Weekly Pulse: GOP Would Privatize Medicare, Gut Medicaid


By Lindsay Beyerstein, Media Consortium blogger

On Tuesday, Rep. Paul Ryan (R-WI) unveiled a draft budget resolution for 2012. Ryan’s program would privatize Medicare and gut Medicaid.

“Rep. Paul Ryan, R-Wisconsin, is waging radical class warfare and ideological privatization schemes and selling it as a debt reduction plan,” writes Karen Dolan in AlterNet. Indeed, Ryan’s plan is larded with tax cuts  for wealthy citizens and profitable corporations, which according to the non-partisan Congressional Budget Office (CBO), would actually increase the national debt over the next decade. The CBO projects that the debt would reach 70% of GDP by 2022 under Ryan’s plan compared to 67% under the status quo.

At TAPPED, Jamelle Bouie predicts that Ryan’s budget plan will become the de facto platform for the GOP in the 2012 elections. Presidential hopeful Tim Pawlenty is already gushing about the plan. He notes the irony in Republicans seizing upon a plan to eliminate Medicare when they campaigned so hard to “protect” the program during the fight over the Affordable Care Act.

Attacking Medicare is politically risky. The conventional wisdom is the program is all but invulnerable because it is so popular with the general public, and especially with senior citizens–who reliably turn out to vote in large numbers.

Suzy Khimm of Mother Jones argues that, in order to win this political fight, the Democrats need to emphasize what they’re doing to grapple with the rising costs of Medicare–such as creating an independent board to regulate the reimbursement rates for all procedures covered under Medicare. Republicans have harshly criticized such a board as an example of health care rationing. Their proposed plan, however, would ration care far more severely, based on ability to pay. Ryan’s plan would give seniors a voucher to defray part of the cost of buying private health insurance. The voucher wouldn’t cover care equivalent to that which is offered under Medicare. So, under Ryan’s plan, care would be rationed based on each person’s ability to pay for extra coverage.

In a separate piece, Khimm notes that the GOP is taking a further political gamble by proposing massive cuts to Medicaid. She cites a recent study by the Kaiser Family Foundation which found that only 13% of respondents favored major cuts to Medicaid. Republicans may be betting that they can cut Medicaid because they associate it with health care for the very poor, a constituency with little political capital and low voter turnout. But while Medicaid does serve the poor, a large percentage of its budget covers nursing home care for middle class retirees and services for adults with major disabilities–care that their families would otherwise have to pay for.

How to save $15 billion in health care costs

New research suggests that the federal government could save $15 billion by reducing unnecessary emergency room visits through investment in community health centers, Dan Peterson of Change.org reports:

This week, new research, from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative, pinpoints just how much we stand to lose in health care efficiency savings if the funding is cut as proposed; $15 billion. Put another way, for every $1 invested in CHC expansion, there is a potential savings in health care costs of $11.50.

Peterson reports that money to expand the CHC program may be cut from the budget. The report explains that if the funding is lost, then CHCs will not be able to serve the 10-12 million additional patients who were supposed to get care through expanded CHCs under the Affordable Care Act. If Congress refuses to allot $1.3 billion for cost-effective primary care, $15 billion in projected savings will evaporate.

If Republicans are serious about balancing the budget, they should happily expand the Community Health Center network.

Danish Antibiotic Resistance Education

D.A.R.E. to keep pigs off drugs. The U.S. hog industry is heavily dependent on low-dose antibiotics to keep its swine infection-free. This practice comes at the cost of increased antibiotic resistance. Sixteen years ago, the government of Denmark, the world’s largest exporter of pork, took the bold step of asking its pork industry to reduce the amount of antibiotics given to pigs. Ralph Loglisci of Grist notes that the experiment has been a huge success: The industry has slashed antibiotic use by 37%, antibiotic resistance is down nationwide, and production has held steady or increased.

Gay-bashed, uninsured

Twenty-nine-year-old Barie Shortell’s face was shattered in an apparent anti-gay attack in Williamsburg, Brooklyn in February. Joseph Huff-Hannon reports on AlterNet on an obstacle in Shortell’s already-long road to recovery:

After blacking out, and spending 10 hours in surgery and five days in the hospital, Shortell is now taking another whipping from one of the insidious antagonists of 21st-century American life—the private health-care system. Shortell, like many of his fellow American twentysomethings, is uninsured.

Up to 30% of people in their twenties are uninsured. The Affordable Care Act should reduce the number of uninsured twenty-somethings, but as Huff Hannon notes, the number of uninsured young adults is expected to continue to rise for some time. The ACA allows young people to stay on their parents’ health insurance until age 26, but this reform is of little help to the millions of families who lost job-linked health coverage during the recession.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

 

 

Weekly Pulse: GOP Would Privatize Medicare, Gut Medicaid


By Lindsay Beyerstein, Media Consortium blogger

On Tuesday, Rep. Paul Ryan (R-WI) unveiled a draft budget resolution for 2012. Ryan’s program would privatize Medicare and gut Medicaid.

“Rep. Paul Ryan, R-Wisconsin, is waging radical class warfare and ideological privatization schemes and selling it as a debt reduction plan,” writes Karen Dolan in AlterNet. Indeed, Ryan’s plan is larded with tax cuts  for wealthy citizens and profitable corporations, which according to the non-partisan Congressional Budget Office (CBO), would actually increase the national debt over the next decade. The CBO projects that the debt would reach 70% of GDP by 2022 under Ryan’s plan compared to 67% under the status quo.

At TAPPED, Jamelle Bouie predicts that Ryan’s budget plan will become the de facto platform for the GOP in the 2012 elections. Presidential hopeful Tim Pawlenty is already gushing about the plan. He notes the irony in Republicans seizing upon a plan to eliminate Medicare when they campaigned so hard to “protect” the program during the fight over the Affordable Care Act.

Attacking Medicare is politically risky. The conventional wisdom is the program is all but invulnerable because it is so popular with the general public, and especially with senior citizens–who reliably turn out to vote in large numbers.

Suzy Khimm of Mother Jones argues that, in order to win this political fight, the Democrats need to emphasize what they’re doing to grapple with the rising costs of Medicare–such as creating an independent board to regulate the reimbursement rates for all procedures covered under Medicare. Republicans have harshly criticized such a board as an example of health care rationing. Their proposed plan, however, would ration care far more severely, based on ability to pay. Ryan’s plan would give seniors a voucher to defray part of the cost of buying private health insurance. The voucher wouldn’t cover care equivalent to that which is offered under Medicare. So, under Ryan’s plan, care would be rationed based on each person’s ability to pay for extra coverage.

In a separate piece, Khimm notes that the GOP is taking a further political gamble by proposing massive cuts to Medicaid. She cites a recent study by the Kaiser Family Foundation which found that only 13% of respondents favored major cuts to Medicaid. Republicans may be betting that they can cut Medicaid because they associate it with health care for the very poor, a constituency with little political capital and low voter turnout. But while Medicaid does serve the poor, a large percentage of its budget covers nursing home care for middle class retirees and services for adults with major disabilities–care that their families would otherwise have to pay for.

How to save $15 billion in health care costs

New research suggests that the federal government could save $15 billion by reducing unnecessary emergency room visits through investment in community health centers, Dan Peterson of Change.org reports:

This week, new research, from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative, pinpoints just how much we stand to lose in health care efficiency savings if the funding is cut as proposed; $15 billion. Put another way, for every $1 invested in CHC expansion, there is a potential savings in health care costs of $11.50.

Peterson reports that money to expand the CHC program may be cut from the budget. The report explains that if the funding is lost, then CHCs will not be able to serve the 10-12 million additional patients who were supposed to get care through expanded CHCs under the Affordable Care Act. If Congress refuses to allot $1.3 billion for cost-effective primary care, $15 billion in projected savings will evaporate.

If Republicans are serious about balancing the budget, they should happily expand the Community Health Center network.

Danish Antibiotic Resistance Education

D.A.R.E. to keep pigs off drugs. The U.S. hog industry is heavily dependent on low-dose antibiotics to keep its swine infection-free. This practice comes at the cost of increased antibiotic resistance. Sixteen years ago, the government of Denmark, the world’s largest exporter of pork, took the bold step of asking its pork industry to reduce the amount of antibiotics given to pigs. Ralph Loglisci of Grist notes that the experiment has been a huge success: The industry has slashed antibiotic use by 37%, antibiotic resistance is down nationwide, and production has held steady or increased.

Gay-bashed, uninsured

Twenty-nine-year-old Barie Shortell’s face was shattered in an apparent anti-gay attack in Williamsburg, Brooklyn in February. Joseph Huff-Hannon reports on AlterNet on an obstacle in Shortell’s already-long road to recovery:

After blacking out, and spending 10 hours in surgery and five days in the hospital, Shortell is now taking another whipping from one of the insidious antagonists of 21st-century American life—the private health-care system. Shortell, like many of his fellow American twentysomethings, is uninsured.

Up to 30% of people in their twenties are uninsured. The Affordable Care Act should reduce the number of uninsured twenty-somethings, but as Huff Hannon notes, the number of uninsured young adults is expected to continue to rise for some time. The ACA allows young people to stay on their parents’ health insurance until age 26, but this reform is of little help to the millions of families who lost job-linked health coverage during the recession.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

 

 

Mental Ghettos Harm US

So many intelligent Americans believe, say and do stupid things.  When a large fraction of the population is like this, a nation rots from the inside and succumbs to external forces.

I have always searched for the simplest yet best ways to explain what I see as a multi-decade decline of every aspect of the United States, especially its political system and government.  I keep coming back to the inescapable logic that a large fraction of Americans, regardless of their education, economic status and political alignment, must suffer from delusion.  This delusion produces denial about hugely important subjects and issues.

Like a law of physics, this combination makes people seem incredibly stupid to others disagreeing with their positions.  Stupid, because they are unable to accept facts and truths that conflict with their views.

This special kind of stupidity is independent of inherent intelligence.  In this case brain power is overpowered by psychological deficiency, namely self-delusion. 

This delusion is not genetically produced, but is a result of external influences, notably political, government, media and corporate propaganda intentionally designed to produce delusional beliefs and thinking.  Who does this?  All sorts of commercial and political interests.  The result is a series of biases and blocks, such as cognitive dissonance, to objective facts and information that creates denial about very important conditions affecting the planet, the nation and individuals.  People afflicted with this deadly combination appear stupid to those outside their mental ghetto that they gladly inhabit, along with similarly afflicted people.

National unity breaks down with countless mental ghettos that span economic, political and geographic boundaries.

Conservatives see liberals as stupid and vice versa.  Democrats see Tea Party adherents (who only support Republican candidates) as stupid and vice versa.  Those seeing climate change and global warming as serious phenomena posing real threats see deniers as stupid.  People who give a high priority to tax cuts that mainly benefit the rich and superrich seem stupid to those who recognize that the wealthiest Americans have hijacked the US economy, as shown by endless statistics that reveal their preferential financial benefits.  Those who reject religions think the religious stupid.  People who shun social networking sites see those addicted to them as stupid.  Growing numbers of obese people seem stupid to those eating healthy and exercising regularly to maintain healthy weights.

A prime example of a mental ghetto is the collection of radical, terrorist Muslims sharing hate and violence and blocking out teachings from authentic Muslims about peace and love.

You surely can think of classes of people who seem stupid, because of a particular belief or viewpoint rather than across-the-board limited intelligence.  With conversations that have nothing to do with their position (or maybe several), you would likely think of them as reasonably intelligent and smart, not stupid.  In other words, stupidity is often topic or issue specific.

Here are two examples of what I call psychological stupidity with their powerful implications for understanding why the nation is seen on the wrong track by so many Americans who cannot unite behind solutions.

There is no mystery why the top 20 percent of the population in terms of wealth votes for Republicans, but they are not enough to win elections.  What makes far less sense is why many more middle class Americans vote for Republicans.  They seem stupid in voting against their own economic interests because Republicans pursue policies that preferentially reward the richest Americans.  This behavior can only be explained by the success of Republican propaganda (mainly trickle down prosperity), lies and deceptions that instill a set of biases and beliefs that enable Republicans to win elections.  A prime example is obtaining broad support for keeping taxes on really rich people low.

On the other side, are millions of people who vote for Democrats because they have been sold rhetoric about reforming the government system, as if Democrats are not also in the pockets of a number of special interests that will not accept truly needed deep reforms.  Why have we not seen President Obama pursue punishment of many people and companies in the banking, mortgage and financial sectors that caused the economic meltdown?  He had received huge campaign contributions from them and then surrounded himself with cabinet officials and advisors from them.  Otherwise intelligent people vote for Democrats because of their psychological stupidity based on false promises of change and reform that they have succumbed to.

Psychological stupidity has become a kind of cultural epidemic that no one is addressing, so it just gets worse.  It invites manipulation and the continuing corrosion and corruption of government.  The rich and powerful know how to take advantage of this stupidity, obtaining government policies and programs they want, selling products and services that consumers do not really benefit from, and grabbing more of the nation’s wealth.

Those afflicted with psychological stupidity are also likely to exhibit moral superiority, making it even more difficult to have intelligent and productive conversations with them.  Such arrogance strengthens their defenses against facts and information that conflicts with their cherished views.  The answer:  Associate with others having exactly the same views and only get information from like-minded media sources, creating mental ghettos (such as the Tea Party and Fox News) that others can take political or commercial advantage of (Republicans and companies selling gold).

Self-deception is the widespread legal narcotic lubricating the slide of American society into the toilet that other once great nations ended up in.  Maybe this old Arab proverb warrants respect: People who lie to others have merely hidden away the truth, but people who lie to themselves have forgotten where they put it.

Which mental ghettos do you belong to?

 

[Contact Joel S. Hirschhorn through delusionaldemocracy.com.]

Mental Ghettos Harm US

So many intelligent Americans believe, say and do stupid things.  When a large fraction of the population is like this, a nation rots from the inside and succumbs to external forces.

I have always searched for the simplest yet best ways to explain what I see as a multi-decade decline of every aspect of the United States, especially its political system and government.  I keep coming back to the inescapable logic that a large fraction of Americans, regardless of their education, economic status and political alignment, must suffer from delusion.  This delusion produces denial about hugely important subjects and issues.

Like a law of physics, this combination makes people seem incredibly stupid to others disagreeing with their positions.  Stupid, because they are unable to accept facts and truths that conflict with their views.

This special kind of stupidity is independent of inherent intelligence.  In this case brain power is overpowered by psychological deficiency, namely self-delusion. 

This delusion is not genetically produced, but is a result of external influences, notably political, government, media and corporate propaganda intentionally designed to produce delusional beliefs and thinking.  Who does this?  All sorts of commercial and political interests.  The result is a series of biases and blocks, such as cognitive dissonance, to objective facts and information that creates denial about very important conditions affecting the planet, the nation and individuals.  People afflicted with this deadly combination appear stupid to those outside their mental ghetto that they gladly inhabit, along with similarly afflicted people.

National unity breaks down with countless mental ghettos that span economic, political and geographic boundaries.

Conservatives see liberals as stupid and vice versa.  Democrats see Tea Party adherents (who only support Republican candidates) as stupid and vice versa.  Those seeing climate change and global warming as serious phenomena posing real threats see deniers as stupid.  People who give a high priority to tax cuts that mainly benefit the rich and superrich seem stupid to those who recognize that the wealthiest Americans have hijacked the US economy, as shown by endless statistics that reveal their preferential financial benefits.  Those who reject religions think the religious stupid.  People who shun social networking sites see those addicted to them as stupid.  Growing numbers of obese people seem stupid to those eating healthy and exercising regularly to maintain healthy weights.

A prime example of a mental ghetto is the collection of radical, terrorist Muslims sharing hate and violence and blocking out teachings from authentic Muslims about peace and love.

You surely can think of classes of people who seem stupid, because of a particular belief or viewpoint rather than across-the-board limited intelligence.  With conversations that have nothing to do with their position (or maybe several), you would likely think of them as reasonably intelligent and smart, not stupid.  In other words, stupidity is often topic or issue specific.

Here are two examples of what I call psychological stupidity with their powerful implications for understanding why the nation is seen on the wrong track by so many Americans who cannot unite behind solutions.

There is no mystery why the top 20 percent of the population in terms of wealth votes for Republicans, but they are not enough to win elections.  What makes far less sense is why many more middle class Americans vote for Republicans.  They seem stupid in voting against their own economic interests because Republicans pursue policies that preferentially reward the richest Americans.  This behavior can only be explained by the success of Republican propaganda (mainly trickle down prosperity), lies and deceptions that instill a set of biases and beliefs that enable Republicans to win elections.  A prime example is obtaining broad support for keeping taxes on really rich people low.

On the other side, are millions of people who vote for Democrats because they have been sold rhetoric about reforming the government system, as if Democrats are not also in the pockets of a number of special interests that will not accept truly needed deep reforms.  Why have we not seen President Obama pursue punishment of many people and companies in the banking, mortgage and financial sectors that caused the economic meltdown?  He had received huge campaign contributions from them and then surrounded himself with cabinet officials and advisors from them.  Otherwise intelligent people vote for Democrats because of their psychological stupidity based on false promises of change and reform that they have succumbed to.

Psychological stupidity has become a kind of cultural epidemic that no one is addressing, so it just gets worse.  It invites manipulation and the continuing corrosion and corruption of government.  The rich and powerful know how to take advantage of this stupidity, obtaining government policies and programs they want, selling products and services that consumers do not really benefit from, and grabbing more of the nation’s wealth.

Those afflicted with psychological stupidity are also likely to exhibit moral superiority, making it even more difficult to have intelligent and productive conversations with them.  Such arrogance strengthens their defenses against facts and information that conflicts with their cherished views.  The answer:  Associate with others having exactly the same views and only get information from like-minded media sources, creating mental ghettos (such as the Tea Party and Fox News) that others can take political or commercial advantage of (Republicans and companies selling gold).

Self-deception is the widespread legal narcotic lubricating the slide of American society into the toilet that other once great nations ended up in.  Maybe this old Arab proverb warrants respect: People who lie to others have merely hidden away the truth, but people who lie to themselves have forgotten where they put it.

Which mental ghettos do you belong to?

 

[Contact Joel S. Hirschhorn through delusionaldemocracy.com.]

Mental Ghettos Harm US

So many intelligent Americans believe, say and do stupid things.  When a large fraction of the population is like this, a nation rots from the inside and succumbs to external forces.

I have always searched for the simplest yet best ways to explain what I see as a multi-decade decline of every aspect of the United States, especially its political system and government.  I keep coming back to the inescapable logic that a large fraction of Americans, regardless of their education, economic status and political alignment, must suffer from delusion.  This delusion produces denial about hugely important subjects and issues.

Like a law of physics, this combination makes people seem incredibly stupid to others disagreeing with their positions.  Stupid, because they are unable to accept facts and truths that conflict with their views.

This special kind of stupidity is independent of inherent intelligence.  In this case brain power is overpowered by psychological deficiency, namely self-delusion. 

This delusion is not genetically produced, but is a result of external influences, notably political, government, media and corporate propaganda intentionally designed to produce delusional beliefs and thinking.  Who does this?  All sorts of commercial and political interests.  The result is a series of biases and blocks, such as cognitive dissonance, to objective facts and information that creates denial about very important conditions affecting the planet, the nation and individuals.  People afflicted with this deadly combination appear stupid to those outside their mental ghetto that they gladly inhabit, along with similarly afflicted people.

National unity breaks down with countless mental ghettos that span economic, political and geographic boundaries.

Conservatives see liberals as stupid and vice versa.  Democrats see Tea Party adherents (who only support Republican candidates) as stupid and vice versa.  Those seeing climate change and global warming as serious phenomena posing real threats see deniers as stupid.  People who give a high priority to tax cuts that mainly benefit the rich and superrich seem stupid to those who recognize that the wealthiest Americans have hijacked the US economy, as shown by endless statistics that reveal their preferential financial benefits.  Those who reject religions think the religious stupid.  People who shun social networking sites see those addicted to them as stupid.  Growing numbers of obese people seem stupid to those eating healthy and exercising regularly to maintain healthy weights.

A prime example of a mental ghetto is the collection of radical, terrorist Muslims sharing hate and violence and blocking out teachings from authentic Muslims about peace and love.

You surely can think of classes of people who seem stupid, because of a particular belief or viewpoint rather than across-the-board limited intelligence.  With conversations that have nothing to do with their position (or maybe several), you would likely think of them as reasonably intelligent and smart, not stupid.  In other words, stupidity is often topic or issue specific.

Here are two examples of what I call psychological stupidity with their powerful implications for understanding why the nation is seen on the wrong track by so many Americans who cannot unite behind solutions.

There is no mystery why the top 20 percent of the population in terms of wealth votes for Republicans, but they are not enough to win elections.  What makes far less sense is why many more middle class Americans vote for Republicans.  They seem stupid in voting against their own economic interests because Republicans pursue policies that preferentially reward the richest Americans.  This behavior can only be explained by the success of Republican propaganda (mainly trickle down prosperity), lies and deceptions that instill a set of biases and beliefs that enable Republicans to win elections.  A prime example is obtaining broad support for keeping taxes on really rich people low.

On the other side, are millions of people who vote for Democrats because they have been sold rhetoric about reforming the government system, as if Democrats are not also in the pockets of a number of special interests that will not accept truly needed deep reforms.  Why have we not seen President Obama pursue punishment of many people and companies in the banking, mortgage and financial sectors that caused the economic meltdown?  He had received huge campaign contributions from them and then surrounded himself with cabinet officials and advisors from them.  Otherwise intelligent people vote for Democrats because of their psychological stupidity based on false promises of change and reform that they have succumbed to.

Psychological stupidity has become a kind of cultural epidemic that no one is addressing, so it just gets worse.  It invites manipulation and the continuing corrosion and corruption of government.  The rich and powerful know how to take advantage of this stupidity, obtaining government policies and programs they want, selling products and services that consumers do not really benefit from, and grabbing more of the nation’s wealth.

Those afflicted with psychological stupidity are also likely to exhibit moral superiority, making it even more difficult to have intelligent and productive conversations with them.  Such arrogance strengthens their defenses against facts and information that conflicts with their cherished views.  The answer:  Associate with others having exactly the same views and only get information from like-minded media sources, creating mental ghettos (such as the Tea Party and Fox News) that others can take political or commercial advantage of (Republicans and companies selling gold).

Self-deception is the widespread legal narcotic lubricating the slide of American society into the toilet that other once great nations ended up in.  Maybe this old Arab proverb warrants respect: People who lie to others have merely hidden away the truth, but people who lie to themselves have forgotten where they put it.

Which mental ghettos do you belong to?

 

[Contact Joel S. Hirschhorn through delusionaldemocracy.com.]

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