Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Saturday, May 10, 2014

Are you misguided, uniformed, heartless or rich? Then you must vote Republican.

Elections for many political offices will be occurring this fall.  The winners of these elections will be responsible for future legislation in federal and state governments that will control our daily lives.

The upcoming mid-term elections are not insignificant nor typical.  One could say that these mid-term elections are the most important election of our time.  The future of our American society could be in the balance.

The Congressional elections for the federal House and Senate could reinforce Republican obstruction or eliminate it, depending on the results.  State elections could make life or death differences to many who cannot receive medical care under Republican obstructed medicaid expansion.

To help you remember or to just inform some of you for the first time, of some of the deleterious effects of having Republicans in office, let me recall some things you should know by now.

America's unemployed work force could be put back to work if the President's American Jobs Act is enacted without Republican obstruction.

Women could become equal in the workforce if legislation to prevent discrimination in wages was lifted by removing Republican obstruction.

America's immigrant families could receive fairer treatment if Republicans could not prevent it.

Opportunity for all Americans and America's economic condition could be improved with an increase in the minimum wage which Republicans refuse to support.

The unfair control of government realized by the few uber-rich American contributors to the Republican party who influence their legislation and activities could be eliminated.

The American worker and middle class could rise in importance and our government could be "of, for and by the people" again.

Poor children would go to bed less hungry if Republican cuts to the SNAP program were eliminated and reversed.

Falsely imposed voting restrictions could be stopped if Republicans were run out of state legislatures.

The Republican party's partisan witch-hunts based on false  accusations would stop being the focus of the Congress and taxpayer money could be used more productively for legislation that Americans need if Republicans lost control of the House.

America would never again renege on their debt obligations if Republicans are not given the power to cause it.

Dealing with scientific facts, the government could make more reasonable decisions to enact laws that protect our environment if Republicans were not in control.

Near treasonous acts that show Republican leadership's opposition to government would end.

Using fear tactics and lies to persuade Americans into voting against their own self interest could end if Republicans are shown that using those unethical tactics cannot win them elections.

The federal government may never face another shutdown if Republicans were not in control.

The Affordable Care Act might be allowed to continue to benefit people; improve the health of America; put money back into the economy with increased jobs in health services; improve the profits of medical device manufacturers, hospitals, doctors, nurses and insurance companies while at the same time making healthcare affordable.

Expanding Medicaid in Republican run states would insure and protect the health of over seven million uninsured poor voters and reduce costs for taxpayers whose premiums are higher in order to cover the costs of those who do not have health insurance.  Hospitals in rural areas of Republican run states could become profitable again and re-open their doors.

America's tax policies could be reviewed and certain unfair loop-holes closed so that all Americans and American Corporations pay their fair share of taxes and revenue could again become part of the equation for budget considerations if  Republicans did not control the federal House.

Ultimately, the mid-term elections are  extremely important.  You should consider this as important an election as a Presidential one and get out to vote. 

If you consider yourself a Republican, perhaps you have inherited that title or been influenced to vote as one from your parents and grandparents whose culture of Republicanism goes back many years.  You should recognize that political parties change over time and may not be the same as the party your parents or grandparents aligned with.  For example, Abraham Lincoln was a Republican who freed the slaves yet some modern day Republicans pass legislation to restrict voting rights to African-Americans.  In regards to empathy toward others, Republicans have changed dramatically.

A political party affiliation should not be treated the same as your genetically inherited characteristics. Although "mutation" is a similarity between genetics and political parties, your party affiliation should be based on how closely a comparison of the overall beliefs and policies of the party match your own personal beliefs.  The comparison should not be limited to one or two policies but to all policies and beliefs so you get a complete picture of a party.  For example, Republican leaders claim to hold to the teachings of Christianity because they support a right to life but their legislation may indicate that they oppose Christianity since they do not support the needy and carry out injustices to other diverse populations.

In order to make such comparisons you should research the facts about the political party's policies; understand how they vote on issues and determine if they represent your views.  It is important to determine these things by reviewing factual reference material while ignoring commentators or others who would attempt to deceive you or are just misinformed themselves.  One way this can be done is by reviewing government web sites such as http://www.house.gov, http://bls.gov and http://www.senate.com.  

To keep informed on current events in politics, watch political television shows on both sides of politics and judge for yourself which is most truthful.  For example, Fox News is known to be conservative television that takes a less factual "entertainment" approach to supporting Republican causes while MSNBC is known to be progressive news reporting that supports Democratic causes.  Seeing these two networks present both sides of the same issue can be enlightening. 

Paul Ryan (R) Wisconsin
That being said, I want to begin analyzing Republicanism with one of the most telling subjects in recent days; the 2014 Republican budget proposal.  It has been said that you can tell where a party's priorities are by the budget they propose.  

Paul Ryan was tasked with the job of preparing a Republican budget proposal that balanced within ten years.  Balancing a budget can be done in many ways, but the Republican budget had to be based on Republican principles which molded and forced the end result.  

One building block of that Republican budget is that tax revenue cannot be increased.  Without new revenue, only cuts in federal programs would be possible. 

Another prerequisite was that military spending must be increased. Increasing military spending without raising taxes means something else must be cut by the amount of increase in military spending.  About $650 billion is spent on the United States military each year which exceeds the combined military spending of the next ten highest spending countries in the world.  Even the US military has stated that the amount is too high and can be reduced.  When Republicans speak of military spending they do not mean government assistance for veterans.  They do mean to increase the wealth of defense contractors.

Yet another prerequisite of the Republican budget is that much of the cost and operation of Federal government programs must be passed on to the states.  Making states take on safety net programs will force them to either increase their taxes (if they plan to continue to provide the service) or cut or eliminate the programs.  In Republican run states I can state almost certainly that these services will be cut.  Overall, their budget expects that the financial burden that they are eliminating from the federal government should be placed on the states.  Provided the states maintain the programs, the savings to the individual would be no different than if the federal government had kept the financial burden except that the taxes would be coming from the state instead of the federal government.

The Ryan budget makes severe cuts to services that support the poor, middle class, students, the elderly and disabled while at the same time rewarding the rich with lower taxes, repealing the alternative minimum tax, reducing corporate tax, and changing international tax laws to allow corporations to avoid being taxed on foreign income brought back into the United States.

By the explanation he gives in his budget's narrative, Ryan tries to convince people that government loans are the reason that students must pay such high tuition costs as these somehow encourage Universities to charge higher tuitions.  Even if this were true, Ryan's solution is to reduce government loans and cap Pell Grants for students, thereby eliminating help some deserving students might be able to obtain without a government loan.  It's funny how Republican reasoning often defies logic.  They accept big business' action of  charging higher tuitions as reasonable given the availability of government money and instead blame the federal government for providing so much loan money.  I guess we are supposed to understand as our Republican leaders do, that the ethics of businessmen can readily be overcome by such easy opportunity for profit.

Sticking to the Republican claims that the Affordable Care Act is the worst thing that could happen to America, his budget calls for the repeal of the ACA leaving no alternative but to return to the way it was before the ACA.   The budget calls for repealing Medicaid Expansion and eliminating healthcare premium subsidies available on the government healthcare exchange.  With these words, Republicans are saying that insurers can deny coverage to people with pre-existing conditions, so if you lose your job and have a pre-existing condition, you will no longer have health insurance.  They remove healthcare access from millions of the poor who are now covered under medicaid expansion.  Lifetime coverage caps will return so if you get a debilitating and costly disease you may also lose your life savings.  If you have limited income, you will no longer get any help to pay for your insurance premiums.  Certain free services will once again be charged.  Children between 21 and 25 will lose their parent's insurance and be required to purchase their own or not be insured.

Medicare and social security will not be the same for  future seniors.  Not being capable of funding social programs almost certainly means medicare and social security will suffer under Republican rule.

There are many more aspects to the budget that you should see for yourself.  Visit this link: The 2014 Republican Budget to find the actual text.

If you are not in the top 2% financially, voting for Republicans is not in your best interest.  If you are a caring person, voting for Republicans should outrage you.  If you are an informed and intelligent person and not in the 2%, you should never vote Republican.  What does that make you?

Remember to vote in the fall's midterm elections.  It's your protected right and it's what will make all the difference to America.








Monday, November 11, 2013

The real reason Republican leadership hates ObamaCare

The Affordable Care Act (which is now law) provides health insurance to nearly 30 million Americans who did not previously have it.  It requires health insurance companies to treat Americans fairly.  It mandates a set of health insurance standards to ensure that Americans understand the kind of coverage they are getting.  It eliminates "junk" insurance that does not truly provide helpful coverage.  It provides Americans with a known set of insurance coverages which they have the freedom to choose from.

The law provides subsidies to those families and individuals who could not otherwise afford sensible coverage.  It prevents insurance companies from denying insurance for individuals with pre-existing conditions.  It prevents insurance companies from dropping individuals when their illness becomes too costly to the insurance company.  It provides women with free preventive care for such things as PAP smears.  It allows children to remain on their parent's insurance policy until they are 26 years old.  It eliminates lifetime caps and ensures Americans can remain insured during catastrophic illnesses.  It provides for rebates to insured Americans if their insurance company charges more than 20% of their premium price for management and administrative costs.

The Congressional Budget Office has indicated that the Affordable Care Law will return money to
the economy.  They found that repealing the law would increase the deficit by 108 billion over 10 years.  It has been estimated that the increase in the number of patients will add a windfall of profits to doctors, hospitals and medical device manufacturers.  That profit is estimated to be so high, that most medical device manufacturers have agreed to pay the government back over 80 billion dollars in ten years.  The rise in the patient population is said to be good for jobs.

Where expanded medicaid is implemented in the states, it will cover the very poor and improve state economies not only by preventing costly emergency room visits by the uninsured, but also by providing states with 100% of the cost involved in implementing it in the first three years and 90% of the cost in all future years.

The well being and pursuit of happiness of Americans that is guaranteed by our constitution will improve for millions and millions of Americans because of the law.  So what is the real reason that Republican leadership hates it?

We have heard Republican complaints that people will lose their jobs, businesses will  reduce full time employees and death panels led by the Obama administration will decide who lives and dies because of the law.  Is any of it true or is it just more Republican fear mongering?  You can rest assured that none of it is true and it is just more Republican fear mongering.

Fox news has assisted in this fear mongering by inviting a few guests who have misrepresented their situations so as to appear affected by the law, but when investigated by outside impartial observers, have been found to be mistaken.  Fox news' Sean Hannity has had several staged shows where his invited "audience" of Fox news reporters make stuff up to continue the lie that ObamaCare is the worst thing ever.

We know that Republicans hate ObamaCare.  They have proven it over 40 times when they have wasted taxpayer money to try to repeal it unsuccessfully.  Ted Cruz, that Canadian born Tea Party Senator, has even given a performance in a "filibuster of nothingness" to show his determination that ObamaCare is bad.  He's made millions by conning the American public to support his efforts with contributions in television ads.

So lets get down to it.  The real reason Republican leaders hate ObamaCare has a lot to do with Republican leadership's commitment to a decision they made as a group while President Obama was being inaugurated in 2009.  They all agreed to make the President ineffective in any way they could.  During his first term, Mitch McConnell publicly announced that their most important goal was to make Obama a one term President.

Failing that, they continued to support their goal that this President's legacy will show that he accomplished nothing during his terms in office.  Republicans in Congress have used their power of filibuster, obstruction and majority rule in the House to prevent passage of everything proposed by the Democrats and the President.  The 112th and 113th Congresses, both of which have had Republicans controlling the House, have been the least effective in the history of the United States, passing no substantial legislation in either session.  But that is their goal and they are accomplishing it very effectively, regardless of the impact it has on America.

They are hopeful that when time passes and the memory of their personal acts of destruction to America are forgotten, what history will record is that the first black American President could not accomplish anything.  They are counting on the fading memories of Americans who know about their actions and the ones who don't know the difference in the legislative branch and the executive branch, to wrongly see the President as ineffective.  Their hope is to never allow a black Democrat to become elected President again.  Somehow, their perverse and some would say, bigoted ideas about this appear to them to be the thing that returns public opinion and favoritism to Republican candidates for the office.

The one thing that saves President Obama from this is ObamaCare and Republicans hate that fact.  They hate that all of their efforts may be for nothing unless this ObamaCare law is erased from history.  And so it has become the most important thing that Republicans can target in order to accomplish their goal.

Americans must begin to see the truth about ObamaCare.  They must see the lies coming from the Republican party.  Any party that is willing to take such devious actions and sacrifice Americans to carry out their partisan goals does not deserve to be in office.

Your vote is the key to returning decency to government.  I urge you to vote Democrat in all elections.  

Sunday, May 26, 2013

A Republican to English dictionary

Although born and raised in the United States, my father, who passed away in his old age a few years ago, was not really good with the English language.  Sometimes he used words that he made up in conversation that sounded like words that they really weren't.  My kids were often confused by their "Papa", as they used to call him, and I would joke with them that maybe we needed to get a Papa- to-English dictionary.

Because of their support for policies which Republicans stand for, most of which go against their best interest, middle-class Republicans may be well served if they had a Republican-to-English dictionary.  Perhaps that way they could better understand that their welfare is not of concern when it comes to modern Republican politics.

Here are a few examples of statements we have heard our Republican leaders talk about.  I have given some assistance to the American voter by attempting to identify the true meaning of these words in plain English.

"Jobs, Jobs Jobs": Cheap foreign labor for America's Corporations.  

"Support for our troops": Increasing government funding of defense contractors.

"Reducing the deficit":  Protecting the 1% by taking revenue off the table, increasing military budgets to protect defense contractors and only calling for government spending reductions in programs for the poor, women, children, the elderly, students, the handicapped, military veterans and the unemployed.

"Smaller Government": 1. Eliminating government protections of it citizens in regards to regulations on business so that big business can operate with a free hand to decrease costs involved with making a safe product, protecting the environment, giving fair wages, creating a safe work environment, treating workers fairly and otherwise operating responsibly.  2. Reducing government spending by eliminating public service jobs such as teachers, police, fire-fighters and government workers and rejecting the American Jobs Act that would have improved the infrastructure of roads, bridges, schools, etc. 

"2nd Amendment rights": Returning the favor for NRA lobbyist money and preserving the market and demand for weapon manufacturers regardless of the wishes of the majority of Americans for stronger gun laws.

"Obama-Care": Originally a Republican introduced derogatory term for the Affordable Care Act which later became adopted as a catch-phrase by President Obama.  Republican intent is to put fear into American citizens and protect big insurance corporations from the effects of treating American citizens with fairer insurance rules and charging costs that would benefit the citizen.  Most of the effort of the Republicans in the 113th Congress has been in attempting to repeal Obama-Care law 37 times as of this date.

"Sequester": A Republican plan since 2010 to reduce the size of government in a way that would protect the wealthy and would otherwise never be possible by normal legislative proceedings.

"Filibuster": The cornerstone of Republican obstructionism used to prevent problem resolution, slow down progress on legislation and block President Obama's appointees and ideas that support middle-class Americans.

"Balanced Budget": A financial plan that reduces spending on useful government programs such as medicare, medicaid, the social safety net and social security which must not be balanced by any increase in revenue, especially by increased taxes on the wealthy or corporations. 

"501(c)4": Republican worked loophole in the IRS regulations that permits a political action committee to receive donations that are exempt from federal taxes and then to complain when the IRS workers request information that may prove they are political action committees.  The 501(c)4 is supposed to be for non-political social organizations.

"Stimulus package": Another name for the American Recovery and Reinvestment Act.  An act carried out by the Democrats and President Obama that saved the country from financial collapse.  Republicans voted against the stimulus package.

"Voter ID": An attempt to reduce access to voting by members of the citizenry who would not vote Republican in elections.  This action as well as closing down voting precincts and voting hours were used by Republican state legislatures as a strategy in the 2012 elections.

Republicans have proven that they do not represent the middle-class or the poor.  If you are in one of these groups and you vote Republican, I would be interested in knowing why you would vote that way.

If you have any other definitions, please feel free to add a comment.  I'll add the best one's to my collection.

Wednesday, May 22, 2013

States who implement expanded Medicaid will see significant improvement in financial health

With the arrival of medical care under the Affordable Care Act in 2014, those states who's legislatures are smart businessmen will see state expenditures for medicaid recipients health insurance coverage erased off their books.  This can save many states tens of billions of dollars of state funds.

Some states with Republican governors and/or legislatures have unfortunately allowed Federal Republicans to distort their view of Obama Care benefits to the states and in so doing have done themselves, their state and their citizens a disservice.

It is just bad business for a state to turn away federal money but that's exactly what some foolish state legislatures are doing.  Let me cite an example with the situation in Florida.

Florida's Governor, Rick Scott originally sided with federal Congressional Republicans and supported the "Obama-Care bad" philosophy.  But when Governor Scott began to investigate the advantages of
Florida 
implementing expanded medicaid in Florida, he changed his mind.  Unfortunately, most of the GOP in the Florida legislature didn't have the wisdom or understanding that Scott had and now it looks as though Florida will not implement expanded medicaid.

Florida is currently funding medicaid for 3.3 million recipients at a cost of $21 billion a year before Obama-Care.  Half of this cost is shared with the federal government.  Although the intentions of the Florida legislature may have been to not become a partner with the federal government (because Obama-Care is a Democrat idea), they already are partners with them.  So to bite off their own noses to spite their faces, the Republicans in the Florida legislature are willing to give up about $10.5 billion dollars of federal assistance to make an empty gesture of solidarity that will cost Florida tax payers billions.

Under Obama Care, medicaid's expansion would give health coverage to unemployed persons and people who cannot afford health insurance and are not covered by any company health insurance plan or medicaid recipient class today.  Florida would have been able to add this class of recipient for no additional cost under Obama Care for the first three years of implementation.  After that, the State would only bear 10% of medicaid costs, which is still a bargain since they are currently paying 50% of the cost.

When individuals do not have insurance and go to a hospital for medical care, they often go to the emergency room.  Emergency room costs are very high.  Since uninsured patients usually cannot pay their medical bill, hospitals will file with insurance companies and insurance companies will pass that cost along to the rest of us in increased insurance premiums.

Hospitals are more likely to be able to increase employment when more people are covered by an insurance plan and are able to receive medical treatment.  This should not be overlooked by the party who only thinks about "jobs, jobs, jobs."

Ultimately, Florida would be able to cover more patients for less cost if the legislature would implement expanded medicaid under the Affordable Healthcare Act.

The situation is exactly the same for other states.  It just makes good fiscal sense for states to implement the extended medicaid program.  It is puzzling why some are not.


Saturday, August 18, 2012

Republicans would even lie to their mothers

How can you trust them?  They'll lie about anything.  They'll lie to anyone.  And now they are even lying to their mothers.

Have you seen the commercials where certain Republican Congressmen are asked by their aging mothers if they would hurt medicare?  It is pitiful that they can lie to their own mothers like that as they look them straight in the eyes and deny it.  Some may be trying to distance themselves from the Ryan budget, but most are just fibbing.  They should have their mouths washed with soap.

This year the Republican National Committee is throwing caution to the wind as they incorporate lying into their arsenal of vote capturing tools.  It seems that everyday RNC Chairpeople, Mitt Romney and now Paul Ryan are telling some new lie about  President Obama or Democratic policies.  They obviously think if they repeat the lie over and over again, eventually the public will believe it.  It seems like an assembly of third graders have organized this Republican campaign.

Democrats have been known to be the champions of social programs like Medicare and Medicaid.  Paul Ryan is famous for his Republican budget proposal which slashes many social programs, including Medicare.  Mitt Romney has publicly announced his support for that budget.

President Obama's Affordable Care Act reduces medicare fraud and excessive payments to Insurers and Doctor's.  It is estimated that this will save about $716 billion in costs but strengthens medicare benefits for the elderly.  It is estimated that with these actions, President Obama will extend the solvency of medicare by eight years.  Mitt Romney intends to repeal the Affordable Care Act the day he is elected.  This would eliminate the cost savings in medicare brought about by that Act.  By these actions, Romney would return the $716 billion to the insurance companies and business owners who are perpetrating medicare fraud.  It's also been estimated by AARP that Paul Ryan's plan would undermine Medicare and lead to additional annual costs as high as $6400 for seniors.

Paul Ryan and Mom
So now Romney and Ryan are claiming that President Obama is reducing medicare benefits by the $716 billion.  This is a total lie that Ryan told at a retirement community in Florida this morning, with his mother listening at his side.  Both Romney and Ryan continue this lie in public appearances across the country.

Romney and Ryan's plan proposes that seniors pay up to an additional $6400 per year to get a private insurance plan that will actually cover their medical needs since their voucher program will allow only minimum medical care.  Perhaps wealthy seniors like Ryan's mother won't find the additional costs too hard to come up with.  But for the most part, that cost could be up to 25% of the annual income of many seniors.  Further, being forced to make choices on how to spend their limited income, some seniors may not be able to afford the care that they need and this could lead to premature death.      

If there is one thing that rings true about Republicans, it is that their approach to cutting the deficit is to cut social programs first.  Worse still, they intend to do this while at the same time giving tax breaks to the wealthy.   With tax revenue reduced at the top, the rest of us will have to come up with the difference if our deficit is to be managed at all.  This can only be accomplished by increasing government revenue by middle class tax increases and slashing or eliminating social assistance programs.

Ultimately, the top 2% are given governmental assistance (let's call it high-class welfare) and the rest of us are pushed under the bus.  Does it make sense to give assistance to people at the high end of the economic scale instead of those in the middle and lower end that really need it?  It does to the Republicans.

Don't let them fool you.  Class warfare is alive and most of the shots are coming from the Republican party and aimed directly at the rest of us.