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GreenRiverWoods.Etsy.Com
"Boredom is the desire for happiness left in its pure state."
-Giacomo Leopardi
"Something that would reduce or enhance the feeling of boredom." - "We're not bored." "We're not capable of it."
-Maurice Blanchot
the cost in casualties may not rise to the level of Vietnam or even Iraq, but the financial cost is unlikely to be less. My hunch is that the real cost to the US economy will be $3 trillion to $6 trillion, calculating overall, not just Congressional appropriations. So the Afghan campaign could derail your plans for America, as Vietnam derailed Johnson's Great Society.
Laura is a far cry from the dark metaphysical cosmos into which Nabokov's great novels draw us. The sad truth is: dying is not fun. And to modify another of the master's maxims: Detail is almost always welcome. All the expansive elaborations on old age in Laura—involving flatulence, constipation, diarrhea, foot odor and prostate tumors—strike a downright grim, masochistic note. Nabokov, who once described his life as "fresh bread with country butter and Alpine honey," with Laura brings to mind Tolstoy's comparison of life to a tartine de merde, which one is obliged to eat slowly.
But there's no getting around the fact that as the science of climate change grows more dire, the global political system seems increasingly unable to deal with that reality.
The real traitors tonight (Yes on Stupak, No on HCR)
We had a total of 64 Democrats that voted "Yes" to the Stupak amendment, which added an unnecessary and excessive anti-abortion provision to the House healthcare bill that was passed tonight. However, there were a total of 23 Democrats that voted Yes on the Stupak amendment, and then followed that up with a "No" vote on the final healthcare bill vote. These 23 Democrats intentionally voted for the Stupak amendment to actively impair the Democrats' healthcare bill, something far worse than a simple "No" vote on the bill.
Jason Altmire (PA-4) 202-225-2565
Bobby Bright (AL-2) 202-225-2901
John Barrow (GA-12) 202-225-2823
John Boccieri (OH-16) 202-225-3876
Dan Boren (OK-2) 202-225-2701
Ben Chandler (KY-6) 202-225-4706
Travis Childers (MS-1) 202-225-4306
Artur Davis (AL-7) 202-225-2665
Lincoln Davis (TN-4) 202-225-6831
Bart Gordon (TN-6) 202-225-4231
Parker Griffith (AL-5) 202-225-4801
Tim Holden (PA-17) 202-225-5546
Jim Marshall (GA-8) 202-225-6531
Jim Matheson (UT-2) 202-225-3011
Mike McIntyre (NC-7) 202-225-2731
Charlie Melancon (LA-3) 202-225-4031
Collin Peterson (MN-7) 202-225-2165
Mike Ross (AR-4) 202-225-3772
Heath Shuler (NC-11) 202-225-6401
Ike Skelton (MO-4) 202-225-2876
John Tanner (TN-8) 202-225-4714
Gene Taylor (MS-4) 202-225-5772
Harry Teague (NM-2) 202-225-2365
[As currently conceived] the public option would barely make it into the list of top 10 US health insurers. And the opt-out provision could cut enrollment by another 20%(2) or more.
Remember: No other insurance companies will be told where and how they can compete -- only the "public option." How is that a "level playing field"? The end result is likely to be something called a public option, which is used primarily to placate progressives -- and which provides the political cover needed to force people to pay usurious private-insurance premiums. When this pseudo-public plan fails to deliver savings, reform opponents will use its failures as proof that public insurance doesn't work.
That would make the watered-down "public option" worse than no public option at all. One suggestion: Write or call your Representative and ask that they...restore the robust plan...and while you're on the phone, here are a few other things you might mention:
The Wyden "Free Choice" Amendment: The President and other Democrats told the American people they would provide "all Americans" with the choice of a public option. Instead, they've artificially restricted access to it (while leaving private insurers free to pursue everyone). The Wyden Amendment will deliver what the Democrats promised, and will lower overall health costs.
The Kucinich Amendment: The so-called Kucinich Amendment would have allowed states to opt out of the Federal system to create intrastate single-payer plans. It was approved by the Education and Labor Committee, but was stripped from the final House bill. The end result? The Senate says states can "opt out" of the public option, but the House says they can't opt out of the private system. That doesn't seem right.
Tolerable premiums and out-of-pocket costs: It's hard to ask a family of four living on $88,000 to pay 12% of its income in premiums, yet still face $1,500-per-person copays and total possible costs of $10,000 per year. (That's better than the Senate version, however.) These provisions have to be made less onerous for working families. Health analysts used to employ a guideline that said 12% of family income should be the total expense for healthcare, or the "ceiling" on possible health costs, not - as this bill would have it - the floor or minimum cost.
No dumping or foul play: Many of the insurance industry's bad behaviors are banned by the House bill (which, complaints aside, has many good features.) But there need to be stronger protections against subtle abuses designed to drive sick people out of private plans. These abuses might include planned provider shortages in needed specialties (e.g. oncology, high-risk neonatology), delays in claims payment, and obstructionist use of prior authorization program.
Make drug costs manageable: Jane Hamsher describes the perils faced by breast cancer patients, and those with other conditions that require expensive patented drugs. Many of Jane's concerns will be addressed by the bill's caps on out-of-pocket costs, and by the elimination of lifetime maximums. But more should be done to ensure that drugs are made generic as quickly as possible, and to restrict the insurance industry practice of labeling them "experimental" and refusing to cover them.
"There is a clear sense that it would be helpful," said one senior Democratic aide. "Throughout this entire debate the White House line has been 'We will weigh in when it is necessary'.... Well now we need 60 votes. So if it's not necessary now, then when will it be?"
They say that everyone who finally gets it about climate change has an "Oh, shit" moment....
Schellnhuber and his WBGU colleagues go a giant step beyond the findings of the Intergovernmental Panel on Climate Change, the UN body whose scientific reports are constrained because the world's governments must approve their contents. The IPCC says that rich industrial countries must cut emissions 25 to 40 percent by 2020 (from 1990 levels) if the world is to have a fair chance of avoiding catastrophic climate change. By contrast, the WBGU study says the United States must cut emissions 100 percent by 2020--i.e., quit carbon entirely within ten years. Germany, Italy and other industrial nations must do the same by 2025 to 2030. China only has until 2035, and the world as a whole must be carbon-free by 2050....
Obama, like other G-8 leaders, agreed in July to limit the global temperature rise to 2 degrees Celsius (3.6 degrees Fahrenheit) above the preindustrial level at which human civilization developed. Schellnhuber, addressing the Santa Fe conference, joked that the G-8 leaders had agreed to the 2C limit "probably because they don't know what it means." In fact, even the "brutal" timeline of the WBGU study, Schellnhuber cautioned, would not guarantee staying within the 2C target. It would merely give humanity a two-out-of-three chance of doing so--"worse odds than Russian roulette," he wryly noted. "But it is the best we can do." To have a three-out-of-four chance, countries would have to quit carbon even sooner. Likewise, we could decide to wait another decade or so to halt all greenhouse emissions, but this lowers the odds of hitting the 2C target to fifty-fifty. "And what kind of precautionary principle is that?" Schellnhuber asked....
"I myself was terrified when I saw these numbers," Schellnhuber said. He urges governments to agree in Copenhagen to launch "a Green Apollo Project." Like John Kennedy's pledge to land a man on the moon in ten years, a global Green Apollo Project would aim to put leading economies on a trajectory of zero carbon emissions within ten years. Combined with carbon trading with low-emissions countries, Schellnhuber says, such a "wartime mobilization" might still save us from the worst impacts of climate change.
In the summer of 2007, sea ice in the Arctic began to melt dramatically, many decades ahead of the schedule that scientists had previously predicted. Before the summer was out, there was about a quarter less ice at the pole than ever before in human history. That scared scientists, who began revising their calculations of how fast we would need to move to stay ahead of global warming. And this growing understanding has, in turn, changed the political demands on policymakers very dramatically. Obama, for instance, had initially campaigned on a pledge to reduce U.S. carbon emissions 80 percent by mid-century, and the Waxman-Markey legislation was designed to, more or less, meet that goal. All of a sudden, that target didn't seem like enough to meet the demands of the new science--researchers were now throwing around numbers like 40 percent cuts by 2020 in the developed world, which would require not a speedy conversion to renewable energy, but a forced march reminiscent of the rapid buildup at the start of World War II. On a global scale, the old goal--still embraced by the Obama administration--was to aim for a planet where atmospheric carbon dioxide topped out at 450 parts per million (ppm), and the temperature didn't rise more than two degrees Celsius. Under the old estimates, that would have been enough to stave off "catastrophic change." But what 2007 showed was that our current level of 390 ppm and a one-degree rise in temperature was enough to melt the Arctic. And it wasn't just the Arctic--scientists were reporting that high-altitude glaciers, flood and drought cycles, and even the chemistry of seawater were all showing the same kind of ahead-of-schedule change. In January of 2008, NASA's James Hansen--at the very least, the most prestigious climatologist employed by the U.S. government--released a paper setting a new target for staving off catastrophe: 350 ppm. It was embraced that year by Al Gore and, this August, by the chairman of the U.N. Intergovernmental Panel on Climate Change, Rajendra Pachauri. That is, the two men who have been awarded Nobel prizes for their work on global warming say that we need to be aiming for far lower emission levels than what Washington currently intends.
So here's the politics. In Washington, and in Copenhagen, political realism dictates reaching some kind of deal. And the pressure from vested interests--mostly the fossil-fuel lobby--combined with the political fear of annoying voters with higher gas prices or lifestyle shifts means that the incentive for anyone who has to run for office anytime soon is to take the easiest possible deal. Look at Waxman-Markey, which has been revised to cut emissions just 17 percent by 2020--and even that comes loaded with loopholes written to win over particular congressmen with particular coal mines. And it barely passed--by seven votes. Scientific realism demands much more.
[...]
The best case for swallowing hard and accepting an insufficient bill comes from Fred Krupp, longtime head of the Environmental Defense Fund. His argument: Our emissions reduction goals are critically important, but the most important thing is to get started now. If we set the ball in motion, industry will quickly find that it's cheaper than it thinks to move toward clean energy, and the ball will roll far faster than politicians expect. Case in point: the reductions of sulfur dioxide under the Clean Air Act, which turned out to be far cheaper than opponents had predicted--even Bush 43 kept right on pushing for deeper cuts, because there was no real reason not to.
[...]
Eighty-nine governments have embraced the 350 ppm target, albeit the smallest and most vulnerable nations on earth. A number of them see it as matter of survival--I was in The Maldives recently when President Mohammed Nasheed declared that a pact like the one envisioned by the West was a "death warrant" for his nation, which lies just a meter or two above sea level. Not only are the poor nations of the world demanding compensation for the damage we've caused, and expensive technical assistance to help them build a renewable energy future ("Trillions of dollars might not be enough" for Africa alone, the acting director of the African Union's economy and agriculture department said in August), but they're also asking for truly steep cuts in Western emissions to head off warming so great that they won't be capable of adaptation at any price. Governments will try to finesse these huge gulfs.
[...]
And, even if [Obama] does make [saving millions of lives from climate change] a priority, there's still the question of how hard he will push--whether he'll be talking old science (450 ppm) or the new, harder targets (350 ppm)
[...]
Alas, there will be no political imperative driving him to push for the toughest measures. He's already done more on global warming than the previous four presidents combined. He's not going to lose large numbers of votes for going easy on climate targets; if anything, the opposite will happen.
On the other hand, there are legacies, and then there are legacies. If, as many scientists believe, we're at the last possible moment to make a major turn, then Obama's decision may resonate in geological time. Eight months has been enough to teach us that Obama is a political realist, always unwilling to make the perfect the enemy of the good. What we'll find out soon is if he's a scientific realist, too, and therefore willing to make the necessary the enemy of the convenient.
So, Harkin..."Will it be a robust public option, or some piece of crap?"
The Daily Show With Jon Stewart | Mon - Thurs 11p / 10c | |||
Democratic Super Majority | ||||
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In other words, the Dow is up despite the biggest consumer retreat from the market since the Great Depression because of the very thing so many executives are complaining about, which is government’s expansion. And regardless of what you call it – Keynesianism, socialism, or just pragmatism – it’s doing wonders for business, especially big business and Wall Street. Consumer spending is falling back to 60 to 65 percent of the economy, as government spending expands to fill the gap.
The problem is, our newly expanded government isn't doing much for average working Americans who continue to lose their jobs and whose belts continue to tighten, and who are getting almost nothing out of the rising Dow because they own few if any shares of stock. Despite the happy Dow and notwithstanding the upbeat corporate earnings, most corporations are still shedding workers and slashing payrolls. And the big banks still aren't lending to Main Street.
Trickle-down economics didn't work when the supply-siders were in charge. And it's not working now, at a time when -- despite all their cries of "socialism" -- big business and Wall Street are more politically potent than ever.
"It's a dirty deal[...]" "The administration told them, 'Single-payer is off the table. In exchange, we want you on board.'" In August, the Pharmaceutical Research and Manufacturers of America announced that the industry would contribute an estimated $150 million to campaign for Obamacare.[...]
For a while, the public option looked like it might have a real chance at passing. In the House, both the ways and means committee and the labor committee passed draft bills that contained a genuine public option. But then conservative opponents of the plan, the so-called Blue Dog Democrats, mounted their counterattack. A powerful bloc composed primarily of drawling Southerners in ill-fitting suits, the Blue Dogs — a gang of puffed-up political mulattos hired by the DNC to pass as almost-Republicans in red-state battlegrounds — present themselves as a quasi-religious order, worshipping at the sacred altar of "fiscal responsibility" and "deficit reduction." On July 9th, in a harmless-sounding letter to Pelosi, 40 Blue Dogs expressed concern that doctors in the public option "must be fairly reimbursed at negotiated rates, and their participation must be voluntary." Paying doctors "using Medicare's below-market rates," they added, "would seriously weaken the financial stability of our local hospitals."
The letter was an amazing end run around the political problem posed by the public option — i.e., its unassailable status as a more efficient and cheaper health care alternative. The Blue Dogs were demanding that the very thing that makes the public option work — curbing costs to taxpayers by reimbursing doctors at Medicare rates plus five percent — be scrapped. Instead, the Blue Dogs wanted compensation rates for doctors to be jacked up, on the government's tab. The very Democrats who make a point of boasting about their unwavering commitment to fiscal conservatism were lobbying, in essence, for a big fat piece of government pork for doctors. "Cost should be the number-one concern to the Blue Dogs," grouses Rep. Woolsey. "That's why they're Blue Dogs."
In the end, the Blue Dogs won. When the House commerce committee passed its bill, the public option no longer paid Medicare-plus-five-percent. Instead, it required the government to negotiate rates with providers, ensuring that costs would be dramatically higher. According to one Democratic aide, the concession would bump the price of the public option by $1,800 a year for the average family of four.
In one fell swoop, the public plan went from being significantly cheaper than private insurance to costing, well, "about the same as what we have now," as one Senate aide puts it. This was the worst of both worlds, the kind of take-the-fork-in-the-road nonsolution that has been the peculiar specialty of Democrats ever since Bill Clinton invented a new way to smoke weed. The party could now sell voters on the idea that it was offering a "public option" without technically lying, while at the same time reassuring health care providers that the public option it was passing would not imperil the industry's market share.[...]
For those looking to fuck up health care reform — or to load it up with goodies for their rich pals — the tedium actually serves a broader purpose. Given that five different committees are weighing five different and often competing paths to reform, it's not surprising that all sorts of bizarre crap winds up buried in their bills, stuff no one could possibly have expected to be in there. The most glaring example, passed by Ted Kennedy's HELP committee, would allow the makers of complex drugs known as "biologics" to keep their formulas from being copied by rivals for 12 years — twice as long as the protection for ordinary pharmaceuticals.
[...]
If the HELP committee's grandfather clause survives to the final bill, those workers who did the sensible thing in rejecting Walmart's crap employer plan and taking the comparatively awesome insurance offered via Medicaid will now be rebuffed by the state and forced to take the dogshit Walmart offering.
This works out well for the states, who will get to purge all those Walmart workers from their Medicaid rolls. It also works great for Walmart, since any new competitors who appear on the horizon will be forced to offer genuine and more expensive health insurance — giving Walmart a clear competitive advantage. This little "glitch" is the essence of the health care reform effort: It changes things in a way that works for everyone except actual sick people.
Veteran legislators speak of this horrific loophole as if it were an accident — something that just sort of happened, while no one was looking.
[...]
Like Sanders, who hopes to correct the committee's giveaway to drugmakers, Wyden won't get a real shot at having an impact until the House and Senate meet to hammer out differences between their final bills. In a legislative sense, the bad ideas are already in the barn, and the solutions are fenced off in the fields, hoping to get in.
STEP FOUR: PROVIDE NO LEADERSHIP
One of the reasons for this chaos was the bizarre decision by the administration to provide absolutely no real oversight of the reform effort. From the start, Obama acted like a man still running for president, not someone already sitting in the White House, armed with 60 seats in the Senate. He spoke in generalities, offering as "guiding principles" the kind of I'm-for-puppies-and-sunshine platitudes we got used to on the campaign trail[...]
This White House makes a serial vacillator like Bill Clinton look like Patton crossing the Rhine. Veterans from the Clinton White House, in fact, jumped on Obama. "The president may have overlearned the lesson of the Clinton health care plan fiasco, which was: Don't deliver a package to the Hill, let the Hill take ownership," said Robert Reich, who served as labor secretary under Clinton. There were now so many competing ideas about how to pay for the plan and what kind of mandates to include that even after the five bills are completed, Congress will not be much closer to reform than it was at the beginning. "The president has got to go in there and give it coherence," Reich concluded.
But Reich's comment assumes that Obama wants to give the bill coherence. In many ways, the lily-livered method that Obama chose to push health care into being is a crystal-clear example of how the Democratic Party likes to act — showering a real problem with a blizzard of ineffectual decisions and verbose nonsense, then stepping aside at the last minute to reveal the true plan that all along was being forged off-camera in the furnace of moneyed interests and insider inertia. While the White House publicly eschewed any concrete "guiding principles," the People Who Mattered, it appeared, had already long ago settled on theirs. Those principles seem to have been: no single-payer system, no meaningful public option, no meaningful employer mandates and a very meaningful mandate for individual consumers. In other words, the only major reform with teeth would be the one forcing everyone to buy some form of private insurance, no matter how crappy, or suffer a tax penalty. If the public option is the sine qua non for progressives, then the "individual mandate" is the counterpart must-have requirement for the insurance industry...
If things go the way it looks like they will, health care reform will simply force great numbers of new people to buy or keep insurance of a type that has already been proved not to work. "The IRS and the government will force people to buy a defective product," says Woolhandler. "We know it's defective because three-quarters of all people who file for bankruptcy because of medical reasons have insurance when they get sick — and they're bankrupted anyway."
[...]
So what's left? Well, the bills do keep alive the so-called employer mandate, requiring companies to provide insurance to their employees. A good idea — except that the Blue Dogs managed to exempt employers with annual payrolls below $500,000, meaning that 87 percent of all businesses will be allowed to opt out of the best and toughest reform measure left. Thanks to Harry Reid, Nancy Pelosi and Barack Obama, we can now be assured that the 19 or 20 employers in America with payrolls above $500,000 who do not already provide insurance will be required to offer good solid health coverage. Hurray!
Or will they? At the end of July, word leaked out that the Senate Finance Committee, in addition to likely spiking the public option, had also decided to ditch the employer mandate.
[...]
The much-ballyhooed right-wing scare campaign, with its teabagger holdovers ridiculously disrupting town-hall meetings with their belligerent protests and their stoneheaded memes (the sign raised at a town hall held by Rep. Rick Larson of Washington — keep the guvmint out of my medicare — is destined to become a classic of conservative propaganda), has proved to be almost totally irrelevant to the entire enterprise. Aside from lowering even further the general level of civility (teabaggers urged Sen. Chris Dodd to off himself with painkillers; Rep. Brad Miller had his life threatened), the Limbaugh minions have accomplished nothing at all, except to look like morons for protesting as creeping socialism a reform effort designed specifically to change as little as possible and to preserve at all costs our malfunctioning system of private health care.
All that's left of health care reform is a collection of piece-of-shit, weakling proposals that are preposterously expensive and contain almost nothing meaningful — and that set of proposals, meanwhile, is being negotiated down even further by the endlessly negating Group of Six. It is a fight to the finish now between Really Bad and Even Worse. And it's virtually guaranteed to sour the public on reform efforts for years to come.
The Obama administration is on the defensive on health care in part because it is promoting an ambiguous and ultimately feeble health reform bill, but partly because health insurance has become a lightening rod for larger economic fears. Voters are not yet convinced that this president is on their side in the battle for economic security. Major steps to improve job opportunities and wages would be a good place to redeem the popular good wishes that accompanied President Obama as he took office.
They were hanging close to the arbiter of the status quo, Lawrence Summers; they had invited the Republicans to join the big plan; the mainstream media were on board and meanwhile they had committed themselves to nothing in particular. What could go wrong?
[...]
Between Obama's Cairo speech in early May and his town-hall meetings in August, more than a sense of initiative was lost. It seemed that the White House had confined itself to a decorous standing-in-attendance; as if the conduct of the presidency had become a matter of waiting for Congress and the people to download and revise at pleasure a very large attachment. The president's timing of his entrances and exits has been bewildering. In his first half year in office, he gave 100 personal interviews to mainstream media outlets. Yet there has never been a major speech on the economy, and, until Wednesday, no single speech on health care. Obama loses something too, besides the conveyed impression of warmth, by wanting to appear above the battle. Is he too good for fights he himself has brought on?
In his Keynote Speech at the 2004 Democratic Convention, Barack Obama said that we couldn't be divided into blue states and red states. We were all Americans together. Well, it is true, and it is half-true. Obama's aspiration was to teach us again to be Americans together. But a politician less wishful and less keen on the sound of sentiments would not have chosen a moment when his approval had sunk from 58% to 42% to address the nation's schoolchildren. The idea of such a speech, like the recent town-hall appearances, spills over the brim of the usual push for popularity. The town-hall performances were a reminder that Obama sometimes lacks economy of speech; the progress of the summer has been a reminder that he often lacks economy of gesture. This flaw is occasional, not predominant, and it is concealed by his personal grace and the evident fact that Obama thinks. Bill Clinton had a different balance of vices and virtues, but in the curious failure to reckon the actual scale of vast undertakings, which must be done wholeheartedly if they done at all, there is an unhappy resemblance between them.
[...]
Does the president yet recognize that his domestic enemies are implacable? They cannot be bargained with. They must be fought with words as well as laws. And the rest of the American people must be -- indeed deserve to be -- reasoned with; given a clear explanation of the path of policy, whether the economy or health care is in question; and not merely assured that the establishment is with the president. If a clear explanation cannot be given, that is a sign of something wrong with the policy
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...It drives me crazy when people make this argument. Fuck a fancy boutique drug like Erbitux — I have a very expensive private plan and I can’t even go to a doctor, not even to ask a simple question, unless it’s an emergency. I can’t get a routine checkup, can’t find out what that weird lump in my left foot is, can’t have the pleasure of a routine proctological exam unless I want to pay cash for it, and, well, forget about getting a filling replaced or seeing a therapist to deal with my incipient nervous collapse/burgeoning mid-life crisis. Hell, forget about paying for Erbitux, if I wanted to get a colonoscopy to find out if I needed Erbitux, I wouldn’t be able to — I’d probably have to wait until I was a fully symptomatic cancer patient before I could even have that conversation on my insurer’s dime. And I’m one of the lucky ones, I actually have money to pay for care out of pocket, if I had to. No country in the world rations care more than the U.S. There are whole generations of Americans (20-40 year-olds in particular) who don’t know what it is to be able to go to a doctor for preventive care or routine checkups. Erbitux, for Christ’s sake! Give me a break.
[...]
Nobody is ordering Maria Bartiromo to lobby to keep poor people from having access to the kind of excellent health care she is fortunate enough to have been given by CNBC, for being so good at flattering Wall Street pirates on air (and off, according to some folks I know at certain banks). She just does it because that’s who she is naturally. I just don’t know how these people sleep at night — it baffles me.