Category Archives: Nevada politics

Caveats and The Unspoken Big Lie

So, we have two sources telling us that approximately 24 to 26 million people will lose their health care insurance if the Republicans are successful in jamming through their tax shift proposal masquerading as a ‘replacement’ for the Affordable Care Act.  Therefore, it’s now time for a new ‘talking point’ from the GOP, especially since some Republicans like Rep. Mark Amodei are on record saying:

When asked what his plan for a change to Obamacare would be, Heller said, “If you like your health care, you can keep it,” a statement that echoes a promise from Obama that later ended up being false.  Amodei said he would not vote for any plan that resulted in reduced coverage for anyone.  “No, I don’t think you can say forget it, we’re going to let them be uninsured because as a practical solution, that’s not an answer and somebody ends up paying in the end anyhow,” Amodei said. [RGJ 2/22/17]

Well, now we know with some certainty that the GOP replacement bill will result in reduced coverage, and some people and families will be uninsured.  How to escape this trap? A new talking point!

“No one will lose their coverage.” 

The HHS Secretary Tom Price, whose replacement would have cost some 18 million their insurance, opined:

“Success, it’s important to look at that,” he said. “It means more people covered than are covered right now at an average cost that is less. I believe that we can firmly do that with the plan that we’ve laid out there.”  Not exactly.

Then, there was Pete Sessions, a Republican from Dallas, telling his listeners:

“Nobody is going to lose their coverage,” Sessions, chairman of the House Rules Committee, told CNN. “You’ll be able to keep your same doctor, you’ll be able to keep your same plan.”

A spokeswoman for the congressman later explained that Sessions meant Americans will have the choice whether to obtain or maintain coverage — not that the GOP bill would take coverage away. The American Health Care Act would nix the ACA mandates requiring Americans to have health insurance.” [DMN]

And, there it is, the Big Caveat, which makes taking health insurance away from working American all AOK.  You can “choose” to keep your health insurance! IF and ONLY IF you can afford it. ?

However, even IF you can afford it, the policy you can purchase may not be truly comprehensive. A young person may have to get additional insurance if he or she marries and there is a pregnancy in the plans. More cost. A plan may not cover preventative care? Or mandatory coverage for cancer screenings?  More cost.  It doesn’t take too long to add up the extras until what has been basic coverage becomes optional coverage. Then the risk pool is reduced and the premiums go up. That is how insurance works. The larger the risk pool the lower the premium costs.

Thus, “you can keep your health insurance” IF:

  • You can afford it in the first place, not likely if you are among the low wage workers in this country.
  • You can afford it and are willing to accept lower levels of coverage, and you don’t mind having to pay for additional services for additional  premiums.
  • You are willing to shop for insurance coverage every time the circumstances of your life changes; as in pregnancies, pre-natal care, caring for a special needs child, a family member needs rehabilitation or mental health care.
  • You are willing to see your local, and especially rural, hospitals see higher levels of uncompensated care.
  • You are willing to accept that your doctors and other health care professionals will see less reimbursement for services rendered.
  • You are willing to forego coverage for preventative screening and treatment for medical conditions.

Access to health insurance isn’t the same as having health care insurance.  As the now commonplace tweet has it: “I have access to a Mercedes Benz dealership — that doesn’t mean I can afford to buy something of their lot.”

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Filed under Amodei, Health Care, health insurance, nevada health, Nevada politics, Politics

Beware The Artful Codger

One congressional Representative for our northern neighbor, Idaho, has a problem in his Lewiston office: Too many artful codgers showing up there around lunch time with complaints about his political philosophy.

“A spokesman for U.S. Rep. Raul Labrador’s office in Lewiston has filed a complaint alleging a threat from a group of local citizens who routinely visit congressional offices.

Scott Carlton reported the issue to the U.S. Capitol Police early last month. Carlton, who works out of the congressman’s downtown Lewiston office, declined to comment when contacted by the Tribune and referred all questions to Doug Taylor, Labrador’s spokesman in Meridian, Idaho.

The citizen group, LC Valley Indivisible, is comprised of mostly older residents of the Lewiston-Clarkston Valley, according to its members. The organization is loosely affiliated with the national Indivisible groups that call for town hall meetings with members of Congress to raise issues regarding President Donald Trump’s administration.” [SR]

The group members recall a civil engagement with Scott Carlton, Labrador’s spokesperson. Carlton told people at a Chamber of Commerce gathering that the group was “aggressive,” and reported that he (Carlton) had contacted Capitol Police who have jurisdiction over congressional offices. [Spokesman pdf]

Not that those in Nevada’s 2nd congressional district can complain about this issue too strenuously, Mark Amodei (R-NV2) hasn’t scheduled a public performance since venturing out to Carson City recently. It is noteworthy that Amodei told the Reno Gazette Journal: “… he would not vote for any plan that resulted in reduced coverage for anyone. “No, I don’t think you can say forget it, we’re going to let them be uninsured because as a practical solution, that’s not an answer and somebody ends up paying in the end anyhow,” Amodei said.”

Now, Representative Amodei has a GOP plan before him that does precisely that — reduces health insurance coverage for people in his district, and the amendments to the bill recently announced make the situation even worse, dismantling Medicaid protection for seniors in record time.  However, Representative Amodei doesn’t appear to want to pencil in a town hall meeting in a major metropolitan area in his district — like Reno/Sparks?  Perhaps some of those artful codgers, similar to the Lewiston lunch bunch, might show up?

However, there are other ways to get the attention of elected representatives. I am particularly fond of the Empty Suit Town Hall. Let’s hear it for Lexington, Kentucky:

“…voters in Lexington, Ky., have been clamoring for the state’s congressional representatives — Senate Majority Leader Mitch McConnell, Sen. Rand Paul and Rep. Garland “Andy” Barr — to tackle constituents’ questions in person. They even booked a venue for Saturday and hand-delivered town hall invites to the politicians’ offices.  The legislators were a no-show, but that didn’t stop things. Instead of McConnell, Paul and Barr, organizers propped up three mannequins wearing suits.” [WaPo]

Perhaps not the best optics for a congressional delegation? At least it’s better to be an empty suit than to sic the Capitol Police on office visitors?

There are other ways to contact GOP representatives like Mark Amodei — and this should be done before the vote on the Repeal/Replace bill on Thursday.

For those living in District 2 there’s Amodei’s contact form for quick e-mail messages. Simply scroll down the page to the “e-mail link.”  The page also has the phone numbers for Amodei’s offices in Reno Phone: (775) 686-5760, Elko Phone: (775) 777-7705 , and Washington, D.C Phone: (202) 225-6155.

This is as good a time as any to remind Representative Amodei what he said to the Gazette Journal: “… he would not vote for any plan that resulted in reduced coverage for anyone. “No, I don’t think you can say forget it, we’re going to let them be uninsured because as a practical solution, that’s not an answer and somebody ends up paying in the end anyhow,” Amodei said.”

Now, if only those artful souls in Idaho can get the attention of their Representative…

 

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Filed under Amodei, Health Care, health insurance, Medicaid, Nevada politics, Politics, Republicans

Questions for District 2’s Representative should we ever see a town hall session

Representative Mark Amodei (R-NV2) was pleased to spend his 2016 campaign season supporting the candidacy of one Donald J. Trump.  Now that the campaign is over — there are some pertinent questions the District 2 Representative might address should he ever have one of those ‘town hall’ things.Carter Page

#1. Do the constituents in your district deserve a full and complete explication of the ties between the present administration and the Russian government, its agents, and its affiliated operatives? How likely is it that there will be a full explanation without an independent commission investigation?

We have some hints at the extent of Russian meddling with our elections and administration in chart form here,  Mr. Trump’s connections in Russia here, and the implications here. And, Politifact’s explication here.   There’s the Carter Page  connection. The Roger Stone connection.  More about Wilbur Ross, the administration’s Secretary of Commerce here. A bit of the Russian reactions recently in this article. What of the activities of Paul Manafort?  The names, in the post Flynn flood, keep coming up and out. It seems necessary to have a full, independent, and comprehensive investigation to determine the extent and implications of the Trump ties to the Russians.

#2. How do you explain support for a health care  act which replaces the Affordable Care Act with legislation that doesn’t offer a route to affordable health insurance plans for working Americans? And, which looks for all the world like a whopper tax cut for millionaires, billionaires, and insurance corporations? 

This topic has been explored in the Washington Post, in the Fortune Magazine, and in Slate.

Will the replacement bill require insurance plans to cover mental health services on par with physical health coverage?

Will the replacement bill require insurance plans to cover pre-natal, maternity, and post-natal expenses for American families?

Will the replacement bill require that consumer protections provided by state insurance commissions be retained?

How will be the replacement make health care policies more ‘affordable’ without going back to the days when insurance companies could sell low coverage/high deductible policies which left families with massive medical debt?

How will the replacement bill maintain the fiscal health of rural hospitals and clinics?

Now, all we have to do is wait for Representative Mark Amodei to hold a meeting with constituents to address these, and other issues.  I’d not like to hang by my hair for as long as this might take.

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Filed under Health Care, health insurance, Nevada politics, Politics, Republicans

Ripped from a few Headlines: Friday Edition

If you haven’t already seen the New Yorker article concerning Trump, Putin, and what the Russians want…click immediately for some excellent reporting and analysis. Here’s a taste:

“The great fear is the neutering of NATO and the decoupling of America from European security. If that happens, it gives Putin all kinds of opportunities. If Trump steps back the way he seemed to as a candidate, you might not even need to do things like invade the Baltic states. You can just dominate them anyway. You’re beginning to see the collapse of institutions built to insure our security. And if that happens you will see the re-nationalizing of Europe as a whole.”


If anyone is counting, and they are, there have now been THREE Jewish cemeteries vandalized within the last few weeks, St. Louis, Philadelphia, and Rochester, NY. And then there are the bomb threats to Jewish community centers.

“In all, 48 JCCs in 26 states and one Canadian province received nearly 60 bomb threats during January, according to the JCCA, an association of JCCs. Most were made in rapid succession on three days: January 9, 18 and 31. A number of JCCs, including Orlando’s, received multiple threats. On February 20, another wave of bomb threats hit 11 JCCs across the country, bringing the total to 68 incidents targeting 53 JCCs, according to the JCCA.” [CNN]

It would appear that while most people are protesting immigration related raids, Muslim travel bans, and assorted Trumpian outrages, others are taking the opportunity to express their antisemiticism, racism, and bigotry.


Meanwhile in the last two months four mosques have been attacked by arsonists.  The Oval Office remains silent:

“The press has certainly covered Trump’s attitudes—and those of his top advisors—toward Islam, particularly since he announced a ban on travel from seven majority-Muslim nations on January 27. But attacks on American mosques have received far less attention than the bomb threats against Jewish Community Centers. As far as I’m aware, no reporter has asked Trump about them at a press conference. And no major network would suggest that Trump’s failure “to adopt a stern, public line” against Islamophobia has been “politically damaging.”


Floating around in the Swamp, the Trumpster Regime — again (and again) says there was no connection between the campaign and Russian operatives. This, of course, goes nowhere toward explaining the contacts made by Paul Manafort, Carter Page, Jeff Sessions, Jared Kushner, Roger Stone, Rudy Giuliani, Michael Flynn, … and what names are to come?


The most bizarre explanation for opposing Motor Voter/automatic  registration in Nevada comes compliments of Nevada’s political gadfly and whack job Ira Hansen, did you miss this one?

“Assemblyman Ira Hansen, R-Sparks, was the most vocal opponent during the committee hearing and said it represented an overreach of people’s privacy, especially those who don’t want to partake in the electoral process.”

 

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Filed under Foreign Policy, Hate Crimes, Immigration, Nevada legislature, Nevada politics, Politics, racism, Voting, White Supremacists

Indivisible Northern Nevada

There are several grass roots groups in Nevada growing up in Resistance to the Trumpster Fire Administration.  If you haven’t already found a group, here are a couple in the northern Nevada area.

Here’s Indivisible Reno.

Indivisible Lake Tahoe can be reached on Facebook.

Not sure where to look? Recommend that your friends go to the Indivisible Guide.

Having trouble finding members of Nevada’s congressional delegation?  There’s a section on how to deal with Missing Members.  Finding a local group? Click here for the national map interactive.

The dots on that map are increasing by the day, so check back often to keep up with the progress.

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Filed under Nevada politics, Politics

The Not Quite So Better Way

Nevada’s two Republican representatives to the 115th Congress, Senator Dean Heller, and Representative Mark Amodei (R-NV2) are now proposing not to have town hall style sessions with constituents until they have something to say.  We might assume this applies to the threats to repeal the Affordable Care Act, without having something concrete to say to the  voters.  Representative Paul Ryan is touting the GOP “Better Way” (pdf download) as a set of talking points for Republican members of the 115th.

First, there isn’t anything really new here. It’s the same proposal a person might have downloaded last June (June 22, 2016).  The foundation is Unleashing the power of choice and competition is the best way to lower health care costs and improve quality. One way to immediately empower Americans and put them in the driver’s seat of their health care decisions is to expand consumer-driven health care. Consumer-driven health care allows individuals and families to control their utilization of health care by providing incentives to shop around. This ultimately lowers costs and increases quality.”

Problem: “Consumer-driven health care” makes for lovely free market rhetoric,  but it boils down to the same old High Deductible Health Policy/Health Savings Account proposal the GOP has rolled out since time out of mind.

“This insurance arrangement— in which a person is protected against catastrophic expenses,  can pay out-of-pocket costs using tax-free dollars, and in turn takes responsibility for day-to-day health care expenses—is an excellent option for consumers. HSAs tied to HDHPs are popular tools that lower costs and empower individuals and families. This type of coverage also helps patients understand the true cost of care, allows them to decide how much to spend, and provides them with the freedom to seek treatment at a place of their choosing.” (page 13)

This is an elegant way to tell people (1) you’re on your own; (2) that you might expect some tax credits, but the expenses are going to come immediately out of your pocket; (3) and you’ll be able to address ‘catastrophic’ illness or injury expenses out of what you’ve put into an HSA.  Good luck with that.  Health Savings Accounts are great for the healthy and wealthy, for everyone else – not so much.

Worried about those expenses out of your pocket? Well there are HRA’s on offer and more “defined benefit” possibilities.   In short, instead of having several comprehensive health care plans to choose from, a person could also ‘choose’ to be involved in HDHP/HSAs and HRAs and other privatization schemes. 

Question for Congressional Representatives:  What in this plan insures that the health care insurance will be truly comprehensive? Affordable? Affordable for those families having Nevada’s median income around $50,000 per year?

Secondly, there is still the question of what portability means in practical terms.

“…our proposal is like a health care “backpack” that provides every American access to financial support for an insurance plan chosen by the individual and can be taken with them job-to-job, home to start a small business or raise a family, and even into retirement years.”

ProblemWhat’s going to be “portable?”  If a health care plan is to be truly national, then does this mean that there will be a lowest common denominator for all health care insurance plans?  Will the plan acceptable in a state with little or no oversight and consumer protections become the national standard? And, if not, then what IS the standard supposed to be?

Another problem: What elements of a health insurance policy must be included for the plan to be acceptable?  One of the advantages of the ACA requirements is that some coverages (mental health, pregnancy, etc.) don’t apply to all consumers – however, if we start cutting out elements of comprehensive coverage where does it end?

Questions for Congressional Representatives:

(1) If a health care plan is portable across state lines, then do the consumer protections in place remain enforceable?

(2) If a health care plan is considered “junk insurance” in one state can it be enforced in another state with higher consumer standards?

Third, there’s the Medicare, Medicaid issue.

Depending on who is doing the talking from the Republican side these programs are either failed or failing.  Neither is true.  However, nothing is preventing Speaker Ryan from offering Coupon Care in place of the Medicare program, and from proposing turning the Medicaid support into a block grant program with formulaic funding.

Questions for the Congressional Representative:

(1) The ACA actually extended the viability of the Medicare program, what in the GOP plan will insure this viability is extended?

(2) If funding for Medicaid is turned into a block grant program what provisions in your plan would prevent this funding from being cut?

Senator Heller and Representative Amodei may be waiting for the GOP to come up with a rational and comprehensive plan to replace the ACA and Patient’s Bill of Rights – I’d advise them not to withhold breathing.  Or, if they are assuming there’s nothing on offer from the GOP side since June 2016 – sort of a budget without numbers in health care terms – they may never have to have anything to say to their constituents. 

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Filed under Amodei, Health Care, Heath Insurance, Heller, Nevada politics, Politics

They can run, but they can’t hide: Me’thinks there’s a pattern here

It seems to be getting warm in those venerable town hall meetings, the ones in which the Congressional Representatives bask in the warm glow of their constituent’s adulation, until, of course things get TOO warm. There’s nothing unusual about Representatives and Senators taking meetings with groups of constituents, for example Republicans meeting with corporate leadership, Democrats with leaders of civic and labor organizations.  However, there’s a point at which larger gatherings are appropriate, unless, of course, the Representative can apply some of the following dodges.

The Ostrich Strategy

The strategy is simplicity itself: Insert head into sand, cover ears and wait for the danger to subside. It appears this strategy is in current vogue. Consider the following information, in the first two months of the 115th Congress 292 Republicans have scheduled just 88 in person town hall events (35 of these are accounted for by Rep. Jim Sensenbrenner, Wisconsin). In the first two months of the previous Congress Republicans held 222 in person town hall events. [vice]* a subscription to Legistorm provides basic information on Congressional activities.

The Venue Shell Game

Senator Tom Cotton appears to be managing a version of this dodge.

“The meeting was first scheduled to take place at The Jones Center in Springdale on Wednesday, Feb. 22. Due to the high number of people to attend, the venue was changed to the Arend Arts Center at Bentonville High School.

On Monday, Bentonville Public Schools said the “tentatively” scheduled Town Hall with Cotton will not be at the Arend Arts Center due to “insufficient time to make arrangements for the visit.” [nwahome]

If they can’t find you…they can’t find you. Works every time.

The Long Distance Runner Game

Representative Mark Amodei (R-NV2) scheduled a town hall meeting a short while ago, with perhaps an eye towards minimizing the possible aural damage, in Winnemucca, NV. Now this is nothing against Winnemucca, it’s a nice town, it is also conveniently located some 166 miles from the Reno-Sparks metropolitan area, and 123 miles from Elko.

We can guess that Representative Amodei isn’t the only one adopting this strategy. He may also have been applying another element, as described below.

The Private Audience

There’s nothing so comforting as a meeting among friends.  So, invite only your friends. Again, timing is important here. Private sessions are absolutely nothing new, and nothing uncommon.  However, optics and timing are important.  If the times call for open town halls and imaginary Representative Bilgewater fears for his ears, then it’s time to call a session with the local Chamber of Commerce; should hypothetical Senator Sludgepump fear for his, then it’s time to meet with the Conservative Pet Lovers of East Deer Breath.

Senator Heller and Representative Amodei are reported to have a Chamber meeting in Carson City tomorrow, and a signage demonstration is planned for 10:30 am at the Gold Dust West.  Notice, this is in Carson City, 31 miles from the Reno-Sparks area.  What can’t be ignored is that there are no reports of Heller and Amodei open town halls in that Reno-Sparks area (the majority of voters in District 2) and in Las Vegas, the largest metropolitan area in the state Heller represents.

The Telephone Town Hall Scam

Senator Heller has employed this one in the not so distant past.  It goes like this.  Have a telephone conference call from which questions are solicited from the public.  However, the fog descends almost immediately. Are the questions pre-screened?  There’s no way to know with absolute certainty, but someone has to be taking the calls like a radio call-in broadcast so chaos doesn’t happen.  Thus, it isn’t too hard to imagine that some pre-screening is happening.

These town halls can also be re-cycled.  The contact with the constituent begins with “You are invited to participate in Senator Sludgepump’s telephone town hall. If you have a question for the Senator press (number) and give your name and address…)

It doesn’t take too many conversations to figure out that if Constituent A heard the town hall on Monday evening, and Constituent B heard the same town hall on Tuesday evening, then we can assume people have been listening to a canned recycling of a political campaign pitch.  Hardly a town hall.

A truly creative Representative might avoid town hall settings until (1) forced to announce a venue, subject to immediate change because of the response, and (2) change the venue enough times to challenge the social media capability of constituents to respond. Then (3) settle upon a venue in beautiful downtown Moose Butt Butte miles and miles and miles from the nearest metropolitan area. Should this not work (4) set up those old phone bank lines, record, lather, rinse, repeat. Lather, blather, rinse, and repeat.

There are work-arounds

If the Congressional members won’t host a meeting DIY. Schedule a venue, invite the Congressional representative, advertise, publicize, inviting members of the local press. If the representative won’t turn up, then have the meeting anyway, recording all the speakers who had questions. Share with the local press, and social media.  Why not?

Call the Congressional representative’s office.  Leave your message.  Politely ask the staffer to leave your message of the day – and yes there’s nothing wrong with doing it daily. After all, how is your Representative supposed to know what you’re thinking if you don’t communicate, and surely there’s enough fodder for at least one phone call per day.

Representative Amodei’s  local phone numbers are: Reno 775-686-5760; the Elko office number 775-777-7705. Heller’s phone numbers are: Las Vegas 702-388-6605, Reno 775-686-5729.

Phones can go to voice mail, and voice mail can be “full,” but never fear, the mail will always get through. Since after the anthrax attacks of yore regular snail mail is very slow, but post cards are much faster:

Amodei: 5310 Kietzke Lane, Suite 103, Reno, NV 89511 and 905 Railroad Street #104D, Elko, NV 89801.

Heller: 8930 West Sunset Road #230, Las Vegas, NV 89148, or Reno: Thompson Federal Building Suite 738, 400 South Virginia St, Reno, NV 89501

For more suggestions and guidance go to Indivisible! Sign up. Enjoy.

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Filed under Amodei, Heller, Nevada politics, Politics