Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts

Tuesday, September 18, 2012

Romney-Ryan need the week off

The Republican duopoly Romoney-Ryan has hit heavy weather, but storms have caused them to finally say what they mean. Let's look, shall we? The following came from an article today in Businessweek, hardly a left-leaning publication.

The federal government should not "take from some to give to the others," said Romney, trying to defend his dis of 47% of Americans he said think they deserve handouts.

Which means what? That he believes there should be an end to "progressive taxation" where the rich pay a higher percentage than the middle class? Or does he favor a national sales tax? Maybe the whole country should just go to user fees, pay for what you get? Toll roads, private schools, doctor's paid through your VISA card? Explain, please.

Because tax policy is already skewed in his favor, Romney paid 13%, possibly a lower percentage than his cooks, his maids and his chauffeur, certainly lower than taxes paid by people earning much less than he does. More importantly, he has much, much more left over.

He would have more left over even if he actually paid the top tax rate. Even if he wasn't hiding his income in the Cayman islands and Swiss banks accounts (we NEED to see those tax returns. I would be content with 2005 through 2010).

To add fuel to the fire, VP candidate Paul Ryan stepped up with "The point we're trying to make here is, under the Obama economy, government dependency is up and economic stagnation is up."

Well, duh! Government dependency? Mr. Ryan, we are still in the worst economic crisis since the Great Depression of the 1930s (which was made worse still by policies like those you advocate). The federal government (you were involved in a lot of the discussion–remember?) pays unemployment insurance and (don't tell anyone in your party) there have been a lot of unemployed since your buddies over at Goldman Sachs kicked the economy in the balls and George Bush started the war in Iraq without wanting to pay for it. Yes, there is also more Medicaid going to people who lost their health insurance when they lost their jobs, too.

Economic stagnation?  Two days ago you called efforts by the Federal Reserve to end "economic stagnation" nothing but a "sugar high." I will put Ben Bernanke's PhD up against your asinine Ayn Rand blather any day of the week. Economic stagnation is part of the process called debt destruction (you can look that up if you take the time from pumping up your biceps) and we need to get banks and companies to take money out of their vaults and put it to work, which will put people to work.

Private employment is actually recovering. We would have lower unemployment now than when this mess started if Republicans weren't trying to fire every other public employee in the country. And we would likely be out of this mess completely if you, Mr. Ryan, had not tried to capitalize on our hardship by blocking recovery efforts so you could create a regime change in Washington putting you in power.

Finally, Romney admitted he doesn't believe in opportunity for the rest of us.

 "…Romney referred to videotaped comments Obama made in 1998 (14 years ago!?) as evidence he favored government redistribution of wealth. As an Illinois state senator at the time, Obama said he believes in it "at least to a certain level to make sure everybody's got a shot."

What?! Remember, redistribution of wealth is another way of looking at progressive taxation. Even then, Obama was restrained. He didn't talk about fairness, he talked about opportunity.

So. Romney doesn't believe that everyone should have a shot at the American Dream? No "pursuit of happiness" if you weren't born wealthy? No need for America to pull together in this crisis, share the burden, provide an opportunity to all her citizens?

Very good. Glad we finally know where they stand.

Monday, September 17, 2012

Oh, My God

It's official. Mitt Romney does not like you if you:

are Latino (immigrant);
are Black;
like Medicare;
believe in Social Security;
have a government job;
don't have a job;
feel responsible for others;
would like help from others when life is hard;
believe that a woman is in charge of her own body and life;
believe you are "entitled to health care, to food, to housing, to you name it."

The man has no concept of community, no concept of charity beyond his Mormon Church, no concept that life can hit you with a random blow, no compassion for others hit with a random blow.

Sometimes, Mr. Romoney, shit happens to someone that ain't their fault. Americans believe that we are stronger when we pull together, extend a hand, provide opportunity for "life, liberty and the pursuit of happiness." Too bad you believe "he who grabs, gets."

Romoney is so insulated by his wealth, inherited and accumulated  by gaming the system (then shipped to Swiss Bank accounts and hidden– can you spell "tax cheat?"), that he feels anyone who is not rich doesn't have the same guarantee of opportunity that he does.

He scorns 47% of the country, saying they believe themselves to be "victims."

After his buddies at Goldman Sachs crashed the economy with dubious deals by playing "casino" with our mortgage payments, after millions of Americans were thrown out of work  because of economic forces OVER WHICH THEY HAD NO CONTOL and lost their homes and their insurance and their future, Ri¢hie Ri¢h Romoney says they consider themselves "victims" and expect handouts.

And yesterday, he and that tight-assed VP candidate, the cold, calculating narcissistic liar Paul Ryan, said the Federal Reserve shouldn't try to jump start the economy because we hadn't been hit hard enough, hadn't suffered enough over the last five years.

America! Wake up! It IS class warfare and they started it! Working men and women are losing! The 1% have contempt for the 47%! They have all the money and they own our Congressmen (that's you, Rep. Greg Walden of Oregon) and are buying our legal system.

Romney is owned by gamblers (real ones – not just Goldman Sachs) and polluters and New York bankers and drug companies and insurance companies. They want to make economic serfs out of us!

Romney has admitted it. Finally, something comes out the man's mouth we can actually believe.

Saturday, August 18, 2012

The GOP's magical thinking


Karl Rove is the political operative running the largest funnel of anonymous money into the Republican party's battle for the presidency. On August 15, 2012, the once credible Wall Street Journal gave Rove a forum for the fiction he uses to reshape America:

“… While there would be no changes in Medicare for those 55 or older, starting in 10 years younger Americans … could either pick traditional Medicare or use … money the government spends on each Medicare enrollee to buy private insurance. The reasoning is based on a reliable truth: Competition will lower costs by using market forces to spur innovation and improvement.”

First, the statement is incoherent. Competition is the "market force." Rove is saying competition will lower costs by using competition to spur innovation… or market forces will lower costs by using market forces…" By using two words for the same force, Rove creates an illusion. The creation of a fictional entity to make belief plausible is characteristic of "magical thinking.”

Rove could have written more logically that "competition will lower costs, spur innovation and improvement," but that would have exposed the second magical element of his thought: the market forces he refers to do not actually exist in most areas of health care.

For there to be "market forces" there has to be a functioning "market." A market requires good information available to informed buyers who choose between multiple providers competing for their business. That is not how we make most health care decisions.

That's the GOP sleight of hand. The GOP doesn't support the fundamentals of efficient markets. The GOP doesn't advocate for good information. The GOP doesn't encourage multiple players in a market, especially if dominate companies make campaign contributions.

Instead, the GOP says "government is the enemy" even when government is protecting markets. The GOP calls rules that prevent oligopolies from ruining markets "antibusiness" when those rules are actually business positive. Bank deregulation harmed many businesses in America by turning mortgage markets into gambling casinos.

The delusions of Paul Ryan and Karl Rove that the Wizard of Competition will give us cheaper healthcare that is even better – Cheaper! Better! – is equally distructive. What they mean is that huge health care monopolies, some partly owned by Mitt Romeny's Bain Capital, will get even more of our health care dollars. That's not healthy for anyone.

Wednesday, August 15, 2012

Hospitals: sick profits from monopoly


Hospitals, once run by nuns and charities, are becoming big business. An article in the New York Times published on August 14, 2012 tells how profits are up, sometimes at the cost of lives (read it here).

A major investor in HCA, one of the largest hospital conglomerates in the country,  is Bain Capital, the firm of Presidential candidate Mitt Romney.

The formula is simple: Buy a hospital, cut expenses and increase revenues to make higher profits. 

Cutting costs has included putting fewer nurses on station and turning people away at the emergency room. These efforts have lead to patient deaths. 

Increasing revenues has included changing billing codes to get more out of Medicare  (no wonder Romney want to "restore cuts to Medicare").

Market place economics do not work well in health care because the purchaser of the service (government and the insurance companies) are not the recipient of the service (patients). Since hospitals in most areas do not face "competition in the market place" because of the size of  the investment, only regulation can keep this essential service from being gruesomely driven by the profit motive. 

Romney wants to reduce that regulation, and favors – surprise– a voucher system that would have patients and states and insurance companies trying to negotiate with hospitals where there is little or no alternative.

Romney wants government smaller so there will be less supervision of the profit-making machines that he has championed his whole life. An exceedingly rich man, he doesn't understand what it is like to be on limited income and facing horrific medical expenses. With his large and involved family, he can't understand what it would be like to be cared for by harried and overworked nurses.

He just knows that there is money to be made.





Saturday, August 11, 2012

They want even more



"What do you say… let's privatize Social Security and make grandmothers trust their retirement to Goldman Sachs?"

"Good one! How about this? Lets buy into the insurance industry. Then we get rid of Medicare. We give them tax money so they can buy insurance – only if they want to! – … then deregulate the insurance industry so the money comes back to us!"

"Good! Good! It worked when we did it for the drug industry! Why not?!"

"Hey! You know how bank deregulation and Goldman Sachs ruined the economy? Those poor idiots have no memory, and they're stupid … let's blame everything on too much government and get them to vote AGAINST programs that benefit them! We get richer and they get less opportunity!"

"Hahaha! Hey: The economy needs money to get going again… Let's cut money OUT of the economy! A little recession is good for them, it will help them fix their values!"

"Whoooeee. Class warfare and we are winning! And while we are at it, let's increase the gap between rich and poor… rich guys can buy three Cadillacs because auto workers will be making even less. Public schools will suck, but our kids go to private schools. So who cares?"

"I like it, I like it. It's win/win: Somebody's got to pump our gas! Let's drill in their back yard, too and get rid of laws that protect their water– we drink Perrier!"

"Oh, oh that's good. That's really good. But how about this, how about this … let's cut taxes on the rich! Let's cut our own taxes!"

"Taxes? I don't' pay taxes. Do you pay taxes?"

"Hahahahahahaahahahahahah."