Physicians across the state are suffering under these low rates, being paid for only a fraction of their comprehensive costs every time they see a Medicare patient. Because of this ongoing problem, I recently signed on to a letter to Speaker Pelosi expressing my serious concern that H.R. 3200 does not sufficiently address the geographic variation that exists in the flawed way Medicare reimburses physicians...
Friday, July 31, 2009
Wu Willing to Wager Health Care Bill for Higher Rates
Congressman David Wu (D-OR) signed on to the 'Blue Dog" letter to Nancy Pelosi threatening to scuttle health care reform legislation pending in the House. In a letter responding to constituents' concerns for the passage of H.R. 3200 the Affordable Health Choices Act, Representative Wu says:
The letter to constituents does not specifically address whether the Congressman will vote for the bill regardless of whether it addresses the "geographic variations" or not. Nor does it identify which letter to Pelosi he signed. Forty conservative members of Congress--so-called 'Blue Dogs'--sent a letter opposing any health reform that did not meet a list of provisions they demanded be in the final legislation on July 9. On July 16 a group of 21 first term congress members signed a letter objecting to taxing the wealthy to help pay for the legislation. Five signed both letters. Wu is a six term legislator from Oregon's 1st Congressional District. That makes 57 Democrats opposed to central features of the pending legislation. And Wu was one of them. Fortunately, for those of us wanting affordable health care for every American, progressive Democrats reached a deal with the obstructionists late today.
'Toontime: The Hand that Feeds Them
Thursday, July 30, 2009
Give US Socialized Medicine, Please!
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[1] The Senate HELP Committee bill has the fingerprints of Senator Ted Kennedy all over it, more than enough reason for some conservative Democrats and Republicans to oppose the measure. The Affordable Health Care Act contains the bedrock of Kennedy's forty year advocacy: a mandate for all Americans to be covered, a requirement for employers to subsidize it, grants for those too poor to buy it, and the creation of a public insurance plan to compete with private insurers. Requiring all Americans to have health care insurance coverage without a public option or similar public subsidy as proposed by the Senate Finance Committee may violate the constitutional principle of equal protection under law. It is not clear if Senator Kennedy will be able to resume active public service, but the cause of his lifetime is within reach of becoming law.
Wednesday, July 29, 2009
Hawaii Fails New Monument
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[photo: the Laysan albatross, phoebastria immutabilis mates for life. As many as 5% of chicks annually are dying from lead poisoning by eating paint chips from 95 federally owned abandoned buildings on Midway Island, the species main nesting ground. About $5.6 million is needed to clean up the contamination, but the federal government says it does not have the money.]
Tuesday, July 28, 2009
Of 'Possums, Blue Dogs and Yellow Dogs
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Likewise the Democratic conservative caucus in the House, referred to as 'Blue Dogs', want similar changes to pending House proposals. These demands would effectively gut any legislation intended to slow down the health cost spiral. As economist Paul Krugman points out any reform worth its name rests on four main principles: regulation, competition, mandates and subsidies. But Blue Dog demands do conform with the wishes of the drug and health insurance lobby which has showered them with contributions. At the same time they oppose a public plan because of its cost, these posers of fiscal responsibility want increases in Medicare reimbursement rates, thereby adding to the cost of Medicare. The conservative legislators should not be called 'Blue Dogs' but 'Yellow Dogs' or perhaps even the more descriptive 'Running Dogs'--an archaic vestige of the once Democratic "solid South" that has become more unreliable than loyal. The caucus was founded by a conservative House member from Louisiana, Billy Tauzin, who switched to the Repugnants soon after the group was formed. He then pushed through the 2003 Medicare Modernization Act full of huge giveaways to drug and insurance companies. Is Mr. Tauzin still a low paid Blue Dog ostensibly representing his district faithfully? Foolish question. He is now the obscenely paid president of PhRMA, the pharmaceutical lobby. Watch the President discuss health care reform in a live town hall webcast hosted by AARP at 1:30pm Eastern time today. http://aarp.org/TownHall
Monday, July 27, 2009
Taking the Gloves Off
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When a Badge Goes to Your Head
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*recording of the emergency dispatcher shows that Lucia Whalen, apparently a passerby, said the two men trying to get in may have been neighbors when pressed to describe them. She also said the men had luggage with them on the porch. Said Whalen, "I don't know if they live there and they just had a hard time with a key." Sgt. Crowley can be heard saying "Keep the cars coming".
Saturday, July 25, 2009
Public Option Health Plan on Way to Defeat?
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{7.23.09}Majority leader Henry Reid announced today that the Senate will not meet the President's timetable for a bill before the Senate recesses. The announcement comes after 44 held an hour long press conference on the subject of reforming the broken system yesterday. The development is not good news for reformers who see the delay as the coercive effect of intense lobbying from the health care industry and feet dragging by reluctant conservatives in the Democratic Party. According to a Politico blogger, Rick Scott, a former hospital executive leading a conservative counterattack is telling supporters by email that the public option "will die" if no bill is passed before recess[1]. Public option is the proposed main mechanism for controlling the exploding cost of health care in this country. Democratic progressives are becoming increasingly impatient with the slow pace of the Senate Finance Committee chairman, Max Baucus, who supposedly is trying to draft a bill two or three moderate Repugnants can support. In contrast, the Senate HELP Committee chaired by Senators Ted Kennedy and Chris Dodd (D-CT) has already passed a bill on a party line vote. Some colleagues are beginning to wonder if the claim of bipartisan support is worth the potential damage to passage of any bill. Baucus has voted with Repugnants in the past on important issues like tax cuts and the controversial Medicare prescription drug bill. Roll Call reports that Democrats on the inside and outside of the negotiations say his progress reports are too vague. Senator Tom Harkin (D-IA) told constituents, "It's time for them to fish or cut bait". Perhaps Montanans should ask their six term senator what exactly he is doing to solve their unaffordable health care problems.
[image: Repugnant's health care chart propaganda]
Utility Company Pleads Guilty to Killing Eagles
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[photo courtesy: USF&W]
Friday, July 24, 2009
Nuclear Power: Too Expensive to Use II
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Enter Senator Lamar Alexander (R-TN), who with his industry allies, has targeted the pending climate legislation for inclusion of vast subsidies for the nuclear power industry. Instead of being "two cheap to meter" nuclear power is now touted as the magic bullet solution to the climate crisis. Senator Alexander has called for a non-binding resolution to be attached that endorses a doubling of the number of US reactors--100 new plants--with at least $50 billion in loan guarantees for the industry. Under both Senate and House versions of the proposed Clean Energy Deployment Administration (CEDA) agency intended to provide affordable financing for accelerated deployment of clean energy, nuclear power is considered a "clean energy technology"[4]. In the Senate version, one technology could get most of the subsidies on offer. It could well be nuclear power since has the highest capital investment costs of all energy options. Estimates by independent energy analysts and Wall Street investment analysts put the cost of electricity from renewable sources (wind, geothermal, kinetic) at six cents per kilowatt hour. Electricity from nuclear reactors is in the range of 12to 20 cents per kWh. The cost of building 100 new reactors is estimated to be between $1.9 and 4.4 trillion over the life of the plants[5]. But because the American public has such a short attention span, hustlers like Alexander are able to repeat the sale of snake oil every generation. Show you get it and contact your senators to tell them no subsidies for power to expensive to use[6].
[1] www.nirs.org/neconomics/cooperreport_neconomics062009.pdf, chart p. 3
[2] the writer appeared before the Texas PUC concerning the Allens Creek nuclear plant in which the PUC penalized the utility for mismanagement of the project. The decision was later reversed on judicial appeal.
[2] the writer appeared before the Texas PUC concerning the Allens Creek nuclear plant in which the PUC penalized the utility for mismanagement of the project. The decision was later reversed on judicial appeal.
[3] Id. at 13.
[4] www.psr.org/assets/pdfs/ceda-provisions.pdf The big lie of course is that nuclear power has its own highly toxic waste stream. Significant radioactive fallout occurred at the Three Mile Island near meltdown on March 28, 1979, and despite a partial evacuation, people died from it. www.ratical.org/radiation/KillingOurOwn/KOO.pdf
[5]. Op. cit. at 2.
[4] www.psr.org/assets/pdfs/ceda-provisions.pdf The big lie of course is that nuclear power has its own highly toxic waste stream. Significant radioactive fallout occurred at the Three Mile Island near meltdown on March 28, 1979, and despite a partial evacuation, people died from it. www.ratical.org/radiation/KillingOurOwn/KOO.pdf
[5]. Op. cit. at 2.
[6] Atomic Energy Chairman Lewis Strauss declared nuclear power "to cheap to meter" in 1954. The pipe dream was shared by Dick Nixon who envisioned a thousand nuclear reactors by now. Times change and the dream dashed by staggering costs and radioactive dangers.
[photo: protestors at Pennsylvania capital, April 9, 1979; NARA]
Wednesday, July 22, 2009
When Animals Were the Enemy
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In addition to the scientific critique of the 2008 recovery plan, the Department of Interior's inspector general's office determined that the decision making process establishing the revised plan was jeopardized by political influence. Secretary Salazaar has concluded that if the spotted owl recovery plan and the Western Oregon Plan Revisions based on it were defended by the Obama administration it "would lead to years of fruitless litigation and inaction." So the plans were withdrawn. Consequently, Oregon forests will be managed under the previous Northwest Forest Plan which controlled timber sales from 1994 until December 2008. Part of the problem with the Regime's efforts to accelerate logging was its decision to curtail consultation about the impacts on endangered and threatened species required under 16 USC §1536. If the federal district court in Washington, DC agrees to vacate the revised management plans--they are being challenged by both conservationists and timber industry--the spotted owl's protected habitat could revert to 6.9 million acres designated in 1992 until a new designation that passes legal muster is in place. Conservationists consider Secretary Salazzar's decision a good one for the survival of the owl and other species that depend on old growth forests.
[photo: USF&W]
Tuesday, July 21, 2009
Team 44 Backtracks on Roadless Rule
Forty-four pledged during his campaign for office that his administration would defend the 2001 Roadless Rule that prohibits road building in wilderness areas. His appointee at the Department of Agriculture, former Iowa governor, Tom Vilsack, has approved logging in a roadless area of Tongass National Forest, Alaska. The North Orion sale of 381 acres on Revillagigedo Island did not technically violate the ban on logging in pristine forests since the area had received a final environmental impact statement prior to the Roadless Rule being adopted. The sale is in the last in-tact roadless watershed on Thorne Arm used by locals for recreation and hunting. About 2 miles of road will be constructed to provide access to the area adjacent to Misty Fjords National Monument. The Forest Service's cost of building the road will no doubt exceed the revenue from the sale. Environmentalists are concerned that several more approvals are in the pipeline under the "Vilsack Policy" in which the Secretary personally reviews timber sales in roadless areas nationwide. They would rather see legal action from Team 44 to overturn a Wyoming federal district court ruling invalidating the Roadless Rule, and dismiss a pending appeal of the Ninth Circuit decision invalidating the Regime's timber sale program intended to replace the Roadless Rule.
Greeks Bearing Gifts
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[1] Senate Finance Committee Chair Max Baucus has accepted nearly $1.5 million from health industry companies and employees in 2007-08. Although he stopped taking money from health PACs in June he still accepts contributions from individual executives or industry lobbyists. During a break from bill writing in June Senator Baucus held his annual fly fishing and golf weekend in Big Sky, Montana for a minimum donation of $2500. As they say in DC, "money talks, bullshit walks". Money buys access while the prols protest in circles outside. Now, perhaps the reader will understand why it has taken a full half century for health care reform to reach this stage.
www.washingtonpost.com/wp-dyn/content/article/2009/07/20/AR2009072003363.html?hpid=topnews
Monday, July 20, 2009
Now Banks Walk Away
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War Wounds of the Mind II
US Person posted previously {6.2.09} on the epidemic of combat related mental illness. New information shows that 1/3 of Middle East veterans enrolled in the VA health system (aka socialized medicine) were diagnosed with a mental health problem. A study by the University of California, San Francisco and the San Francisco VAMC was released on Thursday. Based on 289,328 veterans involved in the two current wars and who used the system between 2002 and 2008, it found 37% of them were diagnosed with mental problems, 22% of which was for post traumatic stress syndrome (PTSD), 17% for depression, and 7% for alcohol abuse. The principal author, Dr. Karen H. Seal, attributed the rising problems to multiple exposures to combat, the unconventional nature of the conflicts, reduced troop moral, waning public support for the wars, and increased public awareness of PTSD. Only about 53% of combat veterans suffering from PTSD or major depression see a doctor. On the same day the study was released the Army confirmed that more soldiers died of suicide than died in combat. There were 17 confirmed suicides by active duty personnel in May. Sixteen died in combat in Iraq and Afghanistan. The Army experienced a record number of suicides in 2008.
Saturday, July 18, 2009
Entertainment From Pain
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[photo: ADI]
Friday, July 17, 2009
Obama on Animals
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Broadcast insanity aside, just how is 44 doing when considering the topic of animal welfare? Animalrights.about.com has a brief run-down of the President's actions so far. Despite the public relations (photo above), it's a mixed bag.
Thursday, July 16, 2009
Elephants Vote With Their Feet
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Wednesday, July 15, 2009
Health Care Legislation Update
Senator Ted Kennedy and his Senate HELP Committee passed it's version of health care reform legislation on a straight party line vote 13-10 reports AP. It is becoming increasingly clear that Democrats are wasting their time and effort trying to compromise with Repugnants who will not vote for increasing the size of health benefit programs which they see as a stop over on the road to a socialist state. They would rather continue the dysfunctional status quo than give 47 million fellow citizens the basic health coverage already enjoyed by Europeans and Asians. Americans would be best served by the majority party drafting the best legislation they can muster and using their parliamentary advantage to pass it. Repugnants will vote against it, and pay for their votes at the polls in 2010. On Tuesday House Democrats pledged to meet the President's request for legislation before the August break. The House passed legislation priced at $1.5 trillion yesterday that for the first time in the nation's history said health care is a right and responsibility for all Americans. Senator Chris Dodd (D-CT) standing in for his chairman, said "This time we've produced legislation that by and large the American people want." Amen, Senator Dodd.
Rhinos Once Again Under the Gun
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Together with increased demand for purported medicinal horn, lack of effective protection for the animals is a major factor threatening their survival. The situation is particularly dire in Zimbabwe where civil strife has effectively melted down the judicial system. A park ranger was acquitted recently despite overwhelming evidence of his illegally killing three rhinos. In September of 2008 a gang of four admitted killing 18 rhinos, but were also let go.
[photo: www.wildlifeextra.com]
Monday, July 13, 2009
"Bigger than a Bread Box"
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As the report pointed out in its conclusion, it was "inappropriate and extraordinary" that a single Department of Justice attorney, John Yoo {The Naked Yoo, 3.5.09}, was relied on to provide the initial analysis of the legality of the program without the oversight and review that is customarily the practice at DOJ. The result was a legal analysis "that at a minimum was factually flawed". DOJ's inspector general concluded Yoo's analysis was legally deficient to the extent that it presented a "serious impediment" to re-certifying the program. Nevertheless the collection effort became "unprecedented" in scope and went beyond the warrantless wiretapping authorized by the Charlatan. Those other programs are still secret[1]. The pregnant question Team 44 has been dodging since it took office, is what will 44 do about the rampant violation of our civil rights? Nothing less than criminal investigations and prosecutions are in order. But 44's only response so far as been to threaten a veto of legislation in the House intended to expand access to secret intelligence briefings.
[1] the latest revelation is 'Darth' Cheney ordered the CIA to keep the existence of a secret assassination program from Congress. If the story is substantiated, then Cheney could be prosecuted for yet another violation of federal law. How many apparent violations it will take before he is indicted remains to be seen.
Chart of the Week: Throwing Good Money After Bad
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[1] Christopher Whalen co-founder of Institutional Risk Analytics http://www.marketoracle.co.uk/Article11825.html
[2] read Matt Taibbi's expose on Goldman Sachs in Rolling Stone. www.rollingstone.com/politics/story/29127316/the_great_american_bubble_machine
Saturday, July 11, 2009
Malawi Elephants Given New Home
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[photo: an elephant marked "B1" is moved safely to new home, IFAW]
Friday, July 10, 2009
War of Words
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Thursday, July 09, 2009
The Cautionary Tale of Raphus cucullatus
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[image: UK Daily Telegraph]
Wednesday, July 08, 2009
Team 44 Ready to Sell Out Public Health Option
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The private health industry definitely sees the latest effort for health care reform as having a chance to succeed. More than 350 former government staff members and retired members of Congress have been hired to influence their former colleagues at a cost of $1.4 million a day. The amount of money being thrown into the fight is mind boggling even by the cynical standards of Washington, DC. Health care companies spent more than $126 million on lobbying in the first quarter, more than all other industries.In return for the largest the health industry gets access to key legislators. In a June 10th meeting with aides to Finance Chair Senator Baucus (D-MT), the industry lobbyists present included two former Baucus chiefs of staff, David Castagnetti whose clients are PhRMA and the insurance industry's lobby front, America's Health Insurance Plans, and Jeffrey A. Forbes who represents PhRMA, Amgen, Genetech, Merck and others. Also present was AMA lobbyist Richard Tarplin who worked for Senator Chris Dodd.
One bright spot in the morass that is Capitol Hill, is the offer by American hospitals to forego $155 billion in future Medicare and Medicaid payments to help pay for the cost of health care reform. Vice President Joe Biden announced the deal today. But the offer is tied to Senator Baucus' efforts to negotiate a bipartisan plan with the pols who say "no". The proposal to tax high end health insurance benefits provided by employers is meeting resistance among Democratic senators. Without the tax the prospects for a bipartisan deal seem remote.
Tuesday, July 07, 2009
The ABM Red Herring
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[1]www.ucsusa.org/assets/documents/nwgs/scientists-letter-to-obama.pdf: A group of experienced scientists and engineers urged 44 to apply the principle of restoring scientific integrity in government decision making to the European ABM system. The experts said in their letter, "This system has not been proven and does not merit deployment. It would offer little or no defensive capability, even in principle."
[photo: Ground-based Midcourse Defense (GMD), Aviation Week ]
Colorado's Good News
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[photo credit: AP]
Monday, July 06, 2009
Chart of the Week: Rich Getting Richer
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The Second Great Depression has taken a small toll on the world's rich. The population of individuals with at least $1 million in investable assets fell by 14.9%. But as the bar chart shows the United States still has by far the most wealthy people. Fine art auction sales in the US are down $1 billion from 2007 and US sales of Lamborghinis dropped 21% last year.
For the rest of us the news is not so good. Job losses are nearly three times as much as the average downturn. Job losses mean fewer families that can afford to buy a home, more foreclosures, and more delinquencies all of which puts downward pressure on house sales. Its not hard to understand why Progressives are pressing conservative Demos to support social change. What is hard to understand is why 44, who ran on a reform platform, criticizes them for applying the pressure. To use his words, "It's not logical."
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Saturday, July 04, 2009
Friday, July 03, 2009
Make it a Green Fourth
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[photo: a Tennessee family stand next to an old chestnut]
Thursday, July 02, 2009
Another Senselessly Cruel Death
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Scoring Universal Health Care
Repugnants leaped on the Congressional Budget Office's initial cost estimate of $1.6 trillion over ten years for universal health care with glee, saying it was a deal killer, but the legislation scored by CBO did not include a government health insurance option or a mandate for employers to provide worker health insurance or pay a $750 fee for each full-time worker not covered. Now that Senator Kennedy's Health, Education, Labor & Pensions Committee has submitted a complete version of the bill, the CBO has priced it at $611.4 billion over ten years and estimated coverage at 97% of all Americans. That is less than the Pentagon's single fiscal year 2009 request for $766.5 billion*. The vast estimate improvement has prompted even the AMA to reverse course on opposing a public/private system, calling it "the American model". Rhetoric aside, progressives will have to get the legislation past the obstructionists who almost certainly will try to filibuster any solution with a "socialist" element. AP obtained a copy of a letter containing the new cost estimate Senators Kennedy and Dodd circulated to other members of the Committee.
*estimate provided by respected veteran journalist Chalmers Johnson. According to Johnson official figures are notoriously unreliable. 30-40% of the Puzzle Palace's budget is "black" or secret. DOD has yet to comply with the Federal Fiscal Management Improvement Act that required all federal agencies to hire outside auditors. The US outspends its nearest military rivals, China and Russia by a factor of 10, or more than the entire world combined ($600 billion out of $1.1 trillion, 2004 estimate). "Military Keynesianism" as Johnson calls it, was enshrined in the National Security Council's Report 68 drafted in 1950 and basically followed to this day. The report concluded, "...the American economy, when it operates at a level approaching full efficiency, can provide enormous resources for purposes other than civilian consumption while simultaneously providing a high standard of living." We are slowly finding out that Cold War ideological notion is not true in the long term.
Wednesday, July 01, 2009
Enviros 0 For 5 at SCOTUS
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Although none of the case could be construed a "landmark" some of them do contain significant implications for future environmental law enforcement in what one scholar called a "chipping away at the foundations" of environmental protection. Four of the five cases came from the Ninth Circuit, generally considered the most environmentally friendly:
- Entergy Corp v. Riverkeeper The Court ruled 6-3 that electric utilities may use cost-benefit analysis in regulating water cooling intake structures under the Clean Water Act;
- Coeur Alaska v. Southeast Alaska Conservation The Court ruled 6-3 that the Army Corps of Engineers has the authority to issue permits for dumping and dredging into a lake with satisfying pollution limits set by the EPA;
- Burlington Northern Railway v. US The Court ruled 8-1 that the Superfund law does not require joint and several liability in every clean up cost recovery but permits apportionment;
- Winter v. NRDC In a 6-3 decision the Court lifted an injunction against the Navy's use of sonar near marine mammals;
- Summers v. Earth Island Institute The Court decided 5-4 that environmental organizations lacked standing to challenge the exemption of salvage timber sales from notice and public comment process.
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