any of these institutions, or Barack Obama.  Your claim insults us all — it is thoughtless, unwarranted and unsupportable.

Why did you not bother to learn this before you wrote your letter?

You accuse Obama of never having had to make a payroll.  I don’t know your early career, but your experience in a large corporation like Procter and Gamble is no better.  You never had to meet a payroll there, either — there was always plenty of money in the bank, a good line of credit from the world’s biggest banks, a good expense account for you, and someone else to do the accounting and cut the checks.

Obama, on the other hand, built from the ground up a non-profit poverty fighting organization for the Catholic Church in Chicago, building it to several employees and a half-million dollar budget in just a few years.

Why do you not know this?

You complain that Obama doesn’t understand the military, but National Guard veteran George W. Bush ignored the advice and wise counsel of the military and led us into a blunder in Iraq.  Military experience is no substitute for genuine curiosity, scholarship and wisdom.

You claim, without any cause I can find, that Obama lacks “humility and class.”  And yet he put his campaign on hold for days to fly to Hawaii for a few moments with his dying grandmother, to say “thank you” for her work raising him.  It could have cost him the election.  Those white, conservatives who voted for him for president of the Harvard Law Review (with many others) note what a good leader he was, not cocky but sure, a class act.

Obama blames others?  What I see is a man who steps up to responsibility, on the economy, on the budget, on our wars, on social issues, though they are all situations he inherited.  He engineered a new budget through Congress — a task George Bush couldn’t get done — in the midst of the greatest economic crisis since the Great Depression.  He went to the Capitol to offer to work with Republicans — an offer they promptly repudiated — and he has soldiered on trying to get America’s course straight without their help since.

Obama has never aligned himself with radicals who want to see America fail.  Specifically, he has never aligned himself with Rush Limbaugh, Bill O’Reilly or Glenn Back.  Nor has he aligned himself with anyone half as radical on the left.  He’s very much a moderate, and his cabinet choices reflect that.  Ray LaHood is no radical of any stripe.

Where did you ever get that odd idea?  Didn’t you read his books?  Don’t you read the newspapers?

Cheerleader for the “blame America crowd?”  No, that’s not Obama.  He did not say America deserved to be attacked on September 11, 2001, as Christian preachers Jerry Falwell and Pat Robertson did.  When he met with Vladimir Putin, unlike George Bush who claimed to have looked into Putin’s eyes and claimed to have seen “trustworthy” man, Obama told Putin the facts and extracted tough agreements to our nation’s advantage.

How could you miss those events?

Obama has never said he wants to change America into a European-style country — though, when we look at greatly reduced heart disease rates in every nation of Europe, or when we look at mass transit in France, Germany and England, we might see places we could do better.

Where did you get such a far-fetched idea?

Obama has never said he wants a government-run health care system.  He has said we have a moral duty to find ways to cover the nearly-50 million Americans who lack insurance and access to timely and inexpensive health care.  He has said we pay too much (we spend $7,000 per capita for health care, way more than double any other nation — and we pay that for the 50 million people who don’t get health care, too).   He has said we need to rein in health care cost inflation, which is double the rate of other goods and services, and which was a major factor in crippling American auto companies competing against foreign producers whose governments offer health coverage for all citizens including auto workers.

Have you read Obama’s statements?  Have you read the House bill, H.R. 3200, which is not Obama’s proposal, but which also doesn’t nationalize health care?  How can you draw that conclusion, when there is no proposal to do so?

Obama wisely urges that we ramp up alternatives to fossil fuels.  But he has also urged that we explore “clean coal,” a proposal that sends environmentalists screaming away. You’re imagining Obama’s opposition to fossil fuels. Windmills?  He’s said we should produce them in the U.S., and not buy them from foreign producers — keep the jobs at home.  Do you favor sending those jobs off-shore?

Where did you get such an idea?  Did you check it out for yourself?

Obama has said not one word in opposition to capitalism. When faced with a choice between nationalizing industries to rescue them, and any other choice, he has in every case avoided nationalization.  The government is a stockholder in some rescued companies, but not the sole owner.  Obama has chosen free market solutions to tough problems where other free-enterprise nations did not.

Why don’t you consider what Obama has done, rather than wild claims from . . . where?

Since when is it “extortion” to give banks enough money to stay in business? Good heavens, man!  The alternative was collapse of our banking system.  Most people complain that the banks were “given” too much!

Plus, most of the banking actions were done by George Bush’s appointee to the Federal Reserve Board, Ben Bernanke, and by the Bush administration prior to January 21, 2009.

Where did you get the idea Obama was behind the actions of the Bush administration, since much of this stuff occurred well before January 21, 2009?

Since when is funding the Pentagon “wild and irresponsible?”  You’ve never heard of the “Blue Dog Democrats,” who threaten to derail our much-needed health care reforms because of the cost?

Surely you live where a newspaper is available, no?

Historian Doris Kearns Goodwin, and others, noted that Obama seems to have paid careful attention to her book on Abraham Lincoln’s cabinet, Team of Rivals.  She summarized lessons for Obama from the book in the Harvard Business Journal earlier this year.  I mention that because you cite that Harvard case study of your project, which tells me that you probably grant credence to that journal — though that makes your disrespect of Obama’s term heading the Harvard Law Review more mysterious and silly. Obama said he wants opposing views in the White House, in the basic discussions in his cabinet room and all other rooms of power.

In any case, Obama has populated his cabinet with people who have opposing views — Hillary Clinton, his chief and sometimes bitter rival for the Democratic nomination, Republican Ray LaHood at the critical Department of Transportation. He kept on Robert Gates at the critical post of Secretary of Defense — George W. Bush’s appointee.  No one thinks Gates is a pushover Obama supporter.

Obama made a point of going to the Capitol to confer with congressmen — Republicans first.

When Obama nominated a candidate for the Supreme Court, he consulted with my old boss, Orrin Hatch, first.

Obama’s team, like Rahm Emanuel, makes it a practice not to ignore Republicans, as the Bush administration ignored Democrats and — truth be told — Republican Members of Congress.

“I’ve heard more from Rahm in six months than I heard from Andy Card in six years, and Card’s daughter worked for me,” said former Representative Tom Davis, Republican of Virginia, referring to a chief of staff under President George W. Bush.

Where did you get the idea that Obama doesn’t like discussion or debate, or that he doesn’t listen to dissent?  That view is wholly unsupportable in history and current action.  Have you read the newspapers this week?  Proponents of health care reform claims he’s listened too much to the opposition.  One might have assumed that if one assumed George Bush’s White House was the model — but Obama promised to change things.  This is one area where he’s delivered better than anyone had any right to hope.

Obama thinks he is omnipotent and omniscient?  Then you must have stood and cheered when he noted — wisely — that the U.S. would have no comment in the first days after the disputed Iranian election, noting that any comment would be taken by the rulers as evidence of  U.S. interference.  The U.S. cannot dictate what happens he noted then, and often as well in regard to Iraq and Afghanistan.

On the one hand you claim Obama thinks himself omnipotent and omniscient, but when he goes to Europe to confer with our allies, saying we are neither omnipotent or omniscient and we need and will honor their views and information, you accuse him of “blaming America.”   I think you have not thought through these issues, nor where America’s best interests lie — certainly not as well as has President Obama.

Lou, your bizarre claim about Limbaugh, Hannity, O’Reilly and Beck almost doesn’t deserve comment.  These are guys who revel in America’s failure, whose ratings and income go up if America fails.  Rush Limbaugh admits that he wants Obama to fail, damn the cost to you, me and all other Americans.

And then you have the gall to claim that Obama demonizes them?

In a just universe, their transmitters would be taken out by lightning.  Obama has merely pointed out a few of their errors, but by no stretch, all of their errors.  Obama hasn’t even mentioned more than a dozen of their hundreds of slanders, errors, and misreportings of events.

Do you have a newspaper?  Where could any fair-minded person think these broadcast bullies deserve protection from the guy they try to bully most?

Obama favors control over governing?  In the most important big policy changer so far, health care reform, rather than dictate to Congress, Obama asked Congress to assemble a proposal.  Republicans refused to participate in making a good bill until Nancy Pelosi got it passed in the House.  Then, rather than wake up and try to make changes they might need in the Senate, they launched a campaign of slander and fiction against health care.

Lou, you, particularly, should appreciate what is going on here.  You worked for Procter & Gamble.  Would it be fair to claim you are a satan-worshipper, as Procter & Gamble’s old logo “proved?”  Of course such a charge is bizarre, ungrounded in fact, and damaging to people who have no intention to worship satan (I hope!).  Since you worked for a company that literally had to change its logo due to unfair and wild claims, you should be particularly sensitive to wild and unfair claims against others.  And yet, here you are with a letter read by more than a half million people, passing along wild and unfair claims.

Did you at least blush when you realized what you had done?

Control?  Obama has given up a great deal of control in order, he hopes, to get the reform that will keep our nation from going bankrupt (more than 60% of personal bankruptcies in the U.S. are due to excessive health costs).   This is the mark of a leader.  Did you read Goodwin’s book on Lincoln?  You should.  Obama did.  It shows how a true, flag-waving patriot leads this nation.

Lou, we survived eight years of George Bush and his assault on the Constitution.  Your dissenting views will be honored far more than any dissent was ever honored by Bush — and if Obama has his way, your life will be better, more secure, and your dissent more free, in four years, six years, and eight years.

You could have learned all of that by reading Obama’s two books, by reading his extensive profiles in newspapers and magazines, by watching his well-known speeches and campaign appearances.  Lou, you’re a bright guy, a successful guy who should be reading newspapers and gathering information about how to vote.

It scares me mightily that despite these many opportunities for you to get the facts, you don’t have them, and you promote wild and scurrilous claims across the internet.  If you don’t know better, that’s your fault.  You should know better.

And if Lou Pritchett, with all his money and information gathering ability, smarts and charm, has such a distorted view of America, America’s election process, and our president, then I truly fear for my nation.

James Madison told us why it’s important to have a good public education system and why it’s important to use that education:

A popular Government, without popular information, or the means of acquiring it, is but a prologue to a Farce or a Tragedy; or perhaps both. Knowledge will forever govern ignorance: And a people who mean to be their own Governors, must arm themselves with the power which knowledge gives.

  • James Madison in a letter to William T. Barry, August 4, 1822; Library of Congress, Letters of James Madison

How many others like you might there be, Lou, literally endangering our republic with disinformation and wrong ideas about what is going on?

Is this the result of the slashing of library budgets begun in the Reagan administration?  Is your lack of information due to a lack of a library?  Is this a result of the reduction in news holes in newspapers as that industry struggles to survive against electronic competition?

In any case, shouldn’t a citizen know what the citizen does not know, and seek that information out before making unfounded charges based on false information?

Madison said knowledge governs ignorance.  But Kin Hubbard or someone like him noted that it’s not what we don’t know that gets us into trouble:  It’s what we know that isn’ t so.  You “know” a lot of stuff about Obama that is wrong. If that misplaced “knowledge” governs, America is doomed.

You wrote that letter months ago.  Please tell us you’ve learned in the passed time, and that you now know better.

Yours truly,

Ed Darrell

(I’ve e-mailed this letter to Mr. Pritchett.)

Update: Pritchett responded, sort of.  Like poking a hog.

More information:

Spread the good words instead:

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How about another cup of coffee? (Global Warming Conspiracy)

August 18, 2009

Encore post from September 17, 2007 — maybe more appropriate today than ever before.

Found this on my coffee cup today:

The Way I See It #289

So-called “global warming” is just

a secret ploy by wacko tree-

huggers to make America energy

independent, clean our air and

water, improve the fuel efficiency

of our vehicles, kick-start

21st-century industries, and make

our cities safer and more livable.

Don’t let them get away with it!

Chip Giller
Founder of Grist.org, where
environmentally-minded people
gather online.

Starbucks Coffee Cup, The Way I See It #289 (global warming)

Look! Someone found the same cup I found!

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George W. Bush’s legacy in a pie chart

August 15, 2009

Matthew Yglesias made the chart from figures supplied by David Leonhardt in the New York Times.

Why is the Obama administration so constrained, and why is it so difficult to find ways to fund any change in health care?

Sources of our federal deficits, August 2009

Sources of our federal deficits, August 2009

Leonhardt wrote:

The story of today’s deficits starts in January 2001, as President Bill Clinton was leaving office. The Congressional Budget Office estimated then that the government would run an average annual surplus of more than $800 billion a year from 2009 to 2012. Today, the government is expected to run a $1.2 trillion annual deficit in those years.

You can think of that roughly $2 trillion swing as coming from four broad categories: the business cycle, President George W. Bush’s policies, policies from the Bush years that are scheduled to expire but that Mr. Obama has chosen to extend, and new policies proposed by Mr. Obama.

The first category — the business cycle — accounts for 37 percent of the $2 trillion swing. It’s a reflection of the fact that both the 2001 recession and the current one reduced tax revenue, required more spending on safety-net programs and changed economists’ assumptions about how much in taxes the government would collect in future years.

Yglesias described the chart’s inputs:

— “The first category — the business cycle — accounts for 37 percent of the $2 trillion swing.”

— Second, Bush-era legislation “like his tax cuts and the Medicare prescription drug benefit, [that] not only continue to cost the government but have also increased interest payments on the national debt.”

— Third, “Obama’s main contribution to the deficit is his extension of several Bush policies, like the Iraq war and tax cuts for households making less than $250,000 […] 20 percent of the swing.”

— Fourth, “About 7 percent comes from the stimulus bill that Mr. Obama signed in February.”

— Fifth, “only 3 percent comes from Mr. Obama’s agenda on health care, education, energy and other areas.”

Got any solutions for the deficits? Growing the economy may be the only way out — demonstrating, as if we needed to, the precarious situation we find ourselves in.  It’s a tightrope walk.


Republican death trip

August 14, 2009

Senate Finance Committee members said yesterday they would strip out of the health care discussion any mention of helping older Americans or others with terminal diseases make adequate plans with, for example, durable powers of attorney and living wills.

Newt Gingrich and others on the wackaloon right have made the topic toxic, despite it’s having been urged by Republicans, to ensure privacy and individual rights near the end of death.

And so, also, we bid farewell to morality, reason and backbone among Republicans nationally.

Two pieces you should read:

  1. “Republican Death Trip,” Paul Krugman’s column today in the the New York Times
  2. “Sarah Palin’s death panels,” at former Labor Sec. Robert Reich’s blog

Refusing to be shouted down, on rants against health care reform

August 13, 2009

People who just know they’re right, damn the facts, irritate me; I’m allergic to unnecessary bull excrement.

Here, at The Elephant’s Child, I scratched the itch a bit.

The post from Elephant’s Child is answered, ad seriatum.  (I wrote this on the fly, and I may have missed a statistic here or there; if I find errors, I’ll correct ’em.)  EC’s responses are indented:

Remember that this thread starts out with your savaging a program to support child abuse prevention programs.

We will have to agree to disagree. The federal government runs the Indian Health Service which is a disgrace and a tragedy.

Private health care on the Navajo, Hopi, Pine Ridge and other major reservations is [essentially] non-existent. Yes, the IHS is inadequate by any rational standards. It’s also underfunded, and a key problem is that many enrolled members of tribes lack other health insurance.

The federal program may be a wreck, but it’s 1000% better than the private alternative, which in that case is nothing at all.

And this is what I fear: Without government intervention, Indians are left to die from easily preventable and easily treatable diseases. Without government intervention, 50 million other Americans are left to die from easily preventable and easily treatable diseases, and 150 million more have limited access.

For reasons I cannot fathom, you favor letting the people die rather than fixing things. Surely you’re not making that decision on the basis of any rational system of rationing, are you? I don’t think the poor and unemployed “deserve to die.” Talk about death panels!

They run Medicare, which is going broke from waste, fraud and abuse.

Absolutely false. Medicare has problems from rapid inflation by the private sector and other causes. But it is NOT “going broke from waste, fraud and abuse” by any measure. Compared to private health care, Medicare is purer than distilled water.

They run Medicaid, ditto.

Ditto. Medicaid has problems from overuse because too many people lack private insurance. Waste, fraud and abuse are significantly reduced from private systems.

Which leads me to wonder why you favor a system that is going broke from inflation, waste, fraud and abuse. The denialism runs strong in you.
(No — it’s going broke mainly from uncontrolled inflation — but if you can make wild unsubstantianted charges, I can at least point out that your favored position is worse.)

And they run the VA, which has some bright spots and poor care in general, at least according to vets.

And what does the private insurance system do for vets? Any injury due to war is excluded from coverage.

Again, you choose no coverage over some coverage. Whose side are you on? Not the vets’ side, it appears.

Our current health care system is the best in the world. We have better outcomes for the major diseases, and most people are satisfied with their health insurance and happy with their care.

Except for heart and lung disease, where Canada, France and England lay it all over us, on an epidemiological basis. Their systems do a lot fewer major procedures because there is much less heart disease, and problems are discovered earlier and treated much more effectively and cheaply.

Yes, the U.S. does a lot more heart transplants, easily by double. The problem is we have nearly quadruple the need for heart transplants. Heart disease is often preventable, almost always treatable, well before heart transplant time. It’s cheaper and better for the patient if we treat heart disease before it progresses to cripple the victim.

Yeah, we do more transplants. The tragedy you don’t name is that we need to do them.

We pay more for it in general because we can afford it.

Have you discussed this with small businesses? We can’t “afford” to pay double what every body else pays. These incredible expenses broke Chrysler and General Motors. The cost keeps small businesses from creating plans for employees.

Worse, that $6,000 per capita includes spending for the 50 million people excluded from easy access. We pay double for services, and we pay for a lot that we don’t get. Talk about waste!

Our system spends nearly 25% of every “health care” dollar in insurance administration, mostly designed to keep the minority of uninsured from getting care at all.

Don’t tell me we should spend hundreds of billions of dollars to bar the doctors’ offices doors, and then claim any system is more wasteful. There is no more wasteful system possible, and it’s a moral imperative that we fix it.

We pay double because the system is broken. We can’t afford it.

Medical care has been transformed in recent years with CT scans, MRIs and all sorts of new drugs and treatments that have saved and extended life. That’s expensive, but worth it.

Mostly unavailable to about half of Americans. Insurance plans pay for surgery that costs six to eight times a CAT scan, because it doesn’t like “expensive technology” without justification. If a CAT scan discovers no problem requiring surgery, insurance won’t pay. “Doctor error.” So doctors don’t use the technology as it could best be used.

But when that heart disease that could have been prevented ends up in the surgery theatre, Katy bar the doors on expenses!

The health care bill before Congress is estimated by the CBO to cost $1.2 trillion over the next ten years, and another trillion over the 2nd decade. Health care costs will increase by 8% a year while revenues increase at only 5%.

Without it, health care costs will continue to rise at nearly twice that rate, 15% annually.

Don’t look now, but the lousy bill you don’t like is better than the catastrophe you’re defending.

Yes, I did read the bill. Medicare was estimated by the CBO to cost $12 billion by 1990. By 1990, it cost $110 billion.

Why? Do you know?

Medicare was expanded because it worked so well. Plus, it turns out there was a much greater need than anyone had projected.

In 1994, health care inflation was estimated to run about 8% annually if the Clinton plan didn’t get passed. Instead it ran closer to 16%.

The problem you cite is doubled in private insurance. Don’t tell me you don’t like waste and then propose to double the waste.

Waste is waste whether it’s government-run or private business run, and it hammers costs either way. Greater waste hammers us more greatly.

Government-run health care will cost vastly more than private insurance ever cost.

That’s not so for programs in either Medicaid or Medicare, compared to comparable coverage offered by private companies. The record, in every other nation AND in the U.S., is that government-run systems are cheaper. Especially where government simply takes over the payment, and not the delivery (leaving private health care providers as private health care providers), government systems are vastly less expensive.

This is why the insurance companies started to squawk about how unfair it would be for the government to compete against them. Competition is the key to an effective free-enterprise system — we need to inject some into health care now.

Doctors will leave the profession — Some doctors have estimated that 20% of doctors will retire early.

Compared to the estimates of 30% of doctors are retiring early now, right? We’ve had a physician shortage for 40 years. Here in Texas nearly 20% of our counties have no physicians at all. There is a reauthorization for a 40-year-old program to encourage medical students to graduate and serve these populations — you called it “socialism.”

Or you didn’t know it was in the bill.

Either way, the sensible solution would be to pass the bill and get more doctors for less money to serve the underserved areas, thereby reducing the incredible expenses of health care and even greater expenses of delivering no health care to millions of Americans.

There is nothing whatsoever in the house bill that will reduce costs.

The single most important cost-saving step is to cover people who lack insurance. No program can reduce costs at all without that. That’s a key target in the bill.

The cheapest health care system is the one that delivers care appropriately, on a timely basis. We spend an inordinate amount of money in the last 6 months of patients’ lives — 50% by some estimates — because they lacked good health care that would have kept them more sentient and more ambulatory until death.

The most important thing we can do is move health care delivery from the old to the younger, from the hospital emergency room to the doctor’s office. We can only improve that if everyone has access to a doctor on a timely basis, for the delivery of simply preventive programs, for the delivery of early treatment of disease.

Government health care has failed in Massachusetts, failed in Hawaii, failed in Tennessee, failed in Oregon, and failed in Maine.
To cut costs, which the government will have to do, they will have no choice but to ration.

We ration health care now by cutting out one out of every seven people for no care at all (though we pay for it — they just don’t get it; the money goes to “insurance company administration” instead of health care delivery). We ration health care now by denying technology to most Americans. That rationing saves no money for the nation — it seems to double the cost.

In contrast, Medicare patients, in the biggest government-run program, are the single least-rationed group.

There will be rationing until we equalize access, which will require more doctors, more clinics, more nurses, less emergency room use and more doctor’s office visits. But that rationing now is draconian and cruel, based chiefly on whether one works for a company with a health plan or not.

That’s unfair and cruel. Worse, it multiplies the costs for everybody. (An enormous part of hospital charges to private insurance-covered people is to provide the pool of money for indigent care.) Multiplies, not “adds to.”

Non-fraudulent waste may be many times fraudulent waste. We need to stop it.

The first step is to cover everybody.

Both presidential health care advisers Ezekiel Emanuel MD, and Peter Orzag, his budget director,have pointed out extensively the high costs of end-of-life care and the need to cut back on those expenses.

Under the present system, yes. Emanuel’s paper in January talked about the rationing decisions made now, how unfair they are, and how they increase pain and suffering.

Damn straight we need to reduce those costs — to increase delivery of health care.

Don’t defend private rationing by pretending it doesn’t exist, or by pretending it’s more fair, when no study shows it is fair or cheap.

Pain pills for the older folks instead of hip replacements or motorized wheel chairs.

That’s what happens today, yes. Unless, of course, they’re on Medicare, the government run program. That’s why the advertising for carts for the immobile notes that the companies selling the carts will take care of Medicare paperwork.

God help you if you’re not on Medicare. Private insurance won’t.

All government-run health care programs ration care. Which they do because they will not do the things that would actually reduce the cost of health care, like tort reform, increasing free market competition, offer insurance across state lines, and offer medical savings accounts, high deductible policies.

Hold on — Medicare and Medicaid allow free market competition, offer insurance nationally (in contrast to private plans), and allow medical savings accounts (though that’s not a viable solution for the poor, unemployed, students and retired people).

Tort costs about 1% of health care — and to my view, it works well. I don’t think swimming pool companies should be able to suck the bowels out of children without paying for it.

We do have a tort problem with OB-GYN, but it is largely caused by the insurance companies’ refusal to defend good doctors. That’s not a tort reform issue.

You cite problems that exist now, problems that are subject to attack by H.R. 3200. We’re not going to get anything at all if yammering yahoos don’t stop fighting against all change.

Doing nothing is cruel and costly. If you want to make a case for adding something to H.R. 3200, make the case.

Defense of current incredible waste is not a rational, moral option.

All health care systems ration health care. Our system rations health care on income and geography, and age. Higher incomes, big-company-employed, urban locations, and higher ages get the care.

Is that smart? It’s not cheap.

I don’t think These all are proven to save costs, but the trial lawyers are second only to the Unions as financial support for Democrats.

Those figures aren’t accurate, or they demonstrate that political giving doesn’t have much effect.

Tort cases take up the slack where government regulation ends. Should we allow McDonald’s to keep burning old ladies almost to death? (I thought you were for reducing costs, no?) Unless you will allow the Ministry of Coffee Temperature to regulate every fast-food drive through, tort cases are real money savers in the long run. (It cost less than $2.00 to fix the Pinto’s gas tank so it wouldn’t explode on impact. How many lives should we have sacrificed instead? I thought you were for reducing pain and suffering.)

I know no Republican or Conservative who does not observe that Liberals want to guarantee equality of outcome.

But none of them can show anyone who actually proposes to do it, not since Lenin abandoned the idea in 1920. I know no Democrat or Liberal or Republican or Conservative who urges equality of outcome. I’ll wager you can’t name major players who do, if you can name anyone at all.

That’s the problem with a lot of Republicans and conservatives — they’re not even tilting at windmills, they’re tilting at wind. We need action to make things better.

You propose we stick with the most wasteful and inefficient health care program in the industrialized world, one guaranteed to bankrupt the nation, or collapse soon.

Better you should tilt at windmills.

It’s obvious in their legislation. All kids get vaccinated, they are required to be vaccinated before they can enter kindergarten, and help is available if they cannot afford it. Silly claim.

All kids getting vaccinated (religious exceptions honored), is a great idea, a high ideal, compassionate, money-saving and wise.

My brother had polio, and the complications killed him early. I’m partially deaf from measles, or maybe scarlet fever. I don’t think vaccinations are bad things at all. Back when we lost 1 out of 3 babies before their second birthdays to infectious disease, the nation was not better off.

Universal health coverage keeps a population healthy, learning and working. You don’t like it? Take a look at any nation where disease is rampant — like malaria in Uganda. The lack of simple preventive measures tends to cripple a nation’s economy and destabilize its government.

That’s not good.

I would challenge most of your claims, but there is no point. According to what I know to be true, you are vastly misinformed, but you probably think that of me. I simply do not have time to carry on pointless discussions.

Who was it who observed, it’s not what we don’t know, it’s what we know that isn’t true that gets us into trouble?

==========================

Don’t you be shouted down, either;  Share the facts, with the system of your choice:

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Republicans screw up again: “Death panels” amendment was a Republican’s doing — and there’s a logical explanation

August 13, 2009

Protesters like to complain that advocates don’t know what is in the health care bill, but day by day it becomes more and more obvious that it is the critics who don’t know what the bill proposes, or why.

Washington Post policy blogger Ezra Klein tracked down who put the “death panels” clause into health care reform bills being debated by the U.S. Senate.  (Yes, this demonstrates the value of the daily press, how they more thoroughly and accurately get the story than most bloggers do, or can. )

Turns out that it was a very conservative, Republican legislator from Georgia who put the amendment in the bill, for good and noble purposes.

So, all the sturm und drang about “death panels?”  It demonstrates that opponents of the bill don’t care what it actually does, or how beneficial it may be.  Like Napoleon at Waterloo, they think that they must win this fight at all costs, even if it brings down the nation.

Klein’s interview with Isaakson is below, in its entirety.

Is the Government Going to Euthanize your Grandmother? An Interview With Sen. Johnny Isakson.

I’ve seen the pain and suffering in families with a loved one with a traumatic brain injury or a crippling degenerative disease become incapacitated and be kept alive under very difficult circumstances when if they’d have had the chance to make the decision themself they’d have given another directive and I’ve seen the damage financially that’s been done to families and if there’s a way to prevent that by you giving advance directives it’s both for the sanity of the family and what savings the family has it’s the right decision, certainly more than turning it to the government or a trial lawyer.

isaksonofficialphoto.JPG

U.S. Sen. Johnny Isaakson, R-Georgia - photo from Isaakson's office

Sarah Palin’s belief that the House health-care reform bill would create “death panels” might be particularly extreme, but she’s hardly the only person to wildly misunderstand the section of the bill ordering Medicare to cover voluntary end-of-life counseling sessions between doctors and their patients.

One of the foremost advocates of expanding Medicare end-of-life planning coverage is Johnny Isakson, a Republican Senator from Georgia. He co-sponsored 2007’s Medicare End-of-Life Planning Act and proposed an amendment similar to the House bill’s Section 1233 during the Senate HELP Committee’s mark-up of its health care bill. I reached Sen. Isakson at his office this afternoon. He was befuddled that this had become a question of euthanasia, termed Palin’s interpretation “nuts,” and emphasized that all 50 states currently have some legislation allowing end-of-life directives. A transcript of our conversation follows.

Is this bill going to euthanize my grandmother? What are we talking about here?

In the health-care debate mark-up, one of the things I talked about was that the most money spent on anyone is spent usually in the last 60 days of life and that’s because an individual is not in a capacity to make decisions for themselves. So rather than getting into a situation where the government makes those decisions, if everyone had an end-of-life directive or what we call in Georgia “durable power of attorney,” you could instruct at a time of sound mind and body what you want to happen in an event where you were in difficult circumstances where you’re unable to make those decisions.

This has been an issue for 35 years. All 50 states now have either durable powers of attorney or end-of-life directives and it’s to protect children or a spouse from being put into a situation where they have to make a terrible decision as well as physicians from being put into a position where they have to practice defensive medicine because of the trial lawyers. It’s just better for an individual to be able to clearly delineate what they want done in various sets of circumstances at the end of their life.

How did this become a question of euthanasia?

I have no idea. I understand — and you have to check this out — I just had a phone call where someone said Sarah Palin’s web site had talked about the House bill having death panels on it where people would be euthanized. How someone could take an end of life directive or a living will as that is nuts. You’re putting the authority in the individual rather than the government. I don’t know how that got so mixed up.

You’re saying that this is not a question of government. It’s for individuals.

It empowers you to be able to make decisions at a difficult time rather than having the government making them for you.

The policy here as I understand it is that Medicare would cover a counseling session with your doctor on end-of-life options.

Correct. And it’s a voluntary deal.

It seems to me we’re having trouble conducting an adult conversation about death. We pay a lot of money not to face these questions. We prefer to experience the health-care system as something that just saves you, and if it doesn’t, something has gone wrong.

Over the last three-and-a-half decades, this legislation has been passed state-by-state, in part because of the tort issue and in part because of many other things. It’s important for an individual to make those determinations while they’re of sound mind and body rather than no one making those decisions at all. But this discussion has been going on for three decades.

And the only change we’d see is that individuals would have a counseling session with their doctor?

Uh-huh. When they become eligible for Medicare.

Are there other costs? Parts of it I’m missing?

No. The problem you got is that there’s so much swirling around about health care and people are taking bits and pieces out of this. This was thoroughly debated in the Senate committee. It’s voluntary. Every state in America has an end of life directive or durable power of attorney provision. For the peace of mind of your children and your spouse as well as the comfort of knowing the government won’t make these decisions, it’s a very popular thing. Just not everybody’s aware of it.

What got you interested in this subject?

I’ve seen the pain and suffering in families with a loved one with a traumatic brain injury or a crippling degenerative disease become incapacitated and be kept alive under very difficult circumstances when if they’d have had the chance to make the decision themself they’d have given another directive and I’ve seen the damage financially that’s been done to families and if there’s a way to prevent that by you giving advance directives it’s both for the sanity of the family and what savings the family has it’s the right decision, certainly more than turning it to the government or a trial lawyer.

Update, August 14: Time’s Swampland blog notes that the the Republicans passed exactly the same language in a bill signed into law by George W. Bush in 2003, the Medicare prescription drug bill — except that bill limited application only to the terminally ill.  That provision worked well in protecting the rights of patients in end-of-life scenarios, so it was determined to expand the plan.  42 Republican Senators voted for it then.

I’m sorry, did you say something?  I’m having difficulty hearing you with all these hypocrickets chirping away.

Share the facts:

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Global cooling? That would be good news for the forests

August 12, 2009

Climate change denialists (sorry, Mr. Watts – denialism is what it is) frequently argue that since the peak heat year of 1998, the planet has been cooling, and may be in a long-term trend to a much cooler planet.

Has anyone told the beetles?

Has anyone told the pine bark beetles (Dendroctonus ponderosae) that are devastating North American forests?

Colorado conifers affected by pine bark beetles (brown trees are dead) - image from Chad Crawford,  Homebrewed Christianity

Colorado conifers affected by pine bark beetles (brown trees are dead) - image from Chad Crawford, Homebrewed Christianity

I was interested to find this photo and this post at Homebrewed Christianity, by Chad Crawford.

But my trips to the mountains are always simultaneously joyful and mournful. The story I want to tell is about seeing the effects up close of the North American pine beetle outbreak. It’s devastating the Rocky Mountain forests in the U.S. and Canada and growing exponentially each year. The epidemic is occurring because our winters have not been cold enough to stop the beetles from multiplying. Bark beetles are good for the ecosystem, but not in this amount. The fall colors in our evergreen forests are telling us that global warming is no longer something our kids will face; it’s happening now. And it will accelerate if our forests disappear.

Mr. Watts, it’s not me you have to convince.  There are several millions of beetles in Colorado who must be persuaded the climate is not warming — and they’ll be a tough sell, since a colder climate means death to their future generations.

A greater challenge for you, Mr. Watts:  Not one of those beetles reads your blog.  How will you reach them?

Crawford went to Colorado and saw Fr. Thomas Berry.  Maybe we should buy a ticket to Colorado for Watts.


MoveOn.org: Top 5 health care reform lies

August 11, 2009

I get e-mail from all sides — this one reflects a lot of my thinking, and came suitably footnoted:

Dear MoveOn member,

The health care fight has turned ugly, fast. Right-wing mobs are crashing congressional town halls,1 lies are spreading via anonymous email chains,2 and Sarah Palin bizarrely said that President Obama was going to set up a “death panel,” whatever that is.3

Many of these claims are just incredible—but if we don’t fight back with the truth, the right will continue to poison the health care debate. So as part of our Real Voices for Change campaign this August, we’re working to set the record straight.

Check out the list below: “Top Five Health Care Lies—and How to Fight Back.” Can you spread the word by passing this email along to 10 of your friends today?

Also, if you’re on Facebook, please post the list today by clicking here: http://www.moveon.org/r?r=51746. If you’re on Twitter, retweet: @MoveOn Check out the Top 5 Health Care Lies—and How to Fight Back. http://bit.ly/Bncs5

Top Five Health Care Reform Lies—and How to Fight Back

Lie #1: President Obama wants to euthanize your grandma!!!

The truth: These accusations—of “death panels” and forced euthanasia—are, of course, flatly untrue. As an article from the Associated Press puts it: “No ‘death panel’ in health care bill.”4 What’s the real deal? Reform legislation includes a provision, supported by the AARP, to offer senior citizens access to a professional medical counselor who will provide them with information on preparing a living will and other issues facing older Americans.5

Lie #2: Democrats are going to outlaw private insurance and force you into a government plan!!!

The truth: With reform, choices will increase, not decrease. Obama’s reform plans will create a health insurance exchange, a one-stop shopping marketplace for affordable, high-quality insurance options.6 Included in the exchange is the public health insurance option—a nationwide plan with a broad network of providers—that will operate alongside private insurance companies, injecting competition into the market to drive quality up and costs down.7

If you’re happy with your coverage and doctors, you can keep them.8 But the new public plan will expand choices to millions of businesses or individuals who choose to opt into it, including many who simply can’t afford health care now.

Lie #3: President Obama wants to implement Soviet-style rationing!!!

The truth: Health care reform will expand access to high-quality health insurance, and give individuals, families, and businesses more choices for coverage. Right now, big corporations decide whether to give you coverage, what doctors you get to see, and whether a particular procedure or medicine is covered—that is rationed care. And a big part of reform is to stop that.

Health care reform will do away with some of the most nefarious aspects of this rationing: discrimination for pre-existing conditions, insurers that cancel coverage when you get sick, gender discrimination, and lifetime and yearly limits on coverage.9 And outside of that, as noted above, reform will increase insurance options, not force anyone into a rationed situation. 

Lie #4: Obama is secretly plotting to cut senior citizens’ Medicare benefits!!!

The truth: Health care reform planswill not reduce Medicare benefits.10 Reform includes savings from Medicare that are unrelated to patient care—in fact, the savings comes from cutting billions of dollars in overpayments to insurance companies and eliminating waste, fraud, and abuse.11

Lie #5: Obama’s health care plan will bankrupt America!!!

The truth: We need health care reform now in order to preventbankruptcy—to control spiraling costs that affect individuals, families, small businesses, and the American economy.

Right now, we spend more than $2 trillion dollars a year on health care.12 The average family premium is projected to rise to over $22,000 in the next decade13—and each year, nearly a million people face bankruptcy because of medical expenses.14 Reform, with an affordable, high-quality public option that can spur competition, is necessary to bring down skyrocketing costs. Also, President Obama’s reform plans would be fully paid for over 10 years and not add a penny to the deficit.15

We’re closer to real health care reform than we’ve ever been—and the next few weeks will decide whether it happens. We need to make sure the truth about health care reform is spread far and wide to combat right wing lies.

Can you forward this email to your friends today? And remember, also post it on Facebook by clicking here: http://www.moveon.org/r?r=51746. And on Twitter, by retweeting: @MoveOn Check out the Top 5 Health Care Lies—and How to Fight Back. http://bit.ly/Bncs5

Thanks for all you do.

–Nita, Kat, Ilya, Michael and the rest of the team

P.S. Want more? Check out this great new White House “Reality Check” website: http://www.whitehouse.gov/realitycheck/ or this excellent piece from Health Care for America Now on some of the most outrageous lies: http://www.moveon.org/r?r=51729&id=16778-5763840-nJFS5Ux&t=1

Sources:

1. “More ‘Town Halls Gone Wild’: Angry Far Right Protesters Disrupt Events With ‘Incomprehensible’ Yelling,” Think Progress, August 4, 2009.
http://www.moveon.org/r?r=51733&id=16778-5763840-nJFS5Ux&t=2

2. “Fight the smears,” Health Care for America NOW, accessed August 10, 2009.
http://www.moveon.org/r?r=51729&id=16778-5763840-nJFS5Ux&t=3

3. “Palin Paints Picture of ‘Obama Death Panel’ Giving Thumbs Down to Trig,” ABC News, August 7, 2009.
http://www.moveon.org/r?r=51728&id=16778-5763840-nJFS5Ux&t=4

4. “No ‘death panel’ in health care bill,” The Associated Press, August 10, 2009.
http://www.moveon.org/r?r=51747&id=16778-5763840-nJFS5Ux&t=5

5. “Stop Distorting the Truth about End of Life Care,” The Huffington Post, July 24, 2009.
http://www.moveon.org/r?r=51730&id=16778-5763840-nJFS5Ux&t=6

6. “Reality Check FAQs,” WhiteHouse.gov, accessed August 11, 2009.
http://www.whitehouse.gov/realitycheck/faq#i1

7. “Why We Need a Public Health-Care Plan,” The Wall Street Journal, June 24, 2009.
http://www.moveon.org/r?r=51737&id=16778-5763840-nJFS5Ux&t=7

8. “Obama: ‘If You Like Your Doctor, You Can Keep Your Doctor,'” The Wall Street Journal, 15, 2009.
http://www.moveon.org/r?r=51736&id=16778-5763840-nJFS5Ux&t=8

9. “Reality Check FAQs,” WhiteHouse.gov, accessed August 10, 2009.
http://www.whitehouse.gov/realitycheck/faq#r1

10. “Obama: No reduced Medicare benefits in health care reform,” CNN, July 28, 2009.
http://www.moveon.org/r?r=51748&id=16778-5763840-nJFS5Ux&t=9

11. “Reality Check FAQs,” WhiteHouse.gov, accessed August 10, 2009.
http://www.whitehouse.gov/realitycheck/faq#s1

12. “Reality Check FAQs,” WhiteHouse.gov, accessed August 10, 2009.
http://www.whitehouse.gov/realitycheck/faq#c1

13. “Premiums Run Amok,” Center for American Progress, July 24, 2009.
http://www.moveon.org/r?r=51667&id=16778-5763840-nJFS5Ux&t=10

14. “Medical bills prompt more than 60 percent of U.S. bankruptcies,” CNN, June 5, 2009.
http://www.moveon.org/r?r=51735&id=16778-5763840-nJFS5Ux&t=11

15. “Reality Check FAQs,” WhiteHouse.gov, accessed August 10, 2009.
http://www.whitehouse.gov/realitycheck/faq#c1

Sources for the Five Lies:

#1: “A euthanasia mandate,” The Washington Times, July 29, 2009.
http://www.moveon.org/r?r=51732&id=16778-5763840-nJFS5Ux&t=12

#2: “It’s Not An Option,” Investor’s Business Daily, July 15, 2009.
http://www.moveon.org/r?r=51743&id=16778-5763840-nJFS5Ux&t=13

#3: “Rationing Health Care,” The Washington Times, April 21, 2009.
http://www.moveon.org/r?r=51742&id=16778-5763840-nJFS5Ux&t=14

#4: “60 Plus Ad Is Chock Full Of Misinformation,” Media Matters for America, August 8, 2009.
http://www.moveon.org/r?r=51734&id=16778-5763840-nJFS5Ux&t=15

#5: “Obama’s ‘Public’ Health Plan Will Bankrupt the Nation,” The National Review, May 13, 2009.
http://www.moveon.org/r?r=51744&id=16778-5763840-nJFS5Ux&t=16

Want to support our work? We’re entirely funded by our 5 million members—no corporate contributions, no big checks from CEOs. And our tiny staff ensures that small contributions go a long way. Chip in here.

Agree with MoveOn?  Disagree?  Please share:

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Palin proposes “death panels”

August 11, 2009

Isn’t that a fair headline?

She must be proposing them — they don’t show up in the health care bill before Congress.

Update: Over at Le-gal Ins-ur-rec-tion, Cornell Law prof William A. Jacobson dug out an article by Rahm Emanuel’s brother Ezekial, a respected bioethicist at the National Institutes of Health, and suggests strongly that Palin is just contributing to the the debate.  In the paper (at Lancet, subscription required, but access to this paper is free because it’s so important), Dr. Emanuel and others discuss how to allocate health care resources to provide the greatest healing among many competing, worthy patients, when resources cannot be allocated to all of the worthy patients.  Jacobson said:

Put together the concepts of prognosis and age, and Dr. Emanuel’s proposal reasonably could be construed as advocating the withholding of some level of medical treatment (probably not basic care, but likely expensive advanced care) to a baby born with Down Syndrome. You may not like this implication, but it is Dr. Emanuel’s implication not Palin’s.

Jacobson misses the greater point here, the part the sticks in the craw of those of us who have lived with these issues for 20 years, or 30 or 40:  Dr. Emanuel’s paper discusses how to improve the current system of allocation of resources.

We aren’t debating whether to have “death panels.”  The discussion is on how to make them work more equitably, and how to expand health care resources to make the need for such decisions less frequent. Palin’s point is to defend unfair death panels used often.  She doesn’t know that, and Jacobson should realize that and not defend it.

Here’s the summary at Lancet:

Allocation of very scarce medical interventions such as organs and vaccines is a persistent ethical challenge. We evaluate eight simple allocation principles that can be classified into four categories: treating people equally, favouring the worst-off, maximising total benefits, and promoting and rewarding social usefulness. No single principle is sufficient to incorporate all morally relevant considerations and therefore individual principles must be combined into multiprinciple allocation systems. We evaluate three systems: the United Network for Organ Sharing points systems, quality-adjusted life-years, and disability-adjusted life-years. We recommend an alternative system—the complete lives system—which prioritises younger people who have not yet lived a complete life, and also incorporates prognosis, save the most lives, lottery, and instrumental value principles.

He’s working to make the death panels more fair, more accurate, more beneficial.  Palin suggests we should leave the current system in place where Palin’s death panels, though working hard, often are unfair and inaccurate, and waste resources.

In the present system, resources generally are allocated first on the basis of who has money.  De facto, the system writes off to death anyone with a serious disease who is poor.  “Poor” in this case doesn’t mean destitute.  An annual income of $60,000 would put one into the category of “poor” I’m talking about here.

Jacobson said:

These critics, however, didn’t take the time to find out to what Palin was referring when she used the term “level of productivity in society” as being the basis for determining access to medical care. If the critics, who hold themselves in the highest of intellectual esteem, had bothered to do something other than react, they would have realized that the approach to health care to which Palin was referring was none other than that espoused by key Obama health care adviser Dr. Ezekial Emanuel (brother of Chief of Staff Rahm Emanuel).

I took the time to find out.  I knew in advance.  I’ve sat through hours of legislative hearings on this issue.  In my opinion, Sarah Palin is still a carbuncle on the face of this debate.  Her calling these panels “death panels” is designed to obfuscate the issues and deny the debate Jacobson says we need to have.  She’s providing heat for cheap political gain, not light.  She’s defending death, not life.

Shame on her.  Jacobson should know better, too.  I can all but guarantee that Palin didn’t read Dr. Emanuel’s paper, and didn’t consider the issues at all.  I’ll wager she does not know that hospitals in her state make these decisions regularly.

Under Palin’s way, death panels already exist. Death panels make decisions on life or death every day, and the poor and uninsured are at the bottom of the scale of who gets to live, top of the list of who gets to die.  Uninsured people often get shut out of the process, allocated pain and death from the start, because they lack insurance.

H.R. 3200 doesn’t do much to change this equation, the authors and legislators hoping to avoid cyanide politics like Palin plays; instead the bill encourages programs to help patients be on the “live if I want to live” side of the equation.  These encouraged programs should be bread and butter to legal clinics at most law schools, by the way — great help to the poor in anticipating what to do in life-threatening emergencies.  (I mention that because Jacobson is a clinical law professor — I don’t know which end of the legal clinics he works in, but he should know better anyway.)

We’ve already got the debate, and we already know that Palin’s trying to poison the well and fog up the lecturn, so that health care resources are misallocated.  In reality, this leads to more unnecessary and preventable deaths.

Yes, let’s have the debate:  Palin’s wrong to stand with unfair death decisions.  She’s had her say, and she should be held accountable.

Agree or disagree, invite others to join the discussion:

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Bathtub reading, health care and almost-back-to-school soak

August 10, 2009

Part-time blogging has its problems.  There’s a good post to be done on the trouble with superintendents in the Dallas area, but it requires more digging for links than I’ve had time to do.  There’s a post on test results that isn’t done.  There are a number of posts on teacher resources.

Health care needs  about 20 posts on specific facets, I figure.  Most of them will never get done.

Much of the weekend found our family at Baylor Medical Center in Dallas, doing an unintentional and surprise study on health care delivery in emergent situations.  This was prelude to a longer unintentional study on the delivery of rehabilitation following stroke.

Faith versus science: No real contest:  Science shines out, at every turn when the chips are down.  No one involved is a creationist, but of the six people in our family there including the kids, we’re talking three elders, a moderator, a patriarch.  Prayers form an adjunct to the medicine, and don’t get in the way of delivery of the medicine.  During one operation I mused on how the near-nanomachines that did the work were developed using the evolutionary paradigm.

Without evolution theory, almost all of modern medicine would be impossible, or haphazard at best.  On the day P. Z. Myers and the secular club investigated the Creationism Museum in Kentucky, I kept thinking “thank God for evolution.”  I don’t regard Ken Ham as the epitome of evil, but his work to spread false ideas about how the world works detracts from better health care in three ways:  First, it sucks money from the fight against disease and degeneration; second, it discourages good students from pursuing careers in healing people by leaving them wholly unprepared or unwilling to pursue knowledge; and third, it throws up  hurdles for research, by slandering the reputations and intentions of scientists who need our support to build the necessary instititions and do the required research, and discouraging contributors and other funding.

All of our prayers were directed to the benefit of science, contrary to Ken Ham’s evil hopes.

Stand up for good science in your schools. One of the kids in that class may invent a new clot busting, or artery-healing drug that will save your life, or the life and faculties of someone you love.

No kid who avoids evolution and hard science in school will invent life-saving devices or practices.

There were other lessons, too.

  • Speed counts in a stroke situation.  In an odd coincidence, my wife and I were by the fire station when the ambulance roared out.  It was good to see cars get out of the way and stop so the ambulance could pass.  Seconds save lives — pull over and get out of the way when an emergency vehicle comes up behind you.
  • All the talk of miracle drugs is just talk if there are medical reasons a particular miracle drug cannot be used.
  • It’s a lifesaver to have at hand a list of the pharmaceuticals one is prescribed.  Different kinds of strokes require different treatments; same with a variety of other afflictions.
  • Take a book to the hospital.  They are called “waiting rooms” for a very good reason.  There is no guarantee the program on the television will not be a brain-sucking intellectual vacuum.  No guarantee of a television.
  • Do you have emergency numbers on your cell-phone, as well as on a wall at home?  You should.  It makes things much, much easier.  Why don’t you add them right now?
  • Whiners who complain about the provisions in the health insurance reform bill that provide training for more doctors and nurses, think about what you would do on Saturday afternoon if you needed a crack neuro-radiologist/surgeon and a machine to give real-time images of blood-flow in a brain.
  • Fancy machines are expensive.  When the surgeon lays out the dangers and potential benefits of a procedure, you don’t want to have to think “will this cost more than $100?”  It will cost much more.  It’s unfair to your loved ones to have their life’s span or quality determined by how many Ben Franklins you have in your wallet at that moment.
  • Family are important.  Call yours today and let them know you care.

Update – more on stroke: You may want to view earlier posts on the remarkable story, TEDS lecture, book and writings of Jill Bolte Taylor, a brain researcher who herself experienced and much recovered from a devastating stroke.  Lecture here, more information here.

Other readings before the pages get too limp:

My fingers are all pruney now.  Enough reading for one soak.

Help your friends see things more cleanly, too:

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