Category Archives: medical news

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What part of ‘representative democracy’ doesn’t GOP get?

Seventeen percent!

That, dear reader, is the apparent standing of the Senate Republican plan to replace the Affordable Care Act.

The 17 percent figure represents the latest public opinion polling of the GOP plan. Fewer than one in five Americans favor the GOP plan. Health insurers don’t like it; the medical profession opposes it; GOP conservatives opposes, right along with Republican moderates; and, oh yeah, Democrats — who also comprise a big part of the voting block — hate it.

Senate Republican leaders, though, keep insisting that the replacement plan is moving forward.

I keep coming back to the fundamental question: Why can’t the congressional GOP leadership try to mend what they believe is wrong with the ACA instead of tossing it out altogether?

I’ve heard about the flaws contained within the ACA. Premiums are too great; health insurers are bailing out of some states.

But the ACA isn’t “failing” or “collapsing,” according to the Kaiser Family Foundation. It is stabilizing in many states.

I know that the ACA is far from perfect. It needs work to improve it. Why not start there?

A 17-percent approval rating on a plan that guts Medicare and Medicaid protection and tosses Americans off the rolls of the insured would suggest a different approach than the train wreck that awaits this GOP abomination.

That’s the view of a significant majority of Americans. Do these folks in Congress represent their views … or don’t they?

medical news, national news, political news

Trump tweets … but only in generalities

Donald J. Trump fired up his Twitter gun in Paris and declared he has “pen in hand” and will sign the U.S. Senate Republican health care bill when it reaches his desk.

OK. That’s it.

Others have commented on this, but I’ll weigh in, too. Have you noticed that the president never — not a single time — discusses the guts of the GOP plan to repeal the Affordable Care Act? He doesn’t ever discuss the Medicaid cuts, or the Congressional Budget Office assessment, or precisely how — in his view — the ACA is failing. He just says it is and then goes on to the next thing, whatever that may be.

The notion that the president operates in a detail-free zone on legislation is no surprise or any big scoop. I get that.

Read the bill, Mr. President

One might think, though, that the titular head of a major political party would at least have a working knowledge of his party’s legislative priorities. Repealing the ACA and replacing it with whatever the Republican majorities in Congress come up with seems to fall into the category of “major legislative priority.”

Donald Trump doesn’t bother to acquaint himself with the nuts and bolts. Nor does he exhibit a scintilla of interest in obtaining any particular knowledge of anything.

Have you noticed how often he inserts the words “I think … ” into his pronouncements? If he thinks it, then that’s all we need to know or hear from the president.

Senate Republican leaders are trying to amend the abomination they have presented to their members. They’re maintaining some taxes that the ACA contains to deal with opioid addiction. The replacement bill still reduces Medicaid allotments by about $800 billion over the next decade, leaving about 15 million American uninsured by 2026.

Does the president endorse those specific elements? If so, could he explain to Americans why he endorses it?

Probably not. That will require some study and analysis. Donald Trump is a big-picture kind of guy. He’s too busy “making America great again.”

Sigh …

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What do those health care experts know?

Darn those silly ol’ health care experts who keep coming up with evidence that contradicts Republican politicians’ dire predictions about the Affordable Care Act.

The latest report comes from the Kaiser Family Foundation — hardly a group known for its radical left-wing ideology. It says the ACA is “stabilizing” in markets across the country. That it’s not “collapsing” as GOP politicians keep insisting.

Oh, yeah. These are the same GOP pols who want to toss out the ACA and replace it with an abomination that would toss 22 million Americans off the ranks of the insured over the next 10 years.

The foundation reports: “Early results from 2017 suggest the individual market is stabilizing and insurers in this market are regaining profitability,” the study finds. “Insurer financial results show no sign of a market collapse.”

So, which is it? Is the ACA in a death spiral or is it beginning to do the job that it was intended to do, which is provide health insurance to Americans who previously couldn’t afford to have it?

Stable or not?

Senate Republican Leader Mitch McConnell is signaling an apparent willingness to work with Senate Democrats to repair what’s wrong with the ACA if the GOP cannot push its repeal legislation over the finish line. It doesn’t look too good for Republicans at the moment.

President Obama declared repeatedly his willingness to mend the ACA if Republicans could find ways to improve it. Current congressional Democratic leaders are saying much the same thing. So far, GOP leaders are having none of it.

The Kaiser Family Foundation has given ACA supporters a glimmer of hope that sanity might be restored to this debate. We’ll have to wait, though, for the GOP politicians’ response that will find ways to punch holes in the report from the folks who examine these issues for a living.

I’m going to stick with the medical experts on this one.

medical news

Work with Dems to fix ACA? Wow, what a concept!

Am I hearing things or did I actually hear U.S. Senate Majority Leader Mitch McConnell say he might be willing to work with Senate Democrats to improve the Affordable Care Act?

Yep, I think I heard the Kentucky Republican say such a thing.

What a friggin’ concept, Mr. Majority Leader. Who’da thunk it?

Senate Republicans cannot muster enough votes among themselves to repeal the ACA and replace it with the abomination they cobbled together. Donald J. Trump called the House of Representatives’ version of ACA replacement the greatest thing since pockets on shirts, then the president called it “mean.” He wanted the Senate GOP to come up with a bill with “heart.”

It didn’t. The Congressional Budget Office — that non-partisan agency — issued its “score” on the Senate bill and found out that 22 million Americans would lose their health insurance over the next decade. That’s pretty mean, too, right? Yes.

GOP moderates hate the Senate bill, as do GOP conservatives, although for different reasons. Senate Republicans can afford to lose only two of their votes; at last count, about 10 or 12 of them dislike the bill that’s on the table.

What’s the alternative? McConnell is signaling that the ACA might stand, but that his Republican caucus can work with Democrats to tweak and tinker with what they dislike about the ACA.

My memory now reminds me that President Barack Obama said on numerous occasions during his time in office something like this: I have no deep pride of authorship of the ACA. If Republicans can find a way to improve it, to make it better, then I’m all in!

Didn’t the former president say something like that? Yes, I believe he did.

So, here we are. After all the futile votes to repeal the ACA in the GOP-controlled Congress, all the declarations that the ACA was ruining the lives of Americans and that it is failing, the Republicans in both congressional chambers cannot agree on a plan to replace it.

So, let’s fix what’s wrong with it.

Time to get busy, ladies and gents.

medical news, national news

Sen. Cruz crawls into the belly of the beast

Ted Cruz deserves some high praise.

The junior U.S. Republican senator from Texas came back home for the Fourth of July and ventured into the heart of the Loyal Opposition — where he got an earful from constituents about the Senate GOP plan to repeal the Affordable Care Act.

Cruz went to McAllen, deep in the Rio Grande Valley and the base of one of the strongest bastions of Democratic voting loyalists in Texas.

Cruz’s constituents told him point blank that they detest the Republican plan to replace the ACA with something concocted in secret, with no Democratic input.

According to the Texas Tribune, Cruz took the criticism well. “Isn’t freedom wonderful?” Cruz said shortly after taking the stage. “Think about it: In much of the world, if protesters showed up, they would face violent government oppression. In America, we’ve got something different.”

Yes, we do, senator.

With so many of his Republican colleagues forgoing direct communication with their constituents, I want to applaud Sen. Cruz for listening to their complaints.

Will he act on what he hears? I’m not holding my breath for that to happen. I do applaud him nevertheless for stepping into the line of fire.

Read the Tribune story here.

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Sen. Cassidy faces his critics

Bill Cassidy deserves a pat on the back.

The Republican U.S. senator went home to Louisiana this week and showed up at a town hall meeting in Baton Rouge. He got a rough welcome from his constituents.

Why the hurrah for Sen. Cassidy? Because he’s willing to talk to his constituents about something that’s on their minds: health care and the Senate’s plan to overhaul it.

Cassidy is on the fence regarding the Senate GOP’s plan to replace the Affordable Care Act. He famously said the Senate needed to approve a bill that passed the “Jimmy Kimmel test,” referring to the late-night comedian’s well-known tale of his newborn son’s birth and the health concerns he faced; Kimmel asked on national TV whether it’s right to deny people health care if they cannot afford insurance.

A lot of Sen. Cassidy’s Republican colleagues — both in the Senate and the House of Representatives — are not bothering to listen to voters’ concerns about the future of the ACA and whatever might replace it. I’m deeply disappointed to know that my own congressman, Mac Thornberry, also a Republican, has chosen to forgo any town hall meetings to discuss this issue with his constituents.

Bill Cassidy, though, has chosen to hear from his “bosses,” the people who pay his salary, who fund the government and who are most directly affected by the laws Congress enacts.

Good for him. Indeed, good for all our elected representatives who choose to listen to what their bosses expect from them.

medical news, national news

‘Repeal/replace’ becomes repeal and … whatever

My head keeps spinning. Why? I cannot keep up with Donald John Trump’s ever-changing strategy — such as it is.

The president has promised, guaranteed, signed in blood an effort to repeal the Affordable Care Act and replace it immediately with an alternative. The House of Representatives approved such a plan; the president high-fived the GOP leadership at a Rose Garden ceremony.

Then came the Senate’s version. The Senate GOP came up with a plan that looks a lot like the House version, which Trump then called “mean.” The Senate Republican leadership couldn’t find 50 votes to approve it. So it postponed a vote until they can get there.

OK, do you follow me? Here’s more. Today the president said it’s OK to just repeal the ACA and worry later — maybe much later — about a replacement.

Hey, wait! What about that promise/pledge to do it all at once? What happened to the president’s commitment to keep health insurance for every American? It’s gone, man!

Oh, yes. There’s also that other tweet that came out Thursday morning, the one that ridiculed a TV news anchor in personal and vulgar terms. Republicans are now fleeing from the president’s policy statements regarding health care repeal/replacement largely as a result.

The president’s overall campaign pledge to “make America great again” now appears also to be dead on arrival. This is not a sign of greatness, Mr. President. You are demonstrating weakness.

Here’s an idea: How about reforming the existing law, the ACA, by tweaking the things you dislike? The Congressional Budget Office has “scored” the Senate GOP plan with a grim projection that 22 million Americans will lose their health insurance.

We’ve got a health insurance law on the books already. Make that one better. You can do this, Mr. President. It will take some help from Democrats, who say they’re ready and willing to compromise.

That is how you legislate.

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Listen up, Congress: Americans hate the health care ‘reform’

Dear Members of Congress,

Y’all are going home for a couple of weeks. Some of y’all are going to conduct town hall meetings with your constituents, your “bosses,” the folks who decide whether to vote for you — and whose money pays your salary.

I just got word of a new poll. It says that just 17 percent of Americans favor the Republican Senate version of a health care insurance overhaul. That’s about the same level of (non)support that the House of Representatives version got when the GOP caucus decided to send the issue over to the Senate.

At least one of your House colleagues, by the way, is declining to meet face to face with his bosses. That would be Republican Mac Thornberry. He’s my congressman. He decided a while back that he didn’t need to hear from just plain folks. The last so-called “town hall meeting” he had was with local business leaders, tycoons, pillars of the community. He wanted to inform them of his desire to see Congress shed some of the Obama administration’s regulations. I reckon he got a friendly reception.

But back to the point here.

That poll doesn’t bode well for the future of the GOP plan to rewrite the Affordable Care Act — if House members and senators are going to heed its findings. If you truly are going to “represent” your constituents, then you need to rethink your approach. It cannot be a Republican-only effort. There appears to be a need to include Democrats in this process. Hey, I’ve heard some Democrats say in public that they want to work with their Republican “friends.” But the GOP leadership — so far — is having none of it.

The president calls the House health care plan “mean.” He said he could support a plan with “heart.” The Senate version appears to many of us to be as heartless as the House plan. It takes too much money from Medicaid and according to the Congressional Budget Office — I am sure you are now aware — the plan will cost 22 million Americans their health coverage over the next decade.

That’s not a plan with “heart,” you lawmakers.

Enjoy your time away from D.C. Have a good time over the Fourth of July. Celebrate this great nation’s birthday.

While you’re at home, though, listen carefully to what your constituents — your bosses — are telling you. You’ll learn something.

medical news, political news

Who’s telling the truth, GOP or Democratic Senate leader?

I am certain today that I heard two diametrically opposed statements come from the mouths of the U.S. Senate’s top partisan leaders.

The Senate was going to vote this week on a plan to replace the Affordable Care Act; then Senate Republicans said “no.” There won’t be a vote just yet. They balked because they don’t have the votes to approve it. They might not get the votes, either.

Senate Majority Leader Mitch McConnell, the Kentucky Republican, said categorically that Democrats “aren’t interested” in working with Republicans to craft a new health care insurance bill.

There. We have that statement.

Less than an hour later, Senate Minority Leader Chuck Schumer, the New York Democrat, told reporters that Democrats “want to work” with Republicans.

OK. Who’s telling the truth? McConnell said Democrats aren’t interested. Schumer said the exact opposite.

I guess it depends on the partisan bias of those who heard the statements. McConnell said it in front of fellow Republicans; Schumer made his declaration in front of fellow Democrats.

I tend to believe Schumer. I would be my hope that Democrats would be willing to huddle with their GOP “friends” in the hope of finding some common ground with regard to what McConnell called a “complicated” piece of legislation.

The Senate will take up this matter after the Fourth of July recess.

As Lyndon Johnson would say, “Let us reason together.”

medical news

Trumpcare in trouble … put on hold

Trumpcare is in trouble. There’s no way to spin this any differently.

Nine Senate Republicans are now on the record that they oppose their party leadership’s version of the alternative to the Affordable Care Act. Senate Majority Leader Mitch McConnell, who is as adept at tea-leaf reading as anyone in Washington, delayed the vote on the GOP plan until after the Fourth of July recess.

I live out here in Flyover Country, in the heart of Trump Land, where the president polled something like 80 percent over Hillary Clinton in the 2016 presidential election.

But my gut tells me that rank-and-file Trumpkins are none too happy about what the GOP Senate leadership has come up with.

We’ve got a lot of folks out here who depend on Medicaid to cover the cost of medical care. The GOP plan guts Medicaid. A lot of those same folks voted for Donald J. Trump on his promise that he wouldn’t touch Medicaid, or Medicare, and would ensure a better, cheaper, more efficient health insurance plan than the one provided by the ACA. He isn’t delivering the goods, based on what the House of Representatives has approved and what’s on the table in the Senate.

Republicans can afford to lose just two votes in order to approve a Senate version of Trumpcare. They hold a 52-48 majority in the Senate; two “no” votes means Vice President Pence casts the tie-breaking vote to approve Trumpcare.

McConnell said today that Democrats have no intention of working with Republicans to craft an ACA replacement. Really!

How about this, Mr. Majority Leader? How about agreeing to preserve the good aspects of the ACA and work to improve those elements that need work? I’ve heard Democrats say they would be willing to with Republicans to mend the ACA. One of them happened to be the former president, Barack H. Obama, who has said repeatedly that if Republicans can improve the ACA he’d be willing to work with them.

Obama is out of office now. Republicans are in complete charge. They control Congress and the White House. They had eight years to come up with a reasonable alternative to the ACA. They dickered, dawdled and dissed the Democrats for that entire time and then came up with a plan that cannot please enough Republicans to make it law.

Cue music. The dance goes on.