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Weekly Pulse: Arrests over the Ryan Plan, and the GOP’s Kinder, Gentler Medicaid Cuts
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By Lindsay Beyerstein, Media Consortium blogger
This week marks the final edition of the Weekly Pulse. I have been writing the newsletter since 2008 and it has certainly been an exciting time to be covering health care in the United States. Thanks to all the Media Consortium journalists whose work I’ve featured over the years, and thanks to our loyal readers, tipsters, Tweeters, and Facebook fans.
As the Pulse winds down, we look ahead to some of the most pressing health care issues facing the nation: The Republican war on Medicare and Medicaid and the anti-choice onslaught.
89 arrested over Ryan plan
Eighty-nine disability activists were arrested following their occupation of the Cannon House Office Building rotunda, Alison Kilkenny reports in The Nation:
The disability rights group ADAPT staged the event to protest Representative Paul Ryan’s Medicaid cuts, which would force people with disabilities to live in nursing homes rather than in their own houses.
Additionally, the House-passed budget resolution would turn Medicaid into block grants and reduce the program’s spending by more than $700 billion over ten years.
Suzy Khimm of Mother Jones reports that the Republicans in Congress are putting forward some “kinder, gentler” proposed Medicaid cuts in the hopes that these less extreme proposals will have a better chance of passing that the more extreme cuts Ryan has been touting.
Kinder and gentler by Republican standards is still pretty radical. Republicans in both houses of Congress introduced bills that would make it easier for states to kick people off of Medicaid or erect new barriers to entry. Rep. Phil Gingrey (R-Ga.) claims that “only” 300,000 patients would be kicked off Medicaid rolls under his proposal, many fewer than those would be under the Ryan plan. Gingrey, however, admitted that he didn’t have an independent Congressional Budget Office (CBO) score to back up his claim.
The war on choice
Sadie Doyle of In These Times takes a closer look at proposed legislation in Ohio that bans abortion as soon as a fetal heartbeat is detectable:
Ohio’s “Heartbeat Bill” is part of a barrage of anti-choice legislation designed to circumvent the fact that abortion is legal by making it nearly impossible to obtain one. But, whereas other bills focus on cutting funding or creating obstacles to abortion, H.B. 125 takes a relatively new tactic: It aims to ban abortions outright if the fetus has a detectable heartbeat—which happens at around six weeks, before many women even realize they’re pregnant.
This bill is one of hundreds of pieces of anti-choice legislation percolating at the state level. Many of these bills seem deliberately engineered to provoke a challenge to Roe v. Wade. Anti-choicers seem eager to get their challenge to the Supreme Court as soon as possible, before Obama can appoint any more justices.
Meet the H.R. 3 ten
At RH Reality Check, Sarah Jaffe introduces us to another one of the 10 Democrats who co-sponsored the so-called “No Taxpayer Funding for Abortion Act,” Rep. Nick Rahall (D-WV). The bill, H.R. 3 would effectively end private abortion insurance coverage in the United States by imposing such onerous bureaucratic regulations on insurers that they would more likely to drop abortion coverage altogether rather than comply.
Michigan vs. teen moms
Pregnant teenagers are bearing the brunt of Michigan’s draconian new “fiscal martial law” bill that authorizes cities to appoint emergency managers with sweeping powers to take over cash-strapped cities, towns, and school boards. Students at the Catherine Ferguson Academy, a high school for expectant mothers, were arrested and manhandled by police as they protested the impending closure of their school.
Amanda Marcotte writes in AlterNet that the move to close the academy epitomizes the contemptuous attitude that so many conservative anti-choicers have toward teen girls who choose to give birth:
The imminent shut down of Catherine Ferguson demonstrates the emptiness of Republican claims that they oppose reproductive rights because they value life. Instead, Republican policies are rooted in a sadistic desire to punish and control, and to deprive women—especially young women, poor women, and women of color—of any opportunities whatsoever.
Archives from The Weekly Pulse can be found here and will remain posted at this site. If you’d like see more top news and headlines from independent media outlets, please follow us on Twitter, or fan The Media Consortium on Facebook.
Weekly Audit: The Closing Bell
By Lindsay Beyerstein, Media Consortium blogger
This week marks the final edition of the Weekly Audit. It has been a pleasure compiling the best financial and economic writing in the Media Consortium. Thanks to all the contributors whose work we’ve showcased and to all the loyal readers who have shared in this experience.
Debt Ceiling 101
As the Weekly Audit wraps up, we’re looking ahead to some critical economic issues facing the country. Christen Simeral and Veronica Beebe of The American Prospect explain what the debt ceiling is and why the debate over raising it is shaping up to be the political battle of the year.
In short, the debt ceiling is the maximum amount the government can borrow. The debt ceiling is currently $14.294 trillion. At the current rate of spending, we’re due to hit the wall around May 16, if Congress doesn’t vote to raise it. Usually, raising the debt ceiling is a formality. Congress has voted to raise the debt ceiling 10 times in the last 10 years.
If the debt ceiling isn’t raised, the government can’t take on any new spending commitments. Worse still, the government may not have the cash it needs to pay tax refunds, Social Security payments, and other critical disbursements. Failing to raise the debt ceiling would hurt the U.S.’s credibility in global markets, making it more expensive for us to borrow money in the future.
The war on unions
All across the country, right wingers are trying to turn union workers into scapegoats for the nation’s economic woes.
Right wing media baron Andrew Breitbart tried to frame some labor history instructors at the university of Missouri by deceptively splicing together hours of classroom footage to make it look like the professors were advocating violence and sabotage, Dave Gilson of Mother Jones reports. The unedited video shows that the instructors are discussing the bloody history of the American labor movement, in which violence has overwhelmingly been perpetrated by management against workers.
NAFTA reprise
Multinational corporations are renewing their lobbying push for more NAFTA-like trade deals, Michelle Chen reports for Colorlines.com:
The construction giant Caterpillar is reportedly planning to treat its workers to steaming cups of Colombian coffee in the coming weeks, to warm them to the benefits of doing business with their “partners” in Latin America. While employees enjoy their break, lobbyists will be working hard, in their name, to peddle so-called “open markets” in Colombia, Panama and South Korea.
Chen reports that lobbyists for multinationals are besieging Congress to push for three new accords. The Panama deal is expected to be first on the agenda. Advocates for fair trade have been fighting these deals since the George W. Bush administration.
The push for deregulated international trade is on at the state level, too. The conservative American Legislative Exchange Council (ALEC) is handing out boilerplate resolutions to state representatives urging Congress to approve the trade deals. Chen notes that the Koch Foundation is among the major backers of ALEC.
High gas prices
Gas prices have long been seen as a bellweather of the electorate’s state of mind. When gas is cheap, incumbents rest a little easier. When gas prices rise, challengers start licking their chops. Daniel J. Weiss and Valeri Vasquez report in Campus Progress that rising gas prices are frustrating consumers and enriching speculators:
This year “it’s like déjà vu all over again.” Oil prices are rising to heights not seen since 2008. Oil rose from $85 per barrel to $112 per barrel in a little more than two months—a whopping one-third leap. Gasoline prices have followed along, rising by 70 cents per gallon—or 23 percent—during this same time. As our economy struggles to recover from the Great Recession, Americans are again forced to pinch pennies to afford their commute to work, school, and worship. Meanwhile, oil companies prepare to reap record profits in the first quarter of 2011.
The authors note this combination of rising pump prices and soaring corporate profits looks an awful lot like the oil shock of 2008, which helped push the economy into recession.
Archives from The Weekly Audit can be found here and will remain posted at this site. If you’d like see more top news and headlines from independent media outlets, please follow us on Twitter, or fan The Media Consortium on Facebook.
Weekly Pulse: Single-Payer Bills Pass Vermont Senate, House
By Lindsay Beyerstein, Media Consortium blogger
The Vermont state Senate passed legislation to create a single-payer health insurance system, Paul Waldman reports for TAPPED. Since the state House has already passed a similar bill, all that’s left to do is reconcile the two pieces of legislation before the governor signs it into law.
Waldman stresses that there are still many details to work out, including how the system will be funded. Vermont might end up with a system like France’s where everyone has basic public insurance, which most people supplement with additional private coverage. The most important thing, Waldman argues, is that Vermont is moving to sever the link between employment and health insurance.
Roe showdown
Anti-choicers are gunning for a Roe v. Wade showdown in the Supreme Court before Obama can appoint any more justices. At the behest of an unnamed conservative group, Republican state Rep. John LaBruzzo of Louisiana has introduced a bill that would ban all abortions, even to save the woman’s life. The original bill upped the anti-choice ante by criminalizing not only doctors who perform abortions, but also women who procure them. LaBruzzo has since promised to scale the bill back to just criminalizing doctors. This is all blatantly unconstitutional, of course,. but as Kate Sheppard explains in Mother Jones, that’s precisely the point:
The Constitution, of course, is exactly what LaBruzzo is targeting. He admits his proposal is intended as a direct challenge to Roe v. Wade, the landmark 1973 case in which the Supreme Court ruled that the constitutional right to privacy included the right to abortions in some circumstances. LaBruzzo says he’d like his bill to become law and “immediately go to court,” and he told a local paper that an unnamed conservative religious group asked him to propose the law for exactly that purpose.
Drug pushers in your living room
Martha Rosenberg poses a provocative question at AlterNet: Does anyone remember a time before “Ask Your Doctor” ads overran the airwaves, Internet, buses, billboards, and seemingly every other medium? Direct-to-consumer (DTC) drug advertising has become so ubiquitous that it’s easy to forget that it was illegal until the late ’90s. In the days before DTC, drug advertising was limited to medical journals, prescription pads, golf towels, and pill-shaped stress balls distributed in doctors’ offices–which makes sense. The whole point of making a drug prescription-only is to put the decision-making power in the hands of doctors. Now, drug companies advertise to consumers for the same reason that food companies advertise to children. It’s called “pester power.”
DTC drug ads encourage consumers to self-diagnose based on vague and sometimes nearly universal symptoms like poor sleep, daytime drowsiness, anxiety, and depression. Once consumers are convinced they’re suffering from industry-hyped constructs like “erectile dysfunction” and “premenstrual dysphoric disorder,” they’re going to badger their doctors for prescriptions.
That’s not to say that these terms don’t encompass legitimate health problems, but rather that DTC markets products in such vague terms that a lot of healthy people are sure to be clamoring for drugs they don’t need. Typically, neither the patient nor the doctor is paying the full cost of the drug, so patients are more likely to ask and doctors have little incentive to say no.
Greenwashing air fresheners
A reader seeks the counsel of Grist’s earthy advice columnist Umbra on the issue of air fresheners. Some of these odor-concealing aerosols are touting themselves as green for adopting all-natural propellants. Does that make them healthier, or greener? Only marginally, says Umbra. Air fresheners still contain formaldehyde, petroleum distillates, and other questionable chemicals.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Audit: Hostage-Taking Over the Debt Ceiling
By Lindsay Beyerstein, Media Consortium blogger
The latest contrived showdown between Congressional Republicans and the White House is over what concessions the GOP will demand in order to increase the federal debt ceiling.
George Zornick of The Nation explains how the shakedown works:
Congress now needs to approve any borrowing past the $14.3 trillion debt ceiling, which the United States will reach “no later” than May 16, according to Treasury Secretary Timothy Geithner. If Congress doesn’t raise the debt ceiling, the government would have to stop spending—including stopping interest payments on those Treasury bonds, meaning that the United States would effectively default on its debt.
The debt ceiling has to be raised and everyone knows it. Surely the Republicans knew it when they voted for tax cuts for the rich with borrowed money. If the debt ceiling is not raised, the United States will default on some of its obligations. Just like what happens after you miss a credit card payment, the country’s creditors will demand higher interest in order to lend to us in the future.
Playing chicken with the debt ceiling is a recipe for increasing the national debt. Paul Waldman argues in The American Prospect that the Republicans hate government so much that they are willing to declare war on the economy in a quixotic bid to smash the state:
The reason we’re now seeing an unprecedented amount of attention paid to a vote that ordinarily passes with little notice is that the Republican Party’s agenda is being set by a group of ideological radicals who seem quite willing to cripple the American economy if that’s what it takes to strike a blow against the government they hate so much.
Peak Crazy
At AlterNet, Joshua Holland explains why failure to raise the debt ceiling would be an economic catastrophe that could jeopardize the economic recovery. “Peak Crazy,” he calls it.
However, Holland notes that a showdown over the debt ceiling does not risk an immediate government shutdown, like the one we faced over the budget battle. Borrowing isn’t the only way that government agencies are funded. The government could still spend the $150 billion or so it takes in every month in tax revenue, for example.
Yet, Senate Minority Leader Mitch McConnell (R-Kentucky) has announced that 47 GOP senators oppose raising the debt ceiling unless “credible attempts” are made to cut federal spending. Meanwhile the Tea Party is launching an all-out lobbying effort to urge House Republicans not to raise the debt ceiling without major spending cuts.
The Tea Party’s wish list includes some total pipe dreams like a balanced budget amendment to the constitution, and a law to require a two-thirds majority for all future tax increases. Former senator and current U.S. presidential hopeful Rick Santorum cheerfully announced that he would let the United States default on its debt if health care reform is not repealed. Rep. Michele Bachmann (R-Minn) helpfully suggests paying the interest on Treasury Bills using money that would otherwise go to Social Security.
Shoot the hostage
Cenk Uygur of the Young Turks argues that Democrats are panicking needlessly and, once again, offering needless preemptive concessions to the Republican fringe in the form of a proposed “hard cap” on government spending, which would cap new government spending, and subtract any overruns from social welfare programs like Medicare and Social Security.
The truth, Uygur notes, is that Wall Street has already told the Republicans in no uncertain terms that the debt ceiling will be raised. The economic consequences of doing anything else would be unthinkable. The Tea Party can yell and scream, but the adults have already made the decision. Knowing this, Democrats should not be trying to placate the Republicans so as to induce them to do something they will ultimately end up doing.
Digby on Social Security
Democrats are wavering in their decades-long commitment to defend Social Security, Heather Digby Parton (a.k.a., “Digby”) writes in In These Times:
In a quixotic attempt to fix the problems in the current economy without confronting the plutocrats, the Democrats are using the illogical argument that since Social Security is projected to have a shortfall in 35 years, we must cut benefits now. And they seek to prove to “the market” that the government is fiscally responsible by showing it’s willing to inflict pain on its citizens—in the future.
Even if we do nothing, Social Security can pay out full benefits for the next 35 years. There is no crisis. A small increase on the payroll cap on Social Security could shore up the program for generations to come. Republicans oppose Social Security because they are ideologically opposed to social welfare programs, not because Social Security is broken.
This post features links to the best independent, progressive reporting about the economy by members of The Media Consortium. It is free to reprint. Visit the Audit for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Mulch, The Pulse and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Pulse: DCCC Ad Shows Grandpa Stripping for Extra Cash to Pay for Medicare
By Lindsay Beyerstein, Media Consortium blogger
How will the next generation of seniors pay for health care if Republicans privatize Medicare? The Democratic Congressional Campaign Committee (DCCC) suggests some options in a darkly funny ad featuring a grandfatherly gentleman mowing lawns and stripping for extra cash. The ad will run in 24 GOP-controlled swing districts, Suzy Khimm reports for Mother Jones.
The ad is a riposte to Paul Ryan’s budget, which would eliminate Medicare and replace it with a system of “premium support”–annual lump sum cash payments to insurers. These payments would be pegged to the growth of the Gross Domestic Product (GDP) +1%, even though health care costs are growing much faster than the economy at large. That means that real benefits will shrink over time. Seniors will be forced to come up with extra money to buy insurance, assuming they can find an insurer who’s willing to sell it to them.
Josh Holland of AlterNet predicts that the GOP is committing political suicide with the its anti-Medicare budget. The more ordinary voters learn about Ryan’s budget, the less they like it:
A poll conducted last week found that, “when voters learn almost anything about [the Ryan plan], they turn sharply and intensely against it.” And why wouldn’t they? According to an analysis by the non-partisan Center for Budget and Policy Priorities (CBPP), the Republicans’ “roadmap” would “end most of government other than Social Security, health care, and defense by 2050,” while providing the “largest tax cuts in history” for the wealthy.
Holland interviews an economist who estimates that the Medicaid cuts in the Ryan budget alone would cost 2.1 million jobs.
Under the bus
The Democratic spin about the deal to avert a budget shutdown was that Democratic leaders held fast against Republican demands to defund Planned Parenthood. However, as Katha Pollitt explains in The Nation, the Democrats capitulated on other reproductive rights issues in order to save Planned Parenthood.
For example, under the budget deal, Washington, D.C. will no longer be allowed to use local taxes to pay for abortions. Democrats also agreed to $17 million in cuts to the Title X Family Planning Program, Planned Parenthood’s largest source of federal funding.
American women aren’t alone under the bus. Jane Roberts notes at RH Reality Check that the budget deal slashed $15 million from the U.N. Population Fund, and millions more from USAID’s budget for reproductive health and family planning. At least Democrats successfully rebuffed GOP demands to eliminate funding for the United Nations Population Agency.
Roberts observes:
And this is at a time when the whole world is coalescing behind the education, health and human rights of the world’s women and girls. What irony!
Blood for oil
Nearing the one-year anniversary of the explosion aboard the Deepwater Horizon oil rig that killed 11 workers, Daniel J. Weiss writes for Grist:
The toll of fossil fuels on human health and the environment is well documented. But our dependence on fossil fuels exacts a very high price on the people who extract or process these fuels. Every year, some men and women who toil in our nation’s coal mines, natural gas fields, and oil rigs and refineries lose their lives or suffer from major injuries to provide the fossil fuels that drive our economy.
Oil rigs are just one of many dangerous places to work in the fossil fuel industry, Weiss notes. Last year, an explosion at the Upper Big Branch mine in West Virginia killed 29 workers. Nearly 4,000 U.S. miners have been killed on the job since 1968.
Natural gas has a cleaner image than coal, but natural gas pipelines are also plagued by high rates of death and injury–892 natural gas workers have been killed on the job and 6,258 have been injured since 1970.
Cheers!
Ashley Hunter of Campus Progress brings you an exciting roundup of the news you need about college and alcohol, just in time for Spring Break. In an attempt to discourage rowdy off-campus partying, the College of the Holy Cross is encouraging its students to drink on campus by keeping the campus pub open later and allowing students under 21 inside as long as they wear different colored wrist bands to show they are too young to be served alcohol.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Audit: The Shocking Truth About Taxes
By Lindsay Beyerstein, Media Consortium blogger
The super rich are different from you and me. For one thing, their tax rates are lower.
According to IRS statistics, the nation’s top 400 taxpayers increased their average income by 392% and slashed their average tax rate by 37% between 1992 and 2007, Dave Gilson reports in Mother Jones. Furthermore, when you factor in payroll taxes, the tax rate for Americans earning $370,000 is nearly equal to the rate for those making between $43,000 and $69,000 a year.
Meanwhile, at TAPPED, Jamelle Bouie notes that, in 2007, more than 10,000 Americans reported incomes of $200,000 or higher and paid no income tax at all. These lucky ducks are known to the IRS as HINTs, which stands for High Income, No Taxes.
Pseudo-farms of the rich and tax-dodging
The ultra-rich are using deluxe hobby farms to dodge millions of dollars in taxes, Yasha Levine reports for The Nation:
Take Michael Dell, founder of Dell Computers and the second-richest Texan, who qualified for an agricultural property tax break on his sprawling 1,757-acre residential ranch in suburban Austin and saved over $1 million simply because his family and friends sometimes use the land as a private hunting preserve to shoot deer. Or take billionaire publisher Steve Forbes, who got more than a 90 percent property tax reduction on hundreds of acres of his multimillion-dollar estate in upscale Bedminister, New Jersey, just by putting a couple of cows out to pasture.
Agricultural tax breaks were originally designed to help farmers stay on their land as suburban sprawl grew up around them. As neighborhoods shifted from rural to residential in the 1950s and ’60s, farmers struggled to keep up with rising local taxes.
So, who’s a farmer for tax purposes? Levine reports that the standards are ridiculously low in many states, like New Jersey, where a yard full of weeds can qualify as a farm.
Worst of all, tax breaks for faux farms are depriving public schools of billions of dollars of desperately needed revenue. In Texas–which loses over a billion dollars a year in property taxes from pseudo-ranches of the rich and famous–hundreds of public school students are taking to the streets to protest massive proposed layoffs of teachers and support staffers, Abby Rapoport reports in the Texas Observer.
Tax me, I’m rich
A group of self-proclaimed “trust fund babies” is demanding higher taxes, Pete Redington reports for Working In These Times:
Resource Generation recently teamed up with another nonprofit that organizes affluent activists, Wealth for the Common Good, to form a Progressive Tax Campaign. They will be organizing and advocating a change in the policy, laws and perceptions of our tax system. Specifically, the campaign aims to draw attention to the social services that taxing the wealthy could fund, and advocates higher tax bracket rates for top income earners, as well as higher taxes on investment income.
Major debt
Student loan debt is likely to reach $1 trillion this year, outpacing credit card debt for the second year in a row, Julie Margetta Morgan reports for Campus Progress. Student loans can be a smart investment if they lead to a lifetime of higher earnings. However, Margetta Morgan notes, the average bachelor’s degree holder will shell out $250 a month for a decade to pay back the loan.
Many Americans won’t pay off their debt until their own children are in college. President Obama was still making payments into his late 40s.
As college tuition continues to rise, we can expect students to borrow even more for their education in years to come. Much of this debt is guaranteed by the taxpayer. Margetta Morgan argues that colleges should be doing more to educate students about smart borrowing.
The economics of happiness
Kristy Leissle reviews the new documentary, The Economics of Happiness, for YES! Magazine. The film argues that community is the foundation of happiness and that globalization is the enemy of community. The movie also examines what ordinary citizens can do to nurture their own communities.
This post features links to the best independent, progressive reporting about the economy by members of The Media Consortium. It is free to reprint. Visit the Audit for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Mulch, The Pulse and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Pulse: Paul Ryan’s Medicare Swindle
By Lindsay Beyerstein, Media Consortium blogger
Robert Parry in In These Times examines how Paul Ryan’s budget test would turn healthcare for the elderly into one big free-market death panel.
Ryan’s plan privatizes Medicare, replacing it with premium support for insurance companies. That means the government would kick in a fixed amount of money towards insurance premiums for Americans over age 65. Ryan also wants to repeal the Affordable Care Act, which requires insurers to cover people with preexisting conditions. Ryan’s plan doesn’t guarantee that Americans over 65 could get insurance in the first place. Even if they could find an insurer willing to take them, there is no reason to believe that premium support would cover more than part of the cost.
Maybe the plan is to save money by pricing most seniors out of health insurance entirely. If you can’t get insurance in the first place, you don’t qualify for premium support.
Mitt Romney and health care
Former Massachusetts governor Mitt Romney kicked off the exploratory phase of his campaign this week, Lynda Waddington reports in the Iowa Independent. Ironically, this prospective frontrunner is best known for bringing Obama-style health care reform to Massachusetts.
Aswini Anburajan of TAPPED wonders whether Romney’s record on health care will hurt him in the primary. Repealing health care reform is one of the major themes for the Republican Party, and Romney is the architect of a similar system. However, Anburajan notes, campaigning to all but abolish Medicare hasn’t hurt GOP Budget Committee Chair Paul Ryan’s political status, even though seniors are a big part of the GOP base..
Part of the reason why Ryan hasn’t felt a backlash from seniors is that his plan preserves Medicare for people who are currently over 55 and will only decimate the program for younger people.
Demonizing pregnant users
At RH Reality Check, Lynn Paltrow takes the New York Times to task for a sensationalized story about children born to women who are dependent upon prescription painkillers. Paltrow notes that the same alarmist language was used to hype a non-existent epidemic of crack babies in the 1980s. The evidence suggests that the impact of drug use during pregnancy on the developing fetus is relatively minor compared to the effects of other factors that are correlated with drug use, such as poverty, poor nutrition, and lack of prenatal care.
If we assume there’s a clear causal relationships between using drugs and hurting babies, it’s easier to lay all the blame on the mother. The truth, Paltrow argues, is much more complicated. Drug use is just part of a constellation of unhealthy factors that conspire to give the children of poor and marginalized women a worse start in life.
Positing a distinct syndrome caused by drug abuse is often a first step towards stigmatizing, and even criminalizing, poor women who give birth to sick children.
Hungry women and children
Speaking of threats to the health of poor women and their children, the new budget deal slashes $500 million from nutrition programs, with the Women Infants and Children (WIC) food support program at the USDA taking the hardest hit, Tom Laskawy reports for Grist.
If you get your meals through an umbilical cord, the Republicans want to protect you; but if you have to eat groceries, you’re on your own.
Big Pharma hikes HIV drug prices
Elizabeth Lombino at Change.org reports that more than 8,000 people nationwide are on the waiting list for the AIDS Drug Assistance Program (ADAP), a government program that helps poor people living with HIV/AIDS pay for medications. Lombino notes that even as the ranks of patients who can’t cover their drugs continues to swell, pharmaceutical companies continue to raise their prices. The AIDS Healthcare Foundation is calling upon pharmaceutical companies to lower prices to help grapple with what has come to be known as the ADAP crisis. So far, it’s been to little effect.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Audit: Government Shutdown Averted, But At What Cost?
By Lindsay Beyerstein, Media Consortium blogger
Congressional leaders and President Barack Obama reached an eleventh hour budget deal on Friday night, to fund the government for the rest of the 2011 fiscal year and avert a government shutdown for the time being.
The deal would cut about $38 billion, Amy Goodman reports for Democracy Now!, including $13 billion in cuts to the Department of Health, Labor, and Human Services.
John Nichols describes the nuts and bolts of the stopgap plan in The Nation:
The arrangement worked out Friday night averted the threatened shutdown with a two-step process. First, the House and Senate passed a one-week spending bill that addressed the immediate threat. That should give Congress and the White House time to finalize a fiscal 2011 spending deal—on which they have agreed in principle—before an April 15 deadline.
The Republicans will not be allowed to zero out Planned Parenthood. Instead they were allowed a separate, largely symbolic vote, which passed the House, but which is expected to die in the Senate.
Planned Parenthood and ACORN
Nick Baumann of Mother Jones argues that the deal is a case study in the priorities of the Democratic Party. At the last minute, congressional Democrats rallied to save Planned Parenthood. The venerable family planning organization was under fire because of an undercover video sting by Lila Rose, a onetime protegee of conservative propagandist James O’Keefe, who himself pulled a similar stunt against the anti-poverty, pro-voter registration group ACORN in 2009.
O’Keefe’s videos created a media firestorm and Congress rushed to de-fund ACORN with little protest from Democrats. Subsequent independent investigations revealed that the tapes had been deceptively edited. Vindication came too late for ACORN, which was forced to close its doors.
Baumann argues that Democrats spared Planned Parenthood and sacrificed ACORN because ACORN didn’t have friends in the right places:
Abortion rights affect everyone. But to put it bluntly, big Dem donors care a lot more about abortion rights than they do about community organizers in inner cities.
Specious “victory”
In the days leading up to the deal, the media created the expectation that the budget was a game that one party would “win.” Paul Waldman of The American Prospect argues that in his eagerness to declare “victory” in the budget showdown, President Obama is undermining his own political agenda.
It would have been nice if when announcing the budget deal, President Obama had set aside the politician’s natural inclination to declare victory and his own preference for casting himself as the adult who settles things between the squabbling children. He could have said something like this: “The deal we just made is preferable to a government shutdown, which would have been truly disastrous. But nobody should mistake it for anything but the tragedy it is. As a result of the cuts Republicans have forced, people who rely on government services will suffer, and the economy will lose jobs. The Republicans held the government hostage, and we had no choice but to pay the ransom.”
By rushing to champion the spending cuts, Obama may be saving face, but he’s also setting a precedent that will make the next round of cuts even easier. The truth is that Democrats conceded under duress, they didn’t volunteer to cut spending because they thought it would help the country.
Indeed, Democrats agreed to far more cuts than the Republicans initially asked for. Cenk Uygur of the Young Turks argues that the Tea Party and the ostensibly more mainstream Republicans set up a very effective good cop/bad cop negotiating strategy in which the Democrats would offer cuts and the mainstream Republicans would say, “I’d like to help you, really I would, but you know my partner isn’t going to like that.”
Corporate taxes
Joshua Holland of AlterNet explains how corporate American has successfully lobbied to shift an ever-increasing share of its tax burden onto the backs of individual citizens:
Well, consider this: in the 1940s, corporations paid 43 percent of all the federal income taxes collected in this country. In the 1950s, they picked up the tab for 39 percent. But by the time the 1990s rolled around, corporations were paying just 18.9 percent of federal income taxes, and they forked over the same figure in the first decade of this century. We – working people – paid the difference.
Something to think about as we prepare to file our income tax returns.
This post features links to the best independent, progressive reporting about the economy by members of The Media Consortium. It is free to reprint. Visit the Audit for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Mulch, The Pulse and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Pulse: GOP Would Privatize Medicare, Gut Medicaid
By Lindsay Beyerstein, Media Consortium blogger
On Tuesday, Rep. Paul Ryan (R-WI) unveiled a draft budget resolution for 2012. Ryan’s program would privatize Medicare and gut Medicaid.
“Rep. Paul Ryan, R-Wisconsin, is waging radical class warfare and ideological privatization schemes and selling it as a debt reduction plan,” writes Karen Dolan in AlterNet. Indeed, Ryan’s plan is larded with tax cuts for wealthy citizens and profitable corporations, which according to the non-partisan Congressional Budget Office (CBO), would actually increase the national debt over the next decade. The CBO projects that the debt would reach 70% of GDP by 2022 under Ryan’s plan compared to 67% under the status quo.
At TAPPED, Jamelle Bouie predicts that Ryan’s budget plan will become the de facto platform for the GOP in the 2012 elections. Presidential hopeful Tim Pawlenty is already gushing about the plan. He notes the irony in Republicans seizing upon a plan to eliminate Medicare when they campaigned so hard to “protect” the program during the fight over the Affordable Care Act.
Attacking Medicare is politically risky. The conventional wisdom is the program is all but invulnerable because it is so popular with the general public, and especially with senior citizens–who reliably turn out to vote in large numbers.
Suzy Khimm of Mother Jones argues that, in order to win this political fight, the Democrats need to emphasize what they’re doing to grapple with the rising costs of Medicare–such as creating an independent board to regulate the reimbursement rates for all procedures covered under Medicare. Republicans have harshly criticized such a board as an example of health care rationing. Their proposed plan, however, would ration care far more severely, based on ability to pay. Ryan’s plan would give seniors a voucher to defray part of the cost of buying private health insurance. The voucher wouldn’t cover care equivalent to that which is offered under Medicare. So, under Ryan’s plan, care would be rationed based on each person’s ability to pay for extra coverage.
In a separate piece, Khimm notes that the GOP is taking a further political gamble by proposing massive cuts to Medicaid. She cites a recent study by the Kaiser Family Foundation which found that only 13% of respondents favored major cuts to Medicaid. Republicans may be betting that they can cut Medicaid because they associate it with health care for the very poor, a constituency with little political capital and low voter turnout. But while Medicaid does serve the poor, a large percentage of its budget covers nursing home care for middle class retirees and services for adults with major disabilities–care that their families would otherwise have to pay for.
How to save $15 billion in health care costs
New research suggests that the federal government could save $15 billion by reducing unnecessary emergency room visits through investment in community health centers, Dan Peterson of Change.org reports:
This week, new research, from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative, pinpoints just how much we stand to lose in health care efficiency savings if the funding is cut as proposed; $15 billion. Put another way, for every $1 invested in CHC expansion, there is a potential savings in health care costs of $11.50.
Peterson reports that money to expand the CHC program may be cut from the budget. The report explains that if the funding is lost, then CHCs will not be able to serve the 10-12 million additional patients who were supposed to get care through expanded CHCs under the Affordable Care Act. If Congress refuses to allot $1.3 billion for cost-effective primary care, $15 billion in projected savings will evaporate.
If Republicans are serious about balancing the budget, they should happily expand the Community Health Center network.
Danish Antibiotic Resistance Education
D.A.R.E. to keep pigs off drugs. The U.S. hog industry is heavily dependent on low-dose antibiotics to keep its swine infection-free. This practice comes at the cost of increased antibiotic resistance. Sixteen years ago, the government of Denmark, the world’s largest exporter of pork, took the bold step of asking its pork industry to reduce the amount of antibiotics given to pigs. Ralph Loglisci of Grist notes that the experiment has been a huge success: The industry has slashed antibiotic use by 37%, antibiotic resistance is down nationwide, and production has held steady or increased.
Gay-bashed, uninsured
Twenty-nine-year-old Barie Shortell’s face was shattered in an apparent anti-gay attack in Williamsburg, Brooklyn in February. Joseph Huff-Hannon reports on AlterNet on an obstacle in Shortell’s already-long road to recovery:
After blacking out, and spending 10 hours in surgery and five days in the hospital, Shortell is now taking another whipping from one of the insidious antagonists of 21st-century American life—the private health-care system. Shortell, like many of his fellow American twentysomethings, is uninsured.
Up to 30% of people in their twenties are uninsured. The Affordable Care Act should reduce the number of uninsured twenty-somethings, but as Huff Hannon notes, the number of uninsured young adults is expected to continue to rise for some time. The ACA allows young people to stay on their parents’ health insurance until age 26, but this reform is of little help to the millions of families who lost job-linked health coverage during the recession.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Audit: Republicans’ Budget Declares War on Medicare
By Lindsay Beyerstein, Media Consortium blogger
The Republicans are poised to unveil a model budget on Tuesday that would effectively end Medicare by privatizing it, Steve Benen reports in the Washington Monthly. House Budget Committee Chair Paul Ryan (R-WI) is touting the budget as a strategy to reduce the national debt.
Ryan’s plan would turn Medicare from a single-payer system to a “premium support” system. “Premium support” is a euphemism for the government giving up to $15,000 per person, per year, to insurance companies to defray the cost of a health insurance policy.
As Benen points out, privatizing Medicare does nothing to contain health care costs. On the contrary, as insurance customers weary of double-digit premium increases can attest, private insurers have a miserable track record of containing costs. They excel at denying care and coverage, but that’s not the same thing.
The only way the government would save money under Ryan’s proposal is by paying a flat rate in vouchers. Medicare covers the full cost of medical treatments, but private insurers are typically much less generous. So, after paying into Medicare all their working lives, Americans currently 55 and younger would get vouchers for part of their health insurance and still have to pay out-of-pocket to approach the level of benefits that Medicare currently provides.
Taking aim at Medicaid
The poor are easy targets for Republican budget-slashing, Jamelle Bouie writes on TAPPED. Ryan’s proposal would also cut $1 trillion over the next 10 years from Medicaid, the joint federal-state health insurance program for the poor, by eliminating federal matching and providing all state funding through block grants. Most of this money would come from repealing the Affordable Care Act’s Medicaid expansion, which is slated to add 15 million people to Medicaid.
Block grants are cuts in disguise. Currently, Medicaid is an entitlement program, which means that states have to enroll everyone who is eligible, regardless of the state’s ability to pay. In return, the states get federal matching funds for each person in the program. Ryan and the Republicans want to change Medicaid into a block grant program where the federal government simply gives each state a lump sum to spend on Medicaid. The states want to use this new found “flexibility” to cut benefits, narrow eligibility criteria, and generally gut the program.
This is incredibly short-sighted. The current structure of Medicaid ensures extra federal funding for every new patient. So when unemployment rises and large numbers of new patients become eligible for Medicaid, the states get extra federal money for each of them. But with a block grant, the states would just have to stretch the existing block grants or find money from somewhere else in their budgets. Medicaid rolls surge during bad economic times, so a block grant system could make state budget crises even worse.
Ryan’s proposal has no chance of becoming law as long as Democrats control the Senate. The main purpose of the document is to lay out a platform for the 2012 elections.
Fake debt crisis
In The Nation, sociologist and activist Frances Fox Piven argues that the Republicans are hyping the debt threat to justify cuts to social programs:
Corporate America’s unprovoked assault on working people has been carried out by manufacturing a need for fiscal austerity. We are told that there is no more money for essential human services, for the care of children, or better public schools, or to help lower the cost of a college education. The fact is that big banks and large corporations are hoarding trillions in cash and using tax loopholes to bankrupt our communities.
She notes that Republican-backed tax cuts for the wealthy are a major contributor to the debt.
Jesus was a non-union carpenter?
Josh Harkinson of Mother Jones reports on the religious right’s crusade against unions. He notes that James Dobson of the socially conservative Family Research Council tweeted: “Pro-family voters should celebrate WI victory b/c public & private sector union bosses have marched lock-step w/liberal social agenda.”
Harkinson reports that the Family Research Council is backing the Republican incumbent, David Prosser, in today’s Wisconsin Supreme Court election–a battle that has become a proxy fight over Gov. Scott Walker’s anti-collective bargaining bill:
The FRC’s new political action committee, the Faith, Family, Freedom Fund, is airing ads on 34 Wisconsin radio stations in an effort to influence the April 5 judicial election that could ultimately decide the fate of the law. The ads target Wisconsin Assistant Attorney General JoAnne Kloppenburg, who’s running against a conservative incumbent, David Prosser, for a seat on the state Supreme Court. If elected, Kloppenburg would alter the balance on the court in favor of Democrats, giving them the ability to invalidate the recently enacted ban on public-employee collective bargaining. “Liberals see her as their best hope to advance their political agenda and strike down laws passed by a legislature and governor elected by the people,” say the ads. “A vote for Prosser is a vote to keep politics out of the Supreme Court.”
Roger Bybee of Working In These Times argues that recalling Republican state senators in Wisconsin is not enough to defend workers’ rights from Gov. Scott Walker’s anti-union onslaught.
This post features links to the best independent, progressive reporting about the economy by members of The Media Consortium. It is free to reprint. Visit the Audit for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Mulch, The Pulse and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
