M4A

John Oliver - On Medicare For All

Today's Tweet

Because there's a shitload to do, and we all have to be able to walk and chew gum at the same time.

Whether you're rich or poor, everyone should have the same guarantee of quality health care. Yesterday, we launched the #MedicareforAll Act. Today, we get to work. 💪🏾 pic.twitter.com/oIkPGtFuSB

— Rep. Pramila Jayapal (@RepJayapal) February 28, 2019

The Wave

...continues.

Dave Weigel, WaPo:

The new Democratic majority in the House will hold the first hearings on Medicare-for-All legislation, a longtime goal of the party’s left, after Speaker Nancy Pelosi lent her support for the process.

“It’s a huge step forward to have the speaker’s support,” said Rep. Pramila Jayapal (D-Wash.), who will be the House sponsor of the legislation, usually denoted as HR 676. “We have to push on the inside while continuing to build support for this on the outside.”

Some version of universal health care has been a Democratic goal for decades. The Expanded and Improved Medicare for All Act, first introduced in 2003 by then-Rep. John Conyers Jr. of Michigan, has become the vehicle for Democrats who want to bring single-payer, Canada-style health care to the United States.

That legislation was typically sidelined, even when Democrats had power; in 2009 and 2010, when the House passed the Affordable Care Act, the “Medicare-for-All” package was not part of the discussion. But in his 2016 campaign for president, Sen. Bernie Sanders (I-Vt.) championed Medicare for All. The following year, for the first time, a majority of House Democrats co-sponsored HR 676.

Pelosi seems to be taking the FDR approach: "Sounds like a great idea - now get out there and find people who'll help you make me do it."

Like a boss.

High Level Fuckery

...of the lowest order.

First, I gotta bail on my general editorial tenet of not playing the same bullshit game the GOP plays when referring (eg) to the "Democrat Party". 

Now, most of ya'll know I have no problem calling lots of folks names - bonehead, rube, fuckwad or whatever.  But I've always referred to the parties as Dems and Repubs - maybe it's just my quiet still voice telling me, "You never go full dickhead", dickhead.

I dunno, but at this point, I'm suspending that particular standard, and going with my new nickname for the GOP:

Ratpublicans

Cuz holy fuck, kids, this Graham-Cassidy thing is nothing but the most cynical piece of shit to come down the pike in a good long time.

Vox, Jeff Stein:

In interviews with Vox on Tuesday, nine Republican senators primarily argued that their “Hail Mary” bill — spearheaded by Sens. Lindsey Graham (SC) and Bill Cassidy (LA) — would return federal power to the states, giving them greater flexibility to improve their health systems locally. “The heart of the legislation takes the policymaking role of Washington and sends it to the states,” Texas Sen. Ted Cruz said.

Far less clear is exactly how Graham-Cassidy would pull off this feat without resulting in millions of Americans losing their insurance — and the number of millions is still unknown, since any vote would likely have to come before the Congressional Budget Office completes its analysis of the bill. The GOP senators insisted that the tens of billions in cuts to federal health spending proposed in the bill would not result in coverage losses because, they said, the states would have more flexibility.

“They can do it with less money,” said Sen. Jim Inhofe (R-OK), who was unable to explain how or why.

Other Republican senators, meanwhile, fell back on political explanations for a bill that experts warn could result in millions losing their insurance. “If we do nothing, it has a tremendous impact on the 2018 elections,” said Sen. Pat Roberts (R-KS). “And whether or not Republicans still maintain control and we have the gavel.”

This is classic Argument By Assertion (or Repetition)

Imhofe says it saves lots of money, but he can't tell us how.

Cruz hits the old standby - premiums are skyrocketing under Obamacare.

And Special Pleading

Kennedy, arguing the states' rights angle, and trying to explain his proposed amendment to prohibit states setting up their own single-payer system: "We have plenty of federal rules that apply to every state, but we still agree with states’ rights."

And in case you missed it, The Koch Bros et al, have told the RNC the 2018 money well is dry unless Obamacare is repealed (see Pat Roberts above).

By STEVE PEOPLES, Associated Press

COLORADO SPRINGS, Colo. (AP) — At least one influential donor has informed congressional Republicans that the "Dallas piggy bank" is closed until he sees major action on health care and taxes.

Texas-based donor Doug Deason has already refused to host a fundraiser for two members of Congress and informed House Majority Leader Kevin McCarthy, R-Calif., his checkbook is closed as well.

"Get Obamacare repealed and replaced, get tax reform passed," Deason said in a pointed message to GOP leaders. "You control the Senate. You control the House. You have the presidency. There's no reason you can't get this done. Get it done and we'll open it back up."

Let's Do It Better

The Rude Pundit thought he might be crashing while on a visit to Liverpool. And it turned out to be a rather pleasant experience instead.

An American in the UK National Health Service

It had been a stressful few weeks, with far more than the usual amount of fuckery and frantic frenzy, and I arrived in Liverpool last Friday on a total of about 4 hours of sleep in two days. Walking around the Liverpool One area shortly after dropping off my bags, heading towards the Tesco to get some supplies, I realized that I was sweating like Nicholas Cage on a meth bender and my heart was racing like, well, the same. I felt a tightness in my chest, short of breath, needing to sit down, and I thought, "Well, fuck, this would fuck up the next week or so." When your Dad dies of a heart attack at 46, you take that shit seriously.

So I found a National Health Service walk-in clinic just around the corner from Tesco. It was in the same space as the NHS's sexual health office, which offered free morning after pills, among other things. I went in and there were maybe twenty people sitting there. I don't know how many needed sex-related attention and how many needed regular medical help. But a very nice receptionist took my name, date of birth, and phone number, and then she asked what was wrong. I described my condition without the mention of Nicholas Cage or meth, which could have confused the whole situation. She very nicely told me to take a seat and that triage would be with me shortly. The triage nurse, I learned, examines everyone to see who might need to get in sooner than others. Apparently, I was looking terrible enough to be bumped to the front of the line.

After a few moments, I was called back to see the nurse practitioner, Niamh (pronounced "Neeve" because, well, Irish names). I can honestly say that I've never been treated with as much care, patience, and good humor by a medical professional as I was by Niamh. She asked permission every time she wanted to do anything, from take my blood pressure to listen to my pulse. Even as I kept insisting that I was probably just exhausted and whiny, she took everything about my condition incredibly seriously and assured me that I should just follow through with what she was recommending. "It won't cost you anything," she said more than once, as if understanding the anxiety that Americans have about health care spending. "Unless you're admitted to hospital." She laughed and joked, and we talked like we're human beings having a conversation, not a transaction.

Niamh asked me a few questions about health insurance in the United States and shook her head at it. "I'm afraid we're going to head to that kind of system," she exclaimed. She told me a story about when she and her family - husband and five children - visited New York City the previous year. Her youngest, a toddler, had gotten an ear infection, so they went to a walk-in clinic, just as I had come to this one. She told the receptionist that they would pay out of pocket for expenses because they would be reimbursed when they came home. "Now, they prescribed my little one a medicine," Niamh said, "one that I know is in that locked cupboard behind you. And I know that it costs about three pounds. Do you know how much they charged me in the states? $354." She laughed, as one can when they get the money back for outrageous expenses. I told her that her experience is pretty typical.

This is more than some tiny example of Anecdote-over-Evidence. We hear versions of this story all the time, and we need to understand that a Profit-Centered approach to healthcare is not just a shitty way to treat people - it's costing us gazillions of dollars we don't need to spend on a system that delivers the world's 37th best outcomes.

By every measure, our system makes sense to nobody but Rent Collectors.

It doesn't have to be this way. We don't have to do it the way we're doing it. We're getting stuck in the same kind of ideological straightjacket that the USSR was in as we all watched that whole system crater in on itself almost 30 years ago.

We keep insisting on maintaining a blind faith in the Unfettered Free Market. And we're pushing it to the point where we plunge into the Logical Extreme - which is where good ideas go to die.

You don't build a durable form of government based on an economic system - not without ending up very close to that old Yakov Smirnoff bit, "We pretend to work and they pretend to pay us."

The version here in USAmerica Inc is fast becoming: "They pretend we're buying their shit and we pretend we have a choice."

What It Is

Call it the Rube-ification of America. And to borrow from Bill Maher: "Why do we always have to be the stoopid country?"

Paul Waldman, WaPo:

What’s truly remarkable isn’t that a bunch of cynical politicians thought they could ride their base voters’ anger into control of Congress by lying to them about what they could actually accomplish; it’s that their voters actually believed it. And then those voters got even angrier when it turned out that the president had the ability to veto bills passed by a Congress controlled by the other party. Who knew! So instead of looking for a presidential candidate who would treat them like adults, they elected Donald Trump, a man who would pander to their gullibility even more. 

Which brings us to where we are today. Republicans couldn’t be bothered for seven years to actually think about what repealing and replacing the ACA might involve, or whether there would be trade-offs and choices to make, or whether setting up a system that accorded with their conservative philosophy might not actually solve the problems of the health-care system. They thought it would be enough to tell their voters to get mad, and worry later about what it would take to keep the promises they made.
-and-

That’s not to say that there isn’t plenty of outright malice in what Republicans are doing, because there is. Their contempt for people who struggle economically is boundless. They’ve wanted to destroy Medicaid for decades, and they just might be able to do it. But their strongest motivation right now is fear, fear of the voters they regard as too dim-witted to be able to make a rational judgment about the most consequential policy question one can imagine.
We dodged one big-ass bullet at about 2:00 this morning, thanks partly to Collins, Murkowski and McCain - but thanks mostly to the simple fact that an awful lot of us have been up on our hind legs pushing back. Makes me proud.

BTW, it ain't over. Both McConnell and 45* issued the standard Daddy State threat - warning us we'd be sorry. 

When they say "Obamacare is failing" and "let Obamacare implode", they mean "we'll continue to sabotage Obamacare to punish you for not going along with us".

So don't get happy.

The Old Is New Again

And suddenly, we've got Democrats acting all Democrat-ey and shit.

I'm just hoping we don't have to put up with a lot of self-righteous fart-breathing told-ya-so from the Purity Warriors who said they actually wanted 45* because what we really need is a lot of debilitating anxiety and pain so we'd wake up and blah blah blah - fuck that and fuck you.

Letting us in for all that anxiety and pain in order to force us to go along with your idea of good policy makes you no different from the Repubs or the Neo-Liberals who use the same tactics - the Repubs and Neo-Liberals you're always calling assholes.

But hey - it wasn't really your fault. Putin made you do it, right?

Sometimes, our reaction to trauma is what motivates us to change. That does not mean you get to manipulate us by deliberately instigating the trauma.

That's not Smart Politics. That's Terrorism.

Yeesh

These last few days have provided a good lens for me to focus in on why I have a solid Love/Hate Relationship with politics.

John McCain escapes from a hospital in Arizona, kinda wobbles his way thru a short address to the Senate, and votes in favor of going forward with debate on a bill that fucks everybody over who isn't pullin' down about $200k a year - I can hate that one pretty bigly. 

But maybe by doing that, whatever version of this piece-of-shit bill McConnell has up his scaly sleeve today finally gets exposed as a piece-of-shit bill - so maybe I don't hate that one so much.

Meanwhile, 45* continues to shit on his AG because he thinks the guy in charge of the DoJ is supposed to be loyal to the POTUS instead of holding him (and everybody else) accountable before the law.  So I love showing 45* up for the Daddy State Swingin' Dick he obviously is.

But that means I'm forced into the position of having to defend a malignant leprechaun like Jeff Sessions, and fuck me, I hate the shit outa that one.

No Way Out

No good way anyway.

If the Repubs continue to go it alone (against the polling) on a variety of issues they've decided they need to pursue based on their arrogant assumption they can continue bamboozling the rubes, then they lose the broader popular support they have to have. Especially if they keep fuckin' up the  Healthcare thing.

If they decide to negotiate with the Dems, then they're in danger of the hardcore base assuming they've caved, and they'll lose primaries to more radical candidates, who're more likely to lose in the general.

Which makes me think they were really counting on not having to pay a political price for all their fuckery, which makes me think we have to keep pushing back hard against GOP Voter Suppression efforts in the next 15 months or so.

Weaseling Away

Let me say first that I hope John McCain makes it thru this blood clot thing in good shape.

The guy's turned out to be quite the putz in numerous ways and I'd love to choke the shit out of him once in a while, but no, not really - get better, you phony old fuck.

CNN

(CNN)Sen. John McCain, 80, is recovering at his Arizona home following surgery on Friday to remove a blood clot above his left eye, according to his office. The clot was discovered during a routine physical last week, according to a statement.

Surgeons at Mayo Clinic Hospital in Phoenix "successfully removed the 5-cm blood clot during a minimally invasive craniotomy with an eyebrow incision," the statement said.
An eyebrow incision is not a big deal, explained CNN Chief Medical Correspondent and practicing neurosurgeon Dr. Sanjay Gupta, but the bone was opened to gain access to the brain, Gupta explained on CNN's New Day Monday.

"It's a significant operation," he said, adding that general anesthesia was used and "there was obviously an abnormality that was concerning enough for him to go through this."


Meanwhile, wouldn't it be interesting if McCain were to spend quite a bit more time in Arizona than they were expecting - considering his absence (deliberate or otherwise) could torpedo Mitch McConnell's whole plan for the GOP's Fuck-If-I-Care bill?

And let's try to remember this:

Worth Repeating

From way back in March - Alcee Hastings gettin' after 'em.

The take-away quote comes up at about 6:50.

"I don't have to be nice to nobody when you're bein' nasty to poor people"

Debate-Watcher's Tip: When Red Team Guy starts bitchin' about the Blue Team Guy's "tone", it means Red Team Guy knows he's losing so he has to tamp down on the visceral enthusiasm that the audience will pick up from Blue Team Guy's passion or outrage or whatever.

It's also about stalling - you need a little time to regroup so you can get back on offense.

The GOP has since come out with We-Don't-Fuckin'-Care 4.0, and let's be clear - there's not much that's changed because this is not about healthcare or coverage or looking out for people. They want their fucking Tax Cuts.

If you further weaken Da Gubmint by decreasing its revenues, people will feel the pain (of shitty roads and shitty water quality and poisoned food, and poverty creep, etc) and eventually, they'll agree to practically any level of Fuckery just on the remote prospect of relieving some of that pain.

And it makes no difference who gets fucked over, as long as enough people get fucked over enough - they have to make us tap out so we'll give the Plutocrats everything they want, including ownership - or at least control.

The National Privatization Festival has picked up some speed, and they need financing for their coming acquisition spree - have you priced a National Park lately?

These assholes are selling themselves as Reformers, but their motivation is no different from that of any other radicals who always ride in promising Bread-n-Freedom, and delivering neither.

But there's an extraordinarily shitty little twist.

"Government should be run more like a business" is cover; it's a dodge; it's nothing but chaff.

With the interjection of the Russians, we've put people in power who honestly believe Mobsters are justified in the way they operate because after all, the Mob is private enterprise patterned after the government.  

So why not take that next step?

"Government is like the Mafia - so let's be honest and run it that way".

And hey, relax - it ain't personal. It's just business.

Friday's Podcast

Talking about how The Overton Window has shifted - the dialogue regarding Healthcare is now focused on how we go about delivering on everybody's right to have affordable access to quality healthcare.  Adjust your rhetoric accordingly.

Episode 396 - Trusting in the process, but not the Republicans.

The Professional Left

(Shop their Amazon link)

Something About Procedure

When your very unpopular Obamacare Repeal bill is bound to lose, there's no space between losing by 1 vote and losing by 95 votes.

Cuz once they know it's a loser, your own guys understand they'll gain more than they'll lose by voting against the thing.

We've known Ryan isn't very good at his job for a while, but until now, everybody's been telling us what a fucking wizard McConnell is - not any more. Not with this anvil chained to his leg.

A lot of normal people (ie: rubes) have been absolutely sure that the blustery rhetoric was just for show. All they wanted was for somebody to "go on up there to Washington and poke them ruling elites in the eye once or twice" and blah blah blah.

It'd be nice to think maybe now they'll start to see how real the consequences can be - especially when a few too many of these TeaBagger congress critters have their heads so far up their asses, even if they manage to open their eyes, it's no longer possible for them to see anything but their own shit.

This animal is badly wounded now.

Charlie Gets It

On AHCA, Charlie Pierce at Esquire:

If you put credence into the notion that the Senate bill has an upside because of its effect on The Deficit, hire someone to cut your meat for you for the rest of your life. Try to keep in mind the Blog's First Law of Economics: Fck the deficit. People got no jobs, people got no money.

There isn't a single promise that the president* made on this issue during the campaign that this new tax-cut law doesn't smash to smithereens. The CBO says this bill will knock 15 million people off their insurance next year. That's horrendous. The whole bill is about allowing Medicaid to die on the vine. The CBO says that the Medicaid cut that all those Republicans say is imaginary will top out at $772 billion.

Well Well

Vox:

A majority of Americans, 51 percent, have a favorable view of the Affordable Care Act, the law’s highest mark ever in the seven-year tracking poll; 41 percent said they had an unfavorable view.
--and--

Half of Americans also said they thought they would be better off if Obamacare remained the law of the land, versus 36 percent who thought they would be better off under the Republican bill.

I'll make one radical assumption by saying: Maybe a bunch of the Leftie Purists managed to get their heads outa their asses long enough to stop insisting that "fucked over completely" is somehow better than "fucked over a little (or even a lot)".

The main thing here, Lefties, is that you don't get to prescribe punishment for me in order to pressure me into serving your political goals.

There is nothing good about losing what we gained with Obamacare because it just doesn't go far enough to satisfy your pixie-dusted dreams of unicorns and universality.

There is no silver lining in having 45* as POTUS. Damage is being done to our institutions that will take decades (if not generations) to repair.

So if you think the shit we're going thru now, and the shit yet to come, is all good in the end because it's sure to transform the voting public into good little Liberals, then y'all can go fuck yourself with a horny toad.

Like Mother Blue Gal always tells us:

When you win, you chop wood and carry water.

When you lose, you chop wood and carry water.

(I'll add my bit to the end of that):

When you get some of what you want, but not everything,

You chop the fucking wood and you carry the fucking water.

Rachel

Rachel Maddow via Stitcher (audio only) - the A Block is good and long and ties things together pretty well:

Obama Speaks

Obama's remarks on the AHCA via Facebook:

The Senate bill, unveiled today, is not a health care bill. It’s a massive transfer of wealth from middle-class and poor families to the richest people in America.

AHCA

75% of us are on record saying we don't want ACA repealed. We want it fixed and strengthened.

What's the big bugbear according to Business "conservatives"?  Uncertainty.  

You really can't make a case that AHCA does anything at all to make Americans feel more certain. Especially the way the Repubs are going about it.

But, hey at least they've given us a chance to see it before they jam it up our collective ass. 

The AHCA was released today - in all it's 142 page glory.

I haven't slogged all the way thru it yet, but so far, it's a little like the old bit about watching the original Star Trek - everybody knows the young guy you don't recognize (usually a Red Shirt) will be dead before the opening credits.  And 4 or 5 minutes after that first commercial, you'll know the gist of the story because there's only a handful of themes (kinda like this little blog here), and it always works out just fine for the Executive Elite (not at all like this little blog).  Which frees you up so you can go do something worthwhile - like picking fly shit outa your pepper shaker.

Anyway, so it is with practically everything these GOP boneheads come up with.  They put a nice face on it, but it's pretty much always about taking tax dollars from you and me, and putting them into the pockets of their in-laws, their lobby pals, and their campaign contributors.

It's money laundering. Why do you think the GOP in congress is doing nothing about 45*?  When it comes to washing money, he's one of the best - they're too busy taking lessons from this jagoff.

If you wanna know about a problem here in USAmerica Inc, look to who benefits from the continuing existence of the problem, or who profits from "solving" it. 

If you work it just right, you can get a 2-fer, like The War On Drugs and Coin-Operated Prisons.

AHCA is off to a good start in that regard. The Insurers get to go back to the bad ol' days of a Pick-n-Choose customer base, plus they get to siphon bunches of dollars out of the Treasury by playing in the High Risk Pool.  And that's just the shit I can see from here.

The rich get richer and the rest of us get fucked with our pants on.

A Perspective

ACA has been a big help for something like 20 million American families, but it either hasn't helped where it should - or there's been a negative effect - for about 3 million others.

My question: Instead of fixing it so it works for those 3 million families, we're thinking we should fuck over the 20 million families in order to give the insurance companies another shot at fucking over all 23 million?

Great plan.

Quick Quote

Vanity Fair's TA Frank:

"...the latest from Republicans in Congress — a Dumpster of a health-care bill (so bad it’s not even worth setting on fire)..."

The rest of it's pretty good too - trying to talk us away from the logical extreme as we're trying to get 45* outa there before he crashes the whole system.

It's a bit Glenn Greenwald-ey, but we really do have to make sure we're following the rules.