Category Archives: Health Care

Things That Go Bump In The Night and Things That Are Making More Noise Than Sense

Another week of the Trumpster Fire, another week of news from a fire hose, and another week during which we, as news consumers, are required to filter wheat from chaff, and the relevant from the nearly irrelevant.  What things bumping in the night should be attended to? Which can be set off to the side and safely ignored for the moment.

Bumps With More Noise Than Significance

Preliminary public polling results.  The Press/Media is enamored of the latest rendition of The Great Blue Wave.  This is one of the least informative ways of filling one’s air-time.  First, national preference polling is interesting, but all elections are local.  While some members of the punditry are beginning to mouth the words “vote suppression,” and “gerrymandering,” not enough information and analysis has been shared about the effects of these GOP efforts to maintain control of the Congress, and of state elections. Secondly,  there are no national elections for Congressional seats — to state the perfectly obvious.  Those elections will be determined by candidate recruitment and quality, personnel and monetary resources, and campaign competence.  None of these, with the possible exception of shared mailing lists and big donors (monetary resources) is national in scope.  Third, some campaigns will be assisted by the efforts of third party groups. For example, are Union members out canvassing? Are students out doing registration drives?  Are small groups of activists providing services like rides to the polls? The extent and nature of these ancillary groups and their activities will have an impact, we just don’t know the extent to date.  None of this will be “news” to anyone who’s been paying attention to American civic life for the last few decades.

Just because it’s on the news doesn’t necessarily mean it’s important.  The occupant of the Oval Office and some members of the media are still playing the DC parlor game, “Who is Anonymous?” Or anonomus or anamonomous or whatever.  I’m still working on why this might be important.  For my money we still have staff in the executive branch who are willing to explode the national debt in service to tax cuts for the top 0.01% of American income earners, at ease with putting 12,000 children in “detention” facilities for an indefinite period, and quite pleased to allow health insurance companies to charge people with pre-existing medical conditions more for their premiums.  That these people will occasionally arise on their hind legs and proclaim the Great One has gone too far doesn’t impress me.  What would impress me?

How about more attention paid to this nugget:

“Besides family, one of the only people Trump continues to trust is Stephen Miller. “The op-ed has validated Miller’s view, which was also Steve Bannon’s, that there’s an ‘administrative state’ out to get Trump,” a Republican close to the White House said. “There is a coup, and it’s not slow-rolling or concealed,” Bannon told me. “Trump believes there’s a coup,” a person familiar with his thinking said.”

And thus our Oval Office Occupant (Or Triple Zero if spelled 0val 0ffice 0ccupant) is more heavily reliant on a blatantly racist, far right wing conspiracy fabulist, who stokes the Occupant’s most divisive tendencies?  This seems to call for more analysis, and yet the punditry still grasps the Who-Done-It? segment, or pontificates upon the “effect” of the infamous Op-Ed on the President’s “mind set.”  Clue number one a White Nationalist was influencing the 000 might have been the initial Muslim ban?  More clues — no DACA agreement  by Congressional Democrats was ever going to be satisfactory — no one ‘would care’ that there might be children separated from their parents at the southern border — it’s considered acceptable to move funds from FEMA and the Coast Guard to pay for more ICE detention facilities —  it’s supposed to be all right for asylum seeking families to be kept in these detention facilities indefinitely?

Things Not Making So Much Noise But Nevertheless Important

Health care and health insurance.  There is nothing the GOP would enjoy so much as repealing the last semi-colon and comma of the Affordable Care Act.  We’ve heard the “more competition” argument currently coming from the House Speaker before.  It doesn’t make any more sense now than it did then.  Health insurance is not a product analogous to purchasing a motor vehicle or any other consumer product.  One doesn’t choose to get hit by a bus, or hit with a cancer diagnosis, or hit with a complicated pregnancy — or even an uncomplicated one for that matter.

Consumer protection.  While the great fire hose emits its inundation of noise about all things Trumpian, consumer protections enacted to prevent yet another Wall Street melt down are under attack.  The student loan market is being “deregulated.”  Not a good thing.  The smaller issues involved in the Dodd Frank Act have been resolved with some bipartisan legislation, but the administration wants to go further — and the assortment of Goldman Sachs alums in the administration are being ever so helpful in this regard.  Left unchecked we’re going to see another round of de-regulation, which didn’t work out so well for us the last time.  Caveat Emptor American consumer — be careful before voting for any candidate who vows to cut red tape and diminish the “burdens” of regulations — like those preventing the next melt down in the Wall Street Casino.

It’s the Stupid Economy.   Yes. Wall Street has been doing quite nicely thank you very much. I maintain my position that the worst business news is readily available on most broadcast networks.  If a person believes that the DJIA represents the state of the American economy then they’re in for more surprises like the ones which emerged in 2007-08.   Information like real median household income trends is available from FRED, but before we get too excited note median household income numbers may be obscuring other figures like wages adjusted for inflation for full time employees.   Further, what’s being added in to the mix as “income?”  All income includes everything from unemployment benefits to returns on investments.  It’s those returns on investments that have made some very nice progress over the last ten years…wages maybe not so much.  We’re on our own to dive more deeply into the wage issues and income distribution data.  There’s some good news, some bad news, and some news to think about like the 16 straight quarters we’ve had of increasing domestic household debt.  So, it’s time for the question:  Are we seeing candidates for Congress who acknowledge the need for common sense controls on Wall Street casino operations? Who are aware and concerned for wage and salary workers and their economic security?  Are we getting more noise from the highly generalized pie in the sky theoretical visionaries who want us to believe that those with great wealth are going to buy all the homes, cars, washing machines, shoes, movie tickets, and restaurant meals necessary to keep the US economy rolling on?

I could use a little more light on these subjects, and perhaps a bit less bump in the night stuff about a “crisis on the border” (manufactured by the current administration) or “The Press Is Out To Get Me,” from Orange Blossom.   And, I’m looking for Congressional and Senate Candidates who will speak to me about how to fix problems, rather than shout at me about how to fix the blame for them.  I’d like for political discourse to make more sense than noise.

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Filed under anti-immigration, banking, Economy, financial regulation, Health Care, health insurance, Heller, Nevada politics, Politics

Dean’s Back In My Mailbox: Sweet Children Edition

I’m starting to develop a theory concerning politicians, photographs, and pro-family policies.  The theory is congealing along this line:  The more adorable small children are shown in close proximity to the politician in the campaign photographs, the less likely the politician is to be a true advocate for policies which benefit women and children.

Case in point:  Dean Heller’s latest addition to the contents of my mailbox.

This latest contribution is a flyer with nice photos of Senator Heller (R-NV) and lots of nicely clad, well groomed children, all looking familial. Very familial.  So, it’s no surprise that the “content” portion of the campaign piece highlights domestic violence; pregnant workers; veterans; and sexual assault survivors.

Lest I become too excited at the prospect of Heller as a prime champion of these causes, it’s time for a bit of context.

About those domestic violence survivors…  According to Heller, Heller “broke with his party” to pass the Violence Against Women Act.  If we are discussing the Reauthorization of the Violence Against Women Act in 2012, then Senator Heller wasn’t exactly the first to line up:

“Bipartisan legislation to reauthorize the landmark Violence Against Women Act (VAWA) reached a critical point Tuesday, as Nevada Republican Dean Heller became the 60th Senator to cosponsor the legislation.  The Violence Against Women Reauthorization Act was introduced in November by Senator Patrick Leahy (D-Vt.) and Senator Mike Crapo (R-Idaho).

“The Violence Against Women Act has always been, and continues to be, a bipartisan priority,” said Leahy.  “I am grateful that Senator Heller has joined as a cosponsor of this important bill.  Every victim of violence deserves to access the resources available through VAWA.  Congress should act, without delay, to approve this commonsense legislation.” [IndLaw]

Thus, Senator Heller wasn’t among the first co-sponsors of S. 1925 in 2012, he was more like the 60th, and he voted in favor of the bill’s Senate passage along with 15 other Senate Republicans.  Fast forward to 2018 and the VAWA is about to expire in the summer months.  Indeed, it is due to expire in September 2018. There are 12 bills related, one directly others tangentially, to the VAWA in the 115th Congress, all have about a 3% chance of passage.   HR 6545, the reauthorization for 2018 has about a 7% chance of passage  However, Senator Heller is shown in the pictures with lots of nice looking children.

Pregnant workers... I like the title “Pregnant Workers Fairness Act.”  Although are there any other kinds of pregnant workers than women?  Senator Heller says he is working with his colleagues in the Senate on this one, specifically that would be Senator Casey (D-PA) the sponsor of S 1101.   The bill has two co-sponsors (Shaheen and Heller) and a 3% chance of passage.   Not to put too fine a point to it, but I’m not wagering any portion of my piggy bank contents on this one getting past the committee stage. Senator Heller is shown with several well scrubbed kiddies in the flyer.

America’s Veterans...  by Senator Heller’s lights he’s helped over 15k veterans with their issues, however we don’t know, for example, how many of these are directly related to issues with the VA; how many are directly related to health issues? Housing issues? Educational benefits issues? Other issues? Nor do we know when the count started, are we speaking of the last year or for every year Senator Heller has spent in D.C?  He’s also claiming “leadership” in resolving VA backlog issues, but then so is every other member of Congress.  The jury’s out on this one, but the Senator is shown with children in a nice sylvan setting.

Sexual Assault Survivors...  Republicans seem intent on talking about that rape kit testing backlog and I’m all for that. Both paring down that backlog and talking about it.  However, I’d be happier still if more Republicans would start talking about preventing sexual assault in the first place.  I’m not hearing all I’d like about making reporting instances of assault and molestation easier on the victims.  Nor am I hearing as much as I’d prefer about extending the statute of limitations on assault, molestation, and harassment, for the perpetrators of these crimes.  And then…there’s the not-so-small-matter of getting firearms out of the mitts of domestic abusers.  Abused women are five times more likely to be killed by their abuser if the abuser owns a gun.  Not only are spouses and ex-spouses abused, but if the situation escalates then the lethality increases five-fold.  There are lots of children in that sylvan setting with Senator Heller.  What has Senator Heller done to make life safer for the children who aren’t in the photograph?

Then there’s the  unspoken part … Planned Parenthood … which Senator Heller would have us “defund.”

Does he know that if a woman doesn’t have medical insurance she can receive low cost or free pre-natal care at a Planned Parenthood facility?  Does he realize that Planned Parenthood can help women find affordable health insurance so their children can get off to a good start?  Does he understand that Planned Parenthood also supports post partum care?  There are some profoundly good reasons for a woman to have a post partum check up and for the infant to get his or her check ups too.  Perhaps we could have fewer glossy photos and more attention to providing medical services for more women and their children?

And now I’ll search for more data with regard to my developing theory: The more adorable small children are shown in close proximity to the politician in the campaign photographs, the less likely the politician is to be a true advocate for policies which benefit women and children.

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Filed under Gun Issues, Health Care, Heller, Nevada news, Nevada politics, Politics

There Never Was Any Plan: The Story of the entire Orange Blossom Administration

Return with us now to those days of yesterday, if not exactly yesterday, when the Trump declared his health care plan would be wonderful — “No one will lose coverage. There will be insurance for everybody. Healthcare will be a “lot less expensive” for everyone — the government, consumers, providers.”  [Politico]  That was March 13 2017.  Well now, some people have lost coverage, it isn’t going to be any less expensive to get health insurance. In fact, health insurance premiums are expected to increase in California, Connecticut, and Pennsylvania, and it is just as bad elsewhere:

Rate filings to date show that many insurers are requesting large premium increases for 2019. The average requested rate increase was 30.2 percent in Maryland and 24 percent in New York state. Most insurers have specifically cited the repeal of the individual mandate in their actuarial memorandums. In New York, insurers attributed about half their large requested increases to mandate repeal. Even in states with small rate increases or overall decreases, insurer filings state that premiums next year would be significantly lower in the absence of federal sabotage. For example, BlueCross BlueShield of Vermontrequested a relatively small 7.5 percent increase for 2019 but said that its request would have been 2.2 percentage points lower if not for mandate repeal. Peter V. Lee, the director of Covered California, said that his state’s average rate increase of 9 percent “could—and should—have been much lower.” [CAP]

Let’s be serious here. There wasn’t a health care plan, not one with any specifics. There was a ton of “repeal and replace” rhetoric.  Trumpian campaign slogans never translated into much more than the continual erosion of Affordable Care Act provisions in favor of the insurance industry.  There never was a comprehensive plan to deal with market problems, industry sector issues, and the health care needs of some 330 million people in this country.  This administration doesn’t PLAN.

But wait, wasn’t there an “infrastructure plan?”  It would seem there should be since we keep having infrastructure weeks?   On February 11, 2018 the administration rolled out its grand infrastructure proposal [CNN] albeit without any suggestion about how this would be paid for;

“At the Conference of Mayors in January, Gribbin explained that the Trump administration would not be proposing a specific funding mechanism for the infrastructure plan, saying that will be a conversation with Congress. But that discussion just got a lot harder following the passage of a tax plan that is expected to expand the deficit by over a trillion dollars over ten years.” [MoneyCnn]

So, we got “conversations with Congress” about how to implement the “infrastructure plan,” but no infrastructure plan with much of anything except sops to for profit job training centers, lowered work rule and environmental permitting standards, and precious little else.  There never was a real, a comprehensive, plan in place such that the negotiations (or conversations) with Congress would ever be on a firm foundation. Surprised? We shouldn’t be.

Perhaps we should have been impressed with the trade plan?  After all, isn’t this supposed to put America First?  However, our friends and trading partners have been reduced to using color coded cue cards to explain high school level trade concepts to an American president [Marketwatch] and he doesn’t give any appearance he understands  fundamental concepts.  Reason sums up one area of dissonance:

“As Veronique de Rugy noted here a couple of weeks ago, “This is one policy area where he’s been remarkably consistent over the years.” Even when Trump pays lip service to free markets, she observed, it’s with the aim of increasing exports and reducing imports so as to bring down the number he thinks crystallizes our failure and lack of resolve. Trump is not talking like a mercantilist in service of free trade; he is talking like a free trader in service of mercantilism.” [Reason]

Let’s just operate on the simpler assumption — he doesn’t understand the subject; he doesn’t really have a plan; and, all the “motion” that passes for “action” in this administration’s trade policy is tantamount to economic and monetary plate juggling.  As long as he can make grand announcements about vague promises to eventually do something, and none of the plates fall, he’s all good.  Witness the EU deal:  “In reality, the Europeans gave up little except their prior refusal to negotiate under threat. Juncker’s pledge that the E.U. would import more U.S.-grown soybeans, for instance, formalized something that was likely to happen anyway.” [NewYorker]  Always assume: There is NO Plan.

And, about that Immigration enforcement policy which was supposed to have a plan to reunite children with their parents?   As of June 22, 2018 the Trump Mis-administration had to admit it had NO PLAN to reunite all children with their parents. [NYMag]  Really?  Well, not really completely opaque since the policy was all about punishing people who had the temerity to appeal for asylum in the United States who happened to be people with slightly darker skin than their Caucasian cohorts.   Thus if the policy didn’t meet the needs of the children and their parents, then the children could be conveniently re-categorized as “ineligible”  meaning the mis-administration might side step any accountability for their plight. [MSNBC]

Pick a topic, any topic.  Speak of environmental protections, clean drinking water, the protection of wildlife, or the protection of consumers from banking institution predation.  Speak of plans to provide better housing for married members of the US Armed Forces? Speak of plans to offer better, more efficient educational, medical, or dental services to Veterans?  Speak of plans to insure more cities are not plagued with lead in their water supplies?  Speak of how to provide long term assistance to American ranchers and farmers, and to promote the global trade in the crops and animals they raise for sale? Speak of how to research, study, and restrain the levels of gun violence in this country so that we are a safer place for ourselves and our children?  Speak of how we address matters of election security? To address Russian infiltration and attacks on our political institutions?  Pick a topic. Any topic.  Then rest unassured, this administration HAS NO PLAN.

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Filed under Health Care, health insurance, Immigration, Infrastructure, Politics, trade deficit

Dear Congressman, Why Are You

From the Department of Thanks A Bunch But Don’t Do Me Any More Favors

“Nevada’s premiums on the health-care exchange are likely to increase by about $843 next year as a result of Congress’s repeal of the Affordable Care Act’s individual mandate and a new Trump administration rule on short-term health insurance plans, according to a new report from the liberal-leaning Center for American Progress.

The report, released Friday, found that annual premiums nationwide will increase from an average of about $6,176 to $7,189 for the average 40-year-old, which is about a 16.4 percent increase. In Nevada, average premiums using the same benchmark are projected to rise from about $5,547 to $6,390, or an increase of about 15 percent.” [NVIndy]

All right, I’m not 40 years old and haven’t been for quite some time, but I can empathize with younger people trying to run households, raise kids, pay the bills, and keep it together.  What they don’t need is a 15% increase in their health insurance premiums.  And who does this help?  It doesn’t help promote the best practices of established health insurance corporations.  It doesn’t help those families who are facing rising costs for groceries and transportation.  It doesn’t help young people to sell them junk insurance that won’t actually cover expenses for major medical expenses for illness or injury.  It seems to primarily help the fly by night scam artists who want to sell insurance policies which barely deserve the name.  You can read the full report ?here.

From the Department of Questions to Ask Congress Critters which Don’t Include Why Are You An A–hole?

Dear Congressman ____ why is it impossible for you to vote in favor of a bill to require universal background checks for gun sales and transfers?  (It’s not like this doesn’t have massive support from the American people.  It’s not like this wouldn’t help to keep firearms out of the hands of individuals who shouldn’t have them in the first place.   And while we’re about it, what’s so impossible about limiting the size of magazines, or keeping guns out of the hands of domestic abusers?)

Dear Congressman ____ why, when banks had their most profitable quarter EVER, would you think it important to roll back the consumer protections of the Dodd Frank Act? [MoneyCNN] [Vox] [WaPo]

Dear Congressman ____ in what perverted universe is it considered acceptable to bait bears with donuts and bacon in order to kill them? To kill hibernating bears? To kill wolf pups? [NYMag]

Dear Congressman ____ Just what purpose is served by vilifying a Central American street gang and conflating its members with ALL immigrants to this great nation?  Criticizing a violent gang is laudable, conflating these people with ALL immigrants is inexcusable.  Since I’m not 40 years old and haven’t been for some time, I recall a time when this nation was recovering from a major war against a state which called Jews “vermin,” dehumanized them, and then used the appellation as an excuse to exterminate them.  Perhaps it’s time to have people, especially politicians, read (or re-read) Elie Wiesel’s Night.

Where does this lead?

“Wiesel’s prose is quietly measured and economical, for florid exaggeration would not befit this subject. Yet, at times, his descriptions are so striking as to be breathtaking in their pungent precision. He writes through the eyes of an adolescent plunged into an unprecedented moral hinterland, and his loss of innocence is felt keenly by the reader. His identity was strained under such conditions: “The student of Talmud, the child I was, had been consumed by the flames. All that was left was a shape that resembled me. My soul had been invaded – and devoured – by a black flame.” Night.

When bad things are done by bad people, bad things happen to innocent people.

Or maybe it would simply be easier to ask, Dear Congressman ____ why are you an A-hole?

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Filed under ecology, financial regulation, Gun Issues, Health Care, health insurance, Immigration, Politics

Contempt for the Great Generality: Hatch, Grassley, and the Great Unwashed

Every once in a while a Republican is caught being honest.  Consider the commentary from Iowa Senator Charles Grassley on the value of eliminating most of the inheritance tax because “they” invest, but the rest of the country…not so much. So, what to do when the comments create a social media fire storm?  Backtrack:

Sen. Chuck Grassley (R-Iowa) on Monday said his comments that the estate tax rewards those who don’t spend “every darn penny” on “booze or women or movies” were taken out of context, saying he meant that the government shouldn’t punish investment.

“My point regarding the estate tax, which has been taken out of context, is that the government shouldn’t seize the fruits of someone’s lifetime of labor after they die,” Grassley said in a statement.”

Nice try, but the “out of context” excuse has gotten thinner than the roast beef at the deli counter.  Senator Hatch (R-UT) was a bit more subtle when discussing the children’s health insurance funding, but not by much:

“In his speech, Hatch also said he thinks CHIP has done a “terrific job for people who really need the help” and noted that he had advocated for helping those who can’t help themselves throughout his Senate career. But, he continued, “I have a rough time wanting to spend billions and billions and trillions of dollars to help people who won’t help themselves, won’t lift a finger and expect the federal government to do everything.” He blamed a “liberal philosophy” for creating millions of people “who believe everything they are or ever hope to be depend upon the federal government rather than the opportunities that this great country grants them.”

There they go again.  Oh, those Undeserving Poors who just Want Stuff, and won’t work for it.   The median household income in Nevada is $52,421, meaning half the families in Nevada have annual income below that figure.   So, what does it cost to get the kid’s tonsils removed?  ($4,153 to $6,381, with an average cost of $5,442)  How about that common childhood injury — the broken arm?  Expect this to carve out some $2,500 from the family budget.   It the youngster has a chronic condition — asthma, heart problems,  diabetes,etc. the price, of course goes up, and up and up.   We’re not talking here about “people who won’t lift a finger.”  we’re discussing families — working families who are hard pressed to find the resources to pay for medical treatment for their children.  And now we come to the place where Hatch and Grassley’s perspectives merge in a miserable view of humanity.

What these members of the US Senate are doing is using the old Reagan Era “Welfare Queen” mythology to camouflage their contempt for their fellow Americans.

“They” just want everything done for them.   “They” won’t lift a finger.  “They” are cheating me out of my money.  It’s never something like the single mother of a six year old who has asthma having to maintain a family budget while keeping up with the costs of inhaler medication.  Nor, do we hear much about the family in which both parents are working two jobs to keep close to that $52,421 number, and who are coping with a youngster with diabetes.  Well, well, sputter the solons, we weren’t speaking of Them.  Of course not.  And, I’m assured they weren’t talking about children suffering with cerebral palsy or other chronic conditions with serious financial implications for the family.  So, who are they talking about?  The hard truth is that they aren’t talking about anyone!

They aren’t talking about real people.  They are talking about that imaginary Great Unwashed, who are Welfare Queens, who are urban — and probably African American.  The subject of the Hatch-Grassley fears are highly generalized, mostly mythological, nearly always racist, ideas about the Undeserving Poor, who don’t “lift a finger.”  People, whose stories would touch our hearts and stir our empathy, are ignored in favor of painting with the broadest spray can nozzle possible a picture of urban, black, moral decay from which white America may safely distance itself.

They can (almost) manage some sympathy for the poor white families in remote areas of  America.  However, mention cities, and the racism kicks in.  It’s a hard and tragic thing to see the loss of employment in mining regions but no such sympathy is extended to the members of minority communities who languish in the Rust Belt.   However, even that small instance of empathy is victim to Republican ideas of virtue.  Those afflicted with opioid addition in those former mining regions may be unemployable because of their addictions, but by Republican lights must be employed in order to qualify for treatment.  In short, they can’t win for losing.

The Republican Party, once the party of progressive legislation, and even later of fiscal conservatism, has devolved into the party of racists, radicals, and unreasonable shills for corporate interests.  It’s a sad state of affairs. And, a sadder commentary on the political discourse of contempt.

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Filed under Health Care, Politics, racism, Republicans

Senator Heller’s Second Shot at Slashing Medicare and Medicaid

“This morning, the Senate Budget Committee will consider a resolution that instructs lawmakers to find ways to reduce Medicaid spending by $1 trillion (and Medicare spending by $473 billion) over the next decade, according to supporting documentation that Democrats are publicizing.” [WaPo]

Here’s the strategy: “A fast-track “reconciliation” process that would allow for tax cuts costing $1.5 trillion over ten years that require only a simple majority to pass.  The $1.5 trillion cost would not have to be offset by closing tax loopholes or ending unproductive tax breaks, and thus would add to the nation’s deficits, which are already growing as the baby boomers retire.  In addition, the resolution would allow the Senate Finance Committee to cut critical programs under its jurisdiction, including Medicaid, Medicare, and basic assistance for poor seniors and people with disabilities, and then use those savings to make the tax cuts even larger (so that the net cost of the tax cuts and the budget cuts combined equaled $1.5 trillion).  The reconciliation process is the same process that Congress tried to use to repeal the ACA and requires only a simple majority to enact law.”  [CBPP] (emphasis added)

And, there we have it: (1) If it’s a Republican budget, then adding to the federal deficit doesn’t matter; (2) in order to provide for tax cuts to the top 1% of income earners in the United States, the Committee can slash funding for Medicaid, Medicare, basic assistance for senior citizens, and people with disabilities.

The trick is that the Senate Republicans have to pass a “budget” slashing spending for those aforementioned Medicare and Medicaid beneficiaries, elderly people in poverty, and disabled people, in order to create ‘space’ for the “reforms” in their tax legislation.  The buck slashing needs to stop here.

Please contact Senator Dean Heller, and let him know that these are not Nevada priorities.

202-224-6244

702-388-6605

775-686-5770

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Filed under Health Care, Heller, Medicaid, Medicare, Nevada politics, Politics

Demolition Days On End

The television talking heads are talking about today’s sound and fury from the White House as “Demolition Day;” as if every day the mullet-maned moron occupying the Oval Office hasn’t been doing this from day one.

What is buttressing my sanity for the moment is the fact that MMM had a 49.4% approval rating in Nevada as of January 2017 (38.9% disapproval) and dropped to an approval rating of 43.6% in September 2017 and a disapproval rating of 51.2% in the Silver State.  [CNBC]

Much more love from the Republican Congress and the President and Nevada’s going to find itself in a world of hurt.   Case in point:  If the Republicans get their way in the FY 2018 budget 56,044 Nevada families will lose food assistance as of 2023, and 52,613 will lose them as of 2027.   But wait, there’s even more fun … another grand idea in this budget fiasco is to shift $100 billion of SNAP costs to the states.  So, Nevada would have to come up with 10% of the costs by 2020 and this increases to 25% in 2023 and beyond. Just in case lower income, mostly working, families in Nevada aren’t punished enough the GOP plan says states will have more “flexibility” to cut benefit levels to “manage costs.”  Of course Nevada will have to figure out how to get lower income working families basic food items at the local groceries, at state expense.  In case someone’s thinking this makes economic sense (that tired old canard about welfare queens on food stamps with waste and fraud) the actual numbers indicate that for every $5.00 spent on food stamps $9.00 is generated in economic activity. [CBPP] [MJ]

Case in point: The FY 2018 budget calls for cuts in fire-fighting operations.  As if the fires in California weren’t headline news at the moment.  The IAFC isn’t happy  seeing an FY 2017 budget of $2,833,000 for wildland fire management cut to $2,495,058 in FY 2018; or cuts to State Fire Assistance from $78 million down to $69.4 million, and Volunteer Fire Assistance from $15 million to $11.6 million.  And, by the way, the FLAME program (pdf) funding (wildfire reserve suppression fund, large fires) would be eliminated in the GOP budget.  Supposedly, the FY 2018 would sustain current 10 year average costs for fire suppression. [ECO]  The word “supposedly” is used with some caution, because as we experience climate change effects, the cost of fire suppression can be reasonably expected to increase, with a coterminous effect on budgets.   Meanwhile, there’s the matter of expensive fires in Napa and Sonoma counties.

And, then there’s the not-so-small matter of FEMA:

“The president’s budget blueprint calls for FEMA’s budget for state and local grants to be cut by $667 million, saying that these grants are unauthorized or ineffective. The program it explicitly calls out as lacking congressional authorization is the Pre-Disaster Mitigation Grant Program, and a second proposed change would require all preparedness grants to be matched in part by non-federal funds. All of FEMA’s pre-disaster grants are meant to reduce federal spending after disasters, and according to the agency’s website, there’s evidence that $1 in mitigation spending saves $4 in later damages.”  [Newsweek]

There are two points to highlight in this paragraph.  First, the budget cuts are made to grants for disaster mitigation efforts, without saying why the grants are “ineffective,” and we should note that any program can be declared “ineffective” if the standards aren’t reasonable. Secondly, as in the case of food stamps, there’s an upfront economic benefit — for every $1 spent on mitigation we save $4 in subsequent damage costs.   Once more we have a grand example of being penny wise and pound foolish.

Nor are the Republicans keeping their promises not to mess with Social Security and Medicare.

“Not only would it (the FY 2018 budget) cut Medicaid by $1 trillion, it would also cut Medicare by more than $470 billion in order to pay for hundreds of billions in tax breaks to the wealthiest people and most profitable corporations in America. Further, the Republican tax plan this budget calls for would increase the federal deficit by $1.5 trillion over the next decade, which will likely pave the way for savage cuts to Social  Security.”  [SenDem]

Oh, and by the way… let’s sabotage the NAFTA talks, scrap the only treaty containing Iran’s arms aspirations (and tick off all the other European allies who signed on), send a signal to North Korea that our word’s not worth paper on which it’s written, let the health insurance market destabilize into chaos, and withdraw from UNESCO.

And here we sit, not a shining beacon on a hill, but a flickering flame bent to whatever winds happen to be blowing through the head of MMM in the White House.  Not only are programs and services in peril within our own state, but the nation and the world are facing similar dangers emanating from an unraveling White House.

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