Not trying to pick a fight
With unemployment among blacks at more than 15 percent, the N.A.A.C.P. will join several other groups on Tuesday to call on President Obama to do more to create jobs. ...
In speaking out on jobs, N.A.A.C.P. leaders say they are not trying to pick a fight with the first African-American president. Rather, they say, they are pressing Mr. Obama in an area where they believe he wants to be pressured.
“It’s time [NOW????] for us to really stoke this issue up,” said Hilary O. Shelton, the N.A.A.C.P.’s senior vice president for advocacy and policy. “We’re not so much trying to convince him to do something he doesn’t want to do, but urging him to move forward on an issue we have agreement on.”
Well, you go on believing that.
Lies are not healthy, not even those found on page A1 of Izvestia
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The only reason the Howler repeats himself is that our famously free press does. As for example:
This morning, the gods rocked with laughter: On Olympus, that is. Reason? On the front page of the New York Times, Sheryl Gay Stolberg penned a report about the way current health reform bills would deal with American health care spending. On Olympus, her opening paragraph produced some muffled laughter:
STOLBERG (11/10/09): As health care legislation moves toward a crucial airing in the Senate, the White House is facing a growing revolt from some Democrats and analysts who say the bills Congress is considering do not fulfill President Obama's promise to slow the runaway rise in health care spending.
Note that definition again: We’ll accept a rise in health care spending—it just can’t be a runaway rise! As Stolberg continued, the muffled laughter became full-throated—almost a roar:
STOLBERG (continuing directly): Mr. Obama has made cost containment a centerpiece of his health reform agenda, and in May he stood up at the White House with industry groups who pledged voluntary efforts to trim the growth of health care spending by 1.5 percent, or $2 trillion, over the next decade.
Can you see why the gods, and their guests, were now openly laughing? In the face of a “runaway rise in health care spending,” Stolberg almost seemed to suggest that a “trim” in growth, of 1.5 percent, somehow connected to the idea that “cost containment” was “a centerpiece” of Obama’s agenda! And then too, the gods, and their guests, had all seen the OECD figures—the figures which show the baseline of American health care spending. Can you see why the gods, and their guests, were now laughing hard at us mortals?
Total spending on health care, per person, 2007
United States: $7290
France: $3601
Germany: $3588
United Kingdom: $2992
Italy: $2686
Spain: $2671
Japan: $2581 (2006)There’s the baseline for any future rise. In 2007, the U.S. spent 102 percent more than the French! In Stolberg’s account, it seems that we’re planning to “trim” 1.5 of those 102 points! But then, cost containment is a centerpiece of our health care agenda!
On Olympus, the sides of the gods are starting to split in the face of our culture’s year-long clowning—clowning which is mainly conducted at the very top of our “press corps.” Our advice: Surrender the prejudice of your youth! In a hundred different ways, you were told that “man” is “the rational animal!” As your society flounders and drowns, you—like the gods—can learn to see something quite different.
By contrast, here's how they do it in France:
Why not a WPA?
Krugman asks, and answers "politics" (that is, right wing bromides like "government is the problem"). Of course:
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Flawed Dartmouth Atlas study only catalogs dead people, but HR 3200's "efficiency" payments are based on it
Never let it be said that the scientists who publish in dry, staid medical journals lack a sense of humor. That resurrecting dead patients line is the title of an article that appeared in JAMA [Journal of the American Medical Association] a few years ago, and beyond the fact that it provided me with a snappy headline, gives me the chance to post one of my favorite lolcats [again], and is cited in another article in another journal, it has no further bearing on this post.
The another article in another journal, Looking Forward, Looking Back: Assessing Variations in Hospital Resource Use and Outcomes for Elderly Patients With Heart Failure, is monumentally less gripping than, oh, the last installment of Harry Potter, or even the labels on cat food cans, but it's nonetheless an important data point in the present health care deform reform debate.
To back up for just a moment, the Dartmouth Atlas Project is a massive gathering of data gleaned from Medicare spending records over many years. Mapping the data has produced the realization that Medicare spending varies widely throughout the country. Peter Orszag, President Obama, and Tom Harkin, to name just a few personages, are all quite taken with it, and with the Dartmouth researchers' assertions that the patients in higher-spending regions fare no better than those in lower-spending regions.
If only those spendthrifts in Miami and McAllen could be made to behave more like those prudent paragons living in Minnesota, we could save hundreds of billions of $$$$$ in health care spending every year.
Not so fast, corpus breath. The Dartmouth Atlas only catalogs dead people. The researchers looked back over the patients' lives for the 6 months [and for some purposes, 2 years] before they died. Concluding that since they all died anyway [duh!], the ones who got more care [and therefore cost more money], didn't really need all that extra care [and therefore we don't need to be spending that extra money on them].
It's an attractive notion, but one of the things the Dartmouth researchers didn't do so much of was looking forward.
Medicare for All, the road ahead
I see three likely scenarios. One, the whole bill implodes and no health care bill passes. In that case we start over. Two, a bill passes with mandates, subsidies for junk insurance, and no public option, BUT DOES CONTAIN THE KUCINICH AMENDMENT. In that case the battle moves to the states, big time. Three, a bill passes with mandates, subsidies for junk insurance, a pathetic public option, and no Kucinich amendment.
Catnip on Sunday
Morton Mintz at Neiman Watchdog:
During President Obama’s five back-to-back Sunday television interviews, “No one…asked an unexpected question,” Alessandra Stanley wrote in the New York Times. That was a powerful and warranted indictment of the ascendant non-journalism masquerading as journalism.
The interviews, on CNN, NBC, ABC, CBS and Univision, were “as tightly choreographed – and eerily similar – as the multiple Magritte bowler-hatted men milling in the remake of ‘The Thomas Crown Affair’,” Stanley wrote. “The president’s talk show grand slam…was a remarkable – and remarkably overt – display of media management….Mostly…Mr. Obama demonstrated that the news media are catnip to presidents.”
The media would have been less catnippy had just one of the interviewers decided to be catsnippy enough to be less managed, i.e., to seize a golden opportunity to ask fundamental questions that should be but rarely if ever are asked of this or any past President.
• Mr. President, a standard definition of criminal negligence is, “The failure to use reasonable care to avoid consequences that threaten or harm the safety of the public and that are the foreseeable outcome of acting in a particular manner.” Tens of thousands of Americans die every year from treatable diseases that were not treated because the victims could not afford treatment.
My question is, can our government be fairly accused of criminal neglect for failing to provide universal health care?
I'm sure Tom Daschle is a fine, upstanding public servant...
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... despite what anyone says, and I'm totally confident that Obama's vetting process will continue to produce public servants of the most awsum and unimpeachablest integritude, despite blips like chief speechwriter Jon Favreau, Commerce Secretary-designate Bill Richardson, and Treasury Secretary Tim Geithner, but doesn't this pose the appearance of conflict?
[Daschle's] finances [include] more than $300,000 in income from health-related companies that he might regulate as secretary....
And, even though a substantial proportion of that $300,000 must come from the insurance parasites that single payer would remove from the health care system, it's impossible for me to imagine that this would influence Daschle's views of what's "politically feasible [rhymes with weasel] and what isn't.





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