US health care update

While I write about US political issues sometimes, I haven’t been recently, not because there hasn’t been a lot to write about, but because there has been too much – and not enough time, as I have been dealing with multiple family health issues.

I can’t bring myself to try to elucidate the increasingly alarming tangle of DT’s campaign, transition, and administration with Russian government and oligarchs, Cypriot banks, Turkey, surveillance, investigations, and the firing of justice officials, but I do want to comment on the failure of the Affordable Care Act (ACA) repeal.

The ACA has been an important law that has had a positive effect on my family and on many millions of Americans. We have all benefited from provisions that all insurance cover a suite of important health care provisions without deductible and copayments, that there be no annual or lifetime caps on coverage, and that pre-existing conditions must be covered. While premiums have increased as projected, the rate of increase has been lower than in the years before the ACA and the subsidies based on income have kept pace with the premium increases to keep insurance affordable for most people.

There have been some problems, the biggest being the gap caused when some states chose not to expand Medicaid eligibility as designed in the original legislation, a provision that was overturned by the Supreme Court. This left low-income folks in those states without a path to get subsidies for their insurance.

If Congress had been functional, the ACA would have been amended to deal with the various problems and to enhance the programs for the benefit of the public, as happened with other large programs, such as Social Security.

However, Congress has not been functional for years. The Republican leadership has refused to bring bipartisan legislation up for a vote, deciding that the ACA should be repealed in its entirety. Instead of enacting fixes and enhancements, the House voted dozens of times to repeal the ACA, a meaningless gesture as it would not pass the Senate and be signed by the President.

With DT’s inauguration and the Republicans in the majority in both houses of Congress, many of us feared that the ACA would be repealed and a more expensive and less extensive health care insurance program be put in its place.

The bill that was proposed was even worse than we had feared, with projections that 24 million people would lose insurance coverage, even more than were without coverage before the ACA.

And then it got worse, due to wrangling among the Republicans. Even the essential benefits were put on the chopping block.

The people had not been silent during this whole debate. Congressional offices, which had already been flooded with calls, visits, town hall attendance, emails, letters, faxes, postcards, and the occasional delivery of pizza or baked goods with a message attached, experienced even higher volumes of contact, with pro-ACA messages outnumbering repeal/replace messages by margins of hundreds or thousands to one.

DT got involved, pressuring House members to vote yes. The vote, scheduled for Thursday, which was the seventh anniversary of the signing of the ACA by President Obama, was postponed until Friday morning, then Friday afternoon.

Then, at the time it was supposed to begin the voting process, the announcement came that the bill had been pulled.

There was a huge sigh of relief.

And a cloud of uncertainty.

The best outcome at this point would be for Congressional committees to consult with health care providers and policy experts to craft repairs and enhancements for the ACA to benefit public health and well-being and to pass those amendments into law.

Which many of us have been advocating for years.

Maybe the Republicans will finally cooperate in this process.

We, the people, will continue to demand that they do.

 

a visit to a congressional office (door)

I had wanted to write last week about political developments, including the resignation of DT’s national security adviser, the failure of Republican leaders in Congress to step up to investigate the relationship between DT’s campaign/administration and Russia, the confirmation of Scott Pruitt as EPA chief, and DT’s bizarre press conference and continued attacks on the free press, which should be guaranteed by the US Constitution.

I couldn’t muster the energy to do it.

This morning, I attended a monthly meeting of the Catholic Peace Community, where we discussed a community health care town hall being held this evening. Our member of Congress has been invited to attend, but there has been no indication that she will do so.

She is a Tea Party Republican and wants to repeal the Affordable Care Act. I had already written to her about the ACA, asking that it be retained and improved, not repealed. Her reply to my letter was somewhat disingenuous, faulting the ACA for not solving problems that it was not designed to solve in the first place.  She also did not give concrete ideas on how a replacement plan would work.

Before the meeting, I had seen a post on Facebook about the town hall which gave the location of her new local office, which I shared with the people at the meeting. After we finished, I proceeded downtown to the new office, to ask that the Representative attend the town hall and to share my further thoughts on health care.

It was a bit difficult to locate the office. There was no listing on the directory, no arrow pointing down the appropriate hallway, and no sign on the door, although I knew it was the right place because there was a Congressional seal on the wall beyond the glass door.

The lights were on, but the door was locked.

Not having any idea how long it would be before someone returned and not wanting to waste a visit, I found a bench, pulled out some paper from my pocketbook, and composed a several-paragraph-long note.

I walked back to the office and slipped my note under the still-locked door.

When I returned home, there was a phone message from one of the staff members, so at least I know that my message was received.

Whether it, along with the opinions of many, many others in our district, has any impact on her Congressional votes remains to be seen.

activism refresher

Yesterday, I was able to attend two events that were updated but familiar.

First, I went to a presentation on sustainability in our area, hosted by SUNY BEST. Four speakers talked about different aspects of sustainability, including community revitalization, energy, and building/infrastructure.

My favorite presentation was by Amelia LoDolce of VINES (Volunteers Improving Neighborhood Environments). Daughter T was involved with this cause before it became a formal organization and I was thrilled to hear about how it has grown and all the good work it is doing and planning to do in the future. Their projects include community gardens, an urban farm in Binghamton which increases the availability of fresh produce for low- to moderate-income folks, youth employment, and educational outreach for schools and community.

It was nice to reconnect with some of the people that I met during the fight against fracking in New York. We have been hard at work continuing to fight against new fossil fuel extraction and infrastructure projects, as well as advocating for renewable energy and increased efficiency. Still, we don’t see each other as often as we used to in the days of frequent rallies…which leads to…

I left the presentation and proceeded to a press conference/rally at Senator Schumer’s local office, part of a coordinated effort around New York State. Senator Schumer is now the Minority Leader in the Senate, so he is vital to leading the opposition to DT’s agenda. We stood outside in the cold and snow to get our message out. Speakers called on Senator Schumer to vote against several of DT’s appointees. There were several speakers who talked about environmental concerns, particularly about Scott Pruitt’s nomination as EPA chief. We were happy that one of Senator Schumer’s staff members came and spoke to us; she passed out two-page documents that had quotes from Senator Schumer’s press releases of which nominees he is opposing and the reasons for his opposition. It was nice to be acknowledged and to know that the Senator is doing what he can to protect our rights and our environment.

Today, I finished watching a video of the Washington Women’s March. Daughter T and I participated in the Binghamton March. It is encouraging that so many people are banding together to fight for social and environmental justice. The people and groups are diverse, but we are stronger together as we support one another in these tumultuous times.

 

doomed to repeat history – or just doomed?

I haven’t been using most of the (optional) prompts that have been provided for Just Jot It January, but I will start off using today’s, which is history.

It begs the question, “Does DT know/understand any history?”

If he did, would he be spouting the slogan “America First” which has disturbing connotations from the World War II era?

Would he have signed an order to ban Syrian refugees on Holocaust Remembrance Day, inviting comparisons to the shameful and cruel turning away of Jewish refugees trying to flee Hitler?

Does he understand the separation of powers in the United States Constitution? In some instances at the airports, executive branch personnel refused to carry out the order of federal judges. There will be numerous lawsuits filed challenging the legality of the executive order. US immigration law prohibits discrimination due to national origin, which this executive order clearly violates.

It also disturbs me that DT reneged on the promises made to visa, refugee, and green card applicants. A local example: A staff member at my parents’ retirement community is a long-time US resident and green card holder. He planned to leave in a few days to visit family in Iraq. Now, he won’t be able to go. Even if he can get to the Consulate, which is several hours away, and is granted a waiver, he may be leery of leaving the country because the administration has already shown that they are not honoring his green card as equal to that of someone from France or China – or Saudi Arabia, the country from which most of the 9/11 terrorists originated.

I have written often about my fear of Trump, which I am trying to mobilize into energy to fight for social and environmental justice in the face of his threats and actions.  These last two days make it even more difficult to not be afraid. Does DT think that he is above the laws of the United States? Does he think he makes the laws? The legislative and judicial branches need to assert their independent authority, as our system is designed. Sadly, only a few Congressional Republicans have spoken out against the executive orders on immigration.

Again, people power has been a source of hope. Protesters appeared at the airports where travellers were being detained despite their having valid visas and passports. Lawyers skilled in civil rights, Constitutional law, and immigration law rushed to help the affected people and filed emergency suits to keep them from being deported.

And this is only the second week of the administration.

I feel like a firefighter who is being summoned to multiple locations at the same time.

So much work to be done. So many people to try to protect.

Not knowing whence the next alarm comes.
*****
Join us for Linda’s Just Jot It January! Find out how here:  https://lindaghill.com/2017/01/29/jusjojan-daily-prompt-jan-29th17/

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SoCS: What would you do?

People sometimes ask themselves, “What would you do if…?”

We in the United States are now getting the answer to to those hypotheticals when it comes to questions of what we would did if our liberties, rights, and Constitutional protections were threatened.

The answer is “We organize and fight!”

I don’t mean fighting in a physical sense; we are fighting non-violently. We are marching, calling and writing our members of Congress and the president, getting the word out in traditional and social media, and working through established organizations.

One of the heartening things to me is that we are helping each other with various causes, even if we are not directly affected by them.

I have been involved with various organizations for environmental and social justice for years. Most of them would co-ordinate with some other closely related organizations within their areas of interest, such as environmental or health care causes, but not think about other areas, such as racial justice or poverty. Now, everyone is pitching in to help any injustice that appears.

We are all in this together.

It isn’t easy and how effective we will be is unknown, as these are early days.

But we must keep at it to ensure our rights and the fate of our nation.

There is an old story about not speaking out when “they” (meaning the authorities in an authoritarian country) came for the members of this group and that group because the narrator is not a member of those groups. When they come for the narrator, there is no one left to speak up for him.

We are not making that mistake.

And for that I am grateful.
*****
Linda’s prompt for Stream of Consciousness Saturday this week is wood/would. Join us for SoCS and/or Just Jot It January! Find out how here:  https://lindaghill.com/2017/01/27/the-friday-reminder-and-prompt-for-socs-and-jusjojan-jan-2817/

 

civic duty

Watching the presidential inauguration today is not part of my civic duty.

Paying my taxes is, so this morning I went to the town office to pay our town and county taxes, which will help to provide our community with roads, parks, public safety, libraries, water and sewer systems, and many other things that make our everyday life possible. (Later in the year, we will pay our school taxes, which funds the very important work of educating our young people so they can grow up to be responsible adults.)

This afternoon, I attended an event in conjunction with the national bus tour to “Save Our Health Care” by stopping the repeal of the Affordable Care Act. Our hope is to pass additional legislation that will build on and improve the ACA – and which the Congressional Republicans have refused to consider during the Obama presidency.

Millions of people only have insurance today because of the ACA, including some members of my family. Everybody also benefits from provisions of the ACA, such as no exclusions for pre-existing conditions; 100% coverage for wellness exams, mammograms, colonoscopies, birth control, and other benefits; women not being charged extra just because they are women; and no lifetime caps on claims. Seniors get help with closing the “donut” hole in the Medicare prescription drug benefit.

Many people think that the rise in insurance premiums has been caused by the ACA, but the truth is that the rate at which insurance premiums were rising was much higher before it was enacted. For most people, the federal subsidies make premiums affordable. Even if the deductible is high, people benefit from lower costs for appointments; doctors and hospitals charge people without insurance much higher prices. Additionally, Medicare has had years of solvency added because of the ACA.

It is scary that the Republicans in Congress are looking at repealing the ACA without simultaneously replacing it. It makes much more sense to improve the ACA than to abolish it.

Mend it. Don’t end it!

Health care is a human right and providing it is one way that we in the United States can “promote the general welfare” as our Constitution states.
*****
Join us for Linda’s Just Jot It January! Find out how here:  https://lindaghill.com/2017/01/20/jusjojan-daily-prompt-jan-20th17/

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boycott

I had already been planning on not watching DT’s inauguration. Seeing and hearing him remind me too much of all the hateful things he has said and done.

I have even more reason to boycott now as a show of solidarity with Rep. John Lewis of Atlanta, Georgia.

Rep. Lewis said in an interview last week that he questioned the legitimacy of DT’s election, due to the interference of Russia.

I agree.

DT does not and excoriated Rep. Lewis on twitter, of course, on Martin Luther King, Jr. holiday weekend. Rep. Lewis is one of the last living stalwarts of the 1960’s civil rights movement dedicated to non-violence, who marched with Dr. King and bled at Selma, and the member of Congress widely known as its conscience. DT once again showed his pettiness and ignorance.

Also, DT showed his complete lack of the sense of irony, given that he spent five years questioning the birthplace and legitimacy of President Obama and repeatedly said during his own campaign that the US elections were rigged.

Many, many people are upset about this situation. Over thirty members of Congress are joining Rep. Lewis in boycotting the inauguration.

While I had already decided not to watch the inauguration before this happened, I am humbled to join my small, private boycott to theirs.
*****
Join us for Linda’s Just Jot It January! Find out how here:  https://lindaghill.com/2017/01/17/jusjojan-daily-prompt-jan-17th17/

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dread and alarm

It is with an increasing sense of dread and alarm that I approach January 20th.

January 20th is the date on which Donald Trump will be sworn in as President of the United States.

It is not a secret that I was a Bernie Sanders supporter who went on to support Secretary Clinton in the general election.  If our electoral system went by popular vote, she would be assuming the presidency and I would have at least some hope of helpful and reasonable legislation making it through Congress.

As it stands with DT, though, I believe that our country – and the world – are in danger.

That sounds very dramatic, but it is, unfortunately, true.

Early in the primaries, before it was clear that DT would be nominated, I had thought that, if he were to be elected, it would get the Congressional  Republicans to finally cooperate with the Democrats and Independents to pass reasonable, bipartisan legislation, as it was obvious that DT’s ideas were often unconstitutional, impractical, unethical, or some combination thereof. DT was also campaigning against both the Democratic and Republican establishment.

For reasons that I cannot fathom, once DT won, the Congressional Republicans suddenly think they have a mandate to do all kinds of things, such as privatize Medicare, that the majority of the public oppose (and DT used to oppose, although it is often hard to tell where he stands).

DT keeps telling us how smart he is and how he hires great people, but the nominees for staff and Cabinet positions are downright – I know I keep using this word – scary.  Several Cabinet nominees are on record as opposing the existence of the departments they are slated to head. Several have espoused outlandish conspiracy theories, which is even more pathetic when DT and his team are downplaying the very real role that Russia played in influencing the presidential election. The vetting that the Trump transition team did on background and conflicts of interest was sparse and the Senate Republican leadership is trying to rush through hearings and votes, even though the Ethics Office hasn’t been able to evaluate the candidates, some of whom haven’t even sent in their full information.

It is particularly galling because Mitch McConnell, when he was Senate Minority leader, made a huge deal about having extensive background information on President Obama’s appointees. He sent a letter detailing his requirements to then Senate Majority Leader Reid.   Recently, the new Senate Minority Leader and my Senator Chuck Schumer sent that same letter to Mitch McConnell, crossing out his name and signing it himself. It isn’t likely to do much good. Unfortunately, there looks as though there will be massive conflicts of interest with Cabinet secretaries, as well as totally unresolved conflicts with DT himself.

Because the US is so powerful on the world stage, our developing troubles here can affect other countries, too. There are the obvious problems of diplomacy, war, alliances, and trade. I am especially concerned with science and climate issues. Researchers and tech specialists have been rushing to back up data outside the country, in case DT’s departments try to limit or erase content. There is the threat that Congressional Republicans may reduce the pay for some posts, for example, those researching climate change, to $1 in the budget, effectively eliminating those jobs in a way that the Democrats could not block. The prospect just makes me sick. I am also worried that DT may try to pull the US out of the Paris climate agreement, which would be terrible, although many private businesses will continue to participate even if the government tries to renege on its promises.

In many areas, there is a danger that DT and the Republicans are making end runs around the laws that were set up to establish separation of powers and checks and balances. The Congressional Democrats are gearing up to fight, as well as some of the governors and attorneys general. Particularly important will be New York and California.

Everything is unsure, but many ordinary citizens are also gearing up to fight. My inbox is filled with action items on various appointees and policies, including the possible repeal of the Affordable Care Act without replacement legislation in place.

It is all terrifying.

And a work in progress.

Stay tuned.

Update January 11:  Not long after I posted this, additional allegations of Russian intelligence against Donald Trump surfaced, raising fears of possible future blackmail. This just adds to the unease over his impending inauguration. DT is scheduled to hold his first news conference in six months today. Should be…interesting.
*****
Join us for Linda’s Just Jot It January!  Prompts are provided but any post counts. I usually choose not to use prompts, but today’s from Matthew is “danger” – which fed into how I was feeling after watching the news. Find out more about it all here:  https://lindaghill.com/2017/01/10/jusjojan-daily-prompt-jan-10th17/

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election aftermath

I have been giving myself some processing time before writing about the outcome of the US presidential election. I also delayed writing because I have been busy with family/household issues, but I am awake at an obscure hour so I may as well start in on this post.

I had written before about by afraid of Trump’s rhetoric during the campaign; I also had written about being a supporter of Bernie Sanders, whose policy ideas most resemble mine, who went on to support Hillary Clinton when she won the nomination and supported most of those policies.

I had also expressed hopes that the country would come together after the election.

Things don’t seem to be going that way.

I admit to be being puzzled by Speaker Ryan thinking the Republicans have a mandate to privatize Social Security, block grant funding to the states, cut business taxes, and other long-time Republican establishment goals when a) Trump campaigned against the Republican establishment b) Trump lost the popular vote c) the Republicans lost seats in both houses of Congress d) 47% of registered voters didn’t vote in the election and e) he thinks that somehow President Obama, who did win a majority of the votes in his two elections did not have a mandate.

I had hoped that Trump would gather a team around him who had experience and background in various aspects of government which, as a businessperson who has never held elective office, he lacks, but, so far, many of his picks have been problematic, especially in regards to preserving civil liberties.

I am still afraid.

I am most afraid for the American people.

I’m afraid for those who believed Trump’s promises to bring back their jobs in manufacturing, mining, and the oil and gas industries. A president does not have the power to do this because these businesses are part of global markets. The price of oil is influenced by supply and demand worldwide. Appalachian coal can’t compete with Wyoming coal because it has different properties. Most manufacturing is highly robotized and doesn’t employ as many workers as assembly lines used to.

I grew up in an area that lost a lot of jobs and population when mills closed down and have lived for the past 34 years in an area that lost a lot of population and jobs in tech and manufacturing. I know what it is like to have the younger generation need to move out of the area to find work and to find different kinds of work than their parents and grandparents had. I’m sorry, but no president can restore towns and cities to what they were ten or twenty or thirty or forty years ago. Our country was built on change and ingenuity. We have to adapt to present realities and educate and innovate and create new opportunities for the future. I’m afraid for those people who have been left behind and afraid that they are going to be disappointed again.

I’m afraid for all those who belong to groups that have been blamed, vilified, or characterized as suspect during the campaign by someone or other. Muslims, Jews, Christians. Latinos. Immigrants. Syrian refugees. LGBTQ folks. Women. Black voters. Those who are in the lower socioeconomic strata. Reporters. The less educated. Experts. (I admit that I have a lot of trouble understanding how people can vilify those who have devoted years of education, research, and experience to become experts in their fields, yet this happened frequently during the campaign. Not that I understand other parts of the blame game any better.)

I’m afraid for anyone who has ever suffered bullying or abuse and who has experienced renewed pain due to words and behavior brought out in the campaign.

I’m afraid for the US-born children and spouses of undocumented people who fear the deportation of their loved ones, and even their own deportation if the administration tries to overturn birthright citizenship.

I’m afraid for those in the military who might be deployed in unwise ways.

I’m afraid for public health if the ACA is repealed rather than being amended.

I’m afraid for public health and the environment if industry is allowed to increase pollutants and if greenhouse gas emissions go up. Many areas of the country and the world are already being impacted by climate change and the US cannot afford to pull back from our participation in international agreements. I think that most states and companies will continue to pursue greenhouse gas decreases and renewable energy increases no matter what the federal government says, but it would be much better to have the federal government leading the way instead of fighting it.

The last time I was afraid about the qualifications of the incoming president and administration was the election of George W. Bush, another candidate who was elected despite having lost the popular vote. I thought at the time “How bad could it be?” and it wound up being ten times worse than I had feared.

I am much more apprehensive about the upcoming Trump presidency. Given his volatility and lack of experience, I am very, very afraid of what may happen over the next four years.

I’m not alone.

What I am voting for

This election cycle in the United States has often focused on what people are voting against but I want to focus this last post before the election on what I am voting for.

I am voting for:

  • candidates who want government to work to uphold the common good and to “promote the general welfare” as our Constitution states
  • candidates who have experience working together with others to accomplish goals
  • candidates who understand science, law, and history and who articulate their policy positions clearly
  • the most progressive candidates who have a chance of being elected, which in my state means voting on the Working Families party line
  • ground-breaking women candidates, including Hillary Clinton for president and Kim Myers for Congress
  • candidates who accept the climate science concensus and who will take action to protect the environment
  • candidates who are at least as smart as I am

My state does not have early voting or voting by mail except in very limited circumstances, so I will be going to the neighborhood volunteer fire station to vote on Tuesday. I am very confident in the integrity of our voting process, with experienced poll workers from our town ensuring that only eligible voters cast ballots, in our case, paper ballots read by optical scanners.

I hope that all registered voters will vote in this election and accept the results. Most importantly, I hope that all people will come together in support of a government that works to pass and implement laws and budgets that respect and support human dignity and community.

Our Constitution begins with “We the people.” As a democracy, we are pledged to each other and called to cooperate with each other, regardless of our individual differences, “to form a more perfect union.”  Hyperindividualism, greed, prejudice, intolerance, and bigotry are destructive to our country.

The United States has a lot of healing to do. We had best start now.

[I am writing this at an (obnoxiously) early hour on Monday before launching into what is likely to be an intensely busy next few weeks with a lot of important transitions and events happening simultaneously. I considered disabling comments because I am not sure of being able to respond in a timely way. I decided to allow comments, but reserve the right to close or delete comments if they get out of hand.]