Tag Archives: ACA

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Political ‘leaders’ too often become ‘tyrants’

Jay Leeson, writing for Texas Monthly’s Burka Blog, wonders how Texas legislators can stiff their constituents in favor of an agenda being pushed by the state’s second-leading politician, Lt. Gov. Dan Patrick.

He wonders if state senators, for instance, are working for the people who they represent back home or for the lieutenant governor.

Implicit in his essay is the question about whether Lt. Gov. Patrick is running the Texas Senate — a body over which he presides — with too heavy a hand.

Read the essay here.

Indeed, we see this developing all too often. Politicians attain positions of power thanks to the votes of their fellow politicians and then decide that their voice is more important than anyone else’s. It’s a bipartisan affliction that crosses party lines.

A notable Texas politician, Democrat Lyndon Baines Johnson, was famous for corralling fellow senators, getting right into their faces and “persuading” them to vote for a bill of his choosing … or else pay the consequences.

Another brief story involves another Texas pol, former Republican U.S. Rep. Larry Combest of Lubbock, who once refused in the 1990s to support legislation dramatically overhauling the nation’s farm program. House Speaker Newt Gingrich wanted him to support it, and pressured him to do so. Combest refused because he said it would do harm to the West Texas farmers and ranchers who sent him to Congress in the first place.

This dance is occurring now in Washington, D.C. Republican leaders want to overhaul health care laws. They have developed an alternative to the Affordable Care Act that has been getting some seriously angry reviews among voters in congressional districts and states all over the country. Senators and House members are hearing about it, too.

Do they vote for their constituents’ interests or the interests of the party leadership?

Democrats exerted the same pressure on their congressional members when they pushed for passage of the ACA in 2010. The law was unpopular out here in the land, but Democratic congressional leaders insisted on approving it. The ACA’s fortunes have turned; Americans want to keep it and they favor it over the alternative that Republicans are trying to shove down our throats.

But GOP congressional leaders won’t be persuaded by silly notions about public opinion or the principle of representing the desires of the “bosses,” voters who elect them — or who can unelect them if they are given the chance.

Political leadership — whether in Austin or Washington — is vulnerable to those who turn it into tyranny.

medical news, national news, political news

Health care is ‘hard,’ yes, Mr. President?

What once was “easy” has become “hard.”

So said the president of the United States. Yep, Donald J. Trump has told TV interviewers that efforts to overhaul health care legislation is a “hard” task, that it’s going to take time.

Who knew?

Certainly not the man who, while running for president, called it “easy.” He boasted from many campaign podiums that he would repeal the Affordable Care Act almost immediately upon taking office and replace it with … um, something else.

“It’s easy!” he bellowed.

Sure thing, bub.

It’s not so easy. The American Health Care Act barely cleared the House of Representatives. Now it’s the Senate’s turn to discuss and debate this matter. Except that only Republicans are doing the dickering; Democrats aren’t in the game.

And, oh yes. Now we have five Republican senators saying they dislike the current Senate legislation “in its current form.” The Senate, with a 52-48 GOP majority, can afford to lose only two votes; that would result in a tie and Vice President Mike Pence could cast the deciding vote, as he did when the Senate confirmed Education Secretary Betsy DeVos to her Cabinet job.

So, the president bragged and blustered about the ease of overhauling one-sixth of the nation’s economy. Today’s reality is telling him the hard truth, which is that legislating is a complicated job.

It’s hard, man!

medical news

Can’t get past the ACA repeal process

As I look over the outlines of the congressional Republicans’ effort to repeal the Affordable Care Act, I see precisely one element that’s worth supporting.

That would be the end of the “individual mandate” that requires all Americans to have health insurance or else face a federal penalty. That particular part of the ACA has bothered me from the get-go.

The rest of it? I cannot accept what the GOP has tried to do — in secret, with no Democratic input, no public testimony (other than the angry rhetoric members of Congress have heard at town hall meetings across the country).

This is star chamber legislation, despite what Senate Republican Leader Mitch McConnell today said to the contrary.

***

Which brings me to my major point.

The process stinks to high heaven. Yes, it stinks even more than the way the ACA came into being, which wasn’t ideal, either. Still, the Democrats who ran Congress in 2009 at least were able to solicit public commentary while seeking in vain for contributions from their Republican colleagues in crafting the legislation.

Now we hear from former President Obama, who today weighed in with his scathing critique via Facebook. “Simply put, if there’s a chance you might get sick, get old, or start a family – this bill will do you harm,” Obama wrote. “And small tweaks over the course of the next couple weeks, under the guise of making these bills easier to stomach, cannot change the fundamental meanness at the core of this legislation.”

The Hill story on Obama post is here.

Why is it mean? It gives tax breaks to the wealthy; it rolls back Medicaid insurance for poor Americans; it wipes out federal money for Planned Parenthood, a major contributor of health services to women.

The Senate version of this new measure resembles the House version. The House managed to approve it with a 217-213 vote. Today, four conservative GOP senators said they can’t support the Senate version, which — if they hold their ground — dooms the measure.

McConnell is going to tempt them with goodies and other amendments. We’ll have to wait for whatever rabbit McConnell pulls out of his hat.

If the end justifies the means by which congressional Republicans have cobbled this legislation together, then we’re witnessing an exercise in political cynicism at its worst. The GOP aim — to my way of thinking — has been solely to strip Barack Obama’s legacy of this landmark law.

Let’s all wait now for the Congressional Budget Office — the famously non-partisan auditing agency — to “score” this latest GOP monstrosity. If the numbers show what previous CBO analyses have revealed — that millions of Americans will lose their health insurance — then we’ll get to listen to GOP lawmakers criticize the CBO for being too, oh, dire or negative.

The dance, then, will continue.

medical news

Americans are numb to congressional hypocrisy

It’s no surprise to anyone that hypocrisy exists in the halls of federal government power.

What I think is a surprise is how we are now so numb to it, that it doesn’t bother us.

U.S. Senate Republicans are in the process of doing precisely what they criticized their Democratic colleagues of doing just eight years ago. They are meeting in secret to cobble together a health care overhaul they say will replace the Affordable Care Act. In 2009, Republicans were frothing at the mouth because of what they said was occurring when Democrats crafted the ACA.

Video recordings of Republican Senate and House leaders bear out their anger then. Eight years later, well, here we go again.

The weirdness of it, though, shows itself in the apparent tolerance among average Americans at what’s going on.

A newly elected president, Barack H. Obama, sought Republican help in crafting the ACA. He didn’t get it. They stiffed him. The ACA process did include public hearings and testimony from those who favored and opposed it.

Another president new to his office, Donald Trump, hasn’t extended his hand to Democrats. Meanwhile, congressional Republicans are plowing ahead with an ACA replacement with no input from Democrats, no public hearings, no testimony.

Same song, different verse? Yes. The major difference appears to rest in the tacit acceptance that hypocrisy is now the norm in Washington, D.C.

I’ll go on record here to say that not all Americans accept this as business as usual. I believe it stinks to high heaven!

medical news, national news

GOP changes tune on health care bill accountability

I must have dreamt it in 2009.

We had a new president of the United States, Barack Obama. He wanted to enact a health care reform bill that would help provide “affordable health insurance” for millions of Americans. Obama and congressional Democrats couldn’t get any help from Republicans.

So they went alone. Republicans howled like horny hounds. They condemned Democrats for the way they pushed the Affordable Care Act to a vote. It passed. The president signed it into law.

Republicans haven’t stopped yowling ever since.

So, what’s their answer? Senate Republicans now are locking Senate Democrats out of negotiations for their so-called replacement of the ACA. They aren’t going to release any details of what they hope will replace the ACA until it comes to a vote in the Senate.

Senate Democratic leader Chuck Schumer challenged Senate Republican leader Mitch McConnell to produce the details of the bill to give every senator ample time to debate it. Ten hours is what they’re getting to talk about legislation affecting one-sixth of the nation’s economy. Ten hours!

McConnell insists that’s enough time. Umm, no, Mr. Leader, it’s nearly enough time.

What do these GOP senators hope to do here? I believe they are seeking to foist a bill onto Americans in an even more egregious manner that Democrats sought to do at the beginning of Barack Obama’s term as president.

The Affordable Care Act is not the “failure” Republicans have described it as being. The Congressional Budget Office has “scored” the GOP alternative to the ACA and said 23 million Americans will lose health insurance if it becomes law.

The House of Representatives approved an ACA replacement with zero Democratic votes; it now rests in the Senate.

Transparency? Accountability? We can have neither of those things when the lawmakers in charge cobble a massive bill together in private, talking only to those of like minds.

That is not how you legislate.

medical news, national news, political news

CBO verdict: Not good for GOP repeal of ACA

A jury — if not the jury — has weighed in on the Republicans’ version of health care reform.

It doesn’t look good for legislation designed to replace the Affordable Care Act.

The verdict comes from the notably non-partisan Congressional Budget Office, which says that under the GOP plan 23 million Americans will lose their health insurance by 2026. That’s a 1 million-person “improvement” over the bill that didn’t even get a vote in the Republican-led House of Representatives.

The latest version of Trumpcare got a vote, but it came before the CBO weighed in with its analysis of it. Hey, why wait when you’ve got a political agenda to fulfill?

Deficit reduction? It’s not as good as the initial bill. Again, House members didn’t bother to wait for the nitty-gritty before sending it to the Senate.

Donald Trump, House Speaker Paul Ryan, Senate Majority Leader Mitch McConnell and other prominent Republicans all promised — pledged, crossed their hearts and swore on a stack of Bibles — that Americans wouldn’t lose their health insurance if the GOP replaced the Affordable Care Act with something of their own making. The ACA, of course, was President Barack Obama’s signature piece of domestic legislation, which of course is why congressional Republicans want to get rid of it.

They contend it is failing. The president calls it a “disaster.” After the failed vote on the initial repeal/replacement bill, the president said he was willing to wait for the ACA to collapse, leaving Americans in the health-care lurch. I guess he wanted to say “I told you so.”

The Hill reports: “Over time, it would become more difficult for less healthy people (including people with preexisting medical conditions) in those states to purchase insurance because their premiums would continue to increase rapidly,” the report said.

The ACA repeal effort was shoved down Democratic House members’ throats, much in the manner the GOP said of the ACA’s enactment in 2010. Hey, turnabout is fair play … isn’t that the name of the game?

It still stinks.

local news, medical news, political news

Talk to us, Rep. Thornberry

The fellow who represents me in Congress has made his point pretty clear: He doesn’t intend to conduct “town hall meetings” with constituents during these lengthy congressional breaks.

I beg to differ with Rep. Mac Thornberry’s reluctance to speak to groups of his constituents.

The Clarendon Republican lawmaker has just voted to repeal the Affordable Care Act and to replace it with a Trumpcare version of health care overhaul.

Congress is taking some time off. Its House members and senators have fanned out across the land. Some of them are facing their critics, namely their constituents, who are questioning them about their votes in favor of Trumpcare. Rep. Thornberry, to my knowledge, hasn’t scheduled any such public events.

He ought to rethink his schedule.

Do I expect him to get a dressing down from angry 13th Congressional District constituents? Well, I don’t know. He is considered a lead-pipe cinch for re-election in 2018; his district is as reliably Republican as any in the country. Then again, other GOP House members who are equally safe and secure have been getting pounded by their constituents.

I actually want to applaud those Republicans who have voted for Trumpcare to stand before their “bosses” and explain themselves. I think much less of those who have chosen other pursuits while they are at home, ostensibly tending to “constituent business.”

Thornberry’s been in Congress for a long time now. He took office in 1995. He chairs the House Armed Services Committee. He’s got a big job. He once led a GOP effort to come up with ways to protect us against cyber-crime. I’m hoping whatever he came up with is being employed by our spooks to protect our national security secrets against hackers from, oh, Russia!

However, health care is on people’s minds these days. Even, perhaps, out here in the 13th Congressional District.

We’ve been represented in Congress by someone who has aligned himself with those who want to throw out the Affordable Care Act. The Trumpcare replacement well could cost a lot of Thornberry’s constituents their health insurance.

I believe he owes them a thorough explanation of why he cast one of the House’s “yes” votes.

medical news

As if we needed reminding … POTUS is clueless

Donald J. Trump’s endorsement of the Australian universal health care system confirms what many of us have thought for as long as this individual has been involved in politics.

He doesn’t know anything. Not about public policy. Or governance. Or public service. Nothing outside the realm of personal enrichment and self-aggrandizement.

The president and his Republican colleagues in the U.S. House of Representatives had just passed a bill that repeals the Affordable Care Act and replaces it with something called the American Health Care Act. Then he jetted to New York and sat next to Australian Prime Minister Malcolm Turnbull — and then lauded the Australian health care system.

The president said we should pattern our system after the Aussies’ system of providing universal health care for every citizen. How do they do it? The government pays for it.

But wait! Didn’t the GOP members of Congress want to do away with government mandates? Didn’t they insist on letting the marketplace set the price for health care insurance? Haven’t they been savaging the ACA as some sort of “socialized medicine” scheme cooked up by the socialists ensconced in the White House, led by President Barack Obama?

The GOP’s main man, the president of the United States, just endorsed a government-run health care system that reportedly works pretty well for the people it serves.

The president doesn’t know anything! He is utterly and completely unaware of the very public policy he says he favors.

He’s been involved in politics for less than two years. He rode down the escalator at Trump Tower in June 2015 to announce his presidential campaign. He got elected and has continued almost daily to demonstrate his absolute ignorance of the office he now holds and the awesome responsibility he has assumed.

I truly don’t expect him to learn all there is to know about everything in such a short span of time. However, it wasn’t too much to expect that he at least had some semblance of a grasp of policy matters before deciding to run for president of the United States.

medical news

Mr. POTUS, you’ve just contradicted yourself on health care

I am scratching my head so vigorously now that my scalp is likely to start bleeding.

Donald J. Trump sat next to the Australian prime minister, Malcom Trumbull, and praised his the health care system provided in the nation Down Under.

Australia has a universal health care system, which the U.S. president declared is far superior to ours.

GOP goes in the opposite direction

Why, then, did the president praise House of Representatives Republicans for approving a bill that some analysts suggest is going to deprive as many as 20 million Americans of their health insurance?

Trump declared victory after that vote. He said premiums will decline, no one will lose health coverage and he intends to march forward with an effort to repeal the Affordable Care Act.

The alternative appears to provide less coverage than the ACA.

But, but …

The president now sings praises to Australia’s universal health care system — which the government provides for every citizen — as being better than what we’re doing here.

Here’s how the Washington Post described the Australian plan: “Australia has a government-funded health-care system, called Medicare, that exists alongside private insurance. The system is funded in part by taxes, including on the wealthy.”

Go … figure, man.

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Former congressional loudmouth pops off

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Joe Walsh once was known as a loudmouth politician from Illinois.

Now he’s just a former loudmouth pol, who has entered the discussion about health care reform in a most undignified and ironic manner.

Late-night TV comedian Jimmy Kimmel went on the air Monday night and revealed that his newborn son was born with a heart ailment. Nurses detected a problem with the baby, a renowned cardiac surgeon was summoned and he repaired the infant’s heart.

Kimmel gave a heartfelt and tearful testimony that saluted the medical staff at the hospital where little Billy was born — and argued on behalf of efforts to guarantee health insurance for all Americans.

Then came Joe Walsh, who tweeted, “Sorry Jimmy Kimmel: your sad story doesn’t obligate me or anybody else to pay for somebody else’s health care.”

Social media erupted with outrage at Walsh’s insensitive reaction. Walsh is a former Republican lawmaker who once popped off with remarks about Black Lives Matter and President Barack Obama that some folks had interpreted as a threat. Walsh, who’s now a TEA Party activist and a talk-radio host (imagine that), was defeated for re-election.

There’s more — of course.

Walsh also once was caught failing to pay child support for his own children; he reportedly owed about $117,000 in support payments.

Tsk, tsk, tsk …

For this clown to interject himself into a heartwarming story involving an entertainment personality and his family speaks pretty graphically about this individual’s profound lack of character and compassion.

The word “hypocrite” also comes to mind.