Tag: Mitch McConnell

Part VII: Behind The Curtain

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Part VII: Behind The Curtain

D. S. Mitchell

At the end of Part VI it was January 11th and Donald Trump was holding his first press conference since his Electoral College win. Trump stood to one side of the stage, flanked by Donald Jr 39, Ivanka 35, and Eric 33, listening to his tax attorney, Sheri Dillon explain to the audience of reporters and staff, the changes that were being made to the Trump Organization.

The stage with a center podium was decorated with solemn dark blue drapes and a row of American flags with long gold tassels giving the event a sober tone. On a black shrouded table, to the left of where Dillon stood at the podium, were stacks of manila folders. The stacks were impressively high. Pointing to the stacks of folders, Dillon claimed they were filled with 1000’s of documents proving that Trump was re-arranging his empire to satisfy the growing chorus of critics.

Dillon claimed the Trump “business empire” was “massive”. She emphasized massive several times. A couple of times Dillon tried to draw a correlation between Trump and former Vice President, Nelson Rockefeller as she talked about the changes being made at the Trump Organization. Evidently, she did not know that Rockefeller had released his tax returns and later offered to place his sizeable assets in a blind trust. Neither of which Trump has offered to do.

“The plan” was, according to Dillon, to put the Trump Organization into a trust to be managed by his sons and a long time executive. She emphasized that there would be no more foreign deals, an ethics advisor would be chosen and lastly, Donald Trump would have no involvement in the business. It quickly became clear that Trump was not going to sell his business or put those assets in a blind trust, or release his tax returns.

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Health Care In America

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Health Care In America

D. S. Mitchell

The GOP nicknamed the Affordable Care Act, “ObamaCare” and spent seven plus years condemning the program, and promising to “repeal” the entire act, and  “replace” with some nebulous unspecified improvement.  Remember Trump telling the country’s voters they “will have great health care. Cheaper health care.  Everybody will be covered.” What the GOP Congress has offered, and Trump claims he will sign, is a bill that would gut services, slash Medicaid expansion and strangle insurance subsidies.

It has been made obvious since Trump’s inauguration that this candidate had no plan and his rhetoric was a total and complete fabrication.  In the recent struggle, the repeal forces are re-energizing and narrowing its focus to eliminate at least the most unpopular mandates of the ACA, such as mandating that everyone buy insurance, and companies with 50 or more employees provide employee insurance.  Those two issues, along with the rapidly rising costs, and decreasing policy options in the private marketplace deserve immediate attention.

Republicans have made hay deriding and chastising the Democrats for a less than democratic process during the drafting of the ACA (ObamaCare).  Truthfully, the drafting of the ACA was an example of transparency compared to recent efforts by Mitch McConnell and Paul Ryan to bring their repeal and replacement to resolution by passage of a new health care law.

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Time To Plug-In

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Time To Plug-In

D. S. Mitchell

Calamity Politics had a “plug-in failure” Sunday night.  The failure involved temporary loss of multiple features on the blog.  This failure was extremely aggravating, and it wasn’t resolved until Jane worked her magic.  However, she hasn’t been able to fix everything, yet. But, she is on it, and I’m sure all of our features will be available again, soon.

The reason I’m even mentioning our Calamity Politics catastrophe is because it demonstrates a life truth: shit happens. And when that shit happens to concern health care, there are several subsistence safety net programs for Americans. The big three are,  Medicaid, Medicare and Social Security.

My anger has grown steadily as the Republicans prepare to destroy American health care. Just  watching Mitch McConnell smirk into the camera surrounded by the Republican caucus sends me into a rage.   They are all looking tail-wagging happy with themselves.  Is that the way you are supposed to look when you are throwing millions of people’s lives  into chaos?

Last week in the Capitol of the United States of America handicapped individuals, protesting the proposed draconian cuts to Medicaid, were pulled from wheel chairs, zip-tied, and arrested.  It was one of the most disturbing and disgusting sights, I believe I have ever seen.

I believe the next 2 days are vital if we are to have any chance of stonewalling this legislation. Call Republican Senators and tell them to put conscience above party. Phone calls are very effective. Please call and demand they “vote no” on the Senate Repeal and Replace ACA bill.  Stop TrumpCare.

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Senate Death Panel: Thirteen, Old, White, Men

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Senate Death Panel: 13 Old White Men

D. S. Mitchell

It’s nice to say, “Hi,” when you pass a person in the hall, or when seated next to each other at a luncheon, but what would really be a good thing is for the Democrats and the Republicans to stop the bullshit, and hold their noses if they have to, and come together for the benefit of this country.

If it is a big piece of legislation such as the health care law, let’s take our time, let’s have some hearings, let’s find out who will feel the brunt of this new proposed bill.  The looming behemoth TrumpCare legislation will effect 1/6 of the United States economy and reportedly force 24,000,000 or more people completely off of health care.

The Republicans screamed that the Dems shoved the ACA down their throats.  That is an absolute lie. There were months and months of hearings, all the while President Obama and his surrogates stumped the country selling the program. So, if you don’t believe me, go back and check the records yourself. With the 24 hour news cycle, we often forget what happened just a few days ago, much less 7 years ago. In fact, I truly believe a little less conversation would have been beneficial for the ACA.  There was fatigue, overwhelming fatigue, by the time it was all said and done. Hell, it wasn’t until the Republicans threatened to repeal ObamaCare that people even figured out what a great deal it was.

Now that the Republicans are in power, Mitch McConnell has picked 13 old, white, men to his own secret Death Panel. I use that term with caution. But, quite honestly, I can think of no more appropriate name.  If you collapse in the street they will haul you to the hospital and they will do emergency care. Period.

I worked as an RN for thirty five years and have seen the situation pre-Obama and post-Obama, and I would not be able to work, ever again, in a system that tells people their cancer won’t be treated because they have no insurance. Or, to know that a child’s broken leg could literally be the straw that sends an uninsured family that is already financially challenged toward a spiral of bankruptcy.

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TrumpCare 2: All In One Place

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TrumpCare Two: All In One Place

D. S. Mitchell

First 100

I had intended to talk about Trump’s first 100 days, today. However, I decided it was more important to talk about the proposed Republican health plan, TrumpCareTwo.  The 17% of Americans that supported TrumpCareOne should be thrilled with Episode 2.

Rural Perspective

Rural isn’t just about cows and open spaces. There are many faces to rural health care. I live and write from the beautiful Oregon coast.  I live half way between Seaside, Or. to the south, and Astoria, Or. to the north. The small beach development that I inhabit has a heavy preponderance of seniors. Most people living in my little enclave are old, medically fragile with pre-existing conditions, and living at the poverty level, dependent on Medicare or Medicaid for government supported health care.  In this little community, people will be negatively effected by the Republican proposed health care changes.

Critical Access Hospitals

Health care in the rural areas of the country is very different from urban health care.  Within forty miles of my house there are two small hospitals.  In that sense I am very fortunate. I know that Columbia Memorial Hospital, in Astoria, Oregon, is a Critical Access Hospital.  CAH is a designation given to certain rural hospitals by the Centers for Medicare and Medicaid Services under a 1997 Budget Act. The CAH designation was in response to a tsunami of hospital closures, particularly in rural areas between 1980 and 1997.

Closures Still Happening

Closure of rural hospitals continues today. Maintaining hospitals in rural areas is vital for a large section of the American population. These CAH hospitals are dependent on ‘rural access’ benefits, and cannot be sustained without them. Dramatic changes to Medicaid and Medicare could potentially end up with nation wide hospital closures, most particularly again in rural communities, as occurred in the 1980’s and 1990’s.

Andy Slavit Breaks It Down

Andy Slavitt @ASlavin provided a complete review of TrumpCare 2.  Take a look at what this know nothing president and his henchmen put together in a couple of weeks. They held no hearings. There was no bipartisan advice. Here goes:

  • Eliminates access to care for 24 million people. One million more people lose coverage than if ACA was repealed and had no replacement.
  • 7 million employed Americans, and 1.2 million veterans will lose coverage. Many employers will be able to avoid providing lifetime cap protection.
  • Premiums expected to jump 15-20%, $2,400 average. Up to $13,000 increase for people over 50, and up to $10,000 more for rural residents
  • Deductibles would increase 60%
  • Medicaid cut by 25% and then capped.  Seniors, babies, children, low-income, people with disabilities, addiction treatment hurt. 3.6 million kids expected to lose coverage.
  • Medicare Trust Fund put into crisis.
  • Insurance companies permitted to underwrite and charge sick people–like $5,000 more for Autism, $17,000 for pregnancy, $140,000 for late stage cancer treatment.
  • Projected premiums in high risk pool? Estimated $25,700.
  • Eliminates pre-existing condition protections which could impact 100,000,000+.
  • Lifetime caps and limits would be allowed if your upon state request.
  • Because they intend to allow selling across state lines, all these waived rules would apply anywhere.
  • 1.2 trillion pulled from health care to pay for massive tax cuts to pharmaceutical companies, insurers, insurer CEO’s, tanning salons & medical device companies.
  • In the average congressional district 55,000 people would lose coverage and 300,000 people could lose pre-existing protections.

A Generational Impact

“Doctors, nurses, hospitals, seniors, patient groups–not one of them agrees with these dangerous changes to health care”, states Slavitt. The Republican strategy has been to rush, get it done with no public hearings, no updated Congressional Budget Office score, suspension of rules, no debate, secret drafting, all closed-door sessions. For a bill that would have generational impact. Thanks again, to Andy Slavitt for laying it all out for us. He told me to share.

Suzanne Bonamici Speaks Up

Suzanne Bonamici, Oregon 1st District Representative, said this in an email: “The latest version of Trumpcare has a lot in common with the first-except this time it’s worse. It would allow states to opt-out of providing essential health benefits –like maternal care, mental health treatment, prescription coverage, and emergency services-which would be harmful to millions of people across the country.  Once again we would go back to the days when people paid for insurance and then found out it didn’t cover them when they needed it. No one should have to choose between putting food on the table and paying for lifesaving medical procedures.”

The United Nations Is Concerned

Slavitt and Bonamici laid it out pretty clearly.  TrumpCareTwo is worse than TrumpCareOne. The state of health care in the United States is so alarming that the United Nations issued a statement.  The UN addressed an “urgent appeal” to the Trump Administration warning that repeal of ObamaCare (ACA) without adequate replacement could violate international law”.

My Opinion

All I can say is, it’s a sad day when the world community is more worried about the health care of the American citizens than their own government. Truly alarming.

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KNOW MEDICARE TERMS AND PLAYERS

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Know Medicare Terms And Players

By D. S. Mitchell

The Players

The seven people below, plus lobbyists, private citizens and trade organizations are expecting a big fight over entitlement programs.  Only congress can make major changes to Medicare.  And with the GOP majority in Congress, entitlements are in real danger.

Donald Trump:

Trump campaigned he would not cut Medicare or other public health programs.  But a recent change to his website and his full support of The American Health Care Act makes those promises doubtful. The AHCA is a bill constructed and promoted by Paul Ryan. A plan Ryan and Trump claim will “modernize” Medicare. The Trump website suggests the changes are to deal with “challenges” created by the retirement of the baby boom generation.  Trump will be under pressure from congressional Republicans to back major changes to Medicare. Trump is currently, supporting massive cuts to Medicaid.

Mitch McConnell:

Senate Majority Leader champions the rollback of federal support for social programs.  He has proposed significant changes to Medicare, such as raising the eligibility age. He favors slashing Medicaid across the board.

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